Posts

Hair Characteristics In Hair Transplants

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Greetings,

Today I will discuss the difference in hair type for hair transplants. Based on studies 0.1mm increase in the diameter of the hair follicle can add up to 30% increased cosmetic density. This means that the greatest factor affecting cosmetic density is the thickness of the hair follicle. People with coarse hair will have a much better cosmetic result than people with fine hair with the same number of follicles. In addition, curly hair will yield a better cosmetic result than straight hair. Also, the less color contrast between the hair and the scalp (grey hair on light skin versus dark hair on white skin) the better the cosmetic result.

The analogy I typically use it to imagine a forest of trees in front of you. If the trees are thick with large wavy branches you will see through less of the forest than thin trees with small flimsy branches. This is the same with hair. Coarse curly hair will always yield a better cosmetic result than fine straight hair.

This is not to say that people with fine straight hair are not good candidates for the procedure, on the contrary they can be excellent candidates. Prospective hair transplant patients need to know this information in order to prepare themselves for realistic expectation of the outcome of their hair transplant procedure.

All the best,

Marc Dauer, M.D.

 

/by Los Angeles Hair Transplant Specialist

FUE Hair Transplant To Hairline

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Greetings,

Here is a patient of mine who received just over 1100 grafts via FUE to the hairline and frontal scalp. The grafts were extracted manually using a 0.8mm extraction tip.

The grafted region and the donor regions are shown 1 week post procedure and as you can see there is almost no evidence of scarring in the donor region and very little to be seen in the recipient region other than the new transplanted grafts.

All the best,

Marc Dauer, M.D.

This is the recipient region pre FUE hair transplant and 1 week after just over 1100 grafts were placed in the hairline.

This is the recipient region pre FUE hair transplant and 1 week after just over 1100 grafts were placed in the hairline.

This is the donor region immediately post FUE hair transplant and 1 week afterward.

This is the donor region immediately post FUE hair transplant and 1 week afterward.

/by Los Angeles Hair Transplant Specialist

Hair Transplant To Increase Cosmetic Density In Frontal and Mid Scalp

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Greetings,

Here is a patient of mine who received a hair transplant from another physician over 10 years ago. The grafts then were placed primarily in the hairline. The patient lost more native hair and presented to me with a thinned out hairline and very little hair in the mid scalp region. I transplanted just over 2000 grafts via FUT to increase the density in the hairline and the mid scalp.

The “after” photos are shown approximately 1 year after the patient’s procedure.

The patient is thrilled with his results.

All the best,

Marc Dauer, M.D.

Before and After Hair Transplant Photos

Before and After Hair Transplant Photos

Before and After Hair Transplant Photos

Before and After Hair Transplant Photos

Before and After Hair Transplant Photos

Before and After Hair Transplant Photos

Before and After Hair Transplant Photos

Before and After Hair Transplant Photos

/by Los Angeles Hair Transplant Specialist

Hair Transplant To The Hairline

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Greetings,

Here is a patient of mine who just returned for his 9 month follow up after receiving 1372 grafts to the hairline via FUT. The objective was to fill in and define the existing thinning hairline.

The patient is already thrilled with his results and he should see some additional cosmetic density over the next 3-6 months as the transplanted hairs thicken in diameter.

All the best,

Marc Dauer, M.D.

Hair Transplant To The Hairline

Hair Transplant To The Hairline

Hair Transplant To The Hairline

Hair Transplant To The Hairline

Hair Transplant To The Hairline

Hair Transplant To The Hairline

Hair Transplant To The Hairline

Hair Transplant To The Hairline

/by Los Angeles Hair Transplant Specialist

Beard / Mustache FUE Hair Transplant Result

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Greetings,

Here is a patient of mine who wanted empty patches in his beard and mustache filled in. I used a 0.8mm FUE punch to extract hair follicles from the neck and transplanted these follicles into the beard and mustache. The results are shown after 6 months and the patient is thrilled.

All the best,

Marc Dauer, M.D.

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

/by Los Angeles Hair Transplant Specialist

Horrible Strip Scar From Hair Transplant

Greetings,

Here is a patient who recently presented to me with these strip scars from another physician. The patient had multiple strip hair transplant procedures and on the last procedure these very wide scars formed. I do not know exactly what the physician did, or how the patient presented to the physician prior to the last procedure, but this should serve as a warning to both physicians and patients that this can happen if you are not careful. Each patient must be throughly evaluated to determine elasticity, especially after multiple procedures. Each time a strip is harvested the donor elasticity decreases, thus increasing the possibility of scar widening, or the inability to close the would. Tension on the would closure also increases the chances of shock loss of hair around the donor region. Many times the hair lost from shock loss comes back over time, but sometimes it does not.

Sometimes you don’t know you’ve gone too far, until you’ve gone too far. Patients will push the physician in some cases to go for more grafts. Physicians  will want to make the patients happy and feel confident in their abilities. No matter how good you are, you must always be cautious and prepared for the unknown. It’s always obviously better to stop before you get to a problem.

With my success performing FUE I have been encouraging my patients who have had multiple strip procedures to consider an FUE procedure which will not affect a previous strip scar. If I feel it is medically permissible to harvest another strip, I always try to educate the patient that there is always the possibility of scar widening or shock loss around the donor region.

In this case, the treating physician tried to resect the scar with no success. I opted to treat the patient by extracting FUE grafts from the beard and transplanting them into the scars. I hope to post a follow up photo in 6 months showing the results of my procedure.

All the best,

Marc Dauer, M.D.

This is a patient who had a widened strip scar following strip hair transplant.

This is a patient who had a widened strip scar following strip hair transplant.

This is a patient who had beard hair extracted via FUE transplanted into a previous strip scar.

This is a patient who had beard hair extracted via FUE transplanted into a previous strip scar.

This is one of my patients who had a strip hair transplant procedure and his strip scar.

This is one of my patients who had a strip hair transplant procedure and his strip scar.

/by Los Angeles Hair Transplant Specialist

Beard Hair FUE Extraction Transplanted to Scalp

Greetings,

Here is a patient of mine who received old hair transplants with larger grafts from another physician many years ago. He came to me requesting greater density and more irregularity in the hairline to create more naturalness. He was not a candidate for another strip procedure and he had very limited donor reserves on his scalp.

I extracted approximately 600 grafts from the sides of his scalp via FUE and just over 600 grafts from his neck via FUE as well. I used a 0.8mm punch tip for my extractions so that the extraction sites would not be visible. The neck grafts were placed in the frontal and mid scalp for greater density and the scalp grafts were placed in the hairline to create a more natural look overall.

The results are shown after 12 months.

Beard hair FUE is an excellent option for patients who do not have any scalp hair available and this case demonstrates that very well.

All the best,

Marc Dauer, M.D.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

/by Los Angeles Hair Transplant Specialist

The 10 Commandments Of Hair Transplants

Greetings,

I recently though it would be a good idea to write down my top 10 rules regarding hair transplants.

So, in no particular order, here are my 10 Commandments Of Hair Restoration Surgery

1. You will always want more hair
2. You will never have enough hair
3. You will always consider “another” procedure
4. We can only predict so much in medicine and there will always be the 1/10 of 1% that don’t work out the way every other case does
5. There is no such thing as a “scarless” hair transplant
6. FUE is not scarless
7. This procedure comes down to “supply versus demand”. Donor area versus balding area. Expectations must be managed accordingly.
8. Always create a higher hairline with greater density than a lower hairline with lower density.
9. In all patients but in younger patients especially, imagine the end point of hair loss over time and create the complete treatment plan over many years accordingly.
10. Rarely if ever perform a hair transplant on someone under the age of 20.

 

/by Los Angeles Hair Transplant Specialist

Female Hair Transplant Patient Results

Greetings,

Here is a female patient of mine who had received 2 smaller hair transplant procedures in the past with another physician. She came to me wanting more density in the frontal scalp. I transplanted just over 1500 grafts to the frontal and mid scalp via FUT and the results are shown after 8 months. The patient is already thrilled with her results and she should see about 20-25% more cosmetic density over the next 4-5 months.

Female patients need to be evaluated and treated differently than male a patients and it is very important that your hair transplant surgeon has experience treating female patients in order to know the differences.

All the best,

Marc Dauer, M.D.

this is a female patient who received just over 1500 grafts with a FUT hair transplant procedure

this is a female patient who received just over 1500 grafts with a FUT hair transplant procedure

this is a female patient who received just over 1500 grafts with a FUT hair transplant procedure

this is a female patient who received just over 1500 grafts with a FUT hair transplant procedure

this is a female patient who received just over 1500 grafts with a FUT hair transplant procedure

this is a female patient who received just over 1500 grafts with a FUT hair transplant procedure

this is a female patient who received just over 1500 grafts with a FUT hair transplant procedure

this is a female patient who received just over 1500 grafts with a FUT hair transplant procedure

/by Los Angeles Hair Transplant Specialist

FUE Into Previous Hair Transplant Strip Scars

Greetings,

Here is a patient of mine who had 2 strip scars from another physician. This in itself is wrong as whenever possible I always include the old strip scar in the new strip in order to only leave the patient with a single strip scar even after multiple procedures. The patient wished to conceal these strip scars so that he could cut his hair much shorter. The after photo is 1 year after I placed approximately 500 FUE grafts into the strip scars. Though they are not completely invisible they are much improved and the after photo is at a #0 hair cut so that at a #1 or #2 you should not be able to see the scars. We will place a few more FUE grafts in the future to conceal even more, but the patient is already thrilled with his results.

All the best,

Marc Dauer, M.D.

This is a patient with hair transplant strip scars who had FUE grafts placed into the scars.

This is a patient with hair transplant strip scars who had FUE grafts placed into the scars.

/by Los Angeles Hair Transplant Specialist