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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

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

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.

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.

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.

 

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

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.

Greetings,

I recently saw a patient in consultation who had received 3 previous hair transplants from another physician and wanted to be evaluated for an additional procedure from me.

On examination of his donor area I was surprised to  find 3 separate strip scars. One for each procedure, stacked on top of each other. The effect was significant scarring in the donor area and an inability to harvest another strip scar secondary to the extensive scarring from the previous procedures.

For reference I have also attached a photo of one of my patient’s who had 2 strip procedures, but only one scar. This is because whenever I go back for additional procedures on a patient, I always attempt to harvest the new strip to include the old strip scar. In essence instead of creating train track multiple stacked scars, I keep the scar as a singular scar, thus minimizing the overall scarring to the donor region. In addition, I also performed a trichophytic closure in my patient, which allows the hair to grow through the scar, thus further concealing the scar.

It is imperative to treat the donor region with as much care as the recipient region. Donor hair is finite, and proper care and attention must be given to ensure that we can minimize donor scarring and maximize donor harvesting over the patient’s lifetime.

All the best,

Marc Dauer, M.D.

This is a photo of a patient who had multiple strip hair transplant procedures.

This is a photo of a patient who had multiple strip hair transplant procedures.

 

Hair transplant strip scar with trichophytic closure.

Hair transplant strip scar with trichophytic closure.

Greetings,

The temporal peaks in both males and females are an important characteristic in hairline design and create and youthful aesthetic appearance. It is always important to keep in mind the overall donor supply in making the decision to restore the temporal peaks. One must also understand  that patients with curly hair will have a more noticeable difference to the character of the typically finer and straight temporal hair. Also, it is important the primarily single hair follicles are utilized.

This patient has abundant donor supply and wished to have his temporal peaks restored. He received approximately 150 grafts per temporal peak via FUE. Finer hairs from the inferior aspect of his occipital region were used to recreate the naturally finer temporal hair. He should see some additional density over the next 6 months, but he is already thrilled with his results.

All the best,

FUE Hair Transplant To Temporal Peaks

FUE Hair Transplant To Temporal Peaks

Marc Dauer, M.D.

Greetings,

Here is a letter I just received from a patient of mine who decided not to proceed with his hair transplant procedure.

I hope you enjoy reading.

All the best,

Marc Dauer, M.D.

Dr. Dauer:

This letter is a bit different than those you receive from patients who have undergone procedures. I have read testimonials given by others on your website and fully appreciate their words. While I think they are of great value, my experience with you, I think, adds to their comments as to your professionalism, dedication to your craft and concern for your patients. It is said that people show their true character under adverse circumstances. If so, I believe the following serves as an excellent example of the kind of doctor and person you are.

Before visiting you, I had been to a well-known clinic as well as a renowned plastic surgeon to consider my options. Frankly, at our initial contact, you were so engaging, it kind of caught me off guard. It became obvious from that meeting you were going to be the guy! During my consult, you couldn’t have been more personable or informative. There was no sales pitch or pressure put upon me. You freely gave of your time and encouraged me to ask questions (of which I had many). You made it clear that it was a personal determination and your goal was to educate me, answer my questions and provide me with whatever information was available so that I could make an intelligent decision. You thoughtfully and thoroughly described the procedures and what I might expect from them. I couldn’t have asked for a better explanation of what was involved. You also created a comfort level that made me feel as if I was talking to a nonjudgmental friend, someone whom I could confide and trust in what was, for me, a very difficult choice.

My procedure was scheduled for Monday morning. That Sunday night, for personal reasons, I came to the conclusion that this wasn’t the right time for me to undergo a transplant. I dreaded the thought of the conversation that would take place the next morning.  I was bitterly conflicted- I couldn’t sleep! I knew that you had arranged your schedule so as to be able to devote the entire day to my procedure and I figured (correctly) that it would be too late for you to call off those who would assist you. When we met, I couldn’t believe your empathy and understanding, most particularly when I spoke of my reservations and apprehensions. You were the consummate professional. Although I know you must have been greatly disappointed, you patiently listened to what I had to say and made it clear that if I was less than completely ready and comfortable with undergoing the procedure, we wouldn’t do it that day. This meant that, in essence, you wound up eating a full day’s work and virtually your entire fee. Your compassion and class was extraordinary! Through no fault of yours, I actually felt as if I was letting you down, not because of any pressure applied upon me (quite the contrary), but rather because your were so gracious about it- that goes for your staff as well, who couldn’t have been nicer or more congenial, even after I delivered the bad news.

Your kindness and consideration did not go unnoticed. I consider myself lucky to have found you. I can’t imagine anyone having handled this situation at significant personal expense, with any greater compassion and understanding. Hopefully, the time will come when I’ll be ready to go forward, make the move and have the opportunity to comment upon your skills much like others have done.

You put your patient’s concerns and best interests above personal financial benefit and convenience. I felt the very least I could do was memorialize how grateful I am for the way you handled the situation and give others the benefit of my thoughts. If they are looking for someone to perform hair restoration who truly cares about his or her patients, they couldn’t find a better doctor and, just as importantly, a better person.

Sincerely,

Stu Glovin