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FUE Hair Transplant-All About the Art

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Greetings,

Here is another one of our FUE hair transplant patients showing his result approximately 1 year after his procedure. As you can see the results are very natural. Something that I try to convey to prospective patients is the fact that not all hair transplants are not created equal. This is living art, and as such every artist will create a different hairline, with different densities of hair, different angles and orientations of the transplanted hair, etc. There are so many variables that make the difference between an excellent result, versus a decent result, versus a bad result. There are also many variables in the donor harvesting that can diminish or ruin the donor zone for the future, versus preserving as much donor hair as possible for future procedures and taking out only the grafts necessary for the current situation. Many clinics don’t expect the ever see the patient again and take most or all of their donor hair in a single procedure. This is extremely shortsighted as hair loss is a continuing process and its very important to evaluate any prospective hair transplant patient not just what they look like today, but to predict their endpoint of hairloss to the best of our ability and then determine how many grafts will be required over time to address current loss, and also keep up with continuing loss. This is why I perform every hair transplant consultation personally and don’t have “consultants” performing these on my behalf. I want every patient to be evaluated by myself  and to hear realistic expectations for the  short term and long term from me personally. I also want the opportunity to examine the patient and get their hair loss history so that I can have a good idea about future loss as well. This is also why I personally extract every hair follicle from the donor zone as well, while many other doctors delegate this to technicians. This is a crucial step both in getting intact follicular units for a successful hair transplant, while also preserving as much of the donor zone as possible for future procedures. Before choosing your hair transplant surgeon/ artist, make sure you have seen many hundreds of before and after photos by that surgeon that look aesthetically pleasing to you. Also make sure your surgeon is seeing you in the consultation and performing the harvesting of the hair personally. Finally, make sure your surgeon has a singular focus in hair restoration and doesn’t have a menu with many different cosmetic procedures and hair is just one item on the menu. There is a reason why specialists do nothing else but hair restoration, and to be great at something is to do that same thing many times over.

Marc Dauer, M.D.

hair transplant result

This is a FUE hair transplant result by Dr. Marc Dauer

FUE hair transplant

This is a FUE hair transplant result by Dr. Marc Dauer

FUE hair transplant

This is a FUE hair transplant result by Dr. Marc Dauer

hair transplant

This is a FUE hair transplant result by Dr. Marc Dauer

/by Dr. Marc Dauer

New Compounded Prescription Topical

Greetings,

Today I want to discuss a very new exciting development. For the past year I have been prescribing a compounded topical prescription formula that contains Dutasteride, Finasteride, Minoxidil, Retin A, and Triamcinolone. Dutasteride and Finasteride (propecia) are potent DHT blockers. Minoxidil is a vasodilator which has been proven to help genetic hair loss. Retin A helps with absorption and triamcinolone helps with scalp irritation. I call the formula “hair defense” as it’s defending the native hair. It does not grow back dead follicles that have been lost. It does however prevent susceptible follicles from falling out, and can turn miniaturized follicles (follicles that are on their way out and have become cosmetically insignificant) back into healthy terminal follicles, which can then give the appearance of greater density.

Below, you can see examples of patients of mine who haven been on the topical at least 6 months and all the photos shown below are just with the topical only as treatment.

This is not a substitute for a hair transplant procedure. Rather it is a an adjunct meant to preserve the native hair so that the results of the hair transplant procedure look better for longer. In some cases it can be used as an intermediate treatment meant to slow or stop the continuing loss before the transplant is indicated.

Finally, one of the best things about the topical is that the incidence of sexual side effects (though low in frequency can still occur in 1-2% of patients taking oral finasteride) are even more uncommon with this topical as the systemic absorption of the medication is less than the oral medication.

I have seen a profound impact of this topical medication on my own scalp and hundreds of my patients.

For a small number of patients that may get irritation from any of the components, the formula is customizable and components can be pulled out in any amount.

If you would like to consider this or have a friend who could benefit please contact our office and we can schedule a short consultation and arrange for a prescription of the product. It ships directly to your home via fedex.

This is one of the biggest game changers in hair restoration I have come across over the past number of years and I am very excited to share it with you all.

Best,

Marc Dauer, MD

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

/by Dr. Marc Dauer

Donor Beard Hair for Scalp Hair Transplant

Greetings,

Here is a patient of mine who had numerous FUT strip harvest procedures by other physicians that resulted in severe scarring in the donor area, plug grafts throughout the scalp, and an overall very unnatural appearance. The result was so unnatural that the patient would not go outside without a hat.

I extracted approximately 1500 grafts from the neck via FUE in multiple sessions and placed them throughout the scalp, especially in the “alleys” on the sides to connect the transplanted hair to the native hair on the sides, and the crown in the back.

The patient also had some SMP performed on his scalp and will have more in the future.

The result is already so much improved from prior and the patient still has some more beard donor hair and will have more SMP to improve the result even more. I will also be “de-bulking” some of the plug grafts to make them more natural  looking.

Neck and beard hair can be a very valuable source of donor hair for those that are out of scalp donor hair. Though the character of the hair is a little different, it works very well as filler and can make a nice impact in improving visual cosmetic density. Also, the neck heals so well from the small punch sites of the FUE removal that the tiny dots are barely visible on close inspection.

Choose your surgeon wisely so that you end up with an aesthetically natural result both in the short term and long term.

All the best,

Marc Dauer, MD

pre beard hair FUE repair

post FUE beard hair repair to scalp

pre beard hair FUE repair

post FUE beard hair repair to scalp

pre beard hair FUE repair

post FUE beard hair repair to scalp

/by Dr. Marc Dauer

Male Eyebrow Transplant Result

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Greetings,

Here is a result of a male patient of mine who received approximately 350 grafts to each eyebrow harvested via FUE. The results are shown approximately 1 year after the procedure.

Eyebrow transplant procedures are becoming more popular amongst male and female patients with weak eyebrows secondary to hereditary issues, scarring, or over plucking. The results can be very natural looking when

performed by a qualified eyebrow transplant surgeon.

All the best,

Marc Dauer, MD

Male eyebrow transplant patient

/by Dr. Marc Dauer

FUE Hair Transplant Into Scalp Scar

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Greetings,

Here is a patient of mine who had a Mohs surgery to excise a basal cell lesion in the scalp. It unfortunately resulted in a large scar in the frontal scalp and when the operating surgeon attempted to minimize the scar it actually got significantly worse.

The patient presented to me extremely depressed over the large scalp defect just behind her hairline. I transplanted approximately 1000 FUE grafts in two procedures spaced 8 months apart.

The patient is thrilled with her results and this has been a life changer for her. She can now style her hair normally and go out without fear of a heavy wind exposing a large bald patch in the front.

I am often asked if hair can be transplanted into scars and the answer is yes. There is a lower growth rate through scars and we are not able to transplant as dense in a single procedure due to the compromised blood supply, but when performed correctly these cases can be very successful.

Marc Dauer, M.D.

FUE hair transplant into scalp scar

/by Dr. Marc Dauer

Donor Post FUE Hair Transplant

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Greetings,

I am often asked what the donor zone looks like post FUE hair transplant so in response I have decided to post thesis photos showing the progression. Not all FUE hair transplant are created equal and some physicians use large punches which create large holes in the donor region. I typically use 0.8mm-0.9mm punch size tips and harvested properly the scars in the donor zone should be barely visible at very short haircuts.

All the best,

Marc Dauer, MD

Donor zone in an African American patient post FUE hair transplant

/by Dr. Marc Dauer

FUE Hair Transplant in Norwood 6 Patient

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Greetings,

Here is a patient of mine who had hair loss classified as norwood 6 on the norwood hair loss scale. This essentially means that most of the hair on top of his head had been lost secondary to genetic hair loss.

I performed a follicular unit extraction (FUE) hair transplant using a 0.85mm punch tip. I personally extracted each and every follicle. Many other physicians delegate the extraction component of the procedure to technicians but I prefer to perform the extractions myself.

The patient is thrilled with his results and plans to return for another procedure to create even more cosmetic density.

Marc Dauer, M.D.

FUE hair transplant patient of Dr. Marc Dauer

FUE hair transplant patient of Dr. Marc Dauer

FUE hair transplant patient of Dr. Marc Dauer

FUE hair transplant patient of Dr. Marc Dauer

FUE hair transplant patient of Dr. Marc Dauer

FUE hair transplant patient of Dr. Marc Dauer

/by Dr. Marc Dauer

Plastic Surgeon Patient Describes His Hair Transplant Procedure with Dr. Marc Dauer

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Greetings,

Dr. Kian Karimi is a world renowned Los Angeles based Facial Plastic Surgeon. In the video below Dr. Karimi describes his experience undergoing a hair transplant procedure that I performed.

I am grateful to have the opportunity to treat such amazing patients and also grateful that Dr. Karimi has agreed to share his experience undergoing the procedure, which no doubt will help others.

I hope you enjoy watching.

Marc Dauer, M.D.

/by Dr. Marc Dauer

FUE Hair Transplant with shaved strips

Greetings,

FUE hair transplants are the process where individual hair follicles are extracted with a tool and then transplanted into areas of hair loss. In order to extract the follicles the hair needs to be cut down to it’s shortest length above the skin so that the hair doesn’t get tangled in the tool extracting the grafts. This means shaving the scalp in most cases.

For patient’s having procedures which require less than 1500 grafts extracted there is now another option. The patient can grow the hair in the back and sides longer and we can shave either one large strip (smaller than the length of the hair) or multiple smaller strips (also smaller than the length of the hair) which allows the native long hair to hang down and cover up the extracted areas.

This allows the patient to keep the long hair and not shave the entire back and sides of the scalp and still have an FUE hair transplant. This technique is becoming very popular amongst actors (who can’t change their appearance if they have longer hair in the midst of a recurring show) and other individuals that do not want such a dramatic change to their appearance. The results are just as good as the full shaven technique and it is proving to be a very popular alternative to traditional FUE shaving.

I have included some photos of a recent patient I performed this technique on.

All the best,

Marc Dauer, M.D.

This is a photo of the "long hair FUE" process in a patient showing his donor region immediately post procedure with his hair wet and combed down.

This is a photo of the “long hair FUE” process in a patient showing his donor region immediately post procedure with his hair wet and combed down.

This is a patient's donor region immediately post harvesting approximately 1400 grafts via FUE with the hair raised.

This is a patient’s donor region immediately post harvesting approximately 1400 grafts via FUE with the hair raised.

/by Dr. Marc Dauer

Eyebrow Transplant Video- Plastic Surgeon Testimonial

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Greetings,

Here is a eyebrow transplant video showing every step in the process of an eyebrow transplant procedure. My patient in the video is Beverly Hills Plastic Surgeon Dr. Cat Begovic. Dr. Begovic is a world renown surgeon and she was very meticulous in her research before deciding to have me perform her eyebrow transplant procedure. In the video she describes the entire experience in her own words. I hope you  enjoy watching.

All the best,

Marc Dauer, M.D.

/by Dr. Marc Dauer