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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,

Here is a patient of mine who is a norwood 6 (severe for of hair loss) with very fine straight hair. As I have previously discussed fine straight hair will give a completely different amount of cosmetic density in comparison to coarse curly hair (which is the best and most ideal for greatest cosmetic density).

The patient was looking to frame his hairline with hair and create as much density as possible over the frontal and mid scalp, while having FUE to preserve the option to cut the hair on the sides and back very short and avoid a linear scar.

His results are shown below after 2 procedures and a total of 2663 grafts. We are going to do an additional procedure to increase the density, but there is already a huge difference between the pre op photos and the current photos.

It can be described as turning him from someone who is perceived as bald, to someone who is perceived as having a thinning receding hairline, which is a big difference in look and perception.

All the best,

Marc Dauer, M.D.

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

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

Greetings,

Today I want to talk about something that everyone experiences to some extent. Pre-hair transplant procedure anxiety. I have undergone 3 procedures myself, and know exactly what to expect, and yet I still experienced some degree of anxiety prior to each procedure. Everyone is different and comes into this procedure with a different perspective. Some are more excited and less nervous and some are the other way around. I am very sensitive to this in my interactions with my patients. I will always do everything in my power to re-assure the patient and let them know that they are in great hands. I will also give my patients as much information as possible regarding what to expect throughout the procedure and post procedure time period. In addition, unlike many other clinics that perform hair restoration procedures, we are not trying to “sell” our services. That means starting with myself, who performs each and every consultation without the assistance of a “patient advisor”, “counselor” or “sales person”, my job is to educate the prospective patient, answer their questions, and give them realistic expectations as to what they can look forward to if they decide to undergo the procedure.  In no way and at no time will I or anyone in my practice pressure the prospective patient into moving forward with the procedure if they are not comfortable with it. I would prefer that a patient not move forward if they are not completely comfortable with all the aspects that it entails. Again, I can educate, help to alleviate irrational fears, and provide moral support throughout the process. I can also attest to the fact that almost every single patient of mine tells me a year after their procedure that their only regret is not having the procedure performed sooner and enjoying the results for longer. But at the end of the day, the prospective patient needs to be psychologically ready to move forward.

The video below is of a patient of mine who considered canceling his procedure on the day of his procedure, and he describes the day in detail and his subsequent decision to undergo the procedure.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

Greetings,

Here is a new hair transplant testimonial by a patient of mine who happens to be an Emergency Room physician. It is interesting to hear the perspective of a physician who has undergone the procedure himself.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

Greetings,

I recently had the pleasure of seeing one of my patients who is just over 1 year after his first hair transplant procedure. He is thrilled with his results and shares his experience in the video below.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

Greetings,

Here is a new hair transplant video testimonial by actor Grainger Hines.

Grainger describes his experience undergoing the Hair Transplant procedure and how it has changed his life.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

Greetings,

As more and more physicians purchase the ARTAS robotic machine for automated FUE there seems to be much more information and misinformation regarding the benefits of FUE and specifically of the ARTAS machine performing the extractions. I am a self described “tech geek” and “gadget fanatic”. This is why when the robot was initially introduced I was very intrigued and wanted to immediately investigate it as it seemed like a perfect fit for my personality. What I found was grafts that did not looks as good as my manual FUE grafts and scars in the donor region that were significantly larger than my hand held FUE scars. It was so dramatic that I decided not to purchase the machine.

Regarding the scarring from the ARTAS FUE, most of the reasons for undergoing FUE in the first place is the elimination of the linear scar and the ability to cut the hair very short without any scarring evident. What I saw from the ARTAS was “moth-eaten” donor regions after a single procedure (see photos below) thus negating the possibility to even shave the hair short! In addition this moth eaten donor area after a single procedure would also preclude the patients from harvesting additional grafts from the same area, which is also a huge negative, as almost all people continue to need additional grafts over time as hair loss progresses with age.

What the ARTAS does provide to physicians who purchase it is the marketing “wow” factor of having a robot harvest their FUE grafts. This can be a powerful marketing tool and in many cases can even allow the physician to switch the patient out to a strip procedure if they realize that FUE is not for them. It also can take the physician completely out of the harvesting equation by delegating technicians to perform the entire FUE harvest without the physician even being in the room. Finally, manual FUE is an acquired art, and not every hair transplant surgeon is capable or proficient in this art, and the ARTAS machine allows everyone to get into the FUE game without knowing how to extract grafts manually.

In my practice, I perform all my FUE harvesting personally with a hand held punch that typically measures 0.9mm in diameter. I perform about 50/50 FUE and FUT and am equally proficient in both. My job as a hair transplant surgeon is to educate my patient as to the benefits and drawbacks of both FUE and FUT and to let them make the decision that works best for them.

My advice is to research extensively before choosing a physician. Make sure you have seen many results (both donor and recipient regions) of both procedures. Most importantly, don’t be fooled by the “marketing hype”. Choose a physician that you truly trust, as a competent and ethical physician will always afford the best chance of a great result.

All the best,

Marc Dauer, M.D.

This is a patient who had a small number of FUE grafts harvested via the ARTAS one time. The scarring is very evident.

This is a patient who had a small number of FUE grafts harvested via the ARTAS one time. The scarring is very evident.

This is a photo from the latest edition of the ISHRS magazine showing the difference between the holes from the ARTAS and a manual .8mm FUE punch.

This is a photo from the latest edition of the ISHRS magazine showing the difference between the holes from the ARTAS and a manual .8mm FUE punch.

 

This is a photo of one of my FUE patients 6 months after harvesting just over 1600 grafts with a 0.9mm punch tool.

This is a photo of one of my FUE patients 6 months after harvesting just over 1600 grafts with a 0.9mm punch tool.ARTAS