Posts

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

No Shave FUE

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Greetings,

Typically FUE has been performed by shaving the entire back and sides of the scalp as the hairs harvested via FUE need to be very short. Recently I have been performing no shave FUE or long hair FUE. This technique involves cutting short the hairs to be harvested from the donor region individually while leaving the hair around it long. This allows us to perform FUE without shaving the entire back and sides of the scalp and makes the entire process much less visually invasive. This process requires very specific expertise but for many people that want FUE but don’t want to shave their heads this is a great option. I recently posted a video of the process on my youtube channel which shows the entire process.

Marc Dauer, MD

/by Dr. Marc Dauer

Corrective FUE Hair Transplant

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Greetings,

This is a patient who previously underwent an FUE procedure performed by another physician with unnatural results secondary to the placement of large grafts in the hairline. I created more density and placed single hair grafts into the hairline to create a more natural look. The grafts were harvested via FUE using a 0.8mm motorized punch tip. Approximately 400 single hair grafts were placed into the hairline to create a much more natural look.

Unfortunately there are many physicians offering hair transplants that are not properly trained. It is imperative that you do your research before deciding on your surgeon and always chose someone who specializes exclusively in hair restoration.

Marc Dauer, M.D.

corrective FUE hair transplant

corrective FUE hair transplant

corrective FUE hair transplant

/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 Grafts Into Scalp Scar Resulting from Break Dancing

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Greetings,

Here is a very interesting case of  a patient who was a frequent break dancer in the day. His continued head spinning cause the hair at the top of his head to fall out in the exact spot where the scalp received repetitive trauma. Anything that causes repetitive trauma to the scalp can cause the hair in those places to fall out.

I harvested approximately 150 grafts via FUE from the back of the scalp and we transplanted these grafts into the area devoid of hair.

The results are show after 1 year. The patient is thrilled.

Marc Dauer, M.D.

FUE grafts transplanted into scalp scar from break dancing

/by Dr. Marc Dauer

Beard FUE Into Previous Hair Transplant Strip Scar

Greetings,

The patient in this video had a wide donor strip scar performed by another physician. The physician tried to resect the scar multiple times with no improvement. The patient also had scalp micro pigmentation which only provided slight improvement. I harvested approximately 500 beard grafts via FUE and placed them into the scar. The result show 2 weeks after the procedure shows significantly visible improvement and it will get even better when the hairs grow longer. In addition there is no visible scarring in the heard area from where the grafts were taken.

I hope you enjoy watching and I will provide a follow up video in 6 months.

All the best,

Marc Dauer, M.D.

/by Los Angeles Hair Transplant Specialist

Eyebrow Transplant Patient Testimonial

Greetings,

Here is an eyebrow transplant patient of mine who just wrote a beautiful piece about her entire experience undergoing an eyebrow transplant procedure. It is very informative.

I hope you enjoy.

http://amoristofficiel.com/2014/04/eyebrow-hair-transplants/

All the best,

Marc Dauer, M.D.

/by Los Angeles Hair Transplant Specialist

Hair Transplant Comfort During The Procedure

Greetings,

Today I want to discuss comfort during the hair transplant procedure. Since I have had multiple hair transplant procedures myself I understand exactly how it feels to sit in the hair transplant chair for 5-8 hours for a procedure. Because of this, I designed a custom memory foam cushion to sit on top of my exam chairs to provide the maximum amount of comfort during the procedure. This makes the chair feel like a soft bed as opposed to a typical exam chair, which is not necessarily made with the idea of sitting in it for hours at a time. The feedback from this memory foam cushion has been amazing and it’s just one more small detail that makes the entire day of the hair transplant procedure that much more comfortable. My thinking is that the day of the procedure should feel more like a day at the spa as opposed to an uncomfortable experience.

All the best,

Marc Dauer, MD

/by Los Angeles Hair Transplant Specialist

Eyebrow Transplants For Men

Greetings,

I have been performing eyebrow transplants for over 10 years and was one of the first physicians to focus on this aspect of hair transplantation. The creative component to eyebrow transplants is very different than transplanting hair on the scalp. In many cases we need to fit hundred of hair follicles into a very tiny space, all with a very particular angle and orientation and all to create a completely natural shape which is very visible on the face. It is for this reason that the best eyebrow transplant results typically come from physicians that are performing many of these cases and have a very high artistic component to their work.

More often recently I am getting inquiries from men asking for eyebrow transplants. In the past it was traditionally women who inquired about this procedure, but as more people find out about it, men are opting for the procedure as well. In this particular case the male patient had very weak eyebrows from birth and had an eyebrow tattoo performed to create the illusion of eyebrows. Most people are very dissatisfied with eyebrow tattoos and this patient was no exception. He did not like the shape of the tattoo (he felt the arch was too feminine) and it was very unnatural looking overall. He presented to me to create a more masculine shape (flatter) and to create natural looking eyebrows over the existing tattoo. The results below are shown 6 months after the patient received his eyebrow transplant. He should see a little more growth over the next 3-6 months, but he is already very happy with the current results.

All the best,

Marc Dauer, M.D.

Eyebrow Transplant over pre existing tattoo in male patient.

Eyebrow Transplant over pre existing tattoo in male patient.

 

/by Los Angeles Hair Transplant Specialist

What Is The Best Age For A Hair Transplant?

Greetings,

I am often asked what is the best age for a hair transplant? The answer is that this is different for everyone.

In the past 2 days my patient’s ages were 28 and 83. Mt 28 year old patient was just beginning to thin in his hairline region and was requesting increased density to keep up with his recent hair loss.

My 83 year old patient had undergone multiple hair transplant procedures in the past and was requesting additional density in his frontal and mid scalp. He is a very healthy 83 year old taking no medications and with no major medical conditions. He still had good donor supply and was deemed an excellent candidate for an additional hair transplant procedure. I harvested 1000 grafts via the strip method and the hair transplant procedure went very smoothly.

My 28 year old patient had undergone a small hair transplant procedure with another doctor a few years ago and was requesting additional density in the hairline and frontal scalp. He had robust donor supply and his previous hair transplant procedure was performed using the strip harvest procedure. I harvested a new strip, including the old scar (so the patient still has only one scar), and transplanted just over 1500 grafts into the frontal and mid scalp.

So to answer the original question, the best age for a hair transplant can be anywhere from 25-85. It is the time when there is enough thinning in any particular region of the scalp that transplanting hair in between the native hair will lead to an increase in hair density. This is something that must be evaluated by an experienced hair transplant surgeon, but when done properly in the “right” time, this procedure can lead to excellent results.

All the best,

Marc Dauer, M.D.

/by Los Angeles Hair Transplant Specialist