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.
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
For a long time the only way to perform FUE was to shave the entire back and sides of the scalp as the hair needs to be a few millimeters long in order to extract. That has now changed.
Now we can perform long hair FUE which allows the patient to keep their hair long and completely conceal any evidence that FUE was performed in the donor region.
The patient leaves their hair at least 1.5 inches long and we go through the donor hair individually and randomly cut short the follicles we plan to extract. This allows us to completely conceal the donor region. It also allows up to choose the follicles with the most hairs per follicle which gives the patient the best ultimate result.
Since I have had multiple strip harvest hair transplant procedures in the past, I wanted to have this technique performed on myself to better understand what it felt like, which would in turn give me greater insight into the process. I can wholeheartedly state that this process was so much easier than my previous strip harvest procedures. I had virtually no pain the next day and was back to work a day later.
The photo below shows my donor zone the day after over 2000 follicles were harvested via long hair FUE.
I believe that this process will revolutionize FUE and open it up to so many more people that were hesitant, like myself, because they did not want to shave their head for the procedure.
With all the recent press surrounding beard transplants I wanted to highlight a patient of mine. This patient had 2 bald patches in his beard in the same spot on both sides. This is genetic and a very common phenomenon. In this case I harvested the donor hair from his neck beard via FUE and transplanted the grafts into the bald patches. The result is shown 10 months later. The patient was very happy with his results.
Here is a new video I just edited that demonstrates my approach to eyebrow transplants and eyebrow restoration. In the video I demonstrate the shape and angulation of the hairs in the eyebrow which are all crucial to the most natural final result.
Today I will discuss the custom cut recipient blade sizes in hair transplant procedures that I use to create the recipient sites for my hair transplant grafts. I have a machine which allows me to cut custom sized blades. Typically my blades range in size from .5mm-1.1mm and I have blade sizes in every size in between in .05mm increments. This allows me to use the smallest possible blade for the patients natural follicular units. The hair type and caliber are defining characteristics that determine which size blade to use. Typically I try to find the smallest possible blade which still allows for easy placement. An extra .1mm opening may not seem like much, but when multiplied by 1500-3000, which is the number of recipient sites I create in a typical hair transplant procedure, an extra .1mm can add up to significantly more injury to the scalp and circulation, which in most cases is not necessary. I also custom cut my blades with a 45 degree angle at the end and I angle the deepest portion of the blade so that it is at the superior aspect of the incision. This means that the blade also causes less injury to the scalp circulation and positions the graft at a more acute angle which gives a better final result. Minimizing damage to the scalp and the vascular bed minimizes scar tissue in the scalp and thus minimizes the potential of “shock loss” (which I will address in another blog entry).
I hope this blog entry clarifies why the blade size is very important in Hair Transplant Procedures.
Here is a patient of mine who I performed an eyebrow transplant on 7 months ago. She is extremely happy and we will be performing a secondary “touch up” procedure to increase the density slightly and fill in a few spots. These results are typical with my special technique for eyebrow transplantation.
DAUER HAIR RESTORATION
2080 Century Park East Suite 1802
Los Angeles, CA 90067
Phone: (310) 748-2224
Dr. Marc Dauer, MD is a board certified leader in hair restoration, hair transplants, eyebrow restoration for men and women, hair transplants
for scars, and facial hair transplants.
Dr Dauer is experienced with successfully treating and restoring hair loss of the scalp, eyebrows, sideburns, male pattern baldness, female pattern baldness and from scarring. Dr. Dauer is board certified by the American Board Of Hair Restoration Surgery and a member of the prestigious International Society of Hair Restoration Surgery. Dauer Hair Restoration provides hair restoration, FUE and FUT, hair transplants. Los Angeles hair loss treatments, eyebrow transplants, sideburn transplant, treatment for male pattern baldness and female pattern baldness, and
transplantation for scarring. We serve patients from the Los Angeles area including, Santa Monica, West Hollywood, West Los Angeles, Culver City, Brentwood, Bel Air, Beverly Hills, Hollywood, Manhattan Beach,
Redondo Beach, Malibu and beyond. Consider Dr. Dauer for your hair restoration needs.