Hair Transplant Specialist Miami
Hair transplantation is a surgical procedure which restores hair to thinning or bald areas of the scalp using the patient’s own hair. Hair can be taken from the back and/or sides of the scalp to serve as donor hair. This hair is genetically programmed to be permanent and is not susceptible to the hair loss process. Hair transplant surgery represents the only proven way to permanently restore hair to bald or thinning areas.
There are two different techniques currently available in hair transplantation today: follicular unit extraction or FUE, and follicular unit grafting or FUG. The best technique will depend on the individual patient, his pattern and degree of hair loss, as well as the patient’s personal desires. Dr. Epstein is considered one of the world’s experts in performing FUG and FUE procedures. FUE, using both the NeoGraft® as well as the E-Fue System custom-designed by the Foundation, is the most common technique utilized, due to the outstanding results and the absence of any linear donor site incision. When performed properly, both FUE and FUG are capable of creating truly aesthetic natural appearing results. This is where the skills and aesthetic eye of the surgeon are so important, for it is the surgeon who ultimately is responsible for determining the naturalness of the procedure. And while hair transplantation is most often performed to treat male pattern baldness, it can also be performed to restore hair to the beard and eyebrows, as well as areas of the body such as the chest.
Candidates for Hair Transplant Surgery
Hair transplant surgery is appropriate for individuals with male pattern baldness or female pattern baldness. It is generally not advised for individuals with diffuse hair loss, because sufficient donor hairs from the back and sides of the scalp must be available for transplanting. . Individuals with thin or missing eyebrows, mustaches or beards, as well as those with hair loss due to scars, injury or prior surgery- including previous hair transplants- are also appropriate candidates. Good health and realistic expectations are also important, which will be explained by our surgeons in your consultation. Hair transplants can be performed on individuals of a wide range in age, from the early 20s to the 70’s and beyond. In general, men under the age of 28 – or any male who likes to keep his hair short – are best treated with the follicular unit extraction technique since it avoids the making of a linear donor site incision scar. In addition, any male who wants to avoid any linear donor site incision scar is best treated with the FUE technique utilizing both the NeoGraft® and our own E-Fue System.
Techniques in Hair Transplantation: FUG and FUE
The most common technique in hair transplant surgery today is known as follicular unit extraction (FUE), due to its absence of a linear donor site incision. Instead, the individual follicular units are extracted one at a time directly from the scalp. There are a variety of ways for obtaining the grafts- Dr. Epstein utilizes a combination of the most sophisticated devices, relying primarily on the NeoGraft® as well as the custom-designed E-Fue System. Note that the NeoGraft® company routinely sends doctors who purchase their device to Dr. Epstein’s and Dr. Kuka’s FoundHair Training Course, where doctors are taught in FUE as well as recipient site creating techniques. When performed properly, FUE grafts have excellent regrowth. While the entire back and/or sides of the head needs to be shaved in order to allow more than several hundred grafts to be obtained (with smaller procedures, only narrow areas of the scalp need to be shaved allowing overlying hair to cover over these donor areas), these sites tend to heal up quite quickly, allowing patients to be presentable in just a few days. Because of the additional work and expertise involved, FUE is a somewhat more costly procedure, but for most patients represents a small additional investment to assure the best long-term outcome and maximum satisfaction.
The other hair transplant technique is follicular unit grafting (FUG), sometimes referred to as strip harvesting or the strip technique. With FUG, a single donor site strip, ranging in length from 5 to 25 cm, of hair-bearing scalp is removed from the back or sides of the head. From this strip are dissected hundreds to more often several thousand tiny grafts containing anywhere from one to three, sometimes four hairs each. These grafts are then implanted into tiny slit incisions in the bald or thinning area where they can then grow after several months just like normal hair. This procedure is typically performed with local anesthesia and oral sedation – although the occasional patient chooses twilight sedation, something that the Foundation is able to offer in our certified operating rooms- and may take anywhere from three to eight hours to complete depending on the number of grafts involved. In order to get the best result with the donor site in FUG, our doctors are able to utilize plastic surgery closure techniques.
In order to assure an aesthetic result with any hair transplant, whether FUE or FUG, the key step is the making of the recipient sites- where the surgeon can determine the pattern, distribution, and angle of hair growth to achieve the most natural appearance. Here is where a surgeon, particularly a surgeon who is board certified in facial plastic or plastic surgery, can utilize the necessary aesthetic skills to make the difference between an excellent and a truly outstanding result.
Other techniques in hair restoration include surgical hairline lowering, also referred to as forehead reduction or hairline advancement, most commonly performed on women but also on the occasional man with a stable frontal hairline; repair of prior scalp reductions and other scalp scars; beard and eyebrow hair transplantation; the repair of scarring from prior plastic surgery; and hair transplant scar repair.
Recovery & Results
There is little downtime or recovery associated with hair transplant surgery. Most patients are able to return to work and other normal activities within just one to two days, though strenuous physical activity should be postponed for five days. Occasionally, patients develop some swelling in the forehead, and there are tiny crusts at the site of each graft that fall off by seven to eight days. The transplanted hairs typically fall out at three weeks, then will start to regrow at four to six months. After about six to nine months, as the hair continues to grow, it takes on a fuller look, and will continue to so for the next year. Depending on the patient’s goals, occasionally a second procedure is required to achieve more coverage, which can be performed a year or more later.
Dr. Epstein is one of the world’s most renowned leaders in the field of hair transplantation and hair restoration, and has personally helped develop the techniques utilized by his partner Dr. Bared, as well as Dr. Kuka. Over 70% of his patients travel from across the country and the world to be treated by our doctors. Schedule a consultation by calling the office at (305) 666-1774 in Miami or (212) 759-3484 in New York, or by contacting the office through our online consultation form or email firstname.lastname@example.org. We are here to assure that you have not only the best outcome but also the best possible experience.