HAIR RESTORATION & Transplantation
It is generally acknowledged that hair loss may be stopped or reduced in some individuals with hair loss drugs like Rogaine (minoxidil) and Propecia (finasteride). However, these drugs may not be effective in replacing lost hair, especially around the hairline, and they only work as long as you are actively using the product.
"Hair Restoration", typically refers to the process of hair transplantation, where real hair is taken from another area (typically the back or sides of the scalp) and is transplanted or moved to the area where the hair is being "restored."
Hair that is taken from areas of hair from the the back or sides is known as donor dominant hair, which is the hair that will continue to grow throughout the life of most men. The transplantation of this hair to a bald area does not change its ability to grow; donor dominance is the scientific basis for the success of hair transplantation.
Hair transplantation has improved in leaps and bounds over the past decade. The days of the "plugs" and "barbie doll hair" are gone, and the age of Follicular Unit Grafting has arrived. Through the use of 1,2,3 and 4 HAIR grafts along with new and improved instrumentation, the accomplished hair transplantation surgeons can create a natural hair appearance that is appropriate for each individual patient. Single hair-grafts have the finest and softest appearance. Although they do not provide much density, they do provide the critical soft hairline that is the transition to thicker hair. Reconstructing a new hairline is a skill requiring surgical as well as artistic skill. It is critically important to get it right the first time and thus requires considerable forethought and planning.
Getting it Right. Examining the hairline of a non-balding person will show the presence of numerous single hairs in a scattered array at the very frontal hairline. Follicular Unit Grafts containing 2-3 hairs that are placed behind the hairline to provide a gradually increasing hair density. Lastly, Follicular Unit Grafts which contain 4 or more hairs are placed well behind the hairline so that the single and double hair grafts can blend naturally into the density provided by these larger grafts.
Dr. Nusbaum and Dr. Rose are pioneers of follicular unit grafting and more importantly, they are experts at creating a natural appearance of the hairline. Our approach is to treat each patient with the procedure that is right for their needs, while delivering a natural finished look.
OTHER HAIR TECHNIQUES
Other hair techniques include Tissue Expansion and Flap Techniques. These techniques are typically utilized by plastic surgeons. They "Pull Up" or "Move" sections of the scalp. These are very invasive procedures for very dramatic changes.
Tissue expansion is a procedure commonly used in reconstructive surgery to repair burn wounds and injuries with significant skin loss. For hair restoration applications, a balloon-like device called a "tissue expander" is inserted beneath hair-bearing scalp that lies next to a bald area. The device is gradually inflated with salt water over a period of weeks, causing the skin to expand and grow. When the skin beneath the hair has stretched enough, another procedure is performed to bring the expanded skin over to cover the adjacent bald area.
With Juri Flap surgery a section of bald scalp is cut out and a flap of hair-bearing skin is lifted off the surface while still attached at one end. The hair-bearing flap is brought into its new position and sewn into place, while remaining "tethered" to its original blood supply.