Hair Transplant Archives - Miami Hair Institute

Category: Hair Transplant

January 3, 2022

Body Hair Transplants Offer Hope For Patients With Advanced Baldness

Not everyone who wants hair transplant surgery is a good candidate for hair transplant surgery. Typically, we harvest donor hair from areas of the scalp with robust growth and subsequently transplant those follicles to balding or thinning areas. But for many patients, their hair loss has progressed to the point that there simply isn’t enough hair remaining on their scalp for us to extract and use in a transplant.

Fortunately, for some patients with advanced cases of hair loss, new technology and techniques have made it possible for us to use hair from other parts of the body – such as the chest, beard, arms, or legs – in hair restoration surgery. While they account for a relatively low percentage of all hair transplant procedures, Body Hair Transplants (BHT) offer hope for those who may need supplemental donor hair to add to hair we harvest from their scalp.

BHT and Follicular Unit Extraction

The reason that BHT is now a much more accessible hair restoration option is because of Follicular Unit Extraction (FUE). The precise, computer-assisted FUE we perform to remove donor hair follicles from the scalp does not leave behind linear scars. Such scars were one of the main downsides to BHT that long limited its appeal.

In an FUE procedure, we harvest selected follicular units, precisely removing them from the donor area with an image-guided 0.8-1-millimeter circular tool. We extract the follicles in a scattered pattern, leaving most donor area hair untouched so that it retains its original natural appearance. Because the resulting scars are tiny and dot-like, the donor area on patients who undergo a hair transplant should look unscathed.

Now, using FUE, we can similarly harvest hair from other body areas without leaving behind a visible, unattractive scar. We can leverage the advantages of FUE either alone or in conjunction with scalp hair in advanced cases of baldness, for improving the aesthetic appearance of hairlines, and in scarring alopecia when there is an insufficient amount of donor scalp hair.

We many consider BHT a good option for you if:

You are relatively hirsute with adequate terminal hairs over your beard, chest, legs, arms, and other body parts.
Your androgenetic alopecia is in an advanced stage and the donor hair on your scalp is inadequate to provide complete or sufficient coverage.
You have exhausted available scalp donor hair in a previous restoration surgery, with inadequate coverage of existing bald areas requiring more follicular units.

Call the Miami Hair Institute Today to Learn More About Body Hair Transplants

If you would like to learn more about body hair transplants and whether the procedure can help address your hair loss issues, we invite you to schedule a hair loss evaluation at the Miami Hair Institute. Contact us online or call our office at 305-925-0222 today.

November 22, 2021

No-Shave FUE Leaves No Trace Of a Hair Transplant

Hair transplant surgery took a giant leap forward in 2004 with the development and adoption of the follicular unit extraction (FUE) technique. Shortly thereafter, the introduction of the advanced ARTAS System made hair transplants even more precise and natural-looking and caused minimal scarring that was barely visible. These advancements have made it extremely difficult to tell whether someone has undergone hair transplant surgery.

Now, with the introduction of “no-shave FUE,” it’s even harder to detect that a transplant was performed while still delivering exceptional results.

Camouflage and Concealment

As the name implies, no-shave FUE eliminates the need to shave the head in order to obtain donor hairs.

During an FUE procedure, the surgeon precisely removes selected follicular units from the donor area in a scattered pattern using an image-guided 0.8-1-millimeter circular tool.

Until quite recently, however, extracting donor hairs in FUE procedures required shaving the donor area to approximately 1/25^th of an inch so the surgeon could identify and remove the follicular units they would be targeting for transplantation.

With no-shave FUE, the surgeon now only needs to trim the donor follicle hairs that they plan to transplant. The trimmed donor follicles therefore blend in amidst the neighboring full-length hair, leaving behind a donor area that looks completely normal after surgery.

Additionally, the non-shaved natural hairs in the recipient area help hide the transplanted follicular units. As the newly transplanted grafts grow, they blend in seamlessly with the surrounding hairs, thickening the area and providing more density to the scalp.

While no-shave FUE quickly and effectively camouflages the fact that a patient had hair transplant surgery, the procedure itself may take more time. That is because it is more labor-intensive and technically challenging. That is why it is even more critical that your hair transplant surgeon has the skill, precision, and experience to ensure that you obtain optimal results from your procedure

Learn More About No-Shave FUE. Schedule an Appointment for a Hair Loss Evaluation Today

If you would like to learn more about FUE transplants, including no-shave FUE, and discover how we can help you restore your hair, we invite you to schedule an evaluation at the Miami Hair Institute. Drs. Nusbaum and Rose are internationally acclaimed hair restoration surgeons with more than 40 years of combined experience. To receive a personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

October 18, 2021

5 Benefits of Follicular Unit Extraction (FUE)

Over the past two decades, advancements in technology and technique have radically transformed and improved the experience and outcome of hair transplant surgery. Specifically, the dawn of the Follicular Unit Extraction (FUE) method in 2004 ended the era of “hair plugs” and ushered in a new age in which transplants look more natural, leave less scarring, and involve far less inconvenience and recovery time than they did before. Coupled with the development of the advanced ARTAS System shortly thereafter, FUE has changed the game for hair restoration, making it more a more appealing option for an ever-increasing number of people dealing with hair loss.

Miami Hair Institute’s Dr. Paul Rose was one of the developers of the FUE technique. Dr. Rose, Dr. Bernard Nusbaum, and Dr. Aron Nusbaum Nusbaum have performed the procedure on thousands of patients since with exceptional results.

Here are the top five benefits of Follicular Unit Extraction:

1. It Is Minimally Invasive and Minimally Disruptive

Our surgeons perform FUE transplants as an outpatient procedure in our comfortable, welcoming offices using only local anesthesia. Patients arrive for their surgery in the morning and can go home later the same day.

2. It Provides Unmatched Precision

When performing an FUE transplant, we use the image-guided robotics of the ARTAS System, which provides unmatched precision in hair transplantation. The ARTAS procedure restores your hair by carefully and meticulously transplanting permanent hair from the back or side of the head into thinning areas, including the hairline.

We use the ARTAS System to digitally scan the scalp and identify hair in its natural groupings.High-resolution digital imaging provides crystal-clear detail of the donor area. We then carefully remove the selected follicles while most of your hair is left untouched and undamaged so that the donor area retains its natural appearance. We transplant the donor hair into thinning areas where it will then grow naturally, just as it did before.

3. It Involves Much Shorter Recovery Time

One of the most significant benefits of Follicular Unit Extraction is that healing and recovery tend to be quicker and involve fewer post-operative limitations than older hair transplant methods.

The day after your FUE procedure, we will want you to return to our offices to check and shampoo the transplanted areas. Beyond that, however, you should be able to return to work that day and resume all of your regular activities within a week to ten days.

4. It Leaves Behind Minimal and Barely Visible Scarring

In an FUE transplant, we remove follicular units from the scalp one by one. By doing so, we avoid the more visible and apparent linear scar often associated with older hair transplant techniques. Instead, scarring happens in a dot-like pattern that is virtually undetectable after healing and hair regrowth. This minimal scarring allows patients to wear their hair very short (but not totally shaven) after the transplant without any visible evidence that they underwent hair transplant surgery.

5. It Has a Higher Graft Survival Rate

FUE transplants have a 90-95 percent hair graft survival rate compared to the approximately 75 percent survival rate of the older Follicular Unit Transplant method. The precision harvesting of FUE using the ARTAS System minimizes trauma or transection of the hair follicles during the extraction process.

Learn More About The Benefits of FUE. Schedule an Appointment for a Hair Loss Evaluation Today

If you would like to learn more about FUE transplants and how we can help you restore your hair, we invite you to schedule an evaluation at the Miami Hair Institute. Contact us online or call our office directly at 305-925-0222.

October 4, 2021

What Is a Hair Graft and How Is It Created?

In hair restoration surgery, we transplant living, healthy follicles from your donor area – usually the back and sides of your scalp – into thinning areas. These follicles comprise the “grafts” that are at the core of hair transplant surgery.

Strip Graft Harvesting v. One-At-A-Time

We form hair grafts by removing tissue from the donor area because that tissue can support hair growth. We then take that viable tissue and the follicles that they contain and carefully transplant them to areas of the scalp that no longer support hair growth on their own.

There are two main techniques for creating, harvesting, and transplanting hair grafts. When using the Follicular Unit Transplantation (FUT), the surgeon will remove strips of tissue containing many follicles and transplant that strip all at once. In Follicular Unit Extraction (FUE), however, the grafts are harvested one by one. The surgeons at the Miami Hair Institute were pioneers of the FUE technique, which has now become a worldwide approach to hair restoration.

How We Create, Preserve, and Transplant Grafts Using FUE

During an FUE procedure, we use high-resolution digital imaging to identify, select, and remove grafts with extraordinary care and precision. The objective is to harvest grafts with the best chance of growing in the transplant area and leave most of the donor area hair in place and undisturbed so that it retains its natural look.

Given that goal, we try to remove as few grafts as possible to achieve the desired result. Equally important, we want as many grafts as possible to survive the extraction and transplant process. If removed grafts are not preserved in the most effective manner possible, they could lose their viability, leaving even fewer grafts available for transplantation.

Keeping hair follicle cells from dying during that period between removal and transplantation involves storing the hair in a preservative solution. We use a HypoThermosol + ATP solution in our hair transplant procedures because it provides the highest possible survival rate of the grafts and follicles we extract until they are ready to be transplanted. It is part of our ongoing commitment to using the most advanced techniques in hair restoration to help our patients achieve optimal results.

FUE transplants have a 90-95 percent hair graft survival rate compared to the older FUT method’s approximately 75 percent survival rate. The precision harvesting of FUE minimizes trauma or transection of the grafts during the harvesting process.

Schedule an Appointment for a Hair Loss Evaluation Today

If you are ready to take the first step towards addressing your hair loss issues, we invite you to schedule a personalized evaluation at the Miami Hair Institute. Our Drs. Nusbaum and Rose are internationally acclaimed hair restoration surgeons with more than 40 years of combined experience. To receive a personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

May 3, 2021

Are You a Good Candidate for Hair Transplant Surgery?

No matter the reason for your hair loss, there is likely a solution. For many people, that solution could be hair loss medications like Rogaine or Propecia. For others, the right approach may involve low-level laser therapy or platelet-rich plasma therapy. But many patients who come to the Miami Hair Institute want to know whether hair transplant surgery is an available option. That’s understandable, because the cutting-edge hair transplant techniques we have pioneered deliver exceptional results that have restored the hair and confidence of thousands of patients.

But as effective as hair transplant surgery is, it isn’t right for everyone suffering from hair loss. Many factors play a role in determining whether a patient is a good candidate for hair transplant surgery. So how do you know if a transplant is a possibility for your hair restoration journey? The only way to know for sure is after a comprehensive hair loss evaluation performed by an experienced hair restoration physician. Generally, however, here are three characteristics that may mean that hair transplant surgery is a good option for you:

Sufficient Supply of Donor Hair

You can’t transplant what isn’t there. For a hair transplant to work, there actually has to be hair to move to the balding or thinning areas of your scalp. And that hair has to come from you. Unlike organ transplants where another person is the donor, hair transplants involve using your own hair. We typically take hair from areas on the back or sides of your head and transplant it to the treatment area, where it will continue to grow. Both male and female transplant surgery candidates must have a healthy and sufficient amount of hair growth in the donor area at the back of the head for transplant surgery to be a viable hair loss solution.

Permanent Hair Loss

Many hair loss cases are temporary or seasonal, meaning that lost hair should eventually grow back on its own. Surgery is only an appropriate treatment for those suffering from permanent hair loss, such as androgenetic alopecia.

Adults Only

While children and teenagers can experience permanent hair loss, their hair loss pattern may not be fully developed while they are still growing, making it challenging to perform the procedure in a way that will yield optimal results. As such, hair transplant surgery is only recommended as a potential treatment for individuals 18 and older.

Schedule an Appointment for a Hair Loss Evaluation Today

As noted, you will only know whether you are a candidate for hair transplant surgery after consulting with a hair restoration surgeon. At the Miami Hair Institute, we evaluate each hair loss patient using a comprehensive and proven methodology to determine the cause of your hair loss. With this information, we can determine the cause of hair loss and develop an approach best suited to your condition and goals.

To schedule your personalized hair loss evaluation at the Miami Hair Institute, contact us online or call our office directly at 305-925-0222.

February 8, 2021

The Pandemic Has Changed The Way We Care For Our Hair

After almost a year of living with the pandemic, we understand that the impact of COVID-19 extends far beyond those who actually get sick with the virus. We have all changed the way we live, the way we do our jobs, and the way we care for ourselves. This includes how we are treating our hair.

It has been established that hair loss is one of the many unfortunate consequences of COVID-19 infection. Even for otherwise healthy individuals, the stress of our current circumstances has led to an increase in cases of sudden stress-related hair loss. As reported by NPR, one dermatologist at the Cleveland Clinic who used to see about five patients a week with stress-related hair loss and now sees between 20 to 25.

But hair loss is not the only way that the pandemic had changed the health of our hair. Lockdowns and quarantines and working from home have led many people to dramatically alter their hair care regimes. People who don’t go into the office every day or aren’t heading out for nights on the town are not shampooing their hair as often as they used to, nor are they using as much product. Shuttered hair salons kept people from getting their hair cut or styled, and even when they are allowed to reopen, many folks decide that it is not yet worth the risk.

While folks may be taking a more laissez-faire approach to their hair because of convenience or safety concerns, one unintended result is that their hair may be better off for it.

Shampooing every day can open and close hair cuticles so much that it breaks, which leads to split ends and breakage, especially when combined with styling or heating products. People who have reduced the frequency of shampooing or who have switched to dry shampoos are seeing stronger, healthier-looking hair. So too are those who are giving their hair a break from gels, sprays, curling irons, or blow dryers.

The pandemic will be behind us, hopefully soon. While we will be happy to say goodbye to face masks, social distancing, and quarantines, we may want to continue the gentler approach to hair care that many of us adopted during our COVID-19 days.

The Miami Hair Institute Is Here For You During These Trying Times

At the Miami Hair Institute, we know how difficult and stressful things can be as we cope with the uncertainties and disruptions caused by COVID-19. During this time, we remain committed to helping our clients address their hair loss issues safely and effectively through our advanced hair restoration techniques, technology, and alternative non-invasive treatments. To receive your personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

February 1, 2021

Hair Loss After Surgery: Why Does It Happen and What Can You Do?

Most invasive surgeries, as necessary as they may be, aren’t easy on the body. The trauma of surgery is why we need sedation and anesthesia during procedures and why it takes days or weeks to recover. After surgery, the disruption to the body’s normal functioning can linger and manifest itself in many ways, including temporary hair loss.

Causes of Post-Surgical Hair Loss

Post-surgical hair loss is a common phenomenon and is a form of telogen effluvium (TE), a condition caused by disruptions to the hair follicle growth cycle.

In a normal hair growth cycle, follicles go through a process that lasts for several years at a time. Hair follicles don’t continuously produce new hairs. Instead, follicles cycle through resting phases known as telogens.

The American Hair Loss Association estimates that 10 to 20 percent of hair follicles are in a telogen state at any given time. But if the proportion of telogen hairs rises above 20 percent, it is often an indication of telogen effluvium.

The stress caused by surgery can sometimes put hair follicles in a more prolonged resting state than usual. Like psychological and emotional stress, that caused by surgery can lead directly to hair loss. This is because stress may cause the body to divert essential hair growth nutrients such as biotin, iron, zinc, protein away from vital organs, which in turn can cause hair thinning and TE.

Another hair loss condition can arise in particularly lengthy surgeries when the patient’s head remains in one position for hours at a time. Positional alopecia occurs when blood flow to hair follicles is cut off because of the pressure put on part of the scalp. Research has found that positional alopecia is most common in cardiac surgeries and extensive reconstructive surgeries.

While all surgical procedures have the potential to cause telogen effluvium and hair loss, procedures that involve incisions on the scalp, such as head and neck surgeries, may also increase the risk of hair follicles shutting down.

Minimizing Post-Surgical Hair Loss

As noted, post-surgical hair loss is almost always a temporary phenomenon. But while you may not be able to prevent telogen effluvium entirely, you can minimize the severity of hair loss after surgery by eating a nutritious diet, getting sufficient sleep and exercise, and managing your stress levels.

You can also discuss your concerns with a hair restoration physician who may have additional suggestions about how you can reduce hair loss after your procedure.

No Matter The Reason Behind Your Hair Loss, The Miami Hair Institute Can Help

At the Miami Hair Institute, our world-renowned hair restoration physicians diagnose and treat hair loss cases no matter what the underlying cause. Through advanced hair restoration surgical techniques, technology, and alternative non-invasive treatments, we can help patients suffering from hair loss regain their hair and self-confidence.

To receive your personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

January 25, 2021

What Is A Scalp Biopsy And Why Would You Need One?

You can’t effectively fix a problem unless you know what it is. That is why understanding the reasons behind hair loss is an essential first step in the hair restoration journey. By understanding the cause of a patient’s hair loss, our hair restoration physicians can develop and implement the most effective treatment strategy specifically tailored to their unique characteristics.

At the Miami Hair Institute, we use a comprehensive methodology that includes gathering a detailed medical history, performing an in-depth scalp examination using state-of-the-art diagnostic and imaging tools, and taking hair mass measurements. If appropriate and indicated, we may perform blood tests to identify any hormonal imbalances or deficiencies that might be contributing to a patient’s hair loss. And in some cases, we may recommend a scalp biopsy to get to the bottom of the issue.

What is a Scalp Biopsy?

When we perform a scalp biopsy, we extract one or two small specimens of scalp tissue and hair follicles for analysis. Each sample is about the size of a pencil eraser. To gather the specimens, we clean a discreet area of the scalp, trim the hair in that area, and administer a local anesthetic. Once we remove the samples, we close the small scar with stitches that we will take out a couple of weeks after the biopsy. The whole procedure takes approximately 15 minutes. After gathering the specimens, we submit them to a skin pathologist specializing in diagnosing hair loss problems.

Why Would We Perform A Scalp Biopsy?

When a follicle scarring process appears to be the cause of a patient’s hair loss, a scalp biopsy is often necessary to establish or confirm a diagnosis. We can use the results of a biopsy to make or confirm a diagnosis of alopecia. We can also obtain important information in cases of unexplained hair loss or when the potential for regrowth is in doubt.

Call the Miami Hair Institute Today For Your Personal Hair Loss Consultation

Not all patients require a scalp biopsy to determine the cause of hair loss and choose the best treatment options. But the first step in discovering why you are losing your hair and what you can do about it is to schedule a hair loss consultation. We invite you to schedule an evaluation at the Miami Hair Institute. Drs. Nusbaum and Rose are internationally acclaimed hair restoration surgeons with more than 40 years of combined experience. To receive a personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

September 7, 2020

Everything You Need To Know About No-Shave FUE

The development and adoption of the follicular unit extraction (FUE) technique in 2004 and the introduction of the advanced ARTAS System shortly thereafter were sea changes in hair transplant surgery. One of the many advantages of FUE over older hair transplant methods, in addition to unmatched precision and shorter recovery times, was that it caused minimal scarring, reducing visible evidence that a patient had a hair transplant procedure.

Now, FUE has taken another leap forward that makes it even harder to detect that a transplant was performed while still delivering exceptional results: No-shave FUE.

Concealment and Camouflage

As the name implies, this approach eliminates the need to shave the head in order to obtain donor hairs. In an FUE procedure, the surgeon precisely moves selected follicular units from the donor area with an image-guided 0.8-1-millimeter circular tool in a scattered pattern.

Until quite recently, however, extraction of donor hairs in FUE procedures required that the area be shaven to approximately 1/25^th of an inch so the surgeon could identify and extract the follicular units to be targeted for transplantation.

With no-shave FUE, the surgeon only needs to trim the donor follicle hairs that they plan to transplant. The trimmed donor follicles are therefore hidden and blend in amidst the surrounding full-length hair, resulting in a completely normal appearance of the donor area after surgery.

Additionally, in the recipient area, the non-shaved natural hairs in the recipient area will help hide the transplanted follicular units. As the newly transplanted grafts grow, they blend in with the existing hairs, thickening the area and providing more density to the scalp.

While no-shave FUE surgery effectively and quickly camouflages the fact that a patient had hair transplant surgery, the procedure itself may take more time. That is because it is more technically challenging and labor-intensive. In such a surgery, it is therefore even more critical that your hair transplant surgeon has the skill, precision, and experience to ensure optimal results.

Miami Hair Institute’s Dr. Rose was one of the pioneers and developers of the FUE technique. Both Dr. Rose and Dr. Nusbaum have performed the procedure on thousands of patients since 2004 with exceptional results.

Learn More About No-Shave FUE. Schedule an Appointment for a Hair Loss Evaluation Today

August 31, 2020

Guidelines for Patients Seeking Hair Transplant During COVID-19

For months, the COVID-19 pandemic essentially brought all elective surgeries and other procedures to a halt. Everything from knee surgeries to colonoscopies to cosmetic procedures were put on hold. Hair transplant surgeries were no different. But medical practices, including the Miami Hair Institute, have since reopened and resumed scheduling and conducting long-delayed surgeries.

Guidelines For Hair Restoration Physicians and Practices

However, hair restoration physicians have needed to update the protocols, policies, and procedures involved in hair transplants in order to ensure the health and safety of patients and staff. To that end, the International Society of Hair Restoration Surgery (ISHRS)—the world’s premiere authority on hair loss and hair restoration— has established guidelines for resuming hair restoration practices. and provided patients guidance in finding hair restoration clinics deemed “COVID-protected facilities.”

As the ISHRS stated in announcing the practice guidelines:

“The ISHRS’s general recommendations for practice reopening includes following members’ national/local governmental health authority guidelines, practicing strict social distancing and using appropriate PPE, masks and sanitation. ISHRS members are also advised to adhere to strict universal precautions for infection control and utilize comprehensive COVID screening tools and laboratory testing before patients can enter practices.”

At the Miami Hair Institute, the health and safety of our patients is our top priority. We adhere to ore exceed all requirements and recommendations established by the ISHRS, CDC, and state and local authorities when it comes to our facilities, processes, and surgical procedures.

Guidelines For Patients

In addition to its recommendations for hair transplant surgeons and hair restoration practices, the ISHRS has also provided patients with important guidance they can use as they look for hair restoration clinics and schedule transplant surgery.

Specifically, the ISHRS recommends that hair restoration patients do the following:

Know Your Health Status
Follow Personal Protection Guidelines
Look For A Clinic That Is A “COVID-Protected Facility,” which is one that:
- Routinely asks patients for a relevant COVID-19 history of their own health and their contacts. It is important that patients provide accurate information.
- Follows social distancing guidelines by limiting contact of patients with one another whether in consultation or in a procedure and will arrange waiting room seating accordingly.
- Uses suitable equipment/PPE (Personal Protective Equipment) as recommended by the Center for Disease Control (CDC) or another equivalent governmental agency.
- Routinely uses relevant health histories and daily temperature monitoring of all clinic staff and patients as part of their strategy to prevent contagion. Additionally, and where available, follows all government guidelines on use of testing to monitor staff.
- In addition to using proper PPE, it uses appropriate cleansing, disinfecting and sterilization procedures throughout the office/clinic. Also, uses proper waste disposal methods for any materials that could be contaminated.
- Advises patients of handwashing protocols in the office/clinic and how to change gloves, gown and masks.
- Assures the public that the staff have received additional training with regards to proper COVID-19 infection control methods.

The Miami Hair Institute Remains Committed To Helping Our Patients Through These Difficult Times

As noted, the Miami Hair Institute is committed to ensuring protecting the health of our patients and staff and is a “COVID-Protected Facility” according to ISHRS guidelines. During this time, we continue to help our clients address their hair loss issues safely and effectively through our advanced hair restoration surgical techniques, technology, and alternative non-invasive treatments.

To receive your personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222. We offer both virtual as well as in-office hair transplant consultations.

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