Category: Hair Transplant
Strip Harvestiing

Strip vs. FUE Donor Hair Harvesting

Donor Hair HarvestiingUnderstandably, most hair transplant surgery patients will evaluate the success of their procedure based on the appearance of the once-thinning or balding area of their scalp. After all, bringing back healthy, growing hair is what the process is all about. But what goes into the transplant area must come out from another part of your scalp. Harvesting donor hair is as critical a part of hair restoration surgery as the actual transplanting of the follicles. How those follicles are harvested – and how the donor area looks after harvesting – will have a big impact on how a patient will feel about their appearance after the transplant is completed.

Transplant surgeons typically harvest donor hair from the back and sides of the head where male pattern baldness does not impact hair growth. Since this hair is healthy permanently growing, it makes it perfect for transplantation as it will continue to grow in its new location.

The biggest concern with donor hair harvesting is whether there will be a visible, linear scar left behind after the hair is removed. This is of particular importance for those who wear short hairstyles. 

There are two primary methods which hair transplant surgeons can use to harvest donor hair: strip harvesting and Follicular Unit Extraction (FUE). At the Hair Transplant Institute of Miami, we favor the latter technique, primarily because of its precision and ability to remove donor hair with significantly less visible scarring than with strip harvesting.

Strip Harvesting

Until the more recent development of the FUE technique, strip harvesting was the most widely used way to extract donor hair. This process involves taking thousands of follicles all at once from the donor area on a “strip” of the scalp. That strip is removed and the doctor then stitches the incision closed, leaving behind a scar that will vary in length depending on how many follicles are needed for the transplant. In addition to scarring, strip harvesting also may involve a longer recovery time than FUE harvesting.

That said, the process does have some positive aspects, particularly the ability to harvest large numbers of follicles in a short period of time.  

Follicular Unit Excision

The advantages of FUE over strip harvesting arise from the precision with which surgeons can remove follicles from the scalp. By removing follicles individually, scarring is minimized as is any damage to remaining hair in the donor area.

At the Hair Transplant Institute of Miami, we perform follicular unit extractions using a technique called the ARTAS® Robotic Procedure which provides unmatched results in transplantation while also dramatically minimizing any visible or structural damage to the donor area.

Using the ARTAS system, our doctors digitally scan areas of the scalp, identifying hair in its natural groupings. Selected follicular units are then precisely removed from the donor area with an image-guided 0.8-1-millimeter circular tool in a scattered pattern, leaving most donor area hair in place so that it retains its original natural appearance.

Because scars are tiny and dot-like in appearance, the donor area on patients who undergo a hair transplant using the ARTAS system should look unscathed and give patients the option to wear shorter hairstyles post-operation.

Schedule an Appointment for a Hair Loss Evaluation Today

If you are concerned about hair loss and are ready to do something about it, we invite you to schedule a hair loss evaluation at the Hair Transplant Institute of Miami. Drs. Nusbaum and Rose are internationally acclaimed hair restoration surgeons with more than 40 years combined experience

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

Hair Loss Myths

Air Pollution and Male Pattern Baldness

Hair Loss MythsMale pattern baldness, or androgenetic alopecia, is a hereditary condition which afflicts two-thirds or men by the age of 35. By age 50, over 85 percent of men will develop signs of pattern baldness. While your genes will determine whether you are predisposed to androgenetic alopecia, other factors can contribute to the progression and degree of hair loss caused by the condition. Stress, poor diet, certain medications and treatments, and trauma are all non-genetic issues which can further weaken or destroy already vulnerable follicles. So too can the air pollution that surrounds all of us.

Air pollution is the source of a range of health problems, such as respiratory ailments, sinus issues, and allergies. The toxins in the air caused by industry, cars, fossil fuels, and other human activity shorten life spans and add billions of dollars to health care costs. Those same toxins that wreak havoc by entering the body and bloodstream can also cause harm when they come into contact with our skin, including our scalp and hair.  

Large suspended particles, small airborne particles, smoke and gaseous pollution settle on the scalp and hair where they can cause scalp irritation, redness, itching, excessive sebum secretion, and dandruff. Those pollutants can also damage hair follicles themselves, leading to hair loss. This irritation and damage can both mimic the symptoms of and contribute to androgenetic alopecia.

Studies have shown that various toxins, chemicals and carcinogens found in polluted air (and tobacco smoke) can hurt keratins, which are the proteins that form the foundation of hair structure. When keratins are damaged, hair can become weak and brittle, causing hair growth to slow down and eventually compromising the follicles so much that they die and fall out.

Men with androgenetic alopecia can’t change their genes, and most folks can’t easily change where they live or work or reduce the amount of air pollution in their environment on their own (except for quitting smoking). However, there are plenty of ways you can strengthen and protect your hair and maintain your scalp for optimal hair growth.

You Don’t Have to Live with Male Pattern Baldness. Call the Hair Transplant Institute of Miami Today.

If male pattern baldness continues to progress, as it most often does, the Hair Transplant Institute of Miami offers a range of effective surgical and non-surgical treatment options that can put the brakes on hair loss and restore a natural-looking, full head of hair. 

To learn more about the Hair Transplant Institute of Miami and how we can help you with your hair loss issues and concerns, schedule a hair loss evaluation today by contacting our clinic at 305-925-0222.

Is Baldness Linked with Aggressive Prostate Cancer?

Air Pollution and Male Pattern Baldness

Is Baldness Linked with Aggressive Prostate Cancer?Male pattern baldness, or androgenetic alopecia, is a hereditary condition which afflicts two-thirds or men by the age of 35. By age 50, over 85 percent of men will develop signs of pattern baldness. While your genes will determine whether you are predisposed to androgenetic alopecia, other factors can contribute to the progression and degree of hair loss caused by the condition. Stress, poor diet, certain medications and treatments, and trauma are all non-genetic issues which can further weaken or destroy already vulnerable follicles. So too can the air pollution that surrounds all of us.

Air pollution is the source of a range of health problems, such as respiratory ailments, sinus issues, and allergies. The toxins in the air caused by industry, cars, fossil fuels, and other human activity shorten life spans and add billions of dollars to health care costs. Those same toxins that wreak havoc by entering the body and bloodstream can also cause harm when they come into contact with our skin, including our scalp and hair.  

Large suspended particles, small airborne particles, smoke and gaseous pollution settle on the scalp and hair where they can cause scalp irritation, redness, itching, excessive sebum secretion, and dandruff. Those pollutants can also damage hair follicles themselves, leading to hair loss. This irritation and damage can both mimic the symptoms of and contribute to androgenetic alopecia.

Studies have shown that various toxins, chemicals and carcinogens found in polluted air (and tobacco smoke) can hurt keratins, which are the proteins that form the foundation of hair structure. When keratins are damaged, hair can become weak and brittle, causing hair growth to slow down and eventually compromising the follicles so much that they die and fall out.

Men with androgenetic alopecia can’t change their genes, and most folks can’t easily change where they live or work or reduce the amount of air pollution in their environment on their own (except for quitting smoking). However, there are plenty of ways you can strengthen and protect your hair and maintain your scalp for optimal hair growth.

You Don’t Have to Live with Male Pattern Baldness. Call the Hair Transplant Institute of Miami Today.

If male pattern baldness continues to progress, as it most often does, the Hair Transplant Institute of Miami offers a range of effective surgical and non-surgical treatment options that can put the brakes on hair loss and restore a natural-looking, full head of hair. 

To learn more about the Hair Transplant Institute of Miami and how we can help you with your hair loss issues and concerns, schedule a hair loss evaluation today by contacting our clinic at 305-925-0222.

How Thyroid Disease May Cause Hair Loss

Thyroid Imbalances That Cause Hair Loss

How Thyroid Disease May Cause Hair LossBalance is the key to so many aspects of our well-being. Balancing work and family, eating a balanced diet, and maintaining our physical balance and strength can be difficult, but they are necessary for health and happiness. When it comes to the health of our hair and our happiness with our appearance, balance is also critical. Specifically, a balance in the number of hormones our thyroid gland produces. When the thyroid produces too much or too little of the hormones that play a critical role in hair growth and retention, hair loss is often the result.

What is the Thyroid Gland?

A small gland located in the neck, the thyroid is a factory that produces and distributes a hormone which regulates many vital bodily functions, including metabolism, involuntary muscle contractions, and the production of cellular energy. 

What are Thyroid Imbalances?

Like any gland or organ, the thyroid can fail to work as it should. It does so in two main ways: it either produces too many thyroid hormones, a condition called hyperthyroidism, or it produces too few, a condition called hypothyroidism.

How Do Thyroid Imbalances Cause Hair Loss?

Both hypothyroidism and hyperthyroidism can cause hair loss through its impact on the development of a hormone called dihydrotestosterone (DHT). A synthesized version of the hormone testosterone, DHT plays a role in the development of sexual organs and secondary sexual characteristics, including physical appearance. Unlike testosterone, however, too much DHT disrupts the natural growth cycle of hair and can cause hair follicle shrinkage or elimination, resulting in shedding or thinning hair. balding occurs

For those suffering from hypothyroidism, or the production of insufficient amounts of thyroid hormone, medications often prescribed to treat the condition can themselves cause hair loss. For example, a standard treatment for hypothyroidism is levothyroxine sodium, a prescription medication available under brand names such as Synthroid, Levoxyl, Levothroid, and Unithroid. Long-term hair loss is a side effect of this medication for many thyroid patients, for those taking Synthroid in particular.

Solutions for Thyroid-Related Hair Loss

Many individuals who experience hair loss due to their thyroid medication regimen take additional medication to offset that hair loss. As with any medication changes, your physician needs to be involved and his or her recommendations should be followed.

Additionally, many of the treatments we offer at the Hair Transplant Institute of Miami to treat hair loss caused by other factors can be used to address hair loss caused by thyroid imbalances. These can include hair transplant surgery, low-level laser therapy (LLLT), or certain medications. But given the complications involved in thyroid disorders and their treatment, only a consultation and full evaluation with a trained hair loss physician can tell you what treatments you are a candidate for and which approach is best suited to help address your hair loss concerns.

Schedule an Appointment for a Hair Loss Evaluation Today

If your thyroid condition is contributing to hair loss, the Hair Transplant Institute of Miami can help. We offer a range of effective treatment options, customized to individual conditions, to alleviate this unfortunate side effect of thyroid dysfunction. To receive a personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

How Beard Transplants Work

You can’t always get what you want. For some men who want to grow a beard, genetics keeps them from getting one. Similar issues which stop hair from growing on the scalp can prevent the growth of whiskers on the face. But as beards have literally grown in popularity over the past few years, so too has a procedure which allows men who desire a beard to have a full, robust one.

Beard transplants facilitate the growth of facial hair in men who can’t grow a full beard on their own. The technique used for doing so is similar to hair transplants on the scalp and uses the same donor area as is used in hair transplant surgery.Beard Transplants

Here’s how it works. Donor’s hair is extracted from the back and sides of the scalp using Follicular Unit Extraction (FUE). FUE, perhaps the world’s most popular hair transplant method and one pioneered by our very own Dr. Paul Rose, is a minimally invasive way to remove and transplant individual hair follicles for natural-looking results. FUE involves harvesting using a circular needle called a “punch.” The “extraction” part of FUE involves removing follicular units from the donor area with a 0.8-1-millimeter circular tool in a scattered pattern to eliminate the linear scar associated with traditional donor strip harvesting.

A full beard will require a significant number of hair grafts from the donor area – somewhere between 2,500-3,000 individual grafts. Fewer grafts are needed for goatees or to fill in limited, patchy areas.  

Once the donor’s hair is extracted, your hair transplant surgeon will make small incisions throughout the beard area. These incisions will determine the density, direction, and angle of your beard growth. As the quality and appearance of your beard will depend largely on the quality of these incisions, the skill of your surgeon in making them is of the utmost importance.

Once the follicles are transplanted, a procedure which should take less than a day, you will leave your surgeon’s office with a beard. But don’t get too fond of those whiskers just yet. The transplanted hairs will likely fall out within two to three weeks after your transplant surgery. This is perfectly normal and expected. But soon after that, within a couple of months, those hairs will grow back permanently.

Those permanent whiskers, once grown in, can be treated as if they were grown naturally because they were. You can shave, trim, and clean your beard as if it had been there for years.

As with any hair transplant surgery, beard transplants require a sufficient number of donor’s hairs, so patients who are considering a beard transplant need to consult with their surgeon to determine whether they are a good candidate. But for those men who do have sufficient donor areas, a beard transplant is a great way to put their best face forward.

Unmatched Experience and Unparalleled Results in Hair Restoration

At The Hair Transplant Institute of Miami, Drs. Nusbaum and Rose are experts in the art and science of hair restoration, internationally acclaimed and bringing more than 40 years combined experience to their patients.  To learn more about beard transplants or to receive a personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

Swimming After Hair Transplant Surgery

Swimming After Hair Transplant Surgery

Swimming After Hair Transplant SurgeryHere in South Florida, you’re never too far from the water. Whether in the Atlantic, the Gulf, a lake, or a pool, swimming is part of our way of life. Of course, people love to swim no matter where they live, and as summer arrives, they’ll love it even more frequently. That’s why it’s no surprise to us that one of the most common questions our hair transplant surgery patients ask is: “When can I go swimming again?”

One of the great things about the Follicular Unit Extraction (FUE) hair transplant technique we use at the Hair Transplant Institute of Miami is that healing tends to be faster and involve less post-operative limitations on activities than other hair transplant methods.

Nevertheless, you still need to take it easy after hair transplant surgery, and that includes holding off on swimming for a bit while healing to avoid infection or damage to the still-fragile transplanted follicles. So, while you’ll never have to worry about a toupee or hairpiece floating away and you will soon be able to swim without limitation, you will still want to be careful about taking a dip in the days and weeks after your surgery.

Swimming in the Ocean

While FUE is terrific in that it leaves less scarring than older transplant methods, you will still have some scars – remember, you are recovering from a surgery. As with any type of surgery, the areas where the skin was opened are particularly vulnerable to infection while they heal. Sadly, our oceans are full of increasing amounts of pollutants which could make their way into your still-healing scalp and cause illness or other complications. Once your scabs have healed or fallen off, however, you can swim all the way to Cuba if you want.

Swimming Pools

While the chlorine in swimming pools may reduce the risk of infection, that doesn’t mean it can’t cause damage in other ways. The chemicals in chlorinated pools can kill hair grafts while they are still healing. Try to stay out of the pool, or at least keep your head above water, for at least two weeks up to a month after surgery. After that, you should have no problems enjoying time in the pool.

Once you are back in the water, you should still try to avoid diving for a while as the impact of your scalp into the water can cause strain and pull of the scalp and the donor area. And since you will likely be out in the sun while enjoying a cool dip, make sure you protect your scalp from sunburn with the right scalp sunscreen.

Schedule an Appointment for a Hair Loss Evaluation Today

If you are concerned about your hair loss and are ready to do something about it, we invite you to schedule an evaluation at the Hair Institute of Miami. 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.

2018 National Academy of Dermatology Nurse Practitioners (NADP) Physician of the Year award

Dr. Paul Rose Awarded 2018 National Academy of Dermatology Nurse Practitioners Physician of the Year

2018 National Academy of Dermatology Nurse Practitioners (NADP) Physician of the Year award

Congratulations Dr. Paul Rose, MD on winning the 2018 National Academy of Dermatology Nurse Practitioners (NADP) Physician of the Year award! Each year, the NADP conferences focus on ongoing Dermatology education and award a Physician dedicated to setting the standards in dermatology practice, education, research and professional development.

Dr. Rose, the Miami Hair team would like to congratulate you on this phenomenal honor! 

Newest Trends in Body Hair Transplantation (BHT)

Is Your Hair Healthy Enough for a Hair Transplant?

Is Your Hair Healthy Enough for a Hair Transplant?There are many things about hair transplants which make them different from other transplant procedures, such as those for livers, kidneys, or hearts. Perhaps the biggest distinction is that in organ transplants, the donor and recipient are two different people. In hair transplant surgery, the hair to be transplanted comes from the same patient.

Just as a donated organ needs to be healthy and compatible in order for it to be transplanted successfully, hair which is to be transplanted to thinning or bald areas of the scalp needs to be healthy as well. If the volume, strength, or texture of donor hair is insufficient, hair transplant surgery is likely not the best option for addressing hair loss.

The Donor Area

For hair transplant surgery, such as Follicular Unit Excision (FUE), the donor area is found on the back and sides of the scalp where permanent hair growth remains unaffected by male pattern baldness. Since this hair is permanently growing, it makes it ideal for transplantation as it will continue to grow in its new home.

Problems With Donor Hair

But not all donor areas are equal and not all hair follicles are equally suited for effective transplantation. There are several characteristics of a patient’s hair which may make them unsuited for transplant surgery:

  • Hair replacement candidates must have healthy hair growth in the donor area at the back of the head. This is usually the case where male pattern baldness is the cause of hair loss. But other forms of hair loss, such as Diffuse Unpatterned Alopecia, do not leave behind robust donor areas, as the hair loss is spread throughout the scalp. In such cases, there is simply no effective way to harvest enough grafts for a transplant.
  • Transplanted hair is being asked to do a big job: concealing bare areas of the scalp so that they now appear covered in robust, healthy-looking hair. However, some hair is not up to the task. Very fine and straight hair does not cover as much real estate as curly, thick hair does and thus may require an inadvisable number of grafts.
  • If your scalp has any significant dermatological issues, it may not be in the shape it needs to be to receive and grow hair in the recipient areas.

Schedule an Appointment for a Hair Loss Evaluation Today

The only way to know whether or not hair transplant surgery is a viable option for you is to meet with an experienced hair transplant surgeon who can fully evaluate your current condition, determine the cause of your hair loss, and advise you of the best course of treatment.

If you are concerned about your hair loss and are ready to do something about it, we invite you to schedule a hair loss evaluation at the Hair Transplant Institute of Miami. Drs. Nusbaum and Rose are internationally acclaimed hair restoration surgeons with more than 40 years combined experience. Both Drs. Nusbaum and Rose are actively engaged in hair loss research and lecture widely. To receive a personalized evaluation and treatment plan, contact us online or call or office directly at 305-925-0222.

Hair Plug Transplants vs. Follicular Unit Extraction (FUE)

FUE Hair Transplant Procedure Gets an Update Name

Hair Plug Transplants vs. Follicular Unit Extraction (FUE)At the Hair Transplant Institute of Miami, we have been at the leading edge of hair restoration for decades. Our award-winning surgeons, Dr. Bernard Nusbaum and Dr. Paul Rose, have been repeatedly recognized by their peers as leaders and innovators in the field. In fact, Dr. Rose was one of the originators of the hair transplant technique which has become perhaps the most widely used in the world: Follicular Unit Extraction (FUE). Since 2004, he has performed this safe and effective procedure on thousands of patients, restoring their hair to a full, natural-looking appearance.

The Follicular Unit Extraction procedure continues to evolve, with even better techniques and the use of advanced technology such as the ARTAS system, which provides unmatched precision in hair transplantation. Now, that evolution also includes a change to the name of this procedure. FUE now refers to Follicular Unit Excision to more accurately reflect the full nature of the treatment.

Follicular Unit Excision is a minimally invasive method of transplanting individual hair follicles for natural-looking results. FUE involves harvesting using a circular needle called a “punch.” The “extraction” part of FUE involves removing follicular units from the donor area with a 0.8-1-millimeter circular tool in a scattered pattern to eliminate the linear scar associated with traditional donor strip harvesting.

But in order to extract the follicles, an incision needs to be made in the scalp. We utilize the image-guided robotics of the ARTAS system to make those incisions at precise locations and depths designed to minimize scarring and maximize the yield of grafts.

Given the precision necessary for this procedure to achieve maximum results, giving it a more precise name makes sense. The word “excision” means “the act or procedure of removing” something. Since the act or procedure involved in harvesting hair using FUE involves more than just extraction, this broader moniker is more accurate.

Unmatched Experience and Unparalleled Results in Hair Restoration

No matter what you call this hair transplant procedure, the Hair Transplant Institute of Miami Drs. Nusbaum and Rose are called experts in the art and science of hair restoration, internationally acclaimed and bringing more than 40 years combined experience to their patients. Both Drs. Nusbaum and Rose are actively engaged in hair loss research and lecture widely. To receive a personalized evaluation and treatment plan, contact us online or call or office directly at 305-925-0222.

New Study Shows Hair Transplants May Cure Migraines

New Study Shows Hair Transplants May Cure Migraines

New Study Shows Hair Transplants May Cure MigrainesHair transplant surgery performed by a skilled and experienced medical professional is a safe and effective way to address hair loss and restore hair to a full, natural-looking state. The benefits of a hair transplant manifest themselves in many ways: improved appearance, increased self-confidence, and the satisfaction that comes from having taken action to enhance your overall well-being. But a recent study suggests that the benefits of a hair transplant may extend far below the surface of the scalp to relieve a much more serious and debilitating problem: migraine headaches.

Anyone who suffers from migraines understands how disruptive and painful they can be. These piercing headaches can severely diminish the quality of life and productivity, and cause sufferers to incur significant treatment costs. Millions of people worldwide experience migraines on a regular basis, with women making up three of every four cases.

Effective treatments have been elusive, though surgery has been found to be increasingly effective. The new study, published in late 2017 in the journal Plastic and Reconstructive Surgery, looked specifically at the impact that hair transplant surgery had on patients who were afflicted with regular migraine headaches. As the researchers put in their report, “the postoperative improvement each patient experienced was dramatic.”

Researchers from the SO-EP Aesthetic & Plastic Surgery Clinic in Turkey studied six patients who suffered from migraines and underwent hair transplants between January 2011 and May 2012. These patients, all of whom had tried pain-relieving medication with no success, experienced migraines for six days a month on average, with the pain lasting around four hours. They rated their pain between five and eight on a scale of 1-10.

After hair transplantation, each migraine sufferer was checked once in the first month and then once every 3 months. Migraine headaches had ceased in all six patients, none of whom used medical treatments for migraines thereafter.

While the researchers noted that “the seemingly curative effect of hair transplantation on migraine headaches has no clear explanation as yet,” the conclusion that such surgery can diminish or even eliminate migraines was unavoidable.

“Results were decisive in these few patients. It is remarkable that both an alopecia and migraine headache may be easily remedied through a simple and easily applied procedure,” the report states. 

Schedule an Appointment for a Hair Loss Evaluation Today

Whether you suffer from migraines or not, if you are concerned about hair loss and are ready to explore treatment options, we invite you to contact us to schedule a consultation and hair loss evaluation. At the Hair Transplant Institute of Miami, we hold every patient’s pursuit of a fuller and more natural head of hair in the highest regard. We are home to South Florida’s top hair transplant surgeons, doctors, nurses, and staff and are pleased to offer only the safest and most advanced methods of hair loss diagnosis and treatment.

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

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