Articles Tagged with: Follicular Isolation Technique

The Benefits of ARTAS® Hair Transplants

Long gone are the days of hair “plugs” – at least among prominent surgeons who employ the most advanced technologies and systems. Today, surgeons use cutting-edge techniques like the Follicular Unit Extraction (FUE) or Follicular Isolation (FIT) to harvest healthy follicles and remove the tell-tale signs of transplants. Facilitated by ARTAS® technology, a 3d physician-guided robotic system that sustains donor graft quality and eliminates linear scars, hair transplants are a natural-looking solution for hereditary hair loss conditions like androgenic alopecia.

During ARTAS hair transplants, the donor area from which follicular units are harvested is trimmed down to allow for proper digital imaging. After administering a local anesthetic, the doctor activates a robotic arm that pinpoints which follicular units to target, regularly re-positioning itself to extract only the most powerful grafts. Rather than harvest large patches that look unnatural when implanted, the machine collects donor hair in a random pattern to preserve the patient’s original appearance at the donor site. After adequate hair is gathered, the grafts are transplanted in a planned and personalized pattern. The entire process takes around four to eight hours and most patients can return to their normal activities after a few days. The transplanted grafts then grow as permanent hairs with substantial growth appearing around six to nine months following the procedure.

Consider the following reasons ARTAS hair transplants deliver optimal hair restoration results:

  • Because ARTAS hair transplants are minimally-invasive, both the donor and recipient areas heal quickly. The transplant “takes” in about three days. Small scabs are normal and can be gently rubbed off after a few days. In about a week, your scalp’s appearance returns to normal.
  • Transplanted hair grows gradually and naturally to prevent a sudden or obvious change in appearance. Optimal growth usually materializes around nine months after surgery.
  • ARTAS hair transplants are outpatient procedures that require only a local anesthetic. Numbing eliminates any pain during the procedure, and mild swelling or discomfort afterwards typically subsides in one to three days.
  • ARTAS harvesting eliminates linear scars, which means patients can wear their hair in practically any style or length.
  • After extraction, digital imaging is used to analyze distinct growth patterns and construct the most natural-looking design for implantation. Developed by Dr. Paul Rose and Dr. Bernard Nusbaum, the Mosaic® Hair Restoration technique delivers remarkably tailored results.
  • Previous hair transplants with obvious linear scars can be disguised using the ARTAS system.
  • ARTAS hair transplants offer unparalleled precision, uniformity, accuracy and personalization during FUE procedures. There’s no room for human fatigue or error; every graft is as qualified as the first.
  • Results are designed to last a lifetime.

Dr. Paul Rose and Dr. Bernard Nusbaum of the Hair Transplant Institute of Miami are ISHRS Golden Follicle Award Winners who are continuously recognized for their insightful hair loss research, revolutionary transplant techniques and high patient satisfaction. We invite new patients to schedule a free consultation at 877-443-9070 to evaluate your hair loss, rule out any underlying conditions and discuss a personalized treatment path to restore hair and reestablish lost self-confidence.

Hair Loss Treatment 2013: What’s New at the Miami Hair Institute

hair-loss-treatments-2013-miamiAt the Hair Transplant Institute of Miami we are always striving to improve our patients’ results. Both Dr. Rose and Dr. Nusbaum have over 25 years of experience in the field of hair restoration providing a solid foundation and track record for evaluating the best new techniques available to you. We are very excited to tell you about some new developments which we have incorporated into our practice.

Robotic Hair Restoration

In addition to the strip harvesting technique, we also offer a donor harvesting method named FIT Follicular Isolation Technique (also known as FUE). Using this technique the creation of a linear donor scar is eliminated. While this procedure has gained recent popularity, Dr. Rose has been performing it for over ten years with a special, hand-held motorized instrument and we continue to offer the hand motorized FUE . We also offer the ARTAS physician guided robotic system for FUE, FIT which is the most technologically advanced instrumentation worldwide. The ARTAS robotic instrument utilizes advanced digital technology and laser guided precision robotics to harvest permanent hair from the back of the head to be transplanted into balding or thinning areas. This is a minimally invasive procedure, with no linear scarring and less postoperative pain.  ARTAS produces tiny dot- like scars in the donor area that are not visible with a short haircut although complete shaving of the head would reveal them. We believe the best candidates for this procedure are individuals who have never had a strip harvest procedure and wish to have transplants done yet want  be able to wear their hair quite short  with minimal evidence  of a procedure .

Biolife

Donor follicles, once harvested, must be maintained in a viable state until they can be re-implanted in the recipient area; and the entire process must take place within hours. The standard liquid solution, which has been used for years to hold follicular grafts during surgery, is saline water. Although this has been effective, we are now utilizing a product called Biolife, which is equivalent to the solutions that are used to preserve organs for transplantation.  Preserving your follicles in Biolife further ensures that they will remain viable during the procedure. In our experience, it has increased follicle growth while at the same time, producing earlier growth than what we were getting with standard methods. Biolife contains nutrients that mimic the natural environment of the follicle cells within the tissues therefore minimizing the stress that the follicles must endure during the transplant process.

Platelet Rich Plasma (PRP)

PRP is prepared by drawing a small amount of your own blood at the time of the procedure. We then utilize a special method to concentrate your platelets, the latter which contain numerous growth and healing factors. PRP is injected into both the donor and recipient areas once they are already anesthetized and accelerates healing as evidenced by less redness and crusting in these areas.  PRP may also improve the percentage of growth of transplanted follicles. We recommend PRP for all procedures but particularly for patients who have had previous transplants. In our experience patients who use PRP develop much less inflammation at the surgical sites, heal quicker and, although we have not scientifically studied this, may have improved hair growth.

EXPAREL

Although the vast majority of our patients experience very little discomfort, requiring pain medication only during the first 24 hours post-op, we are always looking to improve the patient experience. Exparel is a new long-lasting local anesthetic that is contained in liposomes which act as a timed-release system.

To reduce your discomfort after the procedure, Exparel is injected into your donor area during the surgery and is specifically designed to release the anesthetic gradually, controlling postoperative pain for up to 48 hours.

Doctors Bernard Nusbaum and Paul Rose – Leaders in Hair Restoration

Our doctors have recently appeared in the news demonstrating the ARTAS robotic hair restoration technique on WFOR- CBS, Univision, CNET, and El Herald. While their constant focus is on patient care, Drs. Nusbaum and Rose continue their ongoing commitment to research and teaching. Recent medical publications include  “Nonsurgical Therapy for Hair Loss ” in the Facial Plastic Surgery Clinics of North America,  “Repair of the Height of the Hairline after a Juri Flap” in Hair Transplant  360 and “Surgical Considerations for Patients with Frontal Fibrosing Alopecia” in the Hair Transplant Forum International. They also created an instructional video on hair transplantation for plastic surgeons, which was published in “Hyperguide,” a plastic surgery online journal.

Both Doctors Rose and Nusbaum will be lecturing at the International Society of Hair Restoration meeting to be held in San Francisco later this month. This is the largest hair restoration conference, bringing together over 700 physicians from around the world.

Learn More About Miami Hair Loss Treatments. To learn more about what’s new at the Hair Transplant Institute of Miami, call our offices at 305-925-0222.

Can Rogaine® Cause Sexual Side Effects?

Can Rogaine® Cause Sexual Side Effects?In the fall of 2012, researchers at Johns Hopkins University made a startling discovery: Finasteride, known most commonly by the brand name Propecia®, appeared to cause long term sexual side effects for a number of males who were using the prescription medication to treat hair loss.

Prior to the study, it was well-documented that Finasteride could cause a number of sexual side effects during use. After the study, however, a small body of research indicated that males who take the popular hair loss medication could suffer with sexual side effects long after use was discontinued. The study analyzed only a small number of patients, and many hair loss professionals believe rigorous follow-up studies are needed to better understand the long term side effects of Finasteride. Nevertheless, the study sparked concern among men and women who suffer with hair loss, particularly those who currently use a non-surgical method of restoration.

Most recently, patients have begun to wonder if Minoxidil may cause sexual side effects. A topical solution, Minoxidil is most commonly known by the brand name Rogaine®. As explained by Hairlosslearningcenter.org, there is no data to support such concerns:

While there are a number of cases of men reporting sexual dysfunction from Rogaine (minoxidil), there has been no scientific data gathered to support this as a side effect and it is not listed by the manufacturer as a known side effect.

Things to Know About Rogaine®

Rogaine is a brand name version of Minoxidil, an anti-hypertensive drug that is used to treat pattern baldness (androgenetic alopecia). With daily topical application, Minoxidil has demonstrated effectiveness in converting short, fine hairs into fully developed “regular” hair. Though it is unclear exactly how Minoxidil achieves this feat, the drug demonstrates a general ability to increase the “growth phase” of hair, normalizing the hair follicle while promoting wholesome growth. Unlike Propecia, Rogaine can be used by both men and women who suffer with pattern baldness.

Shortcomings of Rogaine

Hair loss is a gradual process for those who suffer with pattern baldness. For these individuals, hair becomes thinner and finer each time it progresses through its natural growth phase– a cycle that dermatologists estimate happens about 10-20 times over a person’s lifetime. Eventually, hair may cease to grow. Because Rogaine may effectively “normalize” the growth process, individuals may slow the progression of pattern baldness and, in many cases, stop it entirely.

For a small percentage of patients, Rogaine may help to grow new hair. Most people who use Rogaine, however, will not be able to achieve this goal. In fact, Rogaine is known best for preventing additional hair loss while nurturing thinning hair.

Advanced Hair Loss Solutions: Alternatives to Rogaine®

For many individuals, it may not be practical to achieve hair restoration goals with Rogaine only. For example, it would be very difficult for an individual to combat hair loss along the hairline and/or crown of the head through topical Rogaine applications. For these individuals, there are a number of other effective treatment options available:

Follicular Unit Extraction (FUE). FUE hair transplants harvest healthy hair from the patient’s scalp and transplant it to the area that is thinning, shedding, or balding.

Follicular Isolation Technique (FIT). Co-created by Dr. Rose, the FIT procedure implements a small punch instrument to remove individual follicular units without ever creating a linear scar.

ARTAS® Hair Restoration. The ARTAS System is a physician-guided robotic system that enables surgeons at the Hair Transplant Institute to perform Follicullar Unit Extraction (FUE) procedures with unparalleled precision, consistency, and accuracy.

To learn more about these techniques, readers are invited to visit our article on the Evolution of Hair Loss Treatment.

Seek An Evaluation with a Team You Can Trust

At the Hair Transplant Institute of Miami, our team is comprised of South Florida’s finest hair transplant surgeons, nurses, microscopists, and technicians. We understand the challenges that hair loss presents to personal, social, and professional life, and we are here to help.

Learn more about hair loss evaluations online, or call our Institute directly at 1-877-443-9070.

The Evolution of Hair Loss Treatment

The Evolution of Hair Loss TreatmentThe past several decades have seen a variety of significant technical advancements in the treatment of hair loss. The hair transplant surgeons and specialists at our Institute have prepared this special health report to map the evolution of hair loss treatment since the 1980s. We’ve come a long way since the days of unsightly “hair plugs”, and it is our pleasure to provide an overview of exciting achievements like micrografting, advanced closure techniques, FUE/FIT transplantation, and the ARTAS® System.

Together, these achievements have helped millions of men and women realize a fuller, natural-looking head of hair where once was only balding scalp.

Micrografting

The development of the micrograft hair transplant procedure represents a significant achievement in the field of hair restoration. Many hair restoration specialists recognize micrografting as an important departure from the old days of hair plugs—pre-micrograft procedures that gained a bad reputation in the 1980s and 1990s for their conspicuous and “pluggy” appearance.

The process of micrografting starts with extracting a very thin strip of donor hair, referred to as the micrograft. Micrografts are thin, precise, and leave a much less noticeable linear scar. Then, individual hair clusters are further divided and transplanted to the restoration sites.

The development of the micrografting technique had two significant implications on the art of hair restoration. First, it meant patients could choose to effectively treat their hair loss with an advanced transplant procedure that would not produce a “pluggy” end-result. Second, micrografting paved the way for additional advancements in closure, transplantation, and restoration techniques, as discussed below.

Trichophytic Closure Technique

The trichophytic closure technique is another exciting achievement in the evolution of hair loss treatment and restoration. While the development of the micrografting technique lead to more precise donor hair removal, the development of the trichophytic closure enhanced the ability of the surgeon to reduce the appearance of the scar left by micrograft extraction.

The ‘Ledge’ Trichophtyic Closure. The “Ledge” Trichophytic Closure is a special technique that was developed by our Institute’s lead hair surgeon, Dr. Paul Rose. Dr. Rose developed this special technique to further mask the appearance of donor area scars by strategically directing individual hairs to grow through it, effectively hiding it from view as the scalp heals.

Follicular Unit Extraction (FUE)

Follicular Unit Extraction (FUE) is another noteworthy achievement in the evolution of hair loss treatment, and it involves separating micrografts (discussed above) into small clusters of 1-4 individual hair follicles prior to transplantation. Once separated, the surgeon has the flexibility needed to restore the patient’s hair while maintaining natural characteristics like hairline undulation, thickness, and density.

Follicular Isolation Technique (FIT). Follicular Isolation Technique (FIT) is an even more precise method of transplanting donor hair. Co-created by Dr. Rose, the FIT procedure implements a small punch instrument to remove individual follicular units without ever creating a linear scar. Similarly to the FUE, the FIT technique also provides the surgeon with the flexibility and precision needed to restore the patient’s hair while maintaining natural hairline undulation, thickness, and density.

ARTAS® Hair Restoration

Perhaps the most exciting development in the evolution of hair loss treatment is the ARTAS® System. The ARTAS System is a physician-guided robotic system that enables surgeons at the Hair Transplant Institute to perform Follicullar Unit Extraction (FUE) procedures with unparalleled precision, consistency, and accuracy. Using the ARTAS laser-guided robotics system, Dr. Rose is able to harvest permanent hair follicles from the rear of the scalp and transplant them, one by one, to the restoration site.

The Hair Transplant Institute is 1 of just 13 clinics to offer the ARTAS System nationwide. To learn more about the newest and most advanced method of hair restoration, contact our Institute directly at 1-877-443-9070.

Seek an Evaluation with a Team You Can Trust

At the Hair Transplant Institute of Miami, our team is comprised of South Florida’s finest hair transplant surgeons, nurses, microscopists, and technicians. We understand the challenges that hair loss presents to personal, social, and professional life, and we are here to help.

Learn more about hair loss evaluations online, or call our Institute directly at 1-877-443-9070.

The Trichophytic Closure

The trichophytic closureA truly exception hair transplant begins with the end in mind. A hair transplant surgeon must be chosen for their ability to not only diagnose the root cause of your hair loss, but also on his or her ability to provide a treatment method that will produce natural-looking results. With this in mind, it is important to understand the different closure techniques used in today’s latest hair transplant procedures. Moreover, it is critical that a surgeon be chosen for his or her ability to perform a closure technique that leaves little-to-no visible scarring of any kind. With the right touch, a surgeon may mask the appearance of the donor area scar so the patient may wear their hair at nearly any length—even short—while maintaining the naturally beautiful appearance of a full head of hair.

1. What is a closure technique?

A closure technique is the method that is used to restore the donor area back to its original state—that is, the technique joins together the scalp at the sites from which hair follicles were extracted. Closure techniques most commonly follow micrograft hair transplants.

2. What is the “ledge” trichophytic closure?

The “ledge” trichophytic closure is a special technique that has been developed by Dr. Rose at the Hair Transplant Institute of Miami. Following a micrograft procedure, this particular type of trichophytic closure is among the most effective means of “masking” the visibility of the donor area scar. This is achieved by strategically directing individual hairs to grow through the scar, effectively hiding it from view as the scalp heals.

3. Which procedures involve this closure?

The “ledge” closure is used during most micrograft hair transplants. Specifically, this type of closure technique is implemented following any strip donor procedure that is performed at the Hair Transplant Institute

4. Are there any hair transplant procedures that do not involve a closure technique?

As we’ve explored, a closure technique is used to restore the donor area after a micrograft transplant procedure. There are 3 additional hair transplant procedures that do not require the use of a closure technique, specifically because they do not involve extracting follicular units in a “strip” fashion:

  • Follicular Unit Extraction (FUE): FUE procedures use an advanced “punch” instrument that measures no wider than 1mm to remove individual hair follicles. This creates very small scars at the site from which each unit is extracted, however a linear scar is never made and a closure technique is therefore never required.
  • Follicular Isolation Technique (FIT): The FIT procedure has been co-created by Dr. Rose, and it is similar to the FUE technique described above. FIT is also conducted with a special “punch” instrument that measures about 0.8-1mm in diameter.
  • ARTAS® System: The ARTAS® physician-guided robotic system is the most technologically advanced method worldwide to perform non-invasive FUE/FIT procedures for our patients. With the ARTAS procedure, advanced digital technology and laser guided, precision robotics harvest permanent hair from the back of the head to be transplanted into balding or thinning areas where they will grow permanently and with a completely natural appearance, as before. The ARTAS System is set to arrive at the Hair Transplant Institute this October, and we invite readers to learn more about ARTAS here.

5. How do I know which procedure to choose?

There’s no substitute to a professional hair loss evaluation and diagnosis. Only by identifying the root cause of hair loss can an effective treatment option be selected. To learn more, visit our Web page on Hair Loss Evaluations at our Institute.

6. Where may I look at before / after photos of these procedures?

Readers are invited to review the following image galleries of patients before and after hair transplant procedures like micrograft / strip donor, FUE, and FIT procedures.

South Florida’s Top Hair Surgeons

Our team is comprised of South Florida’s finest hair transplant surgeons, nurses, microscopists, and technicians, each of whom understand the challenges hair loss presents to personal, social, and professional life. To learn more about hair loss and restoration, schedule an appointment with the Hair Transplant Institute of Miami online or call our front desk directly at 305-925-0222.

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What is a Micrograft Hair Transplant?

What is a Micrograft TransplantThe micrograft hair transplant procedure represents a bold achievement in the field of hair restoration. Developed in the early 1980s, micrografting techniques were first used to create a subtler and more natural end result. Prior to the development of the micrograft procedure, hair transplant surgeons would extract large sections of hair from the donor area that would leave large scars and produce obvious signs that a transplant had been performed. Most will recall these procedures for their “pluggy” look that eventually earned them the nickname hair plugs.

The days of hair plugs are long gone. The introduction of micrograft procedures marked a true turning point for surgeons as well as the millions of men and women who suffer with hair loss. Today, modern hair restoration involves two highly evolved micrograft procedures: Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE). To better understand these procedures, it is helpful to first understand how the micrograft procedure was first developed.

Early Micrograft Surgery: A Brief History

The advent of micrograft surgery was a true game-changer for the field of hair restoration. Driven by technological advances and a more thorough understanding of donor area harvesting, hair surgeons began extracting multiple thin strips from the donor area with greater precision than older techniques. These thin strips became known as micro-grafts. From each micro-graft, surgeons were able to further separate hairs into clusters of 1-4 follicular units, without incurring any damage to the each individual hair unit.

The process of extracting and carefully dividing multiple donor strips eventually became known as Follicular Unit Transplantation (FUT). Today, an even more precise method of transplant called Follicular Unit Extraction (FUE) is also available.

FUT and FUE Procedures: An Evolved Form of Micrograft Transplants

FUT / Strip Donor Procedure

The FUT procedure, sometimes also called a Strip Donor Procedure, is one of the most commonly used forms of hair restoration. The advantages of this procedure include:

  • From start-to-finish, FUT procedures take less time.
  • FUT procedures are associated with a greater rate of survivability among individual follicular units.
  • Minimal scarring: This is accomplished through a special “ledge” trichophytic closure technique developed by Hair Transplant Institute surgeon Dr. Paul Rose.

Advanced FUE and FIT Procedures

The FUE procedure is a newer and more precise means of harvesting and transplanting individual follicular units. During an FUE procedure, individual hair follicles are removed from the back and sides of the scalp. A special “punch-like” instrument is used, measuring only 1-mm in diameter.

We are excited and pleased to announce an advanced form of the FUE procedure, co-created by Dr. Rose for optimal and natural looking results. Known as Follicular Isolation Technique (FIT), this new procedure has the following advantages:

  • No linear scars: Since each individual follicle is removed using an ultra-fine “punch” instrument, FIT procedures do not produce linear scars.
  • Hair can be worn shorter: Since there is no linear scar, FIT patients can wear their hair very short without any signs of scarring. Individual circular scars are mildly visible when the hair is shaved entirely, however.
  • Exceptional surgeons are available: Patients who choose to have a FIT procedure at the Hair Transplant Institute of Miami receive a special advantage that other hair loss clinics cannot provide: Exceptional experience. At our Institute, your FIT procedure will be conducted by Dr. Paul Rose, a leading hair surgeon and FIT procedure co-creator. You may visit the following page to learn more about Dr. Rose.

Comparing FUT and FUE/FIT Procedures

Both FUT and FIT procedures have advantages and disadvantages, depending on the specific needs of the patient. Learn more about these incredible advancements in hair restoration surgery by visiting the Hair Transplant Procedure: FUE/FIT page on Miamihair.com.

Seek an Evaluation with a Team You Can Trust

The evolution micrograft transplant surgery has produced 3 very effective procedures that have helped countless individuals overcome hair loss. Together, FUT, FUE, and FIT procedures provide an array of options for the millions of men and women who suffer with hair loss. To learn more about the option that is best for you, schedule an appointment with the Hair Transplant Institute. Our team is comprised of South Florida’s finest hair transplant surgeons, nurses, microscopists, and technicians, each of whom understand the challenges hair loss presents to personal, social, and professional life.

Visit the following page to learn more about advanced hair loss evaluations at the Hair Transplant Institute. Readers are also invited to call our front desk directly at 305-925-0222.

Choosing a Hair Transplant Procedure

Choosing a Hair Transplant ProcedureAt the Hair Transplant Institute of Miami, we have developed the most comprehensive approach for evaluating and treating hair loss in both men and women.  Located in the Offices of Merrick Park, our state-of-the-art facility provides our patients with the very latest in comprehensive hair loss evaluations and treatments.  Our practice is led by Dr. Nusbaum and Dr. Rose, two highly skilled surgeons who have extensive experience in medical hair loss therapy and research.  Both Dr. Nusbaum and Dr. Rose are Board Certified in Dermatology, the only medical field with certified specialty residency training in hair loss and scalp diseases.

Comparing ‘Strip Donor’ to ‘Follicular Unit Extraction’ Techniques

We are pleased to offer two highly effective hair transplant procedures:  The Strip Donor Procedure, and Follicular Unit Transfer (FUT).  Both procedures are highly effective in creating a fuller, natural looking head of hair for both men and women.  We are also pleased to offer the latest technologies and transplant techniques, ensuring the best possible outcome for our patients.  Two examples of hair transplant techniques you will not find anywhere else include:

  • Mesotherapy:  Incorporating mesotherapy with hair transplantation provides at least 2 unique benefits that increase the effectiveness of the procedure.  First, it penetrates the hair follicle to a greater degree compared to other topical applications.  Second, mesotherapy avoids the systematic side effects commonly associated with some oral medications.  The injections are very superficial and are administered with the use of vibration devices developed by our physicians to create a virtually painless experience.
  • Follicular Isolation (FIT) Technique:  Follicular Isolation Technique was co-created by the Hair Transplant Institutes’ very own Dr. Paul Rose.  Dr. Rose developed FIT to enhance the effectiveness of Follicular Unit Transfer (FUT) hair transplantation procedure.  Below, in the section titled Choosing a Hair Transplant Procedure, we will further examine the role of FIT in the FUT procedure, as well as how the FUT procedure compares to Strip Donor procedure.

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