Articles Tagged with: Mosaic™ Hair Restoration

Can a Hair Transplant Be Used to Create a New Hairline?

receding hairlineYour face is the first thing you see when you look in the mirror, and a receding hairline staring back at you may be the first and most visible sign that you are losing hair. The good news is that hair transplant techniques which are used to restore areas of thinning hair elsewhere on the scalp can also help restore your hairline to where you want it to be.

At the Hair Transplant Institute of Miami, we are pleased to offer two highly refined approaches to surgical hairline restoration. Performed by Dr. Bernard Nusbaum and Dr. Paul Rose, two ISHRS Golden Follicle Award winning surgeons who lead the surgical team at Hair Transplant Institute Miami, the following techniques offer patients effective options for restoring a natural-looking hairline.

Follicular Unit Extraction (FUE/FIT) Using the ARTAS System

Follicular Unit Extraction (FUE/FIT) is a minimally invasive method of transplanting individual hair follicles for natural-looking results. FUE/FIT involves harvesting using a circular needle called a “punch.” Follicular units are removed 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. Because scars are tiny and dot-like in appearance, patients who undergo an FUE hair transplant have the freedom to wear shorter hairstyles post-operation.

Dr. Rose was one of the originators of FUE/FIT and has been performing the procedure since 2004. Our approach utilizes the ARTAS system, which provides unmatched precision in hair transplantation. The ARTAS procedure restores your hair by transplanting permanent hair from the back or side of the head into thinning areas, including the hairline. Dr. Nusbaum and Dr. Rose use the ARTAS system to digitally scan areas of the scalp, identifying hair in its natural groupings. Selected hair is then precisely removed, using the ARTAS system’s image-guided robotics. Most of your hair is left in place so that the area retains its natural appearance. The hair is then transplanted into thinning areas. This transplanted hair will then grow naturally on the hairline, just as it did before.

MOSAIC® Hair Restoration

At the Hair Transplant Institute of Miami, we are always striving to improve and refine the effectiveness of our hair transplantation techniques while also working to enhance the comfort of our patients. This drive for innovation has made us leaders in our field, and has also led to our development of a novel advancement in addressing hair loss, including receding hairlines: Mosaic® Hair Restoration.

Drs. Rose and Nussbaum developed this approach after observing that follicular units naturally occur in an arrangement consisting of unique percentages of one, two, and three hair follicular units in different mixed configurations with unique inter-follicular distances –in other words: a unique pattern for each individual. The Mosaic procedure consists of designing the recipient area in this individualized manner, mimicking each patient’s unique follicular unit arrangement pattern. This approach ensures a personalized follicular pattern so each patient receives the most natural result.

In practice, our surgeons obtain several magnified images of the patient’s scalp in areas unaffected by the balding process. We analyze the images to tabulate the percentages of one, two or three hair follicular units and determine their topographical arrangement unique for that patient. This data is then used for creating a personalized, natural hairline.

Schedule an Appointment for a Hairline Evaluation Today

If you are concerned about your receding hairline and are ready to do something about it, we invite you to schedule a hairline evaluation at the Hair 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.

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.


Dr. Paul Rose Discusses FUE Best Practices in ISHRS Forum

Dr.-Rose-Appointed-to-ISHRS-Ad-Hoc-Committee-on-FUE-IssuesIn the November/December 2016 edition of the Hair Transplant Forum International, Dr. Paul Rose of the Hair Transplant Institute of Miami authored an essay reviewing Follicular Unit Extraction (FUE) – a minimally invasive method of transplanting individual hair follicles for natural-looking results. As one of the originators of the FUE procedure, Dr. Rose holds incomparable experience when it comes to method and accuracy.

What is Follicular Unit Extraction (FUE)?

FUE involves harvesting using a circular needle called a “punch.” Follicular units are removed 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. Because scars are tiny and dot-like in appearance, patients who undergo an FUE hair transplant have the freedom to wear shorter hairstyles post-operation.

Dr. Rose’s FUE Analysis

Click here for the full PDF article from ISHRS

In his article, Dr. Rose discusses FUE and the potential for wounding and thinning at the donor site when a large portion (40 to 50 percent) of follicles are extracted at once. Ideally, physicians harvest one out of every seven units to maintain density. Based on this pattern, the average scalp containing 13,000 to 16,000 units would only be 14 percent harvested, or 1,800 to 2,200 grafts total. He points out that harvesting large quantities of follicular units makes transplants more apparent – the opposite intention behind the procedure itself. It’s safe to assume that surgeons reporting as many as 6,000 FUE grafts are creating areas of baldness greater than 6mm2 – eliminating the possibility for shorter haircuts without obvious thinning. In addition, many patients lack three to four hair units, raising the risk for obvious thinning at the donor site when too many units are removed.

Dr. Rose recommends that patients should be advised of the potential for this thinning at the donor site prior to surgery. Follicular Isolation Technique (FIT) uses partial follicular unit removal to curtail further thinning. Finally, Dr. Rose recommends micro-pigmentation to disguise thinning at the donor site. In an ideal world, devices that decrease wound size could minimize donor wound concerns.

At the Hair Transplant Institute of Miami, we utilize the ARTAS® physician-guided machine – the most advanced method of harvesting hair from the back of the head. In addition, our Mosaic® hair restoration technique, developed by Dr. Rose and Dr. Nusbaum, mimics personalized follicular patterns for optimal results.

The Future of Scarless Hair Transplants

Losing Hair After Hair TransplantWhen hair transplant surgeries were first introduced, scarring was fairly common. Although an unwanted side effect of the procedure, many patients opted to undergo the surgery despite potential markings. Fortunately, modern technology allows hair transplant physicians to minimize the appearance of hair transplant scars today – allowing patients to see the results they desire. Because the ultimate goal of hair transplant surgery is to surgically recreate a naturally full head of hair, we strategically implement advanced practices that minimize scarring for optimal results. And, with new inventions and procedures being innovated, we can hope that one day, scarless hair transplants will become a reality.

Despite how far we’ve come in the last 60 plus years since the first official hair transplant surgery was performed, we cannot completely eliminate scars – yet. Despite these limitations, the Hair Transplant Institute of Miami employs some of the most advanced methods that are as close to scarless hair transplants as you can get.

Techniques for Virtually Scarless Hair Transplants

Our Mosaic® Hair Restoration technique allows for the most precise and natural-looking outcome. First, our surgeons gather data on your follicular arrangement. We then use said data to design the implantation as it would innately occur. By designing the recipient area on the scalp to match the unique follicular pattern of each patient, we can create a fuller head of hair that mimics your biological makeup.

The Follicular Isolation Technique (FIT) – or Follicular Unit Extraction (FUE) – was developed and implemented by our very own Dr. Paul Rose. Using the FIT method, we remove follicular units one-by-one. Donor hairs are removed with a one-millimeter punch device and the procedure is abetted with a head positioning device to minimize movement. With FIT, patients can completely avoid a more obvious linear scar. Instead, scarring occurs in a dot-like pattern and is virtually undetectable after healing and regrowth. With this method, we see patients benefit from faster healing times and the ability to wear short hairstyles confidently. Patients with limited donor hairs are prime candidates as well.

Our Follicular Unit Grafting (FUG) procedure is similar to the more traditional hair transplant method, with a twist. Our physicians remove the follicular units at once in what is referred to as “single-strip harvesting.” This allows us to remove the units without damaging them to ensure maximum growth. The LEDGE closure technique, developed by Dr. Rose, allows us to minimize the linear scar of a single-strip transplant. Instead of executing a two layer closer, we use a single layer closure to lessen the tension and scar tissue buildup. Patients who undergo the LEDGE closure technique can grow hair through the donor area to conceal the light surgical scar. In addition, we use microscopic dissection to subdivide the follicular units under a microscope. This process has been shown to increase follicular units and hairs by up to 25 percent compared to non-microscopic techniques.

Schedule a Minimally Scarring Hair Transplant

While completely scarless hair transplants have yet to be achieved, they are no longer the obvious surgeries from the past. Instead, you can achieve a fuller head of hair without the sometimes embarrassing signs of surgery. To find out if you’re a hair transplant candidate, schedule a consultation with the Hair Transplant Institute of Miami online or by phone at 305-925-0222.

Watch as Dr. Rose Discusses Mosaic™ Hair Restoration on The Bald Truth

Watch as Dr. Rose Discusses Mosaic™ Hair Restoration on The Bald TruthAt the Hair Transplant Institute of Miami, we never stop researching, developing, and refining our methods of hair transplant surgery. We continually strive to improve the comfort, safety, and natural aesthetics of each procedure that is performed at our clinic. It is our pleasure to introduce our newest achievement in hair transplant surgery: The Mosaic® Hair Restoration, a novel approach that ensures a unique follicular pattern so each patient receives the most natural end result.

Watch as Dr. Paul Rose joins Spencer Kobren on The Bald Truth to discuss how this new approach to hair transplant surgery was first discovered and developed. Be sure to visit The Bald Truth for the original interview post here. Readers may also follow Spencer Kobren on Twitter.

Is Mosaic™ Hair Restoration the Next Logical Step?

Is Mosaic Hair Restoration The Next Logical Step? Paul Rose., M.D., J.D. from Spencer Kobren’s The Bald Truth on Vimeo.

Video Transcript

Dr. Rose: The Mosaic™ idea came out of the fact that I noticed over time, when I would go to many other physicians’ offices to see how they operated, that a lot of people would think of the recipient area as being divided up into zones. And they would do single hairs, the would do 2 hairs, 3 hairs, and each one of them would have a separate zone.

But when one looks at a picture of the donor area, and you look at the way hairs are set up, it’s obvious to you that hairs are set up in a mosaic type of pattern. The 1’s are mixed with the 2’s and the 3’s. That is the way Mother Nature does it, so it seemed to me that if you could replicate that on the patient, and do that in the recipient area, you would wind up with a more natural approach.

So with that, and taking into consideration that you do want to have a lot of single hairs at the very fringe– the very front– we developed a computer algorithm based on video images of the donor area. We did that in conjunction with Florida International University, and we were able to acquire a patent on this methodology.

Spencer Kobren: Well, you know what I find interesting– obviously, everyone is kind of set in their ways. You’ve been doing this for a long time, and you know I have to say you are one of the unsung heroes of this industry. I think it’s important for people to know that. I don’t think you’ve ever called the program, you don’t take the time to try to put yourself out there online that much, you’re not presenting a lot of your images– you’re just doing your thing. And you’ve been doing your thing well, and better than most people, in my opinion, ever since I’ve entered this industry. You were listed in the first The Bald Truth. And that was a time when there was no fee to be a part of the ISHRS. The ISHRS wasn’t even a part of my thinking at the time. It was just, I wanted to create a list of physicians who were really doing, in my view, state-of-the-art surgical hair restoration at that time. And sadly, there were only 11 of you guys. And you were one of them. But I think that, when I see these peoples’ short lists online and I don’t see your name on there, I think to myself ‘That’s insanity,’ because you really helped to start it all, and you really do it the right way. So I wanted to give you your props, I think it’s really it’s really important, and I’m excited that you have come up with this new concept because people are lazy. They are doing things the same way, year after year, just because they want to take the path of least resistance.

Dr. Rose: Well, I think to a certain extent that’s true. Thank you very much for the compliments, it’s great to have your support. You know, I was very privileged to be a part of that initial group of doctors that you cited. It’s great company to be in the company of people like Bill Rassmen and Bob Bernstein and Ron Shapiro, Bobby Limmer. We were fortunate to develop the follicular unit idea, and I would say I’ve never really been one for self promotion, for whatever reason. I don’t think there’s anything wrong with people who do self promote, but I really haven’t been active in that. I’ve had a great realization throughout my life that you never know everything. Even when you think you know it, you don’t. So I’ve always tried to come up with ways to learn more.

Learn More About Mosaic™ Hair Restoration

For more information on our clinic, physicians, and treatment options, readers are invited to contact us online or call our clinic directly at 305-925-0222.