Hair Loss InformationHair Transplant Before Face Lift? – Hair Loss Information – Balding Blog

I have a question about possible future hairloss. I have a list of procedures I want to have done and thought I knew the best ordering of them. I plan on having a hair transplant first, this so my hair has time to regrow. About 6 to 7 months later I would have a SMAS Facelift. However, I have been reading about the hairloss common to post face lifting and now I am perplexed. Bear in mind, my eyebrows are to be lifted with a method that doesn’t go near my hairline on top, however, it is the sides of my hairline, the temple region that has me stressed. A facelift will deal in that area and quite truthfully, I can’t afford to lose hair there. It is already thinned out considerably as it is. But, I need to have the facelift. So, is it possible to have a “temple” hair transplant? I don’t see any way around this. Help me by imparting your knowledge so I make an educated choice. I think I can proceed with the transplant on top, to be scheduled in early december, but what about the temples and future facelift?

Thanks so much for taking the time to answer my question and solve this.

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Generally, I like to do hair transplants after face lifts, because if there are any problems to the hair caused by the face lift or brow lift, they can be addressed at the time of the hair transplant. A good deal of my practice is this type of surgery. Clearly, the newer face lift procedures spare some, but not all of the problems. You can follow your facelift with a hair transplant after a few weeks to a few months. If there are hair problems following the facelift, they will be evident by month three.

Hair Loss InformationEuropean Office? BHT? FUE? – Hair Loss Information – Balding Blog

Do you do Body Hair Transplants (BHT), FUE, and do you have an office in Europe?

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New Hair Institute has offices in Northern and Southern California. Sorry, we do not have a location in Europe.

We do perform Follicular Unit Extraction (FUE), and in fact, we invented it. See our site for information about FUE.

Body Hair Transplants (BHT) are still experimental. I do not do them because I want 100% predictability and I am not sure that this will be achieved with BHT. Some past BHT posts include:

Hair Loss InformationBody Hair Transplantation – Hair Loss Information – Balding Blog

Two different BaldingBlog readers had two similar questions…

Dr. Rassman,
recently some hair transplant surgeons reported very good results from body hair transplants. Other doctors remain more cautious and say it may yield good results in some, but not all patients. What’s your view on this?

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Dr. Rassman,
Would you ever consider using bodyhair for some of the grafts in the scalp? I was wondering because it would seem a good way to increase density results. I am a bit paranoid about using only scalp hair to graft because I would not want to run out before getting decent density. I would think that you could mix in some sideburn or beard hair with regular scalp hair in the crown. What is your take on this. Thanks for your time.

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Body hair has generally low densities (contrary to what it looks like on some men) so they do not make for a good donor supply in terms of quantity. A focus upon head hair should be primary. Then if you run out, moving to other body parts may be reasonable, especially as some studies are now appearing that indicate that this type of transplant works (leg and body to head or neck). What is still missing is the yield rates from the leg or body and the growth success from these areas.

As far as using sideburn or beard hair, this is an option in certain circumstances. They should only be considered as a last resort, when all usuable scalp donor hair is used. The other time that sideburn or temple hair can be used is when a patient is going to have a face lift and the sideburn/brow area is going to be excised as the brow is raised up.

Until the research information about body hair transplants is in our hands, it must be looked at as if it were human experimentation. A number of our patients have volunteered for this, so I am clearly interested in following the experience of others who I trust and then possibly get involved myself. I just do not want to sell hype and disappoint anyone.

I have performed one body hair transplant. The transplant was done from the abdomen to the eyebrows and it failed to yield hair in 10 months. I lost contact with the patient so I do not know if the transplant showed delayed growth or reflected some mechanism that caused it to fail. What I believe is that we need better scientific evidence on the following questions:

  1. Does it works reliably 100% of the time?
  2. If #1 is true, is that for all donor sites?
  3. What is the yield of viable grafts?
  4. What are the risks of body scarring / complications?
  5. Is it cost effective?

I would want to see many successful patients before I recommend it routinely for my patients.

While I can perform body hair transplants, I choose not to until they have been proven as a reliable procedure. If I make representations to my patients, I must be able to support what I say. If I embark on body hair transplants now (even on a limited basis), my patients must know the many uncertainties associated with the procedure. Until my comfort level is higher, I will not be doing body hair transplants.

Hair Loss InformationBody Hair Transplants – Hair Loss Information – Balding Blog

Can you use body hair (like from my back to graft into my head??) All I have left is straight black hair. The brown reddish wavey hair is elsewhere on my body. What about if I want my once wavy hair back?

Does one consider using grafts from the other body areas such as pubic area hair?? As a former Physiology major and Chemist, this in theory seems possible considering the technology being used at the moment yes? Thanks — I’ve many questions, appreciate your bearing with me.

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Hair can be transplanted from most parts of the body to other parts of the body. Some of the best work in this area was done by a Dr. Kim from Korea, who transplanted head hair to his leg as part of his PhD project where he tried to get more than one hair from one hair. He succeeded to transplant these hairs to his leg but failed to get more than an one for one yield.

Today, there is much human experimentation in moving hair from legs, abdomen, back, chest and beard to the scalp. It appears to work, but the question is one of value. Is the hair valuable enough to achieve the goals of the patient. How long will it last? How long will it take to grow? What are the growth cycles of these hairs when moved to the scalp or eyebrows? There are many unanswered questions and some answers are appearing to show that these types of transplants work.

All of these body hair transplants are done with the FUE technique. There is not a mystery as to how to do this, but the problems I see are more in the many unknowns for routine clinical use.

Hair Loss InformationCorrecting a Scalp Reduction – Hair Loss Information – Balding Blog

I have undergone several transplants and scalp reductions over several years. Unfortunately the results have not been adequate and I have exhausted my donor area. I would like to consider cutting my hair short (to the scalp) or going with a shaved scalp. I am hesitant to do this because of scarring from scalp reductions and donor areas. Are there procedures to correct these imperfections or have I backed my self into a corner.

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I doubt that you can shave your head without showing the obvious skin deformities that were caused by the various surgeries that you had done. Before packing it in, however, you should be seen by a good, honest, competent hair surgeon. Maybe your conclusions are not derived from knowing what can be done today.

Hair Loss InformationArtificial Hair – Hair Loss Information – Balding Blog

I understand that there is something out there called artificial hair. Where can I get it and how does it work?

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Artificial hair is a product sold in Asia and limited countries in the western world. It has been banned by most countries because it must be surgically implanted with a special sewing needle. This would be a procedure that would need FDA approval and it has not been approved as safe in the United States. Many patients’ bodies will actually reject the artifical hair as it would any foreign body once it is implanted into the scalp. I have seen some patients with wonderful results. It gives ‘instant hair’ and as a result it is a big selling point in countries where it is allowed, BUT I have also seen patients that have developed massive scalp infections from these ‘artificial hairs’. There is a trade off and safety is sacrificed in exchange for short term benefits. Biofibre is one of the sites for artificial hair. Reading it might give you more information, but I would strongly caution your pursuit of this as a solution for your hair loss.

Artificial hair does not need to be included in any hair cut and you can not grow your hair out with them as you could with hair transplants. Hair transplants allow you to grow your own, natural hair for as long as you live.

Hair Loss InformationHead Resurfacing – Hair Loss Information – Balding Blog

I heard something about a place in Las Vegas that does “head resurfacing” to get rid of scars for men who are unhappy with their hair transplants and just want to shave their heads. Have you heard of such a place? Does such a procedure exist?

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Resurfacing is essentially dermabrasion where the doctor will take something like a Dremel and remove layers of skin. This clearly can change the surface of the skin, but it does produce scars and in the process of abrating the skin, it sands away the pigment cells making the skin lighter in color in the area it is resurfaced. You must be careful that the changes from resurfacing are not worse than the problem you are fixing. Any good dermatologist / plastic surgeon can do this, so you do not have to go to Las Vegas to get it done. It is not rocket science.

Hair Loss InformationEyebrow Transplantation – Hair Loss Information – Balding Blog

Is it possible to fill in a scar on my eyebrow with the hairs from my other eyebrow? If so, would it be a good idea to pluck and collect hairs from my good eyebrow to transplant them later?

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Plucking and collecting the hairs for future transplant is not going to work! When we harvest the donor grafts, we are taking the full follicular unit, something that can not be accomplished with plucking. For eyebrows, we generally take the donor hair from the permanent zone in the back of your head, being careful to match the characteristics of your eyebrow hair. If they do not match, then there may be other options. You would need to trim the donated hair, unless you like the unruly look and want ever growing eyebrows with an unusual look. If you let it grow out, it might grow to pony-tail length, so cutting them is important!

There is presently no proof, contrary to claims by some doctors, that a hair that has been plucked will produce a new hair and another hair will grow from the bed of the plucked hair. That would mean that we could manufacture as many hairs as we need, giving unlimited supplies of hair. We have actually tried it based upon reports by a physician at a medical meeting. The plucked hair did not grow a new hair, but the old plucked bed did re-grow another hair.

Hair Loss InformationMoustache Restoration – Hair Loss Information – Balding Blog

Hi,
I have “holes” in my mustache area as a consequence of radiation treatment for cancer in that area. I would like to have my mustache restored. What donor area do you use for this procedure? I have heard that it can be done by taking beard hair from under the chin. Can you suggest someone who has been doing this?

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I have done quite a few moustache repairs at NHI using donor hair from the permanent zone on the back of the head. If the hair from the head is not of the same quality, then you could FUE hair from other parts of the beard or take if from below the chin. As you are in NY, I can recommend that you schedule a consult appointment with Dr. Robert Bernstein in his Manhattan office and spend some time with him going over your options. His phone number is 866-576-2400.

Hair Loss InformationEyebrow Transplants, Revisited – Hair Loss Information – Balding Blog

Here’s two more eyebrow transplant-related emails I’ve received…

In 2002 I cut my eye brows off. But they grew back very thin some parts did even grow back, like the ends. Only the inner part would grow but not so thick. Anyway to date they are not growing at all. My hair line has also thinned out about an inch. I do not know what is going on but I am tired of drawing it on. Please help.

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Eyebrows can be successfully transplanted, if the eyebrows you had have not returned after a couple of years. The eyebrow hair is taken from the scalp hair, and as such will have to be trimmed about three times a week and cut on an angle for hair shape. I posted a blog entry recently about this: Eyebrow Transplants. You need to be evaluated for the hairline loss. Read my responses addressing female hair loss, as they do apply to you.

I am considering eyebrow hair transplantation and I have many questions. Does having permanent makeup interfere with the procedure? Should it be removed first or will it cause scarring to the follicle? Also, does the transplant have to follow the original eyebrow hairline or will it grow in any follicle (if I wanted it slightly raised for a more youthful appearance for instance)? Do eyebrow transplants yield a high success rate? I noticed you listed some special summer prices but they were specified for the strip method. What is the cost for the FOX method. Finally, I live near Riverside Ca, zip code 92313, is there an office near me?

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Permanent makeup is cosmetic tattooing and is permanent by its nature. It will not impact an eyebrow hair transplant. You should be evaluated first, before any surgery is considered. Eyebrows can be angled for more lift, but it is difficult to angle them for less lift. The success of eyebrow transplants are high. NHI’s summer fees have been reduced by 10% but the FUE approach has not been discounted and still is priced at about twice the price per hair/graft as a traditional strip method of transplantation. Our closest office to you would be in the Beverly Hills area.