Considering a Hair Transplant To Lower a High Hairline
Written by Jeffrey S. Epstein, MD on April 25, 2008
I had a brow lift that left me with a high hairline and some bald spots. I would like to have my hairline lowered about 1/4 inch. I am thinking of a hair transplant. Would this work and would it cause any more bald spots? I am wondering since they would have to take donor hairs there would be bald spots there where the hair was removed. I don’t know of any doctors in Alabama that can give me what I am looking for.
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Hair transplantation is an effective way for lowering an overly high hairline, whether due to genetics or prior plastic surgery. At the same time, hair grafts can be placed to fill in patchiness and areas of thinning. With the donor hairs obtained from the flexible back of the scalp, stitches are placed to close the donor site, leaving a fine line barely if at all perceptible linear scar that even your hair dresser should have difficulty locating. Read more
Is It Possible To Have a Hair Transplant and Wear a Hard Hat After One Week?
Written by Dr. James DeYarman on April 24, 2008
Is it possible to have a hair transplant and wear a hard hat after a one week vacation? I’m a builder and need to wear protective head gear when I’m on the job.
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You can wear the hard hat after one week. The hat will not hurt the grafts but can be irritating to the donor area. The donor area should be watched closely to prevent any inflammatory response and a generous amount of antibiotic ointment should be applied to the area. The staples or sutures are usually left in for at least 10 days. If staples are used for closing it is possible to start removing the staples that are causing discomfort in 7 days. Good hygiene is important and on the fifth day baby oil can be applied to the transplants prior to shampooing to help remove the dried epithelium and scabs. Read more
Hairpiece Caused Me To Lose More Hair - Can a Hair Transplant Fix This?
Written by Bradley R. Wolf, MD on April 22, 2008
I think my hairpiece made me lose more hair. Is this possible and can I replace the hair that has been lost with a hair transplant?
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It is common to lose hair, permanently or temporarily, as a result of wearing any type hair piece. The hairs lost or damaged are generally those which were genetically programmed to eventually fall out but their loss is accelerated by the unnatural situation created by an appliance attached to the scalp. A warm, moist, dark environment with associated pressure from the base and attachment system can accelerate programmed (male pattern) hair loss. If there is traction from a glue-on system or from attachment clips, areas of permanent hair, not programmed to miniaturize and stop growing, can be lost due to traction alopecia. Alopecia is the medical term for hair loss. Placement of clips in the same location for months or years can cause circular areas of permanent hair loss.
Hair lost can be replaced with hair transplant surgery. Some of the most impressive before and after photos used in advertising are from patients who stopped wearing a hair piece, started minoxidil (Rogaine) and finasteride (Propecia) and received hair transplants. Read more
Is Partial Eyebrow Reconstruction Possible With Hair From Another Person?
Written by Michael Beehner, MD on April 18, 2008
I would like to know, if it is possible to have a partial eyebrow reconstruction with artificial hair or from an transplant from a different person, in those cases were there is no available donor hair from the person.
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The answer in a word is “no.” Since it is almost unheard of not to have enough donor hair to do an eyebrow, I almost have to assume that your problem is one of severe alopecia areata termed “alopecia totalis,” a condition in which there is no scalp OR eyebrow hair. That is about the only condition I can think of that would prompt the need you mention. I sympathize with your situation, because I do realize how important the eyebrows are to completing the framing appearance of the normal facial structures.
The only other person you could get hair from and have it be accepted by your body would be an identical twin, which I’m assuming you don’t have. Artificial hair implants have been used in Italy, Japan, and Australia but are illegal in the U.S. I doubt they would be useful in constructing eyebrows, as they cause a lot of “fibrosis,” which is a hardening and slight swelling of the skin tissues around the hairs, and also causes a fair amount of redness and inflammation much of the time, all of which would look very unsightly in such a visible spot as the eyebrow location. A very artistic tattooing by a professional would be one way of approaching this problem, but it’s important they do it in such a way that the eyebrow looks like it has a little “texture” to it and doesn’t simply appear painted on.
Read more
Two Scalp Reductions Left Me Scarred - Wondering If I Can Be Fixed
Written by Glenn Charles, DO on April 17, 2008
In the mid nineties I had two scalp reductions and a total of 900 micrografts from Bosley in Beverly Hills. The scalp reductions never really worked out too well leaving me with very visible scaring and a weird scar that runs to the very back of my head. I have been forced to wear a hair piece for the past 11 years just to hide the bad cosmetic appearance of the hair transplant. I was reading on your site that these types of issues can now be fixed with modern hair transplantation. How common is my situation and will I ever be able to get out from under this hair piece if I have a modern day hair transplant?
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Your situation is more common than you would think. Whether or not you will be able to take off the hair piece and go without really depends on many factors. Most importantly is how much viable donor hair you have and will it provide enough coverage in the areas of thinning or loss to satisfy you. It would be very helpful if you could forward a few photographs. Your situation could then be evaluated and your options will be given to you. Many hair transplant physicians are now starting to see patients coming to their clinics with this same scenario or something very similar. Often a significant improvement can be made and the patient is at some point able to stop wearing the hair piece. Read more
Do Hair Transplant Sugeons Endorse The LaserComb?
Written by Dr. Alan Feller on April 16, 2008
I am a 59 year old female with female pattern thinning, confined to the top, temples and areas of the crown that need comb overs. Mother has the same problem, so did maternal grandmother.
I had reactions to Minoxidil so I do not use it. My question concerns the use of the lasercomb. It appears to be endorsed by many hair replacement centers, however I never see any endorsements by hair transplant surgeons themselves.
I would like someone to comment on the use of laser hair combs. Thank You.
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I would LIKE to tell you that the reason you haven’t found any hair transplant doctors offering laser comb services is because such serious clinicians are averse to offering quack remedies and therefore shun “miracle machines”.
I would also like to tell you that all HT doctors are driven by reason and result, rather than misdirection and money.
But I can’t.
The truth is, there are plenty of HT docs offering magical laser treatments- and they really aren’t hard to find at all. Read more
Recent Hair Transplant Didn’t Grow - Is This The Fault of The Surgeon?
Written by Bradley R. Wolf, MD on April 15, 2008
I recently had a hair transplant and most of the grafts didn’t seem to grow in. Is this the fault of the physician and improper graft placement or am I just a bad candidate?
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It is unfortunate you experienced suboptimal growth. The degree of difficulty with respect to harvesting the donor follicles and placing the grafts differs greatly from patient to patient. Negative factors include scarring from prior surgery in the donor and/or recipient, greater than normal amount of bleeding, mushy/soft grafts, slippery grafts, tight, and/or sun damaged recipient skin. If a patient is unlucky enough to have all these negative factors present, it is likely that less than 100% of grafts placed will grow. On the other hand if the scalp hasn’t had prior surgery, bleeding is less than normal, grafts are firm and easily placed in flexible, normal skin, growth rates can approach 100%. Any combination of these independent variables can occur causing growth rates to vary.
A good surgeon will recognize a higher degree of difficulty and adjust the procedure to compensate for a negative variable(s). If grafts are difficult to place and placing one graft causes the adjacent graft to pop out, the spacing among incisions must be increased making dense packing difficult. Taking time to properly place grafts in difficult cases often solves a lot of problems. Read more
Receding Hairline at 22 - Am I a Candidate For a Hair Transplant?
Written by Jerry Cooley, MD on April 10, 2008
I am 22 years old and I have a receding hairline. My father started thinning in the front in his early 50’s and has a pretty decent head of hear. My mom’s father and brothers only experience a receding hairline and never had any hair loss in the crown area. I have very thick hair but the front has receded, am I a candidate for hair restoration?
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This is an excellent question. Whether to perform a hair transplant on a young man is a very controversial area among hair transplant specialists. My approach to this situation is based on the following considerations:
1. Hair loss when you are young (e.g. early 20’s) can be especially difficult because this is the time of life when you are typically entering the job world and actively dating. Hair loss can have a significant effect on self confidence and self esteem.
2. Hair loss due to male pattern baldness is a life long progressive condition. Any treatment plan has to be based on this fact. Having a strong family history of extensive baldness in one or both sides of the family makes it more likely you will experience the same fate. This makes a hair transplant more risky. Read more
Forehead Lift Caused Hair Loss - What Are My Options?
Written by Raymond J. Konior, MD on April 9, 2008
I am a 52 year old female. A little over 1 month ago I had a forehead lift which left me with a bald spot around the front forehead incision line. The area is approx. the size of a quarter which is mostly in front of the incision line but extends slightly behind as well. The surgeon states she is unsure why this area lost hair. She says she has not had this happen with any other patients. I also have lost hair volume throughout my head. Is this a normal hair loss issue after a forehead lift and do I have any options that might help regrow the hair.
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Hair loss is a potential complication of surgical brow lifting and forehead lifting. Fortunately, this problem is uncommon for most patients who undergo surgical rejuvenation of the brow and forehead regions. There are several factors that can influence ones predisposition to losing hair following surgery and two primary patterns in which hair can be lost.
Technical issues related to the performance of the surgery can contribute to postoperative hair loss. Factors which compromise blood flow to the hair-bearing scalp set the stage for unexpected hair loss. Inadvertent disruption of the scalp’s blood supply, aggressive surgical cautery at the wound edge and excessive tension along the incision line are three of the most common causes of post-surgical hair loss. Read more
What Is The Difference Between The Woods Technique and An FUE Hair Transplant?
Written by Bradley R. Wolf, MD on April 8, 2008
Years ago I used to read about the Australian doctor, Ray Woods. But now it seems he has vanished, or at least off the internet. My question is how does the technique he performed differ from FUE?
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Dr. Woods technique is essentially a form of FUE as far as it is known. He had never revealed to the medical community or the public, the tools or technique he uses. He does describe isolating, extracting, then placing individual follicular units but the details concerning tools and technique have never been described by Dr. Woods. From information obtained from the internet a number of years ago, at that time he did place the grafts in small holes or incisions made by small needles and performed up to 600 grafts a day. If more grafts were required, multiple days of surgery were performed.
I am not aware of any changes in his technique over the years. Techniques do evolve and most physicians who keep up with current techniques adapt over time. Read more






