All posts by admin

Am I a Candidate for a FUE or FUT Hair Transplant?


If you are pursuing a hair replacement surgery, you’ve likely considered a FUE or FUT hair transplant. But how do you know which is right for you?
Dr. Amir Yazdan discusses who is a better candidate for follicular unit extraction (FUE) vs strip (FUT) hair transplant harvesting when performing hair transplant surgery. Both procedures can be very effective but there are issues that determine if a patient is better for one procedure versus another.
With FUE hair transplantation the follicular units of 1-4 hairs are excised one at a time using a very small (.7-.9mm), precise circular scalpel. The incision is so tiny that when the wound heals there is virtually no visible scar. This is particularly popular for patients who have less hair loss and want to keep their hair very short.
Patient’s with more hair loss and desire more hair transplanted in a single session may prefer the FUT strip excision method. With a narrow strip a large amount of hair can be extracted at one time and with microscopic graft dissection the hair grafts are prepared by size. With modern tricophytic donor closure the scar is very fine and easily covered by the existing donor hair.

NeoGraft, Artas and Other FUE Hair Transplant Systems

FOLLICULAR UNIT EXTRACTION (FUE) HAIR TRANSPLANT DEVICES

There has been a great deal of conversation online about the most effective procedure for performing a hair transplant procedure. In our Orange County & Las Vegas hair transplant offices we have had many patients come in for consultation that are confused by FUE, AlphaGraft, NeoGraft, Artas and other FUE hair transplant devices. That is correct, these are devices and not a surgical procedure.
In many cases patients believe that a NeoGraft hair transplant is a surgical technique when it is only a mechanized devices for performing FUE hair transplants. Simply put, follicular unit extraction involves removing tiny follicular bundles from the back of the scalp with a tiny .7-1mm circular punch. The incision is typically so small that there is no visible scar after the wound heals.

WHAT IS THE NEOGRAFT HAIR TRANSPLANT SYSTEM?

According to the company – NeoGraft is the first and only FDA cleared follicular unit harvesting and implantation system. The NeoGraft system delivers automation of the FUE technique. The above statement is true. the device, originally developed in Europe is combination electrical hand engine the powers a hollow circular punch and then sucks the hair graft into a container where the grafts are gathered and then implanted. Although the company has developed a device to also insert that grafts it is rarely used. The concern of many experienced hair surgeons including Dr. Yazdan is that the suction tears the tiny graft from the connecting fat tissue at the bottom and can tear or transact the graft which can significantly impact graft hair growth. There have also been concerns that in some cases the procedure with these devices is actually performed by unlicensed technicians for surgeons with little or no hair restoration experience. (Read more)

ARTAS ROBOTIC HAIR TRANSPLANT SYSTEM

Artas was launched in 2011 as the first robotic hair transplant system. The system is sophisticated, utilizing computer assistance to harvest hair follicles during the actual process of hair replacement. ARTAS incorporates a number of elements in its operation, including an image-guided robotic arm and special imaging technologies that co-ordinate together for the purpose of implementing the “follicular unit extraction (FUE)” technique upon the recipient of the system. The system is very expensive – approximately $200,000, cost more for physicians to use and to date has shown no superiority in hair graft quality from those of experienced hair surgeons using hand operated mechanized FUE devices. In FDA trials ARTAS showed no superiority to hand held follicular unit extraction by an experienced hair transplant surgeon.

IN OUR PRACTICE

Dr. Yazdan has developed his own instrumentation to assure the most precise results possible. He will modify his instrumentation to adapt to a specific patients hair type and angle of hair growth. The important issue for patients to understand is that follicular unit extraction (FUE) is a procedure and that everything else is a reference to a device that helps the physician extract the follicular units. Many surgeons use different devices to perform excellent FUE results and the important part is the surgical expertise and care of the grafts once harvested that assures optimal results for the patient.
Below is a video of Dr. Yazdan performing the procedure.

FUE vs FUT Hair Transplant Procedures – What’s the Difference?


Many patients are confused by the various hair transplant techniques and who is a good candidate for which procedure.
Orange County hair transplant surgeon Dr. Amir Yazdan explains who is the best candidate for FUE vs FUT. Although there are many specific reasons a patient will have one procedure versus another the decision is typically based on two criteria.
A patient who is best qualified for follicular unit extraction (FUE) #1 wants to keep their hair very short in the back and doesn’t want even a very thin scar to be visible and #2 needs usually 2000 grafts or less.
A patient that typically has strip FUT hair transplantation #1 does not keep his/her hair short in the back and #2 needs more than 2000 hair grafts in a single session.
In Dr. Yazdan’s Orange County and Las Vegas offices he will review all options including medical treatments during your consultation and together you will make a decision based on multiple factors prior to hair transplant surgery.

Regenerative FUE Hair Transplant by Dr. Amir Yazdan M.D. Orange County & Las Vegas Using ACell & PRP

Dr. Amir Yazdan M.D. of Modena Hair Transplant Institute introduced a new technique of FUE Hair Transplant surgery that allows regeneration of the Donor zone with subsequent use of Acell & PRP. He calls this Minimal Depth FUE and he offers this procedure in both Orange County and Las Vegas.

FUE Hair Transplant procedures have grown exponentially in the past few years. Many clinics use large diameter punches greater than 1.0mm with deep extraction techniques such as seen with the Neograft or Artas Robot. Although this may make the FUE procedure easier for the surgeon, it can create long-term complications for the patient. The use of bigger punches and deep extraction removes the surrounding adipose tissue/fat associated with the hair follicle. This adipose tissue contains essential stem cells which can help regenerate hair follicles in the donor zone. Furthermore, when these fatty grafts are transplanted, a lot of times we see lumps and ridging which can be felt and seen by the patient. Dr. Yazdan says, “In a Hair Transplant procedure the goal is to transplant hair, not fat. With my new minimally invasive FUE technique, it ensures that only the hair is extracted leaving the regenerating stem cells behind.”
With Dr. Yazdan’s new technique of Minimal Depth FUE with micro diameter punch sizes, the surrounding adipose tissue is left intact leaving the stem cells behind which can help regenerate hair growth in the donor zone.
“This development is huge in terms of FUE hair transplant procedures. Quite frequently, I see patients that have had poor FUE procedures done in the past which have left scarring and depletion in the donor zone. With my new techniques and the use of Acell and PRP (Platelet Rich Plasma), I have seen greater than a 50% regeneration of extracted follicles in the donor zone,” says Dr. Yazdan.
ACell is an FDA approved cellular regeneration product used in wound healing that has recently been combined with a patient’s own stem cells and has shown to improve hair regrowth for both men and women. ACell activates follicular progenitor cells (adult stem cells) and this is used in the Donor zone following an FUE extraction procedure.
PRP (Platelet Rich Plasma) is a procedure in which a small amount of blood is taken from your arm. This blood is processed and from that, Platelet Rich Plasma (PRP) is extracted and activated. This is then injected into the recipient site. PRP is loaded with growth factors that promote rapid angiogenesis, localized cell growth, decrease inflammation, and decrease healing time. Quick healing time is important for Dr. Yazdan’s patients in both Orange County and Las vegas because it allows them to return to work and their daily activities in a shorter period of time.
Dr. Yazdan states, “With the use of Acell and PRP, I have seen accelerated healing, reduced swelling, and excellent graft survival rate. I use this in every hair restoration surgery because it gives patients the absolute best results.”

Case Study – Eyebrow Hair Restoration

Female patient had damaged her eyebrows from tears of plucking. 8 years prior she had her eyebrows tattooed but the tattoo had begun to fade. She wanted a more natural and permanent solution.

With an abundant amount of hair and hair length to cover the donor area, Dr. Yazadan suggested Follicular Unit Extraction which would be a more comfortable procedure than donor strip extraction and would heal faster. Dr. Yazdan transplanted 400 grafts to each eyebrow. Follow up photos were taken one year post-op.

eyebrow_transplant_one

eyebrow_transplant_2

Dr. Yazdan Offers Capillus™ Laser Cap for Hair Loss

The Modena Hair Institute welcomes patients to learn more about laser hair therapy with the Capillus272™, a nonsurgical hair loss treatment option that is cleared by the U.S. Food and Drug Administration (FDA) to treat androgenetic alopecia, or hair loss, in adults.

“We offer the Capillus272™ because it is an additional option for patients experiencing hair loss,” explains Dr. Amir Yazdan. “Because the device has FDA clearance, proven efficacy, and minimal side effect profile, we find it is a great tool for patients experiencing hair loss.”

Capillus272™ is a wearable laser therapy cap that patients can use at home. Cool laser light shines across the scalp when worn, stimulating blood flow and oxygen delivery directly to the hair follicles. In clinical trials, this simple yet effective method of nonsurgical hair restoration demonstrated the ability to improve hair count by 51% among study participants (study made available on ClinicalTrials.gov).

“We have seen fantastic results in patients who are both experiencing hair loss, and thinning, as well as patients who have had hair restoration procedures and would like to help maintain their natural hair,” Dr. Yazdan explains. By using Capillus™ for about 30 minutes every other day following transplant surgery, patients improve the flow of blood, oxygen, and growth factors to the scalp. Anecdotal evidence strongly suggests such application of laser therapy post-procedure shortens healing time while also promoting thicker and fuller hair growth across the entire scalp.

Capillus™ is particularly popular among women who suffer with hair loss. Whereas male pattern baldness affects specific areas of the hairline and crown, female hair loss occurs in a more diffuse and spread-out manner that can be difficult to treat with a traditional hair transplant procedure. “We have seen exceptional results in women,” says Dr. Yazdan. “Especially [among] those who are not candidates for hair restoration procedures.”

Advanced Technology. Excellent Results.

Modena Hair Institute is a world class hair transplant facility with locations in Orange County and Las Vegas. Each physician is a member of the International Society of Hair Restoration Surgery (ISHRS) and trained in the latest methods of hair loss diagnosis and restoration. Patients trust Modena Hair Institute for hair loss treatment that is comprehensive, personalized, and enhanced with the industry’s leading techniques and technologies.

To learn more about hair loss or to schedule your confidential consultation, visit http://www.modenhair2.wpengine.com online or call 949-374-2563.

Dr. Amir Yazdan Supports ISHRS Position Statement on Scalp Surgery

ishrs-logoA growing trend of medical assistants performing hair transplant surgery has caused the International Society of Hair Restoration Surgery (ISHRS), a not-for-profit medical association focused on medical and surgical outcomes excellence in the field of hair restoration, to issue a position statement on recommended qualifications for scalp surgery. Dr. Yazdan, who is also a member of the ISHRS, has grown concerned about the increasing number of unqualified professionals performing hair transplantation on patients.
“Thanks to new technology and improved hair transplantation techniques, hair restoration is much less surgically invasive than it used to be,” said Dr. Yazdan. “With recent developments of robotic and automated hair transplant systems some medical practices and spas have adopted these devices and delegated the surgery to non-medical personnel. Some of these hair transplantation techniques are less invasive for the patient and therefore some practices don’t classify it as surgery. I believe this to be false and a very dangerous practice and I’m so glad the ISHRS has issued this statement of qualifications for scalp surgery to spell out exactly what the organization constitutes as surgery.”
The ISHRS has taken the position that any procedure involving a skin incision for the purpose of tissue removal from the scalp or body, or to prepare the scalp or body to receive tissue, (e.g., incising the FUE graft, excising the donor strip, creating recipient sites) by any means, including robotics, is a surgical procedure. A properly trained and licensed physician must perform such procedures. Physicians who perform hair restoration surgery must possess the education, training, and current competency in the field of hair restoration surgery. It is beyond the scope of practice for non-licensed personnel to perform surgery. Surgery performed by non-licensed medical personnel may be considered practicing medicine without a license under applicable law. The Society supports the scope of practice of medicine as defined by a physician’s state, country or local legally governing board of medicine. In the state of California, it is against the law to practice medicine without the proper licensure.
When an individual without proper licensure or specialized training performs a hair transplant, the patient’s safety is at risk, as well as the outcome of the hair transplant. There is also a possibility that the unlicensed technician may not be covered by malpractice insurance. A licensed practitioner with a specialty in hair restoration has the specialized training to handle all facets of a hair transplantation procedure.
“It’s very important for patients to do their homework when considering hair transplantation,” said Dr. Yazdan. “One of the questions they need to ask is if the doctor will be performing all aspects of the hair transplantation. The doctor shouldn’t just be in the office – he or she should be handling the procedure from start to finish.”
 

“The Doctors” Ask Dr. Yazdan to Help Women with Eyebrow Hair Loss

The Doctor’s TV show and Celebrity Plastic Surgeon Dr. Ordon call’s Dr. Amir Yazdan from the Modena Hair Transplant Institute to seek help for an audience member on the show who had lost her eyebrows and her hair. After the show the patient was seen by Dr.Yazdan. Stay tuned for the followup show to see what happens to Porsha.
[vc_video link=”http://youtu.be/xKJYx9hI78o”]

Dr. Amir Yazdan Saves 11 Year Old Boy – Featured on The Doctors

Hair Transplant Surgeon and ER Physician Dr. Amir Yazdan featured on the TV show “The Doctors” for saving an 11 year old boy “Tiger’s” life on New Years Eve. He was contacted to be featured on The Doctor’s and was unaware that Tiger was there. It was a complete surprise for him. The last time he had seen Tiger was when he left the Emergency Room in South Carolina on his way back home to California. Dr. Yazdan and Tiger have kept in close touch since the event and recently had a book dedicated to him from Tiger’s mom.
[vc_video link=”http://youtu.be/xKJYx9hI78o”]