As if hair loss isn’t frustrating enough, right?! Planning your hair transplant surgery can be just as difficult. Here are some questions to ask your doctor at the time of your consultation to make you feel at ease when choosing the right doctor for YOU to get the best results possible!
Does an actual Doctor perform the hair transplant surgery?
This is one if not THE most important question to ask. In the U.S. there are strict regulations and it is required that all hair transplants are performed by a physician. While it may seem like the obvious answer would be “Yes”, unfortunately that is not always the case and legal actions may be taken. Most hair restoration surgeons are assisted by highly skilled hair transplant technicians who typically dissect out the hairs under microscopes and help with the planting of grafts. While a patient may want the doctor to conduct the entire surgery, this can be inefficient. Hair transplantation surgery is a team effort. The surgeon will perform the graft excision and prepare the slits in the recipient area where the transplanted hair will be grafted. These slits are what determines hairline design, density, and the growth pattern and should only be done by the doctor. However, placing the grafts in the previously made recipient sites is typically done by an experienced technician yet, there should ALWAYS be an MD present to manage every aspect of the surgery. Dr. Yazdan performs every transplant himself using his artistry and precision by hand and only allows 1 surgery per day in order to take the time for almost 100% accuracy.
Does the “Punch” size matter?
Yes! SIZE DOES MATTER. The diameter of the ‘punch’ affects the size of the wound and how well the wound heals. While most punch sizes range from 0.6-1.3mm, Dr. Yazdan stays far away from the unfavorable wound sizes and scarring that larger punches can create. Staying at the lower end, he uses precise application with a 0.7-0.8mm punch tool. The direct relationship between the diameter of the punch and wound size is rather obvious and needs no further explanation other than, the larger the punch-the greater the risks involved such as scarring, damage to nearby hair follicles and prolonged wound healing. Potentially making scars more visible. Additionally, beware of the robotic Artas that more and more physicians are using as assistance-as the Artas is currently only capable of using larger punch sizes.
What are the doctor’s credentials to perform hair restoration surgery?
Any physician can technically perform a hair transplant. You “technically” only need two things: A medical license and, the desire to call oneself a “Hair Restoration Surgeon”. This is why it is so important to do extensive research and ask these types of questions at your consultations. You should feel completely comfortable asking your doctor for his resume and photographs/videos of his past cases. If a doctor has a high success rate and is proud of their work, he or she should have no problem showing you before and after photos. There’s truth behind the saying, ‘a photograph says a thousand words’. As Doctor Yazdan always likes to say, “my work and results speak for themselves”. Here is a link of our Hair Restoration Before & After photos. https://modenahair.com/photos/
Does the clinic use travel technicians for their procedure?
When it comes to hair restoration, there’s no “I” in teamwork and your surgeon is only as good as his or her staff. It’s all about teamwork. In most cases, when there is a long-lasting relationship between the doctor and their technicians, the work is more efficient and consistent resulting in a successful transplant. Problems or inconsistencies can occur with a clinic that uses travel technicians since the surgeon is not accustomed to working with these technicians and vice versa. A great doctor will run a tight ship and have a dependable team. Dr. Yazdan is no exception to these guidelines and tells us “having an excellent team is mandatory”. His entire staff has decades of experience and his team has remained the same the last 9 years.
Does the graft count matter?
The simple answer is yes and no. There are two different ways to estimate the amount of hair needed. The golden standard is per number of grafts or per number of follicular units and the second way that some doctors use is the number of hairs transplanted. There is a HUGE difference that needs to be understood so expectations (and your pocket book) stay in check. In each hair graft, there may be 1, 2, 3 and even sometimes 4 hairs and depending on the number of hairs in each graft, they are used appropriately in the recipient area. However, it is also good to know how many hairs were actually transplanted. This way you can have an overall idea of how your head of hair will look once the hair grows in. Just be cautious when a doctor tells you he can extract and transplant 5,000 grafts. For example, if 2,000 grafts were all ‘one hair units’ the total number of hairs would yield 2,000 hairs. Let’s say with 2,000 grafts, there was 500 ones, 500 twos and 1000 three-hair units, in this case the total number of hairs would be 4,500 hairs. These numbers can be deceiving, and patients think they’re actually getting 4,500 grafts which certainly isn’t the case. Even though here at Modena, Doctor Yazdan never charges by the graft count, you will find that many doctors do choose to charge patients based on the graft number so make sure you’re understanding the difference before making any final decisions.
Does the doctor attend regular training and medical conferences?
Hair Transplants have come a long way as far as technique is concerned, so having a surgeon who is up-to-date with the latest techniques and tools and has the most advanced technology will play a key role in the success of your hair transplant. Never be afraid to ask your doctor what training and medical conferences they have attended. If your doctor mentions the International Society of Hair Restoration Surgery (ISHRS), it is highly likely they are involved in the field beyond performing hair transplant surgeries. A hair transplant procedure is a complex cosmetic procedure that craves a certain artistry and skill and requires extensive training, so you don’t end up on a television show like Botched! Dr. Yazdan doesn’t just attend training and conferences such as ISHRS, he is a speaker and educator in all their surgery conferences. Not to mention, a leading consultant for the LA (Los Angeles) Weekly and hit television shows like Dr. Phil and The Doctors.
These are some key questions to ask at the time of your consultation in order to find the right doctor for you and get the best results possible!
For questions or to schedule a consultation, call one of our offices conveniently located in Irvine, Newport Beach, Beverly Hills and Las Vegas at 888-717-5273 or contact via our website at contact Modena Hair Link
Tag Archives: fue
Outrageous Graft Numbers: Understanding the Difference
So, you’ve made the decision to enhance your appearance and go for a hair transplant and now you’re hearing all about “graft numbers”. You should know and understand graft calculation to better prepare you for your hair restoration surgery consultations so you’re getting realistic expectations.
Although your main goal is likely having as much hair transplanted as possible in order to look like you did when you were 20, there is a limit to the number of grafts that can be transplanted in one session. Be aware of physicians who offer these outrageous graft numbers as you are likely being scammed and now your intelligence has been insulted as well. They’re either giving you a fictitious number or they are attempting to place too many at one time which carries many risks.
If the follicular units (1-4 hairs) are extracted and then divided up into smaller groups, or into individual hairs, the fictitious “graft numbers” will significantly increase and so will the price of your hair restoration procedure (if the patient is charged by the graft), without any increase in fullness (and possibly even less fullness due to sub-optimal growth). So, more than likely the clinic was counting follicular grouping or hairs and sometimes this can be deceiving because 4,000 hairs may amount to only 2000-2,500 grafts.
For example, if a patient has a 2,000 graft hair transplantation procedure where the 4- grafts were split up into 1- and 2-hair grafts, either through poor dissection or intentionally, the new procedure would now have much more ‘grafts’ with exactly the same number of hairs. Now, more sites would need to be unnecessarily placed into the patients scalp to accommodate these grafts. This in turn would cause the hair to be spread out over a larger area of the scalp, decreasing the potential density in the more important areas such as the front and increasing the cost of your new hair transplant!
That is why Dr. Yazdan does a full exam and consult to discuss this in depth and NEVER charges by the number of grafts. It’s simply unrealistic resulting in unrealistic expectations from the patient.
Another reason for an absurdly high graft count is physicians attempting to plant a large number of grafts in “mega-sessions” which poses its own set of challenges. As the number of hair grafts placed per area rises, so does the risk of vascular compromise (decreased blood flow to the area caused by injury to the scalp) and this can result in sub-optimal graft growth.
For instance, in an FUE (Follicular Unit Extraction) transplant, Dr. Yazdan typically recommends no more than a true graft count of 2,000 and for the traditional Strip/FUT method, no more than 3,500 should be harvested in one procedure. Using the FUT technique- a 3,500 hair graft procedure will require an incision greater than 20cm on the back of the scalp consequently excellent scalp elasticity is needed otherwise this could significantly increase the risk of a widened scar. A wide donor scar can potentially create a cosmetic problem and can limit the amount of hair that can be obtained if a future hair transplant procedure is needed.
Another word of caution, in FUT (Follicular Hair Transplantation), microscopic dissection is used to dissect naturally occurring 1-4 hair follicular units from the donor area. If these units are kept intact during dissection, growth will be maximized, and a hair transplant patient will get the greatest possible fullness and density. However, if dissection is poor and some of the hair in the follicles are destroyed, the results will be less than ideal.
To avoid such problems, men and woman in need of a larger hair transplant should take caution when choosing the right surgeon and should only be reserved for the most experienced surgical teams. As you see in the photo above, this is a great example of a physician at an outside clinic who overharvested the donor area while using a much larger punch size than needed.
Because these factors are ‘deep-rooted’ in all hair transplant procedures, it is important that the surgeon focuses on maximizing hair growth, rather than seeking some arbitrarily high target number of grafts.
“What is ultimately critical for the patient is not how many grafts were transplanted, but how many actually grow. My results speak for themselves.” Said Yazdan.
This blog was written as a result of a patient being told that he was receiving a 7,000 graft transplant. See link below.
https://www.realself.com/question/paris-fr-hair-after-7000-hair-transplant#6245220
For questions or to schedule a consultation, call one of our offices conveniently located in Irvine, Newport Beach, Beverly Hills and Las Vegas at 888-717-5273 or contact via our website at contact Modena Hair Link
Is a Hair Transplant a Risky Procedure?
Hair transplant is a surgical process used as a hair loss treatment. If you are suffering from baldness and want to rid yourself from hair loss than a transplant may be right for you.
As with all cosmetic surgical procedures, there is risk involved. Like with many things in life, you need to balance the risk versus reward. Finding an experienced surgeon who specializes in hair restoration will greatly reduce the “risk” factor.
Overall, a surgical hair transplant procedure whether it may be FUE (Follicular Unit Extraction) or the Strip method is a completely safe procedure.
Generally speaking, risks are usually limited to:
Swelling – This is your body’s way to heal an area as blood reserves collect in the area. Mild swelling is normal after a hair transplant, but excessive swelling that might result in black eyes requires immediate medical attention.
Bleeding – Similarly to all wounds, bleeding may take place as the body heals. Rarely, a graft might dislodge from the area, which results in excessive bleeding that will require pressure to stop.
Numbness -Some transient numbness is inevitable. Typically, and if any, this is felt at the suture line or graft sites and generally lasts from 3-18 weeks.
Pain -This is actually a good sign for it demonstrates that your body is working to heal itself. Often, over the counter medications help alleviate the symptom, and some patients don’t need anything for pain.
Itching -Another sign of healing as your body adjusts to the new follicles and is usually alleviated with regular shampooing.
Infection -Even papercuts are vulnerable to infections if they are not properly cleansed. After undergoing this procedure, and under the guidance of your physician, it is important to regularly clean the wound site accordingly.
Scarring -Scarring generally occurs in FUT/Strip method plantations and is occasionally seen from the FUE technique with an inexperienced physician.
Every individual varies greatly in their physical reactions and healing abilities. Yet, these associated risks are relatively minimal when you’re looking at the bigger picture of what a hair transplant can do for you and your self-esteem for many years to come.
In hindsight, the ‘biggest’ risk is a bad result or no result from an inexperienced doctor or non-licensed practitioners whom aren’t properly trained to do surgical hair transplants. As long as you feel comfortable that you’re in the hands of skilled, artistic hair transplant doctor, you’re likely to have fantastic results that will look very natural!
Do some extensive investigating to find a well qualified full-time hair restoration surgeon and your benefits will certainly outweigh the costs, these risks are fairly minimal and shouldn’t be a major deterring factor with proceeding with such a life-changing procedure! Having a hair transplant can significantly boost one’s self-confidence and compliment your appearance leaving you with smiles for days, or decades, rather!
For questions or to schedule a consultation, call one of our offices conveniently located in Irvine, Newport Beach, Beverly Hills and Las Vegas at 888-717-5273 or contact via our website at contact Modena Hair Link
Avoiding a Botched Hair Transplant
The good thing about hair restoration is that it’s permanent and the bad thing can be that its permanent.
A Hair Transplant can be a life-changing procedure. A full head of thick luscious hair can take decades off your life giving you a youthful you! Unfortunately, there are plenty of horror stories and gruesome photos when it comes to botched hair restoration surgeries. A number of factors can lead to unsatisfactory results, which range from unnatural looking and poor longevity to embarrassing skin damage. Almost always, this can be attributed to the inexperience of the physician. Let’s look at some major factors that could potentially go wrong if you’re not cautious in your planning..
Over-harvesting
Over-harvesting happens when too much hair is taken from the donor site and unfortunately is almost a non-correctable problem. In this case, a recommended solution would be Scalp Micropigmentation (SMP) done to the area that is depleted. Transplanting grafts into the depleted area is possible but extremely difficult and labor intensive. Dr. Yazdan has strict guidelines for safe extraction numbers and routinely performs this technique on depleted donor areas with strip scars and over-harvesting. Although this does not bring the hair back, it will help tremendously on making the area look as natural as possible.
Scarring
Large linear scars are a result of the Strip method. Scarring is something that is common to have happen with improper experience from a doctor and can be caused by over-harvesting. When the incision is made at the donor site, if more skin grafts are taken than the elasticity of your skin can handle, causing tension of closure, this makes it hard to stitch the scalp tightly back together resulting in a gapping scar. If you’re concerned of a botched scar, a safer bet would be the 2nd hair restoration technique which is called FUE (Follicular Unit Extraction) that minimizes scarring as this method is done by extracting grafts individually opposed to taking a strip from the back of the scalp. With FUE there is no linear scar and no stitches are required, so your donor area will be minimally noticeable within just a few days. Dr. Yazdan has done thousands of hair transplants and it takes great effort for anyone to find a donor site scar on his patients.
Failure of Regrowth
This can happen from poor surgical technique. Poor handling of the grafts, and drying out of the grafts. If the donor hair was properly harvested and properly placed, typically 95% or more of the grafts should successfully grow.
Large Punch Size
The larger the punch size, the higher the risk of damaged or dead nearby hair follicles. Your grafts should average only 1-3 hairs which can be accomplished with smaller punch sizes. More recently, many physicians are using a machine or robot, rather, called the Artas which does the extracting of the hair follicles for the surgeon. Multiple problems can occur with the Artas including the use of the larger punch sizes creating permanent damage to the nearby hair follicles. Dr. Yazdan recommends a highly skilled and experienced surgeon who manually does the hair restoration surgery to get both the angle and orientation of the incisions in a way to match the existing native hair, so the results come out looking natural.
Shopping for a Bargain
Going to a budget store is all good if it’s for redecorating your home. It is not something you want to risk your appearance on. This could potentially affect your quality of life and is NOT recommended as this can lead to disastrous results that you may be stuck with. At Modena Hair Institute, our patients take comfort in the security and aesthetic results of their choice.
Bad FUE or Strip hair transplantation planning can lead to unnatural looking results leaving you more self-conscious of your appearance than before you started -Don’t let this happen to you! Picking the right doctor is extremely important, while minimally invasive, it is still a surgical operation that needs to be done by a Board-Certified Surgeon who has a high success rate in order to obtain superb results. A botched surgery can easily be avoided by doing extensive research.
If you have any questions, or would like to schedule a consult please call one of our conveniently located offices in Irvine, Newport Beach, Beverly Hills and Las Vegas 1-888-717-5273
FUE Hair Transplant: How Long Will It Take For My Hair To Regrow?
Hair growth after surgery is the very first question that may come in mind. Understanding the stages how transplanted hair grows will help to keep expectations realistic.
Every person is different, therefore the rate in which your hair will regrow varies from patient to patient. In our practice, a well performed transplant will see results in as little as 4 months whether you’re acquiring FUE or Strip hair transplant surgery. Newly growing transplanted hairs start to become visible at this time however they are still not in their final stages of thickness and length quite yet.
Dr. Yazdan likes for his patients to come in for a post-op visit at the 1st, 3rd, 6th, and 9th month mark to compare your pre-op photos so we can discuss your progress, but expect to see the full benefits within the first year and maximal cosmetic improvement can be seen within 14-18 months.
“I highly recommend waiting a solid year before arriving at any conclusions as to the success of your hair transplant. At this time, if you’re still unsatisfied with the length and density of your new hair, talk with your surgeon. If you still have doubts, you may need to seek a second opinion.” Says Dr. Yazdan.
Once a hair transplant starts to grow, it will continue to grow until the end of the hair cycle at a rate of about ½ inch per month. The new hair which has been transplanted grows in cycles and will become fuller and thicker than the donor site over time.
And for optimal results, we like to follow a hair restoration surgery with PRP (Platelet Rich Plasma) or laser therapy which can stimulate hair regrowth tremendously giving you maximal results. Light medical management is also highly desired during the growth period. Medical management consists of non-surgical methods such as minoxidil, finasteride and GroMD hair loss prevention shampoo.
Some might say the hardest part of a hair transplant is after the procedure is finished. Continuously over analyzing and examining each hair follicle, checking the mirror every few hours waiting to see results. Remember, be patient! Good things come to those who wait.
For questions or to schedule a consultation, call one of our offices conveniently located in Irvine, Newport Beach, Beverly Hills and Las Vegas at 888-717-5273 or contact via our website at contact Modena Hair Link
Eyebrow Transplant: Should You Try It?
Eyebrows are more important than ever before! With todays fashion trend, its all about the thicker, fuller eyebrows. The quest for fuller brows has made eyebrow transplants a thing these days. Let’s talk about who would be a good candidate:
Eyebrow loss can occur in both men and women, leaving them unsettled and insecure about their facial appearance. After all, eyebrows frame the upper portion of the face and eye area making this region the first thing people look at. Brow loss is most commonly due to injury or trauma resulting in scars, hormone imbalance, hereditary, aging, yet over-tweezing making the top of the list! Less common factors may be due to an attack of the immune system such as cancer treatment processes like chemotherapy-which for some patients, can be the most emotionally difficult part of the process as hair loss can be a tell-tale sign of an illness present.
Every day people are applying makeup to recreate a new brow or filling in what they once had. Thinning or hair loss of the brow region from overplucking was a common trend in the 90’s, as that was the time overzealous plucking in earlier years often begin to show up as thinning or bald spots. Overplucked eyebrows are one of the most common causes people seek out transplants. More than ever, people are pulling out all the stops to hide the fact that they’ve lost their brows, and often times the hair won’t regrow on its own. Fortunately, there is a Cosmetic treatment now being used for a more long-term solution using modern microsurgical techniques.
Eyebrow Transplantation is a surgical procedure to permanently restore or customize the brows by taking hair from another part of the body such as the back of the scalp and transplanting it to the brow region to create the desired brow shape. This procedure is quite meticulous and takes artistic design for a successful procedure. However, if done incorrectly, can leave you with redness and scaring on the donor site as well as uneven patchy eyebrows.
As with all cosmetic procedures, the key to a natural-looking result is to fully research the surgeon of your choice to get a good idea of the doctors skill when it comes to eyebrow transplants or any kind of hair transplants for that matter. “I can’t stress enough how important it is that patients do their homework ahead of time in finding the right doctor, otherwise they might end up with a botched outcome,” says Dr. Yazdan -whose patients fly in from other areas to seek treatment at his Beverly Hills and Orange County offices. It bears repeating that careful planning and precise angulation of each hair is critical for a successful end result.
Restore the thickness and shape of your eyebrows by calling our office today!
For questions or to schedule a consultation, call one of our offices conveniently located in Irvine, Newport Beach, Beverly Hills and Las Vegas at 888-717-5273 or contact via our website at contact Modena Hair Link
How soon after a hair transplant can you wear a hat?
For many individuals who decide on hair transplant surgery, their least favorite part about the process is the appearance of their hair immediately following surgery. For the first couple of weeks post-op, there may be redness, swelling, and scabs in the recipient and donor areas of the scalp. Some describe the process as having your hair look worse for a small amount of time to look better for the long-term.
It is many individuals’ inclination to cover and hide their hair during this initial post-op period. Many patients desire to wear a hat or hood to shield the appearance of their hair.
Unfortunately, this is not a recommended option for patients so soon after surgery. You may be wondering why not? What harm could a hat cause?
Well, while hats are a great tool to conceal the hair, they happen to rest on the head where thousands of grafts have just been carefully excised and transplanted. Particularly, the band of the hat often sits right on the donor and recipient areas. This is harmful to the grafts, as they are extremely fragile and sensitive during this initial period. Any unintended rubbing or pressure could cause them to fall out, risking all the hours of hard work you and your doctor put in to give you a nice, full head of hair.
We typically suggest patients avoid hats for the first week post-op. While we realize this may be inconvenient appearance wise, it is the best way to ensure the results of your hair transplant surgery.
For whatever the reason, if you wish to have a discreet hair transplant surgery, not allowing people to see or know you had a recent hair transplant, we suggest scheduling your surgery during a slow period where you will be able to take off a few days to yourself.
Here at Modena, we offer flexible scheduling so you can plan your surgery around your busy work and life schedule. If you’d like to learn more about the services we offer, give us a call.
How important is punch size in FUE hair transplant surgeries?
For those of you who have been researching hair transplant surgery, you’re probably familiar with the term ‘punch size.’ For those of you who are unfamiliar, punch size refers to the size of the tool that is used to extract and sometimes make new places for the transplanted follicles to rest on the scalp.
Common punch sizes used by hair transplant surgeons range from 0.75mm-1.0mm. Recent evidence on the use of larger punch tools has shown that they increase the risk for scarring. One of the great things about the FUE method of hair transplant surgery is that it has minimal risk for scarring. Using a larger punch size negates this benefit. Most experienced hair transplant surgeons, including Dr. Yazdan, agree the smaller the punch size the better.
Some doctors who still use the larger punch size claim that the larger punch allows them to extract follicles containing 2, 3, and 4 hairs. The truth is, punch size has little to do with what type of hair follicles that can be extracted. What plays a bigger role, is skill and experience. More often than not, these doctors lack the expertise needed to extract follicles containing multiple hairs using a smaller tool.
The other scenario where we still see larger punch sizes being used, is with robotic devices. Robots and automated tools can’t be as precise as a tool operated by a human hand. Therefore, they utilize a larger punch size in an attempt to increase extraction results. The problem with this is that the risk for scarring increases dramatically. Further, the success rate for transplanted follicles decreases dramatically due to the trauma induced by the large punch.
Here at Modena, we utilize a 0.7mm punch for extractions. When it’s time to transplant the follicles, we set aside the punch and utilize tiny incisions. This not only reduces the risk for scarring but reduces the risk of shock loss in surrounding existing follicles.
If you would like to learn more about our method of FUE hair transplant, give us a call for a free consultation.
Hair transplant recovery – when can I expect results?
Many individuals who have hair transplant surgery are eager to see results right away. This makes sense – you sat through a full day of poking and prodding and when you unwrap those bandages you expect to see something different. After all, you just had thousands of hair follicles transplanted. Instead, you see some redness, scabbing, and the same ol’ hair you’ve had.
In order to understand the timeline for expected results, we need to fully understand the hair transplant process as well as the hair growth process.
The FUE and Strip procedures we do involve Dr. Yazdan hand selecting, extracting, and transplanting, each and every hair follicle. This process is not only grueling on the doctor and patient, but also on the follicles. These follicles have gone through a sort of trauma. Once they are transplanted they do not begin growing immediately. They need to heal and settle in their new place.
Hair grows in cycles or phases. There are the anagen (growth), catagen (regression), telogen (resting), and exogen (shedding) phases. It can take months or even years for our hair to cycle through these phases. That means, it can take at minimum, months for our newly transplanted follicles to cycle through these phases. That is why we expect to see results 6 months – 1 year post-surgery.
The best advice for post-hair transplant recovery is to sit back, relax, and be patient while your newly transplanted follicles get comfortable and begin growing in their new home. If you would like to speed up recovery and ensure your results, you may wish to consider other treatments such as laser therapy, PRP therapy, and medications.
Should your hair transplant be done by a machine or by hand?
Anyone who has researched hair transplant surgery has probably heard of the ARTAS and NeoGraft. Simply put for those who are unfamiliar, the Artas and Neograft are devices meant to assist physicians with hair transplant surgery. These products claim to provide a minimally invasive procedure with a high graft extraction rate that produces a natural look.
Sounds great, right? But, upon further research and evaluation we see why hair transplant surgery by a machine may not yield the best results.
The NeoGraft utilizes an electrical power punch and suction to extract grafts. This is particularly concerning as this suction is believed by experienced hair transplant surgeons, including Dr. Yazdan, to damage the fragile hair follicles. If these follicles are damaged, they will not survive once transplanted. The power punch utilized by the NeoGraft is rather large compared to the hand held instruments developed by Dr. Yazdan, and a larger punch size means an increase in the risk of scarring.
The ARTAS is deemed to be the robotic method of hair transplantation. The device utilizes a computer and is very expensive for physicians and patients alike. According to FDA trials, the ARTAS showed no superiority to the hand held FUE method by an experienced hair transplant surgeon.
The most important thing to remember when researching your hair transplant surgery is to consider quality over quantity. Although you may hear claims of high graft extraction rates from the above devices, this number is irrelevant if the grafts do not survive due to damage. In addition, large punch size can cause scarring which negates one of the great things about the FUE method of hair transplant surgery which is minimal scarring. Here at Modena, Dr. Yazdan has developed his own hand tools to ensure the best results possible. If you’re interested in finding out more about his method, give us a call today.
Hair Transplant Repair with Beard & Chest Hair
The before and after photos are of a 58 Year old male from Hawaii. The patient came to Dr. Yazdan’s Orange County CA office. He had multiple hair transplant procedures prior, that left him with major scarring on his scalp from another physician. He had no donor zone hair left on the sides and back of his scalp. The after photo (right) is 1 year after he underwent 1 FUE procedure by Dr. Yazdan utilizing Beard & Chest hair to transplant 1884 FUE hair grafts to the scalp. The chest hairs were used in the hairline to mask the previous “plug” grafts giving a softer appearance and the beard hair was mixed in for better density.
Recent FUE Hair Transplant Results – Case Studies
The first hair transplant patient was a 31 year old male with blonde hair. He was losing hair for the past 5 years and was very self conscious about his thinning hair. He used the hair camouflage powder called Toppik to try and conceal his hair loss. Dr. Yazdan (with offices in Orange County and Las Vegas) performed 1,568 FUE hair grafts to fill in his frontal forelock. After results were photographed 9 months post op.
Before and After FUE Hair Transplant – 1568 grafts in one procedure.
The next patient – age 44 – had more extensive hair loss (Norwood Class V) and had been noticeably losing his hair for the past 7 years. He had used Rogaine but had little success. Dr. Yazdan performed 1,922 grafts in one session with the FUE technique in the hairline to the crown. Post op results after 1 year.
Is FUE Hair Transplant Scarless?
There has been a lot of conversation online and in advertising about FUE being a scarless hair transplant procedure. The answer is both Yes and No. Part of the reason for our answer is that it depends on the execution and experience of the surgeon. Recently Dr. Yazdan consulted with a patient in his Las Vegas hair transplant office who said he had 2000 FUE grafts at a local office that performed an FUE procedure with the NeoGraft Automated Hair Transplant System. He decided on NeoGraft because was told the procedure would be scarless. He also assumed that the Doctor would be performing the procedure. In both cases he was unfortunately wrong. The day of the procedure he discovered that medical technicians performed the procedure and he quickly learned that the donor area had significant scarring.
The issue of technicians performing hair transplant procedures has be addressed by the International Society of Hair Restoration Surgeons (ISHRS.org) in their highly publicized consumer alert.
The reason for his scarring was because of poor technique. In this patient’s case the donor area was too small for 2000 grafts (although it appeared that less than 2000 grafts were performed.) so that the incisions were run together and were too deep. In addition the circular scalpel that extracted the grafts was too large – 1mm or larger. By running the incisions together the patient experienced both scarring and poor hair growth because many of the hair grafts were transected. The donor area was also high on the back of is head and could potentially be exposed if he continued to experience hair loss over time.
In order to improve the naturalness and density in the transplanted area Dr. Yazdan personally performed 1250 additional FUE grafts using his custom instrumentation and a .7mm diameter scalpel. The photo below shows the previous NeoGraft harvested donor area (Top) and the FUE grafts harvested by Dr. Yazdan (Below – day of surgery) which will appear virtually scarless because or the tiny incisions and proper spacing technique.
Below is the donor area of a FUE patient 30 days post-op.
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.
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.”