Hair Restoration Blog

At the 2011 International Society of Hair Restoration Surgery (ISHRS) Scientific Meeting, the updated statistics for the Hair Restoration industry were released. Hair Restoration continues to be a growing branch in the cosmetic surgery field for decades now.  The new data shows that it continues to be emerging exponentially and in 2010 there was an estimated 279,381 surgical hair restoration procedures, an 11% increase over the 2008 census. The United States alone reported 101,252 surgical procedures in 2010 as well.

The ratio between male to female hair transplantation patients in 2010 was 85.9% to 14.1%.  Since 2004, the number of female hair restoration patients has increased 24% which might be due to the better techniques of evaluation of female hair loss and better methods of determining the eligibility of the women with hair loss for hair transplantation.  Since 2008, eyelash, eyebrow, and face hair restorations procedures increased 14.2%. In the US alone, mustache and beard procedures nearly doubled (1,369 to 2,382).

For more information, check out the ISHRS Practice Census located at: www.ishrs.org/mediacenter/media-statistics.htm

The 19th Annual ISHRS meeting for 2011 was held in Anchorage, Alaska. It was my first trip to Alaska and I was looking forward to seeing the beauties of the largest state in America.  Being very busy with many different activities, it made my time for sightseeing nearly impossible. I was required to be available one day prior to the opening day of the conference to get prepared for the many different events which were to come.

Hair Transplant Workshop

Dr. Mohebi and other faculties teach Hair Transplantation Techniques in ISHRS Meeting Anchorage, Alaska

I was one of the faculties for the surgical workshop. There were many new hair transplant surgeons who came from around the world to this annual scientific meeting to learn more about the art and science of hair restoration. The workshops included topics such as hair line design, cutting, placing, anesthesia, and donor harvesting and I was there to teach the latter course. There was great interaction between the faculties and students as they got the chance to learn the hands on techniques of surgical hair restoration.

Latest techniques of Hair Transplantation

The main thrust of the conference was the lecture series which gave a forum to many lecturers covering multiple topics regarding the many different areas of hair restoration. Since hair transplant surgery is still a relatively new field in the medical world, the greatest emphasis was on new technologies in hair transplantation, the latest techniques of hair transplant surgeries, devices, tools and methods of diagnosis and the treatment of hair loss.

ISHRS 19 Meeting: New Hair Transplant Surgical Instruments and Techniques Panel, Drs. Parsa Mohebi, Alan Bauman, Sara Wasserbauer and Kongkiat Laorwong

This year I was the moderator for the Giga-Session Hair Transplantation Panel. The panel included 2011 Golden Follicle Award winner Dr. Jerry Wong and Doctors Sharon Keene, Arthur Tykocinski, and Akaki Tsilosane. The discussions included properly choosing the best candidates for large number of grafts hair transplant surgeries (Giga Session Hair Transplants), planning for surgeries, as well as the full spectrum of Giga-Session Hair Restoration.

The Laxometer II was one of the newest innovative technology devices presented by me. The Laxometer was developed as a response to the need within the hair restoration industry for a measuring device for calculating the scalp laxity or skin mobility before hair transplantation surgeries. The Laxometer precisely measures the mobility of the scalp giving greater accuracy for larger surgeries or if a patient has a tight scalp. This device was introduced to the market for increasing the safety, precision, and efficiency of the hair transplantation.

Another device presented at the 19th Annual ISHRS Scientific Meeting was the upgraded Restoration Robotics, now called ARTAS System. This machine is now FDA approved for use in the United States and several lectures were presented about this new hair transplant technology. ARTAS was developed to help meet the need for increased precision and speed for scoring the follicular grafts in Follicular Unit Extraction (FUE) hair transplants. This is considered a very new technique in hair transplantation, but the robot currently only assists in one step of hair restoration. That is scoring the follicular grafts.  We still do not have a perfect automated system to extract and transplant the hair grafts. This device will need more time for testing and post-operation, long-term patient results.

Other New Technologies for Hair Restoration

In last few years, we have witnessed emergence of several new tools in hair transplantation that carried the claim to be the latest technologies and ground breaking tools for the field.  A lot of devices claimed they could change the way hair transplantation was done. However, many of those new tools did not deliver on their promise.  This has been a trend which has continued to be repeated for several years now. One of these devices was the NeoGraft that was sold to many non-hair transplant doctors with the promise of the simplicity of use and the minimal need for a surgeon’s involvement. The company has stated that the technicians can run the machine for the most part. One major issue the NeoGraft company forget to point out to these new costumers is the fact that hair transplant surgery requires experience and proper training in order to deliver great result. No machine, especially in the wrong hands, can substitute for lack of experience and expertise.

There were a number of lectures presented regarding the problems involved in hair multiplication, auto-cloning, hair stem cell research, and others important topics. Like years previous, there were several debates about Strip FUT vs. FUE,  manual FUE vs. automated FUE, also sharp vs. blunt punches for Follicular Unit Extractions.

Controversies in Hair Restoration

This year we had many controversial lectures such as lasers for hair restoration and growth factors, as well as mesotherapy and PRP (Platelet Rich Plasma).  The ISHRS allows for an open forum for hair transplant surgeons to share their innovative ideas, work, and theories that they can be giving constructive criticism and analysis by other experts in the field. This has been effective in keeping members of the society updated with new ideas and methods for hair restoration. It is unanimously agreed by members of ISHRS that hair restoration surgery is a progressing science and art which is rapidly growing into more advanced technologies and cellular level manipulations. It is well accepted that greater research is needed in order to thrust the industry forward in these new innovative areas for the art and science of hair restoration

The modern hair restoration surgery is still a fairly novel procedure in the world of cosmetic surgery even though it helps to retain a youthful appearance. Among the few known hair transplant practices around, there is great competition to appeal to the many patients who come each year to seek advice for their hair thinning and balding. The question in the back of many minds is “who is the best hair transplant company?” Or “how one should find the best hair transplant company?”

Although we at US Hair Restoration take pride in meeting the needs of all our patients, it’s our aspiration to provide the best hair transplant in Los Angeles, as well as to be one of the first choices for hair transplantation in the USA. Yet we want all who inquire about hair restoration to make an informed decision and be satisfied, even if they choose to see a different surgeon.

Reviewing all available information about a Hair Restoration practice is very important in order to make a fully informed decision. The questions to ask oneself should be, what are the doctor’s surgical technique expertise, experience, training, compassion, and results? Do these results show true value for the cost of a hair transplant? Do they place a high standard on honesty and integrity? These are all questions which will help navigate through the different options available to make a satisfied group of patients throughout the process of their hair transplantation.

Giving the fact that hair transplant has been rapidly growing in last few years, it is good to know whether or not the hair transplant surgeon you chose is involved in any studies, innovations and improvement of the field of hair restoration.  Being on the cutting edge of the industry is critical in an evolving scientific field which sets its aim of constantly improving in quality.

Finally you need to meet your doctor and interact with him or her.  Hair transplantation is a long process and it is important that you feel comfortable with the doctor before you proceed.  Make sure you have the proper questions during your consultation and that you don’t leave the doctor’s office before all the questions are answered.  At the end of the day you need to understand the results of a hair transplantation stay with you for the rest of your life. Take your time and find the best hair transplant surgeon for you.

Q:

Dr. Mohebi, this may seem like an unusual question, but I’ve been hearing a lot about Prince William’s hair loss and wondered if you wouldn’t mind letting me know what treatment option(s) you’d recommend. Rogaine? Propecia? Hair transplant surgery, and if so, how many grafts?

Thanks so much!

A:

Prince William is a class IV hair loss in Norwood classification with significant thinning on the top area that indicate he will be heading toward class VI if he does not use any treatment for his hair loss.  Looking at Prince William pictures, you can see that he has had the initial signs of hair loss in his early twenties that is typical for Caucasian hair loss.

Although you may argue that wearing the crown will eventually cover the balding areas on the top, he may still have a few more viable options.  Prince William needs to be on some sort of medical treatment, either Propecia or Rogaine, to minimize his hair loss or at least to prevent or slow further thinning.  He should also consider a hair transplant surgery to reinforce his hairline and add density to his corners.  Restoring his crown balding spot will be the next priority and I think if his donor quality is good all of those goals could be achieved in one session.

I think with one hair transplant he can eliminate the appearance of balding while he might need another procedures to thicken up the frontal density and add more to the volume of top and the crown area.

Q:

Thank you for your reply to my previous e-mail Dr. Mohebi. I’m getting close to being ready for this, but I still have some concerns that I would like to address prior to booking.

I realize I won’t come out of this looking like Brad Pitt, but can I expect some decent density in the area you’re going to operate on? I’ve seen a lot of pictures of “great” results that were little more than thin whiffs of hair lying limp over shiny, conspicuous scalp. I’d like to be able to style it in the youthful way, showing off my hair line. I suppose that depends on the number of grafts?

A:

The number of transplanted grafts and extent of your balding area are two very important factors in the final thickness of your hair. However, because you have fine hair, even with using the maximum density, you may not achieve the original fullness that you once had. Some patients with the same circumstances as yourself may need more than one surgery to develop maximum density close to that of their original coverage prior to losing hair.

Using hair from other parts of the body for transplantation into scalp has been used for many years.  Unfortunately though, the change in the life cycle of body hair from different areas of the body has caused the body hair to stay as the last option for scalp hair restoration.  Body hair has long resting phase and short growth phase which means that most of the transplanted hair will stay in resting phase without having visible hair growth.

Comparison of scalp (left) vs. facial (right) hair: Note the difference in density of hair per surface area and the average number of hair in each follicular unit. Scalp hair is denser with more hair per grafts (over 2hair/graft) while beard hair is less dense with fewer hair per grafts (1-2 hair/graft)

Facial hair such as beard and mustache hair on the other hand has a longer growth phase and shorter resting phase.  That is why men can grow their facial hair to become really long.  Facial hair is also thicker than scalp hair in most people.  Thicker hair could be translated as more bulk of hair after hair transplantation.  Both longer growth phase and thicker hair shafts make beard hair a better option for scalp hair restoration in comparison to body hair transplant from other areas.

There are two problems with with beard hair restoration.  One is that they are very sparse and removing hair only needs to be done through a strip procedure.  The other problem with using facial hair for scalp transplant is that the facial follicular units are having fewer number of hair per unit that means less hair per grafts removed with FUE techniques.

Beard transplants are gaining popularity recently with newer techniques for extraction of hair (FUE) and it can be a great alternative to scalp hair for transplanting to the balding area in people who do not have good quality scalp hair.

Dr. Parsa Mohebi of Los Angeles, CA was just approved for recommendation on the Hair Transplant Network, one of the largest online communities supporting hair loss patients. This site has truly revolutionized the hair restoration field due to its high demands made by patient members who participate on the Hair Transplant Network in conjunction with the participating physicians. Because all participating members of this site have such high expectations and demand superior quality results, it is no wonder why only physicians with a solid reputation and proven results are approved for recommendation.

Over the last year and a half, the hair restoration forum and participating community on HairTransplantNetwork.com have had the opportunity to review Dr. Mohebi, his technique, and corresponding results to determine his eligibility with hair transplant recommendations. Following the lengthy and worthwhile examination process, we are now happy to say that Dr. Mohebi is among the few qualified physicians to be recommended by the renowned Hair Transplant Network.

We hope that this physician recommendation and the consistent results of patients will help to expose more people to the wonders of quality hair transplants done by Dr. Parsa Mohebi. On average, we post 1-2 patient stories/photos each month on this site showing Dr. Mohebi’s results. Please feel free to check out some of our patient results and physician comments on this site at anytime and do not hesitate to ask questions on the forum if you have any. Thank you all for your support!!

** Here is the Press Release published by Hair Transplant Network regarding Dr. Parsa Mohebi’s recommendation

International Society of Hair Restoration Surgery (ISHRS) has done a nice work on its website.  The organization that is the most prestigious organization for hair restoration surgery has challenges people for the differentiating a transplanted hair to a natural head of hair without any hair restoration surgery done.

The site requires you to take a survey to see if you can detect which of the people in the photos in the site have had a hair transplant and to determine how important hair is to you. The survey will only take about 5 minutes to complete. Here is the questionnaire.  By responding to the hair transplant challenge survey you can help to add to the knowledge about hair loss and hair restoration surgery.

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Q:

I have curly hair and underwent hair restoration surgeries to increase the density of hair on the front and top areas.  It’s been about 7 months since my hair transplant procedure and I haven’t noticed any difference in thickness compared to before.  I understand it could take up to 10 months after hair transplant to see the result, but at the current ‘rate’ I’m not hopeful.

I am diabetic and I know that after the surgery, my glucose levels were unexpectedly high, and the only explanation I could come up with was that it was because of the steroids I was given. After the surgery I monitored my glucose levels frequently, every 2 hours (which is more than normal) and they were far higher than normal despite the fact my diet was the same and so were the insulin dosages.  I can’t help but think I’m not seeing much of a difference because of my high glucose levels causing the hair follicles to die.  Is this possible?
A:
Elevated blood glucose may affect the healing of the surgical wounds after any surgical procedures.  Although we always recommend to keep the glucose within the normal range around the time of a hair transplant surgery for better healing of the wounds, there is no study to evaluate the exact impact of elevated glucose on growth of transplanted hair follicles after hair transplantation.

Since you hair is curly, it will be difficult to evaluate your final growth at this time.  It may take even over 10 to 12 months to see the final growth of transplanted hair.

Q:

Hey Doctor Mohebi,

I was wondering, I’m thinking about getting a hair transplant, but I’m afraid of telling my future wife and female friends that I’ve had a hair restoration. I know men may not care that much, but if I’m dating someone and eventually I tell them I’ve gotten a hair transplant, I fear that they may get turned off.

I kind of look at it like plastic surgery. I know when I meet women who has undergone a nose job, I kind of feel strange about it and think maybe that person was not happy with their looks.
To be honest, it  turns me off.

So, my question is: from your experience with patients, do they keep it a secret from others or do they not mind telling people?

A:

Today, we have capabilities we did not have 50 years ago. As a young soccer lover, I used to have the disadvantage of wearing glasses.  It was very difficult for me to stay competitive in succer team without wearing my glasses.  Every now and then, I use contact lenses to be able to put aside my glasses. I am planning to get a LASIK procedure for that as well.

If I undergo a LASIK procedure, does it make me an insecure person. Not at all. I call it using all your resources to look your best.

We do have technology that we did not have 10 years ago. I say: why not use it? A lot of people are doing it, and nobody cares if these peoples’ hair is native hair or transplanted. The point: they are not bald any more and they can be as competitive as their non bald rivals in life.

One time, I met a very beautiful woman at a party and I ended up having a conversation with her.  When I told her I do hair transplants, she told me a story about someone who proposed to her and she rejected him. She said the man was bald. But I’m not saying because he was bald that he got rejected, but because he did not do anything about it. I know the argument can be made that what the woman did is sad and superficial but, hey, looks do play a part in initial courtship, whether we would like to admit it or not. And it was her prerogative to make that decision.

My point is: Be yourself and do whatever makes your heart happy. No matter what you do with your life, there are going to be people who may not like it. It should not influence your decisions.