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July 14th, 2010

Q: I recently saw an episode of the Rachel Ray Show where her guest, Dr. Anthony Youn, said that the Neograft machine for Follicular Unit Extraction is painless and uses a vacuum rather than surgery to remove the grafts. Can this be true? — A.B., Old Greenwich, C.T.

A: Follicular Unit Extraction (FUE) using the Neograft machine is not painless and, while it does not produce a linear scar, it is surgery and there is significant scarring in the form of thousands of tiny holes that heal with round white marks.

June 10th, 2010

Q: What happens to hair diameter when you age? — K.L., Greenville NY

A: From infancy to puberty, hair gets progressively thicker. From adulthood to old age the hair becomes thinner again and this is exacerbated by the effects of DTH in susceptible persons. The later process is called androgenetic alopecia (common baldness) and is characterized by miniaturization – the progressive decrease in hair diameter and lengths as a result of DHT.

However, even without the effects of DHT, hair gradually thins over time in many people.

June 9th, 2010

Best Doctors 2010 - NY MagazineDr. Robert M. Bernstein, founder of Bernstein Medical – Center for Hair Restoration, was selected by Castle Connolly as one of the New York metropolitan area’s top physicians through a peer-review survey of medical professionals.

New York, NY — Robert M. Bernstein, M.D., F.A.A.D., world-renowned pioneer of the hair transplant techniques, Follicular Unit Transplantation and Follicular Unit Extraction, and founder of Bernstein Medical – Center for Hair Restoration in Manhattan, has been included in New York Magazine’s “Best Doctors” issue for the eleventh consecutive year.

June 9th, 2010

Q: I am currently 28. I have been taking Propecia for 6 years and recently began to grow sparse chest hair for the first time in my life. Is the Propecia causing these effects? — H.L., Gowanus, Brooklyn, NY

A: DHT causes male pattern baldness and stimulates the growth of body hair. The use of Finasteride, a DHT blocker, will permit scalp hair to grown and inhibit the growth of body hair, not stimulate it.

However, the effects on body hair are quite small, so your natural tendency to grow chest hair over time is probably not being blocked by the treatment.

June 4th, 2010

Q: I had a hair transplant about a month ago and I had scabs and some dead skin until day 16 or 17. Will that endanger the growth of the hair restoration procedure? — S.P., Hoboken, N.J.

A: No, it will not. If follicular units were used for the hair transplant, the grafts should be permanent at 10 days. After this time, you can scrub as much as you need to get the scabs off.

June 3rd, 2010

Q: It seems like my hair is thicker in the summer. Can this be true? –R.B., West University Place, TX

A: Hair will increase in diameter when there is more humidity, as it absorbs moisture, and will actually be thicker in the more humid summer environment.

June 2nd, 2010

Q: I had a hair transplant 10 days ago and I lost some hair that looks like the hair fell out at the root. — R.A., Bronxville, N.Y.

A: When there is shedding after a hair transplant, it is the hair that is lost, not the follicle that contains the growth center (the follicle eventually produces the new hair).

Since the “hair” usually consists of a hair shaft and the inner and outer root sheaths, which creates a little bulb at the end of the hair, it looks like the hair is “falling out at the root.” Do not be concerned as this is not the growth center.

June 2nd, 2010

Q: Hey doc, you told me to cut up 5mg finasteride into four parts. Why not five, so that it will be equal to Propecia which is 1mg? — H.F., Eastchester, NY

A: For several reasons; 1) you will lose some in the cutting process, 2) the generic dose can be slightly less than the brand, and 3) it is too difficult to cut into five parts – four is hard enough. Note that due to the fact that finasteride stays in the hair follicle for a long time, the pieces do not have to be in four equal parts.

May 28th, 2010

Q: Is the hair transplant for women different from the one for men? Anything easier? Anything more difficult?

A: Women’s hairlines are far more complex than men’s as the hair in a women’s hairline often creates subtle swirls and directional changes. These must be mimicked in the surgical design for the hair transplant to look natural.

In women, we are more often working in and around existing hair, as most women that seek hair transplantation are thinning rather than bald. This slows down the graft insertion steps and makes the procedure take a bit longer compared to men.

Read more about hair loss in women or see before/after photos in our Women’s Hair Transplant Gallery.

May 27th, 2010

Q: I have a friend who has been using Propecia 1mg a day for twelve months without having any regrowth. Is he likely to experience regrowth at this stage? — S.S., Long Island, NY

A: Your friend is unlikely to get any significant regrowth after one year, but that doesn’t mean that the medication is not working. He may have had even more hair loss without the medication.



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