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April 17th, 2009

Q: I wanted you to determine if I would be a candidate for FUE (to camouflage a scar). After reading through your vastly informative website, I had become aware that the Fox test is necessary to determine patient viability for FUE. When I mentioned the test, I believe I heard you say it was unnecessary. Unfortunately, I can’t help but think there was miscommunication between us, as your letter states that I should schedule a Fox test if I am considering FUE. Please confirm if a Fox test is, in fact, necessary. — N.S., Garden City, N.Y.

A: I perform FOX tests on all patients when I am considering a FUE hair transplant. I do not routinely perform FOX tests before repairs (or on eyebrow transplants) where the number of grafts is relatively small.

The purpose of FUE is to identify those patients in whom FUE is inefficient — i.e. there is a greater than average risk of damage during the harvest. If this is the case, I would not perform the hair transplant since even slight inefficiencies create a significant problem when thousands of grafts are transplanted.

March 16th, 2009

Dr. Bernstein appeared with a female hair transplant patient on Fox News to discuss the use of Follicular Unit Transplantation (FUT) to correct hair loss. The patient had a procedure to camouflage scarring that resulted from surgical removal of a large skin cancer on her scalp.

March 16th, 2009

Fox NewsDr. Bernstein discusses the technique of follicular unit hair transplantation in a Fox News segment on hair loss and hair transplantation.

In the video, he discusses the use of the follicular unit hair transplant (FUT) procedure to correct hair loss and camouflage scarring that resulted from the surgical removal of a large skin cancer on the patient’s scalp.

March 3rd, 2009

Q: I have been told a number of different ways to massage my scalp. What do you suggest? — H.H., Pidemont, C.A.

A: We have found that the most successful technique is to perform the exercises: once a day, for at least 15 minutes, and using three different hand positions.

February 27th, 2009

Q: How far into the scalp are the grafts placed and is the follicle far enough into the scalp that it will not be damaged? I have heard that the critical time to not touch your scalp is the first 2-3 weeks after the procedure. — M.G., Hillsborough, C.A.

A: The growth part of the follicle is 3-4mm into the scalp. Grafts can be dislodged the first 10 days, so you need to be careful not to scrub your scalp during this period. After that, the grafts are permanent. At 2-3 weeks they can’t be dislodged, even by vigorous scrubbing.

February 24th, 2009

Q: What are the most common causes of hair loss in women other than genes?

A: The most common causes for localized hair loss in women are traction (due to tight braiding) and alopecia areata (an autoimmune disease that produces smooth round patches of hair loss).

Other than genetic (hereditary) thinning; generalized hair loss is most commonly caused by medications, anemia, and thyroid disease.

February 18th, 2009

Q: When can patients resume physical training? — T.M., Mineola, N.Y.

A: Moderate exercise may be resumed two days after the hair transplant.

The main limitation is to avoid putting direct pressure on the donor area and to avoid stretching the back of the scalp (neck flexion) as this will increase the chance of stretching the donor scar after a strip procedure.

There is no such limitation with follicular unit extraction (FUE). However, in general, contact sports should be avoided for at least 10 days with FUE and a month after a strip procedure.

February 17th, 2009

Q: I started thinning and saw more hair in the tub. I began Rogaine and stopped shampooing every night and is seems that there is now more coming out every time I shower. What is going on? — E.U., Short Hills, NJ

A: Rogaine can cause shedding at the beginning of treatment (i.e. in the first 3 months) but this is expected as it causes some hair to begin a new cycle of shedding and re-growth. This means the medication is working.

Another reason for your apparent shedding is that the less you wash your hair, the more will be lost each time. Go back to shampooing every day and see what happens.



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