Synopsis: This paper introduced Follicular Unit Extraction into the hair transplant literature. The article describes a procedure in which individual follicular units are removed directly from the donor region through very small round incisions. It identifies significant patient variability and describes a test to determine which patients are potential candidates for this procedure. It also explores the nuances, limitations and practical aspects of Follicular Unit Extraction.
Robert M. Bernstein, MD,*†William R. Rassman, MD, ‡ Nazia Rashid, and Richard C. Shiell, MBBS Dermatologic Surgery 2002; 28(10): 873-93. © 2002 The American Society for Dermatologic Surgery *College of Physicians and Surgeons, Columbia University, New York, New York †New Hair Institute Medical Group, A Professional Corporation, New York, New York and ‡Los Angeles, …
Art of Repair in Surgical Hair Restoration – Part II: Summary Read More »
Synopsis: Together with Part I, Basic Repair Strategies, these paired articles define the state-of-the-art in correcting the cosmetic problems that resulted from outdated hair restoration techniques and/or poor surgical planning. This section emphasizes the importance of graft excision and re-implantation prior to camouflage in order to achieve the best outcome. It details the specific techniques needed for the graft excision and explains the aesthetic nuances of the camouflage.
Robert M. Bernstein, MD,*†William R. Rassman, MD, ‡ Nazia Rashid, and Richard C. Shiell, MBBS *College of Physicians and Surgeons, Columbia University, New York, New York †New Hair Institute Medical Group, A Professional Corporation, New York, New York and ‡Los Angeles, CA Dermatologic Surgery 2002; 28(9): 783-94. © 2002 The American Society for Dermatologic …
Art of Repair in Surgical Hair Restoration – Part I: Summary Read More »
Synopsis: The first of two paired articles, this paper focuses on the strategic planning that is necessary to optimize hair transplant repair procedures. The paper identifies the underlying problems that lead to poor cosmetic results and the limitations of the donor supply that limit its correction. It explains how to establish priorities to get the best results in the face of the constraints caused by outdated hair replacement techniques.
SUMMARY of Dr. Bernstein’s editorial commentary on Hwang SM et al. Does the Recipient Site Influence Hair Growth Characteristics in Hair Transplantation? The original article appeared in Dermatol Surg 2002; 28(9): 798-99. The field of hair transplantation in the United States began with Dr. Norman Orentreich’s famous 1959 paper on Donor Dominance. In it, he …
Synopsis: In 1959, Orentreich stated that, in a hair transplant, the transplanted grafts maintained the characteristics of the donor area and were independent of the recipient site. However, new evidence suggests that that the recipient site can influence the rate of hair growth, graying, and the formation of wavy hair. The editor points out that, although these observed effects may violate the principle of donor dominance, they will have positive implications for the success of cloning.
Synopsis: Patients with tight scalps and snug donor closures often heal with fine scars, whereas patients with loose scalps occasionally heal with wide scars. A patient with the rare condition Ehlers-Danlos Syndrome shed light on this phenomenon. After studying his case, the authors conclude that the integrity of the scalp’s connective tissue was more important than scalp laxity in determining who would heal with a fine donor scar.
Synopsis: This paper reviews the current status and future of automated devices in surgical hair restoration. Specifically, it discusses the Hair Implanter Pen, the Rapid Fire Hair Inserter, the Calvitron, and the Choi Hair Transplanter.
In this video, Dr. Bernstein and a patient at Bernstein Medical are interviewed by Charles Gibson of Good Morning America in their two-part series on treating hair loss called, “The Bald Facts.” Dr. Bernstein discusses the importance of aesthetic planning of a hair transplant and the difference between the old “pluggy” transplants and today’s modern follicular unit transplantation techniques.