Bernstein Medical - Center for Hair Restoration - Curly Hair
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Q: I have read that the ARTAS System works best on straight black hair. Is this an option for gray hair? How about wavy or curly hair? – P.W., Fort Lee, NJ

A: The ARTAS robotic system can be used in patients with any hair color although in order for the robot to visualize white hair (or very light blond hair) the hair must be dyed. Curly hair is also not a problem as the donor hair in a robotic procedure is shaved to approximately 1 mm in length so a wave or curl is eliminated. In patients of African descent, where the hair below the surface of the skin may be curved, a slightly larger punch can be used. we have patients dye their hair the evening before or the day of the procedure. For convenience, only the hair in the donor area (back and sides) where the robot will be doing the harvesting needs to be dyed.

In patients who prefer not to shave or dye the entire back and sides of the scalp, we can perform the ARTAS robotic FUE using the long-hair technique. With this technique, you will grow your hair on the back and sides of the scalp a bit longer so it can cover the harvested area. On the day of the procedure, we will lift up the hair, clip a long thin band of donor hair and then extract follicular units from this limited region of the scalp. After the procedure, you can simply comb down your hair to cover the donor zone. The area that has been harvested (and possibly dyed depending on your hair color) will not be visible.

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Q: I am an African-American man with tight curly hair. Will the FUE robot be able to work on curly hair? — E.O., Manhattan, N.Y.

A: Yes, the ARTAS robot for FUE can be adapted for African-American hair when performing follicular unit extraction. We use a punch that is 0.1mm wider in diameter than the instrument used for Caucasians. It allows us to incorporate the slightly larger volume of tissue that results from the curved hair and enables us to accomplish the hair transplant with less in jury to follicles than if a smaller instrument were used.

See before & after hair transplant photos of patients with curly hair

Read about Robotic Hair Transplantation

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Q: I am Hispanic and I have thick, black coarse wavy hair. Do you transplant Hispanics and are there any difficulties in performing hair transplants in them?

A: Yes, we treat Hispanic patients. There are no specific issues unique to Hispanics when performing hair restoration procedures. However, things to consider are:

  1. Hispanics have a slightly greater incidence of forming a thickened donor scar than Caucasians (but not as great as African-Americans)
  2. Hispanics often have coarse hair, but a low donor density, so fewer absolute numbers of grafts may be available for the restoration. The coarse hair, however, will make the restoration appear fuller.
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Q: I have curly hair with thinning on top and strong, but less curly hair on the sides and back. My hairline is receding, but it is really the area on top I am concerned about. Does hair replacement work with curly hair and will it match? — E.B., Sanibel, F.L.

A: Yes, curly hair grows as well after a hair transplant surgery as straight hair.

After the hair restoration, the transplanted hair will take on the characteristics of the hair that was originally in the area, so it will match perfectly with respect to curl and wave.

See before and after hair transplant photos of patients with curly hair

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Hair loss has a variety of causes. Diagnosis and treatment is best determined by a board-certified dermatologist. We offer both in-person and online photo consults.

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