Bernstein Medical Blog

This page contains all posts in our News, Answers, Video, and Research sections.

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Study More Accurately Predicts Severe Balding Risk Using New Genetic Profile

April 21st, 2017

What are the chances that I will go bald? How bald will I be? Can I know for sure? These are among the most common questions we get from patients in our hair loss consultations. Despite extensive knowledge about the mechanisms and causes of androgenetic alopecia (common baldness), the answers to these questions have been a bit hazy. New research has sharpened the focus on the genetic mix that results in hair loss and has enabled more accurate predictions. A study published in February 2017 in the journal PLoS Genetics identified over 250 gene locations newly linked to hair loss. Using this information, researchers more accurately predicted severe balding compared to previous methods.

Dr. Bernstein Presents Advanced Robotic Hair Transplant Techniques at 2017 ARTAS Users Meeting

March 3rd, 2017

Dr. Bernstein closed the 2017 ARTAS Users Meeting with a discussion of five advanced techniques in robotic hair transplant procedures that he developed at Bernstein Medical. His presentation covered the benefits of pre-making recipient sites, long-hair FUE, tensioner placement, feathering edges in harvesting, and robotic graft selection. The “Hair Restoration Pearls” presentation included case studies, photographs, and videos demonstrating the techniques to the audience of hair restoration physicians. The two-day affair; which was held in Coronado, California; was a huge success, with over 260 attendees from around the world representing 204 robotic hair restoration practices.

Can Hair Transplant “Plugs” be Repaired by Lasers or Electrolysis?

February 21st, 2017

Q: After a bad hair transplant, can you use lasers or electrolysis to remove the transplanted hair? — N.C. ~ Newark, N.J.

A: You can remove the hair in plugs with electrolysis, but it is difficult since the scarring distorts the architecture of the hair shaft and makes it hard to insert the electrolysis needle. Laser hair removal is a far more efficient way of removing the hair, but takes multiple treatments. However, the problem with either of these techniques is that the hair is destroyed and the underlying scarred scalp is not improved. In fact, it is made more visible when the hair has been removed.

Our preferred method of repair is to completely remove the plugs, dissect out the individual follicular units from those plugs and then re-implant them in the proper location and direction. In this way the hair can be reused and the appearance of underlying scarred scalp can be improved, as well as camouflaged with new hair.

Placement of Tensioner in Robotic FUE

February 16th, 2017

Dr. Bernstein demonstrates how he places the tensioner on the patient in a robotic hair transplant procedure. The tensioner is a plastic picture frame-like device that adds tension to the patient’s scalp allowing for improved harvesting. It also has little dots, called fiducials, on its outer border which the robot “reads” for proper orientation. The robot scans the edges of the tensioner, reads the dots, and uses them to orient the robotic arm and punch tool.

Does Frequent Combing Cause Hair Loss?

January 25th, 2017

Q: Is it ill-advised to comb one’s hair more than twice a day, especially hair that has been transplanted? Will frequent combing induce hair loss? — G.K. ~ Paramus, N.J.

A: Combing or brushing one’s hair does not cause hair loss – no matter how many times a day you do it. However, constant traction with braids or hair extensions can cause hair loss and this loss can be permanent.

Do You See An Impact Of Your Involvement With Restoration Robotics In The Development Of ARTAS?

January 16th, 2017

Q: As a medical advisor and an end-user of the ARTAS Robotic System, do you see any impact of your involvement with Restoration Robotics? — J.V. ~ Miami, F.L.

A: Restoration Robotics has been very responsive to the needs of its physicians and to their patients. Because I work closely with Restoration Robotics in the development of new improvement and advances they are often introduced first in our practice.

What Are Alternative Medical Treatments to Propecia?

December 29th, 2016

Q: Dr. Bernstein, I am experiencing side effects on Propecia, are there alternative treatments? — J.D. ~ Roslyn, N.Y.

A: Yes, minoxidil (Rogaine), low level laser therapy (LLLT). Unfortunately, none of these will be as effective as finasteride.

What Do I Do If I Start Experiencing Side Effects from Propecia?

December 27th, 2016

Q: What do I do if I start experiencing side effects on finasteride? — L.L. ~ Riverdale, N.Y.

A: Don’t panic, just stop the medication and let your doctor know. He or she will give you guidance based on your symptoms.

If I Am Starting to Thin, Should I Have A Hair Transplant Or Try Medication First?

December 27th, 2016

Q: My hair is starting to thin in the front, but it is not yet bald. I have been going back and forth about whether to get a hair transplant or use Propecia. I’m not sure what my first step should be. What do you think? — N.K. ~ Pleasantville, N.Y.

A: In general, patients who are thinning, but not actually bald, should begin with combined medical therapy (finasteride and minoxidil) for at least a year prior to considering surgery. In many cases, with this regiment, surgery can postponed or even avoided completely. Unfortunately, some patients cannot tolerate finasteride or choose not to take it due to concern about potential side effects. Minoxidil, although useful, does not significantly alter the long-term course of hair loss when used alone.

In Hair Transplant Repair, Do You Always Harvest Additional Hair Via FUT or FUE? Which is Better for Repair Procedures, FUT or FUE?

December 16th, 2016

Q: In hair transplant repairs do you always harvest additional hairs to give the hair restoration a better result? Which is better for repair procedures, FUT or FUE? — E.Z. ~ Fairfield, C.T.

A: We do not always harvest additional hair in repair procedures, but we do if possible because it can improve the aesthetic outcome by adding additional density and camouflage. This is called Combined Repair. As for whether we use FUT or FUE in repair procedures, the answer depends on the clinical situation. For example, a loose scalp favors FUT. If the person wants to wear their hair short, that favors FUE. If donor scars from the plugs need to be removed, that favors FUT. If scarring in the donor area needs to be camouflaged rather than removed, that favors FUE.

See Patient ETI’s before/after repair photos
Read about Combined Repair techniques

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