Does Hair Grow In Stages After Hair Transplant? Watch Dr. Bernstein’s video response to this commonly asked question on hair growth after a hair transplant.
Q: Is robotic FUE more expensive than traditional Follicular Unit Extraction? — K.M., Wayne, NJ
A: In our practice, we charge the same per graft for both procedures. However, there is a slightly higher minimum fee for robotic FUE procedures. See our Hair Transplant Costs & Consultation Fees page.
Q: Does the robot do the whole operation or does the doctor do any of it? — B.W., Brooklyn, NY
A: The ARTAS robot only performs a small part of the FUE procedure, although it is an important one. The robot performs the first step, the isolation of follicular units.
Read more details about how the doctor uses the robotic FUE system.
Q: Is Robotic FUE faster than traditional FUE hair transplants? — F.W., Hoboken, NJ
A: Yes. Although, the speed of removal per graft is about the same, the actual procedure time is shortened when using the robotic device. The ARTAS robotic FUE system has a longer set-up time, but this is more than offset by the fact that the robot doesn’t “tire” during longer procedures.
Q: How many different kinds of robotic devices are there? — T.R., Boca Raton, FL
A: There is only one, the robot called the ARTAS System for FUE, made by Restoration Robotics. The Neograft machine, occasionally confused with a robotic device, is actually a hand-held instrument that is not robotically controlled and lacks image-based tracking. It is, therefore, not capable of eliminating the operator error and variability of hand operated devices and does not decrease the damage to follicles inherent in manual techniques.
Q: Does Robotic FUE leave any scars? — T.B, White Plains, NY
A: Robotic FUE leaves the same tiny, white scars in the donor area produced by manual Follicular Unit Extraction.
How Long After Hair Transplant Can Grafts Fall Out? Dr. Bernstein answers a frequently-asked question about caring for your scalp after your hair transplant.

In “ARTAS: A Faster and More Accurate Hair Transplant Using Robotics?” Dr. Bernstein explains the benefits of robotic FUE over traditional FUE hair transplant procedures. He describes how the new robotic device overcomes some important limitations of FUE when performed manually. To better understand the role of the new instrument, Dr. Bernstein simplifies the FUE procedure into four basic steps and discusses where the image-guided robotic system fits into this process.
Q: I heard that Propecia stops working after five years. Is this true and why in five years? — B.P., Stamford, CT
A: That is not correct. Although the effects of Propecia (finasteride 1mg) will diminish over time, it does continue to work. Using finasteride long-term will still be better than stopping it at some arbitrary interval. In clinical practice, I often increase the dose of finasteride, after someone had been on the medication 3 to 5 years, to help maintain its effectiveness.
Summary of “Hair Regrowth Following a Wnt- and Follistatin-Containing Treatment: Safety and Efficacy in a First-in-man Phase 1 Clinical Trial,” which was originally published in the November 2011 issue of the Journal of Drugs in Dermatology (Volume 10, Issue 11).
Researchers were aware of the importance of follistatin, a binding protein; Wnt 7a, a signaling protein; and wound healing factors on hair growth. In this study, researchers tested the safety and efficacy of an injection of a mixture of naturally derived molecules on hair growth.
The mixture called the Hair Stimulating Complex (HSC), contained follistatin, as well as keratinocyte growth factor (KGF), and vascular endothelial growth factor (VEGF). The mixture also showed activity similar to the Wnt signaling protein.
Zimber MP, et al. 2011

