Bernstein Medical Blog

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September 8th, 2009

Follicular unit extraction is a technique of removing one follicular unit at a time from the donor region. The most important limitation of this hair transplant procedure is a high transection rate during the extraction process. In this clinical study, the authors transplanted different parts of transected hair follicle when harvesting with the Follicular Unit Extraction (FUE) technique. Five male patients participated in the study.

In each patient, three boxes of 1 cm2 were marked at both donor and recipient sites. The proximal one-third, one-half, and two-thirds of 15 hair follicles are extracted from each defined box and transplanted in recipient boxes. The density is determined at 12 months after the procedure.

The authors concluded that the survival rate of the transected hair follicles was directly related to the level of transection. The authors demonstrated that even though some of the transected parts of the follicles can survive after being transplanted to the recipient site, the growth rate is not satisfactory and the hair is thinner than the original follicles. As a result of this study, the researchers recommend that the hair transplant surgeon does not transplant the sectioned parts and that they should be careful with the patients whose transection rate is high during Follicular Unit Extraction procedures.

September 1st, 2009

Q: I have had a hair transplant done in the hairline of 1,000 or so FUE grafts. However, as the hair sheds, under natural light the recipient skin seems bumpy with incisions and holes that are noticeable. Do these tend to go away with time once they have healed? — S.S., Glencoe, I.L.

A: If a follicular unit transplant is performed properly (using either extraction or a strip) there should be no bumps or surface irregularities. When the hair restoration is totally healed, the recipient area should be appear as normal looking skin.

July 21st, 2009

Q: I’ve now been taking finasteride for just over 5 months. I have noticed that my semen quality has changed just in the last 3 months, and it seems now much less in quantity and is quite watery and clear in color. I think the current problems are due to the finasteride, what do you think? — S.F., Rolling Hills, California

A: Finasteride, the active drug in Propecia, can change the quality of the semen, since it is decreasing the component of seminal fluid that is secreted by the prostate. You may want to consider having your sperm counts checked, as finasteride can lower this. If the symptoms are not bothering you, and your sperm counts are normal, it should be OK to continue the medication. If you were having difficulty conceiving, then I would stop the medication.

July 13th, 2009

Dr. Bernstein was interviewed on the Fox News program “Fox and Friends” where he and the show hosts discussed a variety of topics related to hair loss. These include follicular unit transplantation (FUT), propecia hair loss medication, hair plugs, low level laser therapy (LLLT), and other issues.

June 15th, 2009

New York Magazine - Best Doctors 2009 - Dr. BernsteinDr. Bernstein has been selected to be in the New York Magazine‘s “Best Doctors” issue for 2009. His selection marks the tenth consecutive year he has been included in the special issue.

The physicians are chosen through a peer review process by Castle Connolly Medical, Ltd., publishers of the guidebook Top Doctors.

May 27th, 2009

Japanese scientists have located a gene that seems to regulate hair loss in mice. They feel that this gene may also play a role in hair loss in humans. The results of the studies were recently reported in the Proceedings of the National Academy of Sciences.

May 11th, 2009

Q: I have pretty significant hair loss. Should I take vitamins to help grow my hair back?

A: Although vitamin deficiencies are known to cause hair loss, there is little scientific evidence that shows that vitamin supplementation, in an otherwise healthy individual eating a well balanced diet, can prevent hair loss or improve the quality of one’s existing hair.

April 30th, 2009

New York Times - Hair TransplantThe New York Times interviewed Dr. Bernstein for a full-length article on hair loss and hair transplant options for women interested in hair restoration. The article — titled, “Tricks and Transplants for Women’s Hair Loss” — covered modern hair transplantation techniques, hair transplant costs, camouflage techniques, and more.



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