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: Hispanics have a slightly […]
Q: Why is the consult fee more for diffuse thinning than for a regular visit? — B.F., Altherton, CA
A: Diffuse hair loss, more common in women, can be the result of a number of underlying medical conditions and therefore it usually requires an extended medical evaluation.
If you are a male or female with obvious diffuse thinning from androgenetic alopecia (common baldness), or if you have patterned hair loss where the diagnosis is straightforward, the fee is less because an extensive evaluation is not required.
Please visit our Hair Transplant Costs & Consultation Fees page for more information.
Q: Do you currently prefer sutures or staples to close the donor area? — O.C., Dallas, TX
A: Staples, because they conserve more hair.
Q: I am traveling from England for the hair transplant. When can I fly home and will I have to return after the procedure? — T.W., London, UK
A: You can fly home the second day after the procedure. We usually remove staples 10 and 20 days post-op. Patients that travel can have this done in their home town. We provide instructions and a staple remover that is easy for any health care professional to use. There should be no other reason to return to the office other than an optional one-year follow up.
In the study, 416 men with male pattern hair loss (MPHL) ages 21 to 45 years old, were randomized to receive dutasteride 0.05, 0.1, 0.5 or 2.5 mg, finasteride 5 mg, or placebo daily for 24 weeks. The results of the study showed that dutasteride increased hair counts in a dose-dependent fashion and dutasteride 2.5 mg was superior to finasteride 5mg at 12 and 24 weeks.
[…]
Concerning possible sexual adverse events, there was no evidence in the present study that either dutasteride or finasteride was associated with impotence. However, 9 men in the 2.5-mg dutasteride group complained of decreased libido, compared with 1 man in the 0.5-mg dutasteride group and 3 men in the finasteride group. As with previous studies with finasteride, this adverse event was characterized as either mild or moderate in severity and often resolved with a continuation of the medication. In the 4-year follow-up of the phase III trials in BPH, dutasteride (0.5 mg) was well tolerated and the incidence of the most common sexual adverse events was low and tended to decrease over time.
Q: My first hair transplant was a breeze. Will a second procedure be any different than the first? — B.B., Murray Hill, N.Y.
A: Generally in a second procedure, a patient can expect less swelling post-up although the reason for this is not known.
There will also generally be less shedding in the second hair transplant session since the weak miniaturized hair that will be shed is often lost in the first session and the previously transplanted hair is generally more resistant to shedding.
Q: Do you use computer type imaging to create the best way to ensure you (or any hair transplant surgeon) have the same goal or target “picture” of the particular patient’s restoration as that particular patient has as his “picture?” –F.D., Laude, Missouri
A: I prefer not to do imaging since it tends to oversell the hair restoration procedure.
In addition, the technology is unable to accurately represent what the hair transplant will really look like as there are many hair characteristics that it can’t take into account.
Seeing lots of actual photos of hair transplant patients is much more instructive – and more honest (if the photos are taken correctly). At the time of the consult I design the hairline and photograph it.
Q: Can stress produce diffuse unpatterned hair loss (DUPA), or was it bound to happen anyway? — D.D., Park Slope, Brooklyn
A: Both DPA (diffuse patterned hair loss) and DUPA (diffuse unpatterned hair loss) are genetic conditions, unrelated to stress and would have happened anyway. These types of hair loss are characterized by a high percentage of mininiaturized hair in broad areas of the scalp. See the Classification of Hair Loss in Men and Classification of Hair Loss in Women pages on the Bernstein Medical – Center for Hair Restoration website for more information on this topic.
In contrast, stress generally presents as increased hair shedding, a reversible condition referred to as telogen effluvium. It is called this because the normal growing hair is shifted to a resting (telogen) phase before it temporarily falls out. Increased miniaturization is not associated with telogen effluvium.
In an episode of the Bravo TV series “Queer Eye for the Straight Guy,” Kyan Douglas, the resident grooming expert for Queer Eye, brought Jeff L. and his best friend Mike, both of whom were concerned about their thinning hair, to see Dr. Robert Bernstein at the Bernstein Medical – Center for Hair Restoration in New York.
Kyan Douglas, the resident grooming expert for ‘Queer Eye,’ brings Jeff L. and his best friend — both of whom were concerned about their thinning hair — to see Dr. Bernstein at the Bernstein Medical – Center for Hair Restoration.
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