Robotic Hair Transplants & Hair Restoration
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Bernstein Medical - Center for Hair Restoration
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Hair Restoration Video

How is the ARTAS Robot Used During a Hair Transplant Procedure?

The follicular unit extraction (FUE) procedure consists of four steps: the separation of follicular units from the surrounding tissue, the removal of follicular units from the scalp, the creation of recipient sites, and the placement of follicular units into these sites. The first step is performed by the ARTAS robotic hair transplant system – the part of the FUE procedure requiring the greatest precision and that is most subject to human error.

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    Can Grafts Fall Out After A Hair Transplant?

    While grafts can fall out within the first few days after a hair transplant, this is extremely rare. More often, patients will mistake the hair that normally falls out after a transplant for the graft itself. This is because the hair has a little bulb at the bottom of it, but that’s not the follicle; it’s just the root sheath, so it is nothing to be concerned about.

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    How Young Is Too Young To Have A Hair Transplant?

    At Bernstein Medical, generally, we don’t perform surgical hair restoration on patients younger than 25. This is because it is difficult to determine if the donor area contains enough stable hair to perform a hair transplant. We advise patients in their late teens and early twenties to first use medication and to postpone surgery until they are at least 25 years old.

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    Diffuse Patterned & Unpatterned Hair Loss Treatment

    Diffuse patterned hair loss (DPA) is characterized by hair loss (thinning) across the top of the scalp while the hair on the sides and back of the scalp remain intact. Because donor hair is taken from the sides and back of the scalp, those with a DPA hair loss pattern are often good candidates for surgical hair transplantation. Diffuse unpatterned hair loss (DUPA), on the other hand, is characterized by hair loss not only from the top of the head but also from the sides and back of the scalp. Because persons with DUPA hair loss have thinning on the sides and back, they are usually not good candidates for a hair transplant. DUPA is relatively uncommon in men but it is the most common type of hair loss in women. Both DPA and DUPA in men respond well to medical treatment using minoxidil and finasteride. Unfortunately, finasteride is not indicated for the treatment of hair loss in women.

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    Hair Plugs And Hair Transplant Repair At Bernstein Medical

    Plug procedures, popular in the 1960s and 1970s, often resulted in an unsightly “pluggy” or “dolls head” look. In the past we tried to work around the plugs with fine grafts in order to camouflage them, but this proved ineffective. At Bernstein Medical, we now find it best to totally remove the old plugs, put them under a microscope, dissect them into smaller follicular units and then re-implant them. This process is called Combined Hair Transplant Repair. In this way, many of the cosmetic defects created by hair plug procedures can be partially or completely reversed.

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    How Is Robotic FUE Different At Bernstein Medical?

    Q: How is robotic FUE different at Bernstein Medical compared to other practices?

    A: The ARTAS robot assists in the first part of the follicular unit extraction procedure: separating the follicular unit from the surrounding tissue. The rest of the hair restoration procedure is done manually. Once follicular units are removed from the scalp they need to be trimmed prior to implantation, recipient sites need to be created, and the grafts must be placed in them – a time consuming, delicate process.

    Because we are highly skilled in microscopic dissection, we are able to produce the highest quality grafts. In addition, all the other aspect of the procedure, including the long-term planning and design will be performed with the same high standards. With respect to the actual robot at Bernstein Medical, we use smaller instruments that result in less wounding to the scalp, it promotes faster healing time, and it improves the appearance of the donor area. We also have our computer programed to select the larger follicular units to obtain more hair with less wounds (holes) in the donor area – ultimately achieving a better cosmetic result.

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    When Should I Speak To A Hair Restoration Physician?

    We all lose our hair, but hair loss is something that individuals experience differently. Some people lose their hair very early, while some lose their hair and are satisfied with a balding scalp. People lose their hair at different rates and varying degrees of severity. So when is it the right time to seek treatment from a hair restoration physician? Dr. Bernstein discusses how to approach treating your hair loss and when to seek answers from a physician.

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    The Personal Impact Of Hair Transplantation

    Hair loss can be devastating for both men and women who suffer from it. While not every person suffering from hair loss is medically indicated for a hair transplant, many who have the procedure feel a sense of renewal of confidence. For some, who have spent years hiding or camouflaging their hair loss, the freedom of having a full head of hair can be life-changing. In this video, Dr. Bernstein describes how some of his patients have benefited from hair transplant surgery. After watching the video, go read some letters from our hair transplant patients that we have received.

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    Can You Explain the Scientific Research in Developing FUE?

    Follicular Unit Extraction has come a long way since Dr. Bernstein first described the hair transplant procedure in medical literature in his 2002 publication, “Follicular Unit Extraction,” published in the journal Dermatologic Surgery. In this video, Dr. Bernstein discusses the transition from hand-held extraction instruments to the computer-driven, image-guided ARTAS® System for FUE.

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    How Did You Get The Idea For Follicular Unit Transplantation?

    Dr. Bernstein’s pioneering of Follicular Unit Transplantation (FUT) is one of the most important and transformative changes in the hair restoration industry. He was the first to describe using follicular units as the main component of a hair transplant in his 1995 publication, “Follicular Transplantation,” published in the International Journal of Aesthetic Restorative Surgery. But how did he come up with this game-changing idea? He explains how in this clip.

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    Does Propecia Work On The Front of the Scalp?

    Hair loss medications are a topic of interest to a great number of people around the world. While the treatment of hair loss with Propecia (finasteride) and Rogaine (minoxidil) have proven to result in a reversal of hair loss, patients still have a number of questions about the drugs’ efficacy and safety. Sometimes these concerns can be exacerbated by reports in the media. Dr. Bernstein discusses these issues in this clip.

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    Why Are Medical Publications So Important?

    Dr. Bernstein speaks to the importance and usefulness of publishing research in peer-reviewed medical journals. He is the most widely published author on the Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE) hair transplant procedures, having published more than sixty articles, editorial reviews, books, and textbook chapters.

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    How Does Hair Transplantation In Women Compare To Procedures For Men?

    Dr. Bernstein is frequently asked about hair transplant procedures for women, and in this video he discusses the differences between treating men and women.

    Read a partial transcript of the video:

    Hair transplantation has been traditionally thought of as a procedure that men get. Over the last few years, we’ve been transplanting more and more women patients and seeing many more women patients for hair loss. It turns out that about 40% of women have a significant amount of hair loss in their lifetime. In the past, women have felt that their hair loss was almost taboo, and I think it is more acceptable now that women know that hair loss is relatively common, that it’s not just a bad thing but something to be treated if you can. So we are seeing more and more women at our practice.

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    Do You See Hair Transplant Patients from Outside the United States?

    Dr. Bernstein answers a common question about seeing hair restoration patients from outside the United States.

    Here is a partial transcript:

    One of the nice things about this practice is that we see patients from around the world. New York is a referral center from all over. It’s also a destination point, so people — when they come for a transplant — often do other things while they’re here. They can visit their family members, go to museums, it’s actually quite nice.

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    What Is The Most Important Thing To Know After A Hair Transplant?

    Dr. Bernstein answers a common question about the most important thing for a patient to know after a hair transplant?

    Here is a partial transcript of the video:

    The most important thing to know after a hair transplant is that it takes a while for the hair to grow in. No matter how much we tell patients that it takes 10 weeks, 3 months, for the hair to start growing in once people have the procedure, they’re excited because they see that stubble of hair right after the surgery and they think it’s going to continue to grow. But, unfortunately, it doesn’t. That hair is shed. And then about 10 weeks to three months later the hair starts to grow in, and it grows in very gradually.

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    In Early Hair Loss Is Scalp Tingling Related To Hair Thinning?

    In this audio clip, Dr. Bernstein answers a frequently asked question. Can tingling on the scalp be an indication of genetic hair loss?

    Here is the transcript of this audio clip:

    We never thought that male pattern hair loss, or genetic hair loss, was an inflammatory process, but it actually is. Patients, on occasion, will have this sensation of a tingling, or very sensitive feeling in their scalp. And this is often a very early indicator of genetic hair loss. What’s interesting is when patients start to use therapy with either finasteride — the brand name is Propecia — or minoxidil — commonly called Rogaine, these symptoms will go away.

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    How FUT Hair Transplant Surgery Grew In Popularity

    In this video, Dr. Bernstein discusses the evolution of hair transplant surgery, including how patients revolutionized the hair transplant profession by demanding that surgeons use the follicular unit transplantation (FUT) procedure. Doctors only took note of this procedure once a select few physicians, including Dr. Bernstein was regularly performing it and started chatting about it on the internet.

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