Bernstein Medical - Center for Hair Restoration - Hair Restoration Surgeon
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Q: Can the crown be transplanted first instead of frontal area? Why is the crown the last choice? Any reasons behind it? — H.H., Ladue, M.I.

A: The crown can be transplanted first in patients who have very good donor reserves (i.e., high density and good scalp laxity). Otherwise, after a hair restoration procedure to the crown you may not be left with enough hair to complete the front and top if those areas were to bald.

Cosmetically, the front and top are much more important to restore than the back. A careful examination by a trained hair restoration surgeon can tell how much donor hair there is available for a hair transplant.

For more information on this topic, see my publication on surgical planning of hair transplants, “Follicular Transplantation: Patient Evaluation and Surgical Planning.”

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New York Magazine - Best Doctors 2008 - Dr. BernsteinRobert M. Bernstein, MD has been selected as one of New York Magazine‘s “Best Doctors” for the ninth year in a row.

The annual issue of New York Magazine presents the findings of Castle Connolly Medical Ltd. — publishers of the guidebook, Top Doctors: New York Metro Area.

Dr. Bernstein is the only hair restoration surgeon honored to be included in this list of prominent physicians for nine consecutive years.

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New York Magazine - Best Doctors 2007 - Dr. BernsteinRobert M. Bernstein, MD has been selected as one of New York Magazine’s “Best Doctors” for the eighth year in a row.

The annual issue of New York Magazine, published on June 11, 2007, presents the findings of Castle Connolly Medical Ltd. — publishers of the guidebook, Top Doctors: New York Metro Area.

Dr. Bernstein is the only hair restoration surgeon honored to be included in this list of prominent physicians for eight consecutive years.

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Q: If someone were to get a hair transplant now, and then in the future when hair cloning becomes a possibility, would the hair transplant grafts be affected by hairs from the hair cloning procedure?

A: Cloned hair should not be affected by hair that is transplanted the traditional way and visa versa. If you have a hair transplant now, the hair restoration surgeon can add more hair in the future when cloning becomes available.

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Q: Dr. Bernstein, I was reading about a densitometer on your website. What is it and what is it actually used for? — Z.A., Westchester, NY

A: The hair densitometer was introduced to hair restoration surgeons by Dr. Rassman in 1993. It is a small, portable, instrument that has a magnifying lens and an opening of 10mm2.

To use it, the doctor clips the hair short (~ 1-mm) and the instrument is then placed on the scalp. The doctor counts the total number of hairs in the field, looks at the number of hairs per follicular unit and assesses the diameter of the hair, looking in particular for abnormal levels of miniaturization (decreased hair shaft diameter caused by the effects of DHT).

The densitometer can increase the accuracy of the diagnosis of genetic hair loss by picking up early miniaturization.

It can also better assess a person’s donor hair supply, thus helping to determine which patients are candidates for a hair transplant.

Densitometry has helped us define the conditions of diffuse patterned and unpatterned hair loss (DPA and DUPA) and help to refine the diagnosis of hair loss in women.

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Best Doctors in NY - New York MagazineRobert M. Bernstein, MD has been selected as one of New York Magazine’s “Best Doctors” for the seventh year in a row.

This special annual issue in New York Magazine, June 13, 2006, presents the findings of Castle Connolly Medical Ltd., publishers of the guidebook, Top Doctors: New York Metro Area.

Dr. Bernstein is the only hair restoration surgeon honored to be included in this list of prominent physicians for seven consecutive years.

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