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Bernstein Medical - Center for Hair Restoration
Hair Restoration Answers

A doctor’s comment regarding the paper “Pre-making recipient sites to increase graft survival in manual and robotic FUE procedures.”

Q: While I was lying awake last night your approach of making sites the day before implantation came to mind. It takes guts to have spearheaded that! I am not aware that that precedent has been set in hair transplant surgery. I would have been timid about infection; it’s a lot like closing a wound with a foreign body in it the next day. As with most things, I am a little slow to jump on board something new so I’m glad you’ve paved the way. Do you have any hesitance about this or do you have enough experience that you no longer hesitate? I would be concerned that variations of the local flora might make a difference and that, accordingly, a large sample size would be necessary to get comfortable. Glad for all of us that you are still blazing trails. — S.S., Shanghai, China

A: Thanks for your kind words. No hesitancy whatsoever. We find no increased risk. Think of it as if you did a hair transplant and ran out of grafts. The remaining sites don’t get infected, they just close up. In the process, all those chemotactic factors involved in the healing process move toward the wounds, so if a graft is placed into them, they would be less likely to get infected than a graft placed into a fresh (non-primed) wound, not more. It is like applying the surgical dressing Duoderm to a wound that helps it auto-sterilize. Putting the speculative science aside, we have not seen one single issue with it. Give it a try with an FUE or FUT procedure. Make the sites, have the patient takes his normal shower that night and you will be pleasantly surprised how little bleeding there is the next day and how easy it is to place the grafts.

Read a summary of the article on pre-making recipient sites

Read the full article as it was published in the Hair Transplant Forum International

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Bernstein Medical In The News

Press Release: Hair Transplant Pioneer Studies Hair Cloning, Hair Restoration Procedures Using ACell’s Extracellular Matrix

Hair Cloning with ACell MatriStemRobert M. Bernstein, M.D., F.A.A.D., the renowned hair transplant surgeon and founder of Bernstein Medical – Center for Hair Restoration in New York, is studying four different applications of ACell MatriStem™ extracellular matrix in a type of hair cloning, called hair multiplication, as well as current hair restoration procedures. Click the link to read the whole press release.

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Bernstein Medical In The News

GQ Turns to Dr. Bernstein for Explanation of Old “Pluggy” Hair Transplant Method

GQ - November 2010GQ Magazine includes a quotation by Dr. Bernstein in their November 2010 issue. In the magazine’s “Manual” section, which outlines the latest style trends for men, there is a two-page article on hair transplant surgery. Dr. Bernstein’s help was recruited in discussing old hair transplant techniques where multiple follicular units were transplanted in “plugs.”

“In the old days, up until the early ’90s, they used to transplant multiple follicular units at once,” says Robert Bernstein, M.D., clinical professor of dermatology at Columbia University, “so what you got were those plugs, which look completely unnatural and gave the surgery a bad reputation.”

The article’s main protagonist is 27 year-old New Yorker, and hair transplant patient, Jordan Blackmore, but it also drops a few celebrity hair transplant names (Marc Jacobs, Ted Danson, Kevin Costner, and Matthew McConaughey). To read the article you’ll have to find the November 2010 issue at your local newsstand.

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Hair Restoration Answers

How Long Does Hair Transplant Surgery Take?

Q: Is it correct that the hair transplant surgery lasts about eight hours or if there is a range, what is that generally? — M.R., Montclair, NJ

A: The range is about 5 to 8 hours. For a completely bald person, it would be in the higher range. Keep in mind that the person is just relaxing, watching TV or dozing off. The time goes by quickly for the patient. Since there is no general anesthesia, there is no medical risk for this relatively long procedure.

To review the procedure in more detail, please visit our Overview of FUT Hair Transplant Procedure section; which includes details for before, during, and after the hair transplant. View the Overview of FUE Hair Transplant Procedure section for details on the follicular unit extraction procedure.

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Bernstein Medical In The News

Drs. Bernstein, Rassman, Schweiger Release ‘Hair Loss & Replacement For Dummies’

Hair Loss & Replacement for DummiesHair Loss & Replacement for Dummies is filled with important information for men and women of virtually all ages anxious to preserve their full head of hair, put the brakes on balding, or explore the safest and most reliable hair replacement techniques currently available. The book offers readers not only the full gamut of modern-day hair-care options but crucial tips on how to avoid unscrupulous hair transplant doctors and potentially harmful products as well.

Purchase Book on Amazon.com

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Bernstein Medical In The News

Dr. Bernstein, Follicular Unit Hair Transplantation Get ‘Shameless Plug’ in Gotham Magazine

Bernstein, who founded the Bernstein Medical – Center for Hair Restoration, has made great headway with what’s called “follicular unit transplantation.” Instead of using single plugs, he works with clusters of hair that continue to grow in natural patterns. The results appear more natural, and his patients need fewer sessions than with the traditional method of hair transplant surgery.

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Bernstein Medical In The News

Hair Restoration Series in NY Japion Features Dr. Bernstein

NY Japion — a weekly newspaper in the Japanese language, published in the New York tri-state area, and distributed for free in the Japanese community — has featured Robert M. Bernstein, MD, in their series on hair loss in men and women.

In the series, TV producer, Hideo Nakamura, who is bald himself, goes on a mission on behalf of fellow bald men. His column hopes to help others with hair loss to have a more fulfilled, fun life and to raise their self-esteem.

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Hair Restoration Answers

How Long is Hair Transplant Procedure?

Q: Hair transplantation sounds like a really time-consuming procedure. How long does the hair transplant actually take? — S.M., Hell’s Kitchen, N.Y.

A: An average hair transplant, that involves the movement of 1,500 to 2,500 grafts, can take a team of up to six people, five to eight hours.

Surgical hair restoration is a very time-consuming, labor intensive process, where every aspect of the surgery must be precisely controlled to get maximum growth and an optimum cosmetic result.

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Hair Restoration Answers

What is the Benefit of Staples in Closing Hair Transplant Donor Incision?

Q: I have heard that staples are uncomfortable after the hair transplant, why do doctors use them? — B.E., Great Falls, V.A.

A: Staples are used for two main reasons.

The first is that being made of stainless steel; they don’t react with the skin and, therefore, cause little inflammation.

The second is that, unlike sutures which are used with a continuous spiral stitch, each staple is separate and this causes minimal interruption to the blood supply.

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Hair Restoration Answers

Can I Have a Hair Transplant if My Scalp is Tight from Prior Surgery?

Q: What can be done if I want to have a hair transplant and my scalp is very tight from prior surgeries? — R.R., Long Island, N.Y.

A: Follicular Unit Extraction is ideal in very tight scalps, provided that there is enough hair to extract without leaving the donor area too thin and provided that the follicles are not too distorted from the scarring.

With strip harvesting, undermining techniques may be helpful to close the wound edges once the strip is removed.

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Hair Restoration Answers

Which Gives More Donor Hair: FUT or FUE Hair Transplant?

Q: I am Norwood Class 6 and have read about both Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT). Which will give me more hair? — D.D., Highland Park, T.X.

A: In general, FUT will give you more hair since, in FUT, the best hair from the mid-portion of the permanent zone of the scalp (also called the “sweet spot”) can be utilized in the hair transplant.

With FUE, since only the hair follicles are extracted and not the surrounding bald skin, if too much hair is removed, the donor area will begin to look thin as hair is removed. This will limit the amount of hair that can be harvested.

Although in FUE additional areas of the scalp can be utilized to some degree, this will generally not compensate for the inability to access all of the hair in the mid-permanent zone and the total amount available for the hair restoration will be less.

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Bernstein Medical In The News

Bernstein Medical Launches FollicularUnitForum.Com, A New Website Where Hair Transplant Questions are Answered by Actual Patients

Follicular Unit Forum - Bernstein Medical - Center for Hair RestorationFollicular Unit Forum is unique in that it affords visitors an opportunity to anonymously ask questions about the “ins and outs” of hair transplant surgery, of those who actually have had the state-of-the-art Follicular Unit Hair Transplant procedures.

Questions are posted to people who have actually undergone hair restoration procedures. Individuals who are considering a surgical solution to their hereditary baldness are able to search through “threads” or conversations that will answer their most pressing concerns such as; what to expect before, during and after a hair transplant, and what kind of procedure one should have.

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Hair Restoration Research

The Effect of Propecia (Finasteride 1mg) on Hair Transplants

The progressive decrease in hair shaft diameter that causes thinning (also called miniaturization) characteristic of male pattern baldness, can be decreased by the use of the DHT blocker Propecia (chemical name finasteride). Most men undergoing hair restoration surgery have some existing hair in the area that is to be transplanted that will thin over time and, in fact, may thin a bit more quickly as a result of the surgery. For men undergoing surgical hair restoration, the thinning of the surrounding hair can diminish the overall impact of the hair transplant. Even though Propecia has no effect on the transplanted hair, it can help to maintain the patient’s surrounding hair and is, therefore, useful as an adjunct to hair transplant surgery, to enable the patient to obtain a better overall result.

The present study looks to see if Propecia given from one month before surgical hair restoration until eleven months after, can increase hair growth in the area surrounding the hair transplant. In the study, consisting of almost eighty men divided into two groups in a double-blind fashion were either given Propecia or a placebo. Growth was recorded by hair counts and by photos.

The study showed that Propecia was substantially better than the control group in increasing hair counts and in increasing visible fullness when patients started Propecia a month before their hair transplant and were on the medication for one year.

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Bernstein Medical In The News

Dr. Bernstein Writes Chapters for ‘Hair Transplantation’ Textbook

Procedures in Cosmetic Dermatology: Hair Transplantation - Elsevier Saunders“Hair Transplantation” is a part of a series of medical textbooks — Procedures in Cosmetic Dermatology, published by Elsevier Saunders — which offers step-by-step, practical guides to performing cutaneous surgical procedures.

In “Hair Transplantation,” Dr. Bernstein co-authored the chapters on Follicular Unit Transplantation and Follicular Unit Extraction, covering the philosophy, basic science, and techniques in a practical clinical format.

The book’s editors selected Robert M. Bernstein as a major contributor, as Dr. Bernstein was uniquely qualified to provide medical professionals with insight and training on the state-of-the-art in hair transplant surgery.

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Bernstein Medical In The News

Dr. Bernstein Featured In FUT Editorial By Influential Hair Transplant Surgeon

The following is a portion of “An Idea Whose Time Has Come,” an editorial written by O’Tar T. Norwood, MD — founder of the Norwood Classification System for Hair Loss — and published in the May/June 1997 issue of “Hair Transplant Forum International”:

An Idea Whose Time Has Come - O'tar NorwoodI just returned from visiting Dr. Bob Bernstein in New York, and was impressed with his operation and even more impressed with his thoughts, observations, and insights into hair transplant surgery. He applies scientific methods to his work, is academically honest, and has an almost eerie instinctive knowledge of hair transplant surgery. Of course he has Dr. Bill Rassman to work with, but it is still remarkable. Dr. Bernstein is best known for introducing follicular transplantation to hair transplant surgery, an idea Bob Limmer has been pushing for ten years with the use of the binocular microscope, but no one would listen to him. Dr. Limmer, however, never used the term follicular transplantation. Using the microscope, you automatically dissect the follicular units. It can’t be avoided if done properly.

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