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Robotic Hair Transplants & Hair Restoration
Flagship: 110 East 55th Street, New York, NY
212-826-2400 - [email protected]
Bernstein Medical - Center for Hair Restoration
Hair Restoration Answers

Can Second Hair Transplant Repair Pits in Scalp from Prior Procedure?

Q: I recently had a hair transplant procedure done in Florida and it has been about 8 months. When I am in direct overhead light and when sunlight is behind me, I see many tiny holes that are not visible under normal light. I know these are where they placed the transplanted hair but need to know if there is a way to remove these tiny holes. I am obviously not getting any answers from the doctor that performed the hair restoration. I am wondering if dermal fillers, dermabrasion, or laser treatment would work to fix this and if so, do you offer these treatments?

A: This condition is often referred to as pitting and occurs when grafts are placed below the surface of the skin. It is more common with large grafts rather than small ones and is almost never seen in Follicular Unit Transplantation (FUT).

In general, visible holes can result from mini-micrografting hair transplant procedures where the grafts (and thus the recipient sites needed to hold them) are larger than approximately 1.2mm. Recipients sites smaller than 1.2 rarely leave any mark. In follicular unit hair transplant procedures, the grafts will fit into sites smaller than 1.2mm so surface changes are generally not seen (even if the grafts are not placed flush with the skin).

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Hair Restoration Answers

In FUT Hair Transplant, How Important Are Microscopes?

Q: I went to a hair transplant doctor for a consultation for my hair loss and he said that it was not that important to use microscopes for hair transplants. I had heard that it was. What’s the deal? — V.F., Hell’s Kitchen, N.Y.

A: It is extremely important to use microscopes when performing hair transplants. It is the only way that follicular units, the naturally occurring groups of hair follicles, can be isolated from the donor tissue without damaging them.

Other techniques, such as magnifying loops and back-lighting are not as precise. Using microscopically dissected follicular units in hair transplants has been the main advance that has allowed doctors to move away from the older mini-micrografting hair restoration techniques to the current procedure that can produce totally natural results.

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Hair Restoration Answers

What is Graft Compression in a Hair Transplant?

Q: What exactly is compression in a hair transplant? — D.O., Short Hills, N.J.

A: Compression refers to the visible tufting of grafts due to the contraction of the grafts from the normal elasticity of skin around it, after it has been inserted into the recipient site.

Compression is most commonly seen when minigrafts are used in the hair restoration (minigrafts contain more than four hairs each).

Follicular units don’t show visible compression, since they are already naturally compact. However, if more than one follicular unit is placed into the same site, it can exhibit this phenomenon.

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Hair Restoration Answers

What is Graft Compression After a Hair Transplant and Why Does it Occur?

Q: What is graft compression? — E.Z. Wayne, N.J.

A: Graft compression refers to a tufted look resulting from the contraction of grafts caused by the normally elastic skin that contracts around the graft as the hair transplant heals. This was a common occurrence with mini-micrografting where 5 or more hairs from two or more follicular units were placed into one recipient site.

With follicular unit hair transplantation, follicular units won’t show visible compression since they are already naturally compact.

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Bernstein Medical In The News

Dr. Bernstein Encourages GQ Readers to ‘Grow Your Own’ Hair

Dr. Bernstein: Anatomically, follicular unit transplantation is the end of the line. The next step would be hair cloning, which is still quite a way off. The way you get the most amount of hair into the smallest wound — and ensure that it’s going to look natural — is by using a follicular unit transplant. We can create swirls, add sideburns…

The beauty of follicular transplantation is that the hair will take on the old wave that the original hair had.

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Bernstein Medical In The News

‘Platinum Follicle Award’ for Outstanding Achievement in Hair Restoration Goes to Dr. Bernstein

In giving Dr. Bernstein the 2001 Platinum Follicle Award, the President of the ISHRS said:

“I proudly present the 2001 Platinum Follicle Award to Robert M. Bernstein, MD. Dr. Bernstein has contributed to the field of hair transplantation in dramatic and substantial ways, revolutionizing the advancement of Follicular Unit Hair Transplantation. His published articles have become ‘Bibles’ for this methodology.”

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Bernstein Medical In The News

Dr. Bernstein Emphasizes Standardizing Hair Transplant Terminology in ‘Cosmetic Surgery Times’ Article

Dr. Bernstein - Cosmetic Surgery Times - May 1999“We felt it was necessary to clearly define follicular unit hair transplantation and mini-micrografting cut to size,” explained Dr. Bernstein, Assistant Clinical Professor of Dermatology, College of Physicians and Surgeons, Columbia University, New York. “Follicular unit transplantation has many theoretical advantages… having standardized definitions of these hair transplantation techniques will allow us to make valid comparisons.”

Dr. Bernstein said the elements defining follicular unit hair transplantation include exclusive transplantation of hair in its naturally occurring individual follicular units…

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