Miami Hair Surgeon Explains Techniques for Hair Transplant Surgery [Video]
Dr. Bernard Nusbaum is well-known in the city of Miami as an elite hair restoration surgeon. His expertise has been recognized worldwide as well, after being awarded the 2015 Golden Follicle by the International Society of Hair Restoration Surgery (ISHRS). Dr. Nusbaum has well over 10,000 hair surgeries under his belt, making him one of the most proficient and experienced transplant specialists in the world.
In this video, Dr. Nusbaum explains the difference between two of the most common types of hair transplant surgery: The “strip” procedure, and newer follicular unit extraction (FUE) procedures. Below, readers are invited to learn more about each of these highly refined and effective approaches to hair loss treatment. Following the text, readers will find a video interview with Dr. Nusbaum, in which each procedure is explored with great detail.
Strip Donor Hair Transplant
The “strip” procedure is perhaps the most known out of all surgical hair restoration procedures. It gets its name from the strip of scalp that must be removed in order to harvest donor hair for the transplant. Removal of this strip also leaves the patient with a linear scar that might be seen when hair is buzzed short (e.g. with a #2 razor). For many patients, this is a deal breaker. However, as Dr. Nusbaum explains, not all donor scars are created equally.
Patients who would like to take advantage of the strip donor procedure will be happy to know that there are ways to minimize the appearance of the linear scar that strip procedures notoriously leave behind. Of course, great care must be taken to select a surgeon who has the technique, expertise, and satisfied patients to validate his or her abilities. At the Hair Transplant Institute of Miami, Dr. Paul Rose provides an approach known as the trichophytic ledge closure to mask the signs of the donor area scar by artfully directing individual hairs to grow around and through it.
After the linear strip is removed, surgeons carefully dissect it into groupings of 1-3 follicular units. These units are then implanted into the patient’s recipient area—that is, the area experiencing thinning, excessive shedding, or balding.
Follicular Unit Extraction (FUE)
A newer approach to hair restoration surgery is achieved through the use of follicular unit extraction (FUE). Surgeons who employ this technique use a small punch instrument, usually measuring just a millimeter or two across, to individually harvest clusters of follicular units. In this way, surgeons bypass the need to extract a linear strip of scalp. Thus, there is never a linear scar, even when the patient’s hair is cut short (e.g. shaved, or buzzed with a #2 razor). However, the punch instrument is known to leave light reddish dots at the site of each extraction. These dots might be visible when the hair is cut short, depending on how short the patient cuts it and how he or she styles it.
Once extracted, the hair restoration process proceeds in a similar fashion as the strip donor procedure described above. The surgeon takes each donor unit and implants it within the recipient area. This might include the hairline, the sides of the scalp, or along the rear crown of the head where pattern baldness is usually most obvious.
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A Note on Restoration
In both strip donor and FUE procedures, it is noteworthy to mention that the surgeon manually places donor hair to achieve a desired look and feel in the recipient area. This is a vital part of the procedure, and many experts believe placement of donor hair is what separates an average hair transplant from an extraordinary one. Like an artist, the surgeon must carefully use his expertise and materials (donor hair) to create the appearance of a natural head of hair.
Undulation is among the most important characteristics to consider, specifically when restoring the frontal hairline. Donor hair must be inserted in a fashion that naturally flows inward and outward along the natural curve of the hairline. Another important factor to consider is “irregular irregularity,” which means that natural hairlines often have hairs dispersed randomly in front and behind the hairline. Without preserving irregular irregularity, hair transplants may look painfully obvious, resembling a straight line across the forehead that is anything but natural.
Readers are invited to visit Miamihair.com to learn more about Dr. Bernard Nusbaum, and Dr. Paul Rose.
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