Bernstein Medical

Bernstein Medical - Center for Hair Restoration Patient VTZ is a Norwood Class 7, with salt and pepper, straight, fine hair and a donor density of 2.4. VTZ had two scalp reductions and an unsuccessful hair transplant with plugs many years ago of which most did not grow. VTZ also had significant sun damage with multiple keratosis on his scalp. These were treated prior the hair transplant. The treatment removed the keratosis and also improved the quality of his scalp. Because of the sun damage and scalp reduction scars, a conservative first session was performed using 1,668 grafts. A year later we performed a second hair transplant of 1520 grafts and three years later the patient had a final session of 1100 grafts. The results are shown after three hair restoration sessions. Overview: Before / After: Before Hair Transplant After Three Hair Transplants Change in Appearance Over Three Hair Transplant Sessions: The first session gave VTZ, a person with very fine hair, light, but natural coverage. The second session was used to add density. Before Transplant After First Hair Transplant After Second Hair Transplant After Third Hair Transplant Detail of Hairline: Note the thin, but perfectly natural looking hairline accomplished with only a modest number of grafts. Before Transplant After First Hair Transplant After Second Hair Transplant Treatment and Camouflage of Sun Damage VTZ presented a challenge in that he had severe actinic (sun) damage on his scalp that had to be treated before a hair transplant could be performed. The sun damage alters the blood supply in the scalp and can cause poor growth, particularly if the grafts are packed too densely. The “Before” photo was taken when the patient first presented to our office and before the scalp was treated for sun damage with 5-flurouracil. The “After” photo was taken after the medical treatment and 11 months after his first hair transplant of 1,668 follicular unit grafts. A conservative number of grafts were planted in the first session to insure that there would be maximum growth in the treated scalp. A second session of 1,520 grafts was performed on 2-16-05. These results will be posted here when the transplant has grown in. Severely Sun-damaged Scalp After First Hair Transplant After Second Hair Transplant See patients with similar characteristics in the Bernstein Medical photo galleries: Norwood Class: 7 Surgical Sessions: 3 Sessions Hair Character: Salt & Pepper, Straight Hair Weight: Fine Donor Density: 2.4 Additional Resources: View Patient VTZ's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

Bernstein Medical - Center for Hair Restoration Patient ZBO was a Norwood Class 5 with straight, white hair and a donor density of 2.0 hairs/mm2. His first procedure consisted of the transplantation of 2,496 follicular unit grafts. ZBO had a second hair transplant procedure of 2,068 grafts for a total of 4,564 grafts over the two procedures. The “after” photos were taken one year following his second procedure. Overview: Before / After: Before Hair Transplant After Two Hair Transplant Sessions Detail of Hairline: Before Transplant Position of Hairline 1 Year After 2nd Hair Transplant Top View: Before Hair Transplant - Top View Patient with Hair Combed Up - Top View Position of Hairline - Top View 1 Year After 2nd Hair Transplant - Top View See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 2 Sessions Hair Character: White, Straight Donor Density: 2.0 hairs/mm2 Additional Resources: View Patient ZBO's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

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Bernstein Medical - Center for Hair Restoration Patient UTQ is a Norwood Class 6, with straight, white, fine hair and a donor density of 1.9. Results after 1st hair transplant session of 2,556 follicular unit grafts. Patient UTQ has written a letter to Dr. Bernstein which we have posted on our Letters from Patients page. Overview: Before / After: Before Hair Transplant After One Hair Transplant Detail of Hairline: Before Transplant 1 Year Post-op See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 1 Session Hair Character: White, Straight Hair Weight: Fine Donor Density: 1.9 hairs/mm2 Additional Resources: View Patient UTQ's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

Bernstein Medical - Center for Hair Restoration Patient BEO is a Norwood Class 5, with slightly wavy, dark brown, medium weight hair and a donor density of 2.3 hairs/mm2. Results after two hair transplants using 4,152 follicular unit grafts. Overview: Before / After: Before Hair Transplant After One Hair Transplant Detail of Hairline: Evolution of hairline over two hair restoration sessions. Before Transplant Position of Hairline Placement of Grafts 1 Year After 1st Hair Transplant 1 Year After 2nd Hair Transplant See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 2 Sessions Hair Character: Dark Brown, Slightly Wavy Hair Weight: Medium Donor Density: 2.3 hairs/mm2 Additional Resources: View Patient BEO's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

Hi All, Wanted to let you know the latest news from Dr. Bernstein. Dr. Bernstein closed the 2017 ARTAS Users Meeting with a discussion of five advanced techniques in robotic hair transplant procedures that he developed at Bernstein Medical. His presentation covered the benefits of pre-making recipient sites, long-hair FUE, tensioner placement, feathering edges in harvesting, and robotic graft selection. The “Hair Restoration Pearls” presentation included case studies, photographs, and videos demonstrating the techniques to the audience of hair restoration physicians. The two-day affair, held in Coronado, California, was a huge success with over 260 attendees from around the world representing 204 robotic hair restoration practices. READ FULL ARTICLE Additional Resources: View our blog on the Bernstein Medical website Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

Excellent questions. Patients with significant hair loss will get a fuller look by combing their hair to the side or diagonally back. This is different than a comb-over, where the person drops their part to an unnaturally low position to use non-transplanted hair from the side to cover the top. But grooming post-transplant is a patient preference. When planning a transplant I am always aware of future hair loss and the importance of keeping some reserves to address it. I don't believe in extreme dense packing since it risks poor growth due to vascular compromise. It also risks a widened donor scar in FUT and harvesting outside the permanent zone in FUE. I prefer applying appropriate coverage to the entire area one needs to transplant in the first session, achieve optimum growth, and then add additional hair to the same area to increase density at a future date. This will ensure that the first procedure will have a natural distribution and have the best chance for maximum growth. I am against using very high numbers of grafts just for the sake of it. In performing a hair transplant, I like to keep in mind the saying of the architect Mies Van der Rohe “Less is More.”

Bernstein Medical - Center for Hair Restoration Patient EUQ is a Norwood Class 6 with straight brown, fine hair of average density. Results after 2 hair transplant sessions totaling 3,328 follicular unit grafts. The patient’s appearance of fullness was enhanced by side-to-side weighting in the hair restoration. Overview: Before / After: Before Hair Transplant After Two Hair Transplants Detail of Hairline: Detail of hairline after two hair transplantation sessions. Note the integration of the hair transplant with the patient’s existing hair. Position of Hairline 1 Year Post-op See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 2 Sessions Hair Character: Brown, Straight Hair Weight: Fine Additional Resources: View Patient EUQ's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

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Thanks for the great comments!

Bernstein Medical - Center for Hair Restoration Patient RIR has fine, brown hair and a donor density of 2.1 hairs/mm2. He had one hair transplant session of 2,194 grafts. The “after” photos were taken one year after his transplant at Bernstein Medical – Center for Hair Restoration. Overview: Before / After: Before Hair Transplant After One Hair Transplant Detail of Hairline: Before Transplant Position of Hairline 1 Year Post-op Top View: Before Hair Transplant - Top View Placement of 2,194 Grafts - Top View After Hair Transplant - Top View See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 1 Session Hair Character: Brown Hair Weight: Fine Donor Density: 2.1 hairs/mm2 Additional Resources: View Patient RIR's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

Bernstein Medical - Center for Hair Restoration Patient RBL had two hair transplants at Bernstein Medical – Center for Hair Restoration. The first was a transplant of 2,675 follicular unit grafts. The second session, one year later, consisted of the transplantation of 2,031 grafts for a total of 4,706 over the two procedures. Note that the added density provided by the second session enabled RBL to wear his hair shorter. The “after” photos were taken one year after his second procedure. Overview: Change in Appearance Through Hair Transplant Sessions: Additional density of second session allowed him to wear his hair shorter Before Transplants One Year After 1st Session One Year After 2nd Session Detail of Hairline: Before Transplants Position of 1st Hairline After 1st Session Position of Hairline for 2nd Session 1 Year Post-op Top View: Before Hair Transplant - Top View Placement of 2,675 Grafts - Top View One Year After 1st Session - Top View Placement of Additional 2,031 Grafts - Top View One Year After 2nd Session - Top View See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 2 Session Hair Character: Dark Brown Additional Resources: View Patient RBL's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

Bernstein Medical - Center for Hair Restoration Patient BEQ was a Norwood Class 4A before he visited Bernstein Medical for his hair transplant. He has straight, dark brown hair of medium thickness. BEQ had one hair transplant session of 1,822 follicular unit grafts. His “after” photos showing results of the hair restoration were taken 16 months after the procedure. Overview: Before / After: Before Hair Transplant After One Hair Transplant Detail of Hairline: Before Transplant Position of Hairline Placement of Grafts 1 Year Post-op See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 1 Session Hair Character: Dark Brown, Straight Hair Weight: Medium Additional Resources: View Patient BEQ's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

Bernstein Medical - Center for Hair Restoration Patient RSI is a Norwood Class 4A before his hair restoration. He has wavy, medium-fine, brown hair and a high donor density. The follicular unit yield was 212 1-hair FUs, 546 2-hair FUs, 799 3-hair FUs, and 373 4-hair FUs totaling 1,930 grafts with an average of 2.7 hairs/graft. Results shown are one year after one hair transplant session. Before/After: Before Hair Transplant After Hair Transplant Position of Hairline Hair Clipped Placement of Grafts 11 Days Post-op 1 Year Post-op See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 1 Session Hair Character: Brown, Wavy Hair Weight: Medium-Fine Donor Density: 2.7 hairs/mm2 Additional Resources: View Patient RSI's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

Bernstein Medical - Center for Hair Restoration Patient ESR is a Norwood Class 3 before hair transplant surgery, with straight, light brown hair and a donor density of 2.2mm2. Results photos were taken 1 year after 1 session of 1,524 follicular unit grafts. Before/After: Before Hair Transplant After Hair Transplant Position of Hairline Placement of Grafts After One Hair Transplant 1 Year Post-op See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 1 Session Hair Character: Light Brown, Straight Hair Weight: Medium-Fine Donor Density: 2.2 hairs/mm2 Additional Resources: View Patient ESR's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

Bernstein Medical - Center for Hair Restoration Patient KLJ is a Norwood Class 5A, with very fine straight, light brown hair and a donor density of 2.3 hairs/mm2. Results after one hair transplant of 2,608 follicular unit grafts. Before / After: Before Hair Transplant After One Hair Transplant Detail of Hairline: Note texture changes over time. At 8-months post-op the hair is wiry. By one year it is much straighter, although it took several years to return to its original texture. Note how the slightly wiry-ness increases the appearance of fullness of the fine hair. Before Transplant Position of Hairline Slightly Wiry Hair at 8 Months Post-op Hair Returns Towards Original Texture at 1 Year See patients with similar characteristics in the Bernstein Medical photo galleries: Surgical Sessions: 1 Session Hair Character: Light Brown Hair Weight: Very Fine Donor Density: 2.3 hairs/mm2 Additional Resources: View Patient KLJ's photo profile at Bernstein Medical Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class Interested in a consultation? Click here to schedule a consult or here to read about our consultations New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ Visit the Bernstein Medical YouTube channel

Thank you. This patient had been on finasteride and minoxidil for two years prior to his procedure and he continued both medications after surgery. In general, patients with a diffuse pattern of thinning (i.e. no completely bald areas) should always begin combined medical therapy for at least a year prior to considering surgery. In many cases, surgery can postponed or avoided completely. Unfortunately, some patients cannot tolerate finasteride or choose not to take it due to concern about potential side effects. Minoxidil, although useful, will generally not significantly alter the progression of hair loss when used alone. Dr. Bernstein