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Dr. Michael Beehner

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About Dr. Michael Beehner

  • Rank
    Senior Member

Basic Information

  • Gender
    Male

Hair Transplant Clinic Information

  • Hair Transplant Surgeon
    Dr. Michael Beehner
  • Hair Transplant Network Recommendation Profile
    <a target="_blank" href="http://www.hairtransplantnetwork.com/Consult-a-Physician/Doctors.asp?DrID=5">My Recommendation Profile</a>
  • Hair Transplant Clinic Name
    Saratoga Hair Transplant Clinic
  • Primary Clinic Address
    60 Railroad Place - Suite 102
  • Country
    United States
  • State
    NY
  • City
    Saratoga Springs
  • Zip Code
    12866
  • Phone Number
    (800) 281-9198
  • Website
    http://www.saratogahair.com
  • Email Address
    surgeons@saratoghair.com
  • Provides
    Follicular Unit Hair Transplantation (FUT)
    Follicular Unit Extraction (FUE)
    Eyebrow Transplantation
    Prescriptions for Propecia
    Free In-depth Consults

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  1. Sean, With follicular unit transplanting cobblestoning and elevation of the scalp in the transplanted area is much more uncommon. The closest case to that description that I recall is this man who many years previous to seeing me had large minigrafts placed across his entire front hairline. Over a few months he said that the whole area raised up and made the very obvious grafts even more unnatural. Because he had a little space in front of this hairline to do something, I was able to place FU's in a relatively dense pattern both in front of and behind the area that featured this cobblestoning and elevation. I will try and attach some photos of his before and after appearance. Mike Beehner, M.D.
  2. In answer to your question about how the previous use of flaps, scalp reductions, and scalp lifts were harmful to the patient's scalp, there are several key issues. Regarding scalp lifts, in order to lift it up as high as this patient's procedure was done, it was usually necessary to cut the occipital arteries and nerves in the back of the head in order to free the scalp up. Obviously, after the scalp is all undermined by the surgeon doing a scalp lift, the bald scalp on top is largely excised away, which is the whole purpose of the procedure, namely to reduce the bald area and move hair up there in its place. All of these scalp procedures, which I listed above, thin out the layers of the scalp, which puts a great strain on the arterial blood supply to the scalp. Probably the most important negative regarding these procedures is that there is a thing called "stretch back" that occurs. What this means is that I may reduce the side-to-side distance of bald scalp on top from 12 cm wide down to 7cm wide, and the photos right after the procedure look wonderful and almost miraculous. However, when the patient comes back in 6 months, the distance across will probably be around 9.5cm, which makes the accomplishment on top a lot less. Scalp flaps are procedures which take a long strip of scalp and it is left attached up near the front upper temple area, swung around and then sewed into place in an area cleared out near the hairline. It uses up too much precious donor hair and puts it in a relatively small area, where instead that amount of donor hair could be cut up into several thousand small grafts and help cover a much larger area. Also, where the flap came from at the side and back of the scalp leaves a fairly wide scar, since the flap is much wider than the typical donor strip, which can be brought together with minimal detection. The other negative on scalp lifts is the large bare area of scalp that now is created above the ears and just behind them. This is obvious in the photos above of my patient. Another big, big negative of all these procedures, is that after you complete them and then want to transplant the bald area that remains, the survival of the grafts is not nearly as good as when they are planted into full thickness scalp that has not been stretched out. I hope the above is helpful. Mike Beehner, M.D.
  3. This 60 y/o male presented to us several years ago, having previously had two scalp lifts/reductions, which raised the hair on the side of his head way above his ears (see two last photos). He also had two transplant procedures with several hundred pluggy grafts each time. Because of the scalp lift, these grafts grew very poorly. He had very little donor hair. Over two procedures three years apart he had 805 FU's the first procedure and 1020 the second procedure. At this latter surgery I obtained half of the grafts using FUE (Safe II system with 0.9mm punch. I spaced the grafts so they would obtain enough blood supply to survive. Mike Beehner, MD.
  4. This 32 year old male who had been wearing a hairpiece for the previous 4 years first came to us several years ago and had three sessions of transplants using both DFU grafts and FU grafts. He continued to wear the hairpiece until the third session grew in 3 years later. It is our policy in our practice for these patients to not wear the hairpiece the first week, since some of the patients that do this have slightly poorer growth for unknown reasons. In the "after" photos, he is not wearing the hairpiece. Mike Beehner, M.D.
  5. The patient did not use finasteride or topical minoxidil at any time. Mike Beehner, M.D.
  6. Recent photo from above of this 68 y/o patient, plus rear vertex photos from before any HT's, 3 years later (light blue backdrop), and recent photo from same view (light green backdrop). Mike Beehner, M.D.
  7. Sorry about the bad math. It should have read 2880 grafts in total. At that time in my career I did use a lot more DFU and TFU grafts, so that, besides the 1270 FU's listed, multiplying the 1610 MFU's times 2.5 (equal ratio of triple FU and double FU grafts) would give 4025 FU's, for a total of around 5295 FU's. Over the past 10-15 years around 70-80% of the grafts placed are individual FU grafts and 20-30% are MFU grafts (mostly DFU's). Since I have difficulty in adding photos to an add-on message, I will post the following four photos in a new post. I will post a photo of the patient from the top and also a photo from the rear when he first came to me, another photo (blue background) of him around 3 years later, and finally (with light green background) a recent photo from the rear, which definitely shows enlargement of the vertex region. Mike Beehner, M.D.
  8. This man presented to our clinic in 1997 at the age of 47, and had three procedures done at the time totaling 2400 grafts (1270 FU's and 1610 DFU's). It is now 21 years since his first session and 18 years since his last one. He is from the western United States and returned recently to bring his son in for his first hair transplant. It gave us the chance to take some photos of how his hair has held up over those 21 years. We presented him a few years back in the "show-and-tell" portion of the annual ISHRS convention to the doctors attending the meeting in San Francisco that year. The photos with the light blue background were taken around 2 years after his last session, and the photos with the light green backdrop were taken just a couple of weeks ago. Mike Beehner, M.D.
  9. This 25 y/o male has extensive baldness for his age and is now almost a Norwood VII. The only plan that I will use for someone this age and with this much hair loss is an oval frontal forelock pattern. The main goal is to frame the face and take away the tall "ski hill" of bald skin going up from the forehead which makes many men look older than they really are. It also has a devastating effect on the self image these men have of themselves. We performed his procedure at the Orlando Live Surgery Workshop of the ISHRS 2 years ago. We placed 1280 grafts, of which 980 were FU grafts and 300 were MFU grafts (multi-follicular) for a total of 3274 hairs.The patient returned to see us around 7 months after his procedure, which can be viewed in the "after" photos here. In the next couple of years he will most likely have a second procedure of about the same size. His hair will become more full appearing in the next 6-8 months also. I tell these patients that the best styling pattern is to take the hair back and to the right corner. Two prominent politicians who were transplanted who style their hair this way are Joe Biden and Jim Baker. Also, small "humps" were drawn in his plan, in which downward pointing hairs are placed to help blur the area between the forelock and the side fringes. The crown/vertex in the rear will only get larger as he ages, so there is a very limited amount of donor hair available. The most important thing of all is to make sure nothing is done that would make his appearance freakish in any way for the rest of his life. Mike Beehner, M.D.
  10. This 59 y/o male with longtime history of Lichen Planopilaris presented to our office. He initially had test grafts, which grew well, and was then transplanted with a single session of 1348 grafts, consisting of 1078 FU grafts and 270 MFU grafts. At the time of the "after" photos, he was back for his second session to increase the density further. He had coarse hair and his FU distribution was 80% 2-hair grafts, 15% 3-hair grafts, and 5% 1-hair grafts. Hopefully, his condition is "burned out" after being the same for the past 6 years. I always warn these patients, however, that, should the condition re-activate, that they should get right in touch with their dermatologist so that the flare-up can be treated right away and avoid losing any of the transplanted hair. Mike Beehner, M.D.
  11. This 42 y/o man had had three sessions widely spaced over the past 9 years. Of the 4192 grafts he received, 3448 were FU grafts and 744 were MFU grafts. 10,740 hairs were added to his head from these grafts. His hair was of a very fine nature. Mike Beehner, M.D.
  12. This 29 y/o patient had a single surgical session last year with 1087 grafts, consisting of 867 FU's and 220 DFU grafts, for a total of 2629 hairs. Mike Beehner, M.D.
  13. This 32 y/o male presented for his first hair transplant procedure in February of 2013. He recently returned for a second session to add density, at which time these "after" photos were taken. His 1224 grafts consisted of 884 FU's and 340 DFU grafts in the center. His recent session consisted of 1297 FU grafts. Mike Beehner, MD.
  14. This 51 y/o male came to us in May of 2012 for his first transplant procedure of 1669 grafts (1229 FU's and 440 DFU's) for a total of 4671 hairs. He returned in May of 2015 for his second procedure, at which time we placed 1870 grafts (1540 FU and 330 DFU). He had a 3rd procedure of 1600 FU's performed the other day, at which time these "after" photos were taken. Mike Beehner, M.D.
  15. This 22 y/o female had a single eyebrow restoration procedure performed approximately one year ago and returned recently for evaluation, at which time the "after" photos were taken. We use exclusively 1-hair grafts, and leave the length of the donor hair around one-half inch, so that we can visualize the natural curve of the hair and also so that we can "preview" for the patient at the end of the procedure what it will look like when the hair grows out. Everyone has a slight curl to the hair, even those that we would assume have all straight hair. Owing to the fact that we want our grafts to have these longer hairs on them, a strip harvest has to be used rather than FUE. With FUE it is necessary to cut the hair down to 1mm in length, which gives you no idea as to the direction the hair will be heading once it grows out. Since there are usually a minority of the natural follicular bundles consisting of one hair only, it is necessary to very carefully cut some of the 2-hair FU's into two separate 1-hair micrografts. We use a very small 22 gauge needle to make most of our recipient sites. The whole procedure takes around 4-5 hours. The reason for this length of time is because, for each graft we place, we take care to rotate it until it "flows" in direction with the curve of the eyebrow itself and also to make sure it "hugs" the contour and shape of the face in that area. In other words, we don't want any of the grafts to curve upward above the upper border of the eyebrow or to curve away from the face. We have been doing eyebrows now for 23 years and have always enjoyed the challenges of performing these demanding operations. It is very rewarding to have the patients return with a big smile and happy with the big change this makes in their appearance. Mike Beehner, M.D.
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