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  1. Having attended many of the International Society of Hair Restoration Surgery (ISHRS) annual meetings over the years, I've long known that Dr. Robert Haber is highly respected by his physician colleagues. In 1995 he was recognized for his innovative techniques with an "Award of Excellence" by the ISHRS. In 2001 he was awarded the Archimedes Prize by the Italian Society of Hair Restoration and the Michelangelo Award in 2002. He also served as the President of the ISHRS from 2002 to 2003. But seeing him and his staff in action confirmed that he "walks the talk" in all aspects of his hair restoration surgery from A to Z. The issue of how hair bearing tissue is removed from the donor area has been a particularly hot topic on the Internet the past few years. Patients have been concerned about minimizing scarring in the donor area, while maximizing the amount of hair follicles that are successfully transplanted. Dr. Haber is very much at the cutting edge of addressing these issues so that patient's get the optimal amount grafts from a given amount of limited donor tissue, while minimizing the visibility of any donor scar. In fact, his new device, the "donor spreader", which virtually eliminates any transection (severing) of hair follicles in the donor area during donor removal, was a big sensation when it was introduced at the annual ISHRS meeting in Australia in August of 2005. Dr. Haber's new "Donor Spreader" ??“ making Donor Harvesting Transection Free. The donor spreader enables a surgeon to remove a single donor strip from the patient's donor area without transecting the follicles along the edges of the donor strip. This single strip of hair bearing donor tissue is then carefully "slivered" (trimmed) under microscopes into smaller sections, which are then trimmed into 1, 2, 3 and 4 hair follicular unit grafts. While many leading hair transplant surgeons have the skill to cut along the edge of the donor strip and carefully remove a single donor strip with minimal transection of the follicles along the single blade incision, the donor spreader makes this process easier and more assured. This single bladed donor removal and dissection process, when skillfully performed, makes the harvesting and trimming of donor tissue into follicular unit grafts virtually transection free. Thus a patient can know with confidence that every follicle that is harvested from their limited supply of bald resistant hair follicles in the donor area is going to be carefully preserved and transplanted. Such careful attention to maximizing a patient's limited bald resistant donor tissue is the hallmark of physicians who really care about the patient's long term well being. Such care is often not taken by clinic's who use "multibladed" knifes to quickly remove and trim the donor area in one step without carefully avoiding transecting and damaging the precious donor follicles. Such multibladed knifes and other patient unfriendly means of donor removal, while expedient for the clinic, are silent killers of hundreds of thousands of precious bald resistant hair follicles each year. In my opinion, Dr. Haber's new donor spreader is an outstanding and innovative tool that will save hundreds of thousands of precious follicles in thousands of patients as leading physicians incorporate it into their practices. I really commend him for making the donor harvesting process virtually transection free! Making the Donor Scar Virtually Invisible Dr. Haber also uses a relatively new technique for closing the donor area called "Trichophytic" closure, which can often make the donor scar virtually undetectable to the naked eye. This technique, also referred to as the "ledge" technique, was also detailed on this forum by Dr. Paul Rose who has championed this technique along with Dr. Mario Marzola of Australia. The "Trichophytic" closure enables the top and bottom lips of the open donor area to be joined together with a slight overlap so that the hair follicles in the lower lip grow up and out through the upper lip thus making the donor scar virtually invisible to the naked eye. To enable the upper and lower lips of the donor area to overlap in a smooth and level manner the top and bottom lips are trimmed and beveled so that they join together flush. Such a high level of care in the harvesting and closing of the donor area is producing optimal hair yield for his patients, while minimizing visible donor scarring so that it will not be an issue for a patient. Given his interest in minimizing the chance of cosmetically significant donor scarring, Dr. Haber likes to limit his typical surgical session to under 2,500 grafts in order to avoid over taxing the donor area. Microscopically Prepared Follicular Unit Grafts and Minimally Invasive Incisions Dr. Haber's technicians take great care to preserve the naturally occurring follicular units, while trimming them into 1, 2, 3 and 4 hair grafts. These grafts are then placed into very tiny graft incisions that are carefully oriented and angled by Dr. Haber. Like other leading hair transplant surgeons, Dr. Haber is sensitive to the varying angles and directions in which hair grows depending on where it is located. By following the natural direction and angulations of hairs in a given area, Dr. Haber is able to recreate a natural flow and direction for the new hair. Patient Focused Care Produces Optimal Results Dr. Haber and his staff also typically focus on one patient for the day. Such individual attention enables them to take the time and care needed at each step of the process to give the patient optimal yield and growth, rapid healing and very natural results. Such quality work, although not widely known or recognized online, has earned Dr. Haber and his clinic a strong local reputation in Ohio. In my opinion, Dr. Haber and his staff are real gems in the rough who quietly and consistently produce excellent state of the art results at very fair prices.
  2. Hello everyone! I am hoping that some of our members have had experience with Dr. haber in ohio? I have searched here and on the internet and can not find much info or results for his practice.. Any info good or bad would be appreciated, thanks everyone!
  3. Each year the International Society of Hair Restoration Surgery (ISHRS) holds its annual scientific meeting to discuss hair loss and advancements in medical and surgical hair restoration. This year, the ISHRS meeting was held in Chicago. As always, we interviewed a number of recommended physicians in order to provide our members with their input on the meeting. These highlights have been presented on our popular Hair Loss Q&A Blog. As you might expect, FUE was a hot topic again this year. A number of FUE related topics were discussed including; body hair transplantation, a comparison of strip vs. FUE yield and the advantage of pre-making FUE recipient incisions before harvesting among others. To learn what's new in hair restoration from expert hair transplant surgeons, see: Highlights from the 2015 ISHRS (International Society of Hair Restoration Surgery) Scientific Meeting in Chicago Physicians directly contributing to this article are: Dr. Mike Beehner Dr. Robert Bernstein Dr. Tejinder Bhatti Dr. Jean Devroye Dr. Robert Haber Dr. Bill Parsley Dr. Damkerng Pathomvanich Dr. Sanusi Umar Dr. James Vogel We hope you enjoy reading about these interesting developments. All the best, Pat, Bill and Dave
  4. Finally took the plunge and got 1994 grafts from Dr. Haber on Aug 12, 2011. The whole experience was smooth and mostly painless. Dr. Haber suggested that I go for a more 'mature' hair line and recommended 2000 grafts based on my hair loss extent (mostly frontal receding). No sales pitch, no unnecessary talk, just straight to the point and professional, that's how I would describe Dr. Haber.
  5. I like Dr. Raymond Konior's work and his clinic is drivable in Illinois. He's very ethical and provides good planning over a lifetime. Dr. Robert Haber is in Ohio and also good and reputable. Dr. John Frank is in your backyard in Columbus and one of the recommended surgeons in this community although I don't know much about his work. What I have heard has been good to date. You need to thoroughly research any doctor that is recommended to your own satisfaction and goals. The best docs are worth traveling to...
  6. I'm a little late to the game as I'm 3.5 months post-op as I start this blog, but pre and shortly post-op I was only minimally aware of this site. As such, this blog will begin with my three-month photos. Unfortunately i didn't take any pre-op pics as I had no inkling I'd ever be doing something like this. So I'll start with a little background. I had two small HT's over the mid-to-late 90's with Nu-Hart when I was in my early twenties (maybe 250 and 400 grafts respectively). In hindsight I had plenty of hair, but I was starting to recede and the prospect of being bald freaked me out to no end. While I should not have done anything at that age, tt was actually fine for a long time but I'm now living with the results of those bad HT's from 15+ years ago. I had another HT with Dr. Robert Haber in OH for approx. 1200 grafts back in 2006. This current procedure from earlier this year was my fourth and largest HT, also with Dr. Haber. MONTH 1 The surgery, while long (I was there approx. 8 hours) was generally comfortable and a fine experience. I was diligent about my post op instructions and never really experienced much pain or discomfort. The area above the FUT scar was numb, but that is normal and something I was used to. The first month was actually awesome. While thinning, I still had a very decent amount of hair, and I loved seeing and feeling the "reinforcements" and envisioning how good things would look once they grew in. The transplanted stubble didn't actually shed until into month two, and I had no noticable shockloss after one month. I had no shockloss from my prior procedure, so I thought I was in the clear. MONTH 2 By the end of month two, my "reinforcements" were all gone and I was starting to experience shock loss to the point that I was balder than before surgery. I mainly believed it was just the transplanted hairs falling out, so I thought; "Yes, progress!" My first real clue that I was losing native/prior transplant hair was catchng people at work staring at my hair during meetings and conversations. Then I actually began to pay attention to the number of hair I was losing in the shower as well as my comb afterwards. Yikes! Shortly after that I had to attend an out-of-town funeral and saw a handful of family I hadn't seen for about 3-4 months. Same story...no one could resist looking at my hair. What I didn't realize at that time was it went beyond just thinning. Those 90's HT's had left a fair amount of pitting and cobbling in my recipient area that I never realized was even there. I'd always had enough hair (until now) to cover it. Furthermore, those old HT's were placed at 90 degree angles, so that hair sticks straight up for almost 1 cm before laying back down (I wear a longer style), leaving a nice open window to view the scarring. Needless to say the close of month two wasn't quite as awesome as month 1. Crap!
  7. I went to Dr. Robert Haber who is very well regarded on this forum and in the industry. My expectations were to expect nothing until month six, so I'm obviously a long ways off yet. The shockloss/pitting issue I mentioned just has me a little extra anxious for results as I have an office job that I obviously can't wear a hat to. So...my morning routine now rivals my wife's with all the attention to hair. lol! Not familiar with Dr. Feriduni, but I am relatively new here. Where is he located, and is he one of the network surgeons?
  8. My surgeon is Dr. Robert Haber, who also did my last procedure in 2006, so I feel like I have a very reputable clinic behind me. As to some of the other questions...I did not shave the recipient area (or anywhere for that matter) prior to surgery and did have alot of existing hairs where the new grafts were placed. However, I had thought most of those were transplant hairs from my prior procedures. As for harsh shampoos, I did use Nizoral exactly once since my HT and got a good enough shed to scare me off of trying it again. Maybe in the future if my shockloss resolves and my new grafts come in good, I may give it another try. But right now I'm just scared to do anything that will cost me one more hair than I would otherwise lose.
  9. I exchanged several emails with Dr. Robert Haber @ Ohio, and he turned out to be nice in the conversation. Before settle everything down with him, I'm wondering if anyone here had experience with him, and how the surgery goes. In general how many surgery techs there are, and which one is Robert using? Would it destroy native good hairs? Any comments or suggestoins are appreciated. Thanks, C
  10. Here's some comments posted on 7/25/2012, that basically summarize my history of hair transplants/doctors/having comparison photos/etc. These were made under another username I have, but forgot about until this morning. Having not posted much on any or many hair loss message boards and basically trying to forget about the bad procedures, I somehow came up with 2 usernames with different emails. They are HT3 and Burned. From this day forward, I will use Burned only. I think in many cases, after having a hair transplant, the patient sits back for some time (I know I did) and after complaining to the doctor about being unsatisfied, is told things like "don't worry, time will take away the pits at your placement sites" or "we have some things here in the office we can use to help with the healing process" and the next thing you know, it's a year or two gone by. Then the doctor drops all offers of support and the patient who's been "burned" doesn't have much other than words to back up their disappointment with the doctor. I've had some transplants. 1 with Robert Bernstein was the best ever and did a lot to cover up the bad transplant I had before that. It doesn't change that the 1st transplant was terrible!!!!! Do I have photos to document my 1st transplant? No. After Bernstein, I had another with Francis Badamo. He was hired by N.H. I. (Bernstein/Rassman) and after being promised by staff that Dr. Bernstein would oversee this procedure, he wasn't there that day. Result? Badamo had some difficulty with placement direction of the hair. What was I told would help this? Start plucking. I've plucked and plucked and plucked and they continue to grow. The plucking plan was offered as they will come back thinner and thinner, then not at all. Never happened. My last transplant with Dr. Robert Haber was where I got all the pitting at the placement areas. It's next to impossible to show in photos, due to the Dr. Bernstein Transplant still holding up the "masking". Dr. Haber is the doctor who made the comments in my 1st paragraph and then after the healing/pitting never changed told me "it's caused from you getting transplanted so much" and the procedures that would remove the pitting (lasers/injections) would not work (lasers) and were only temporary (injections). It was a very different attitude than a few months earlier and a whole new agenda for the doctor. Can I prove this to this message board with photos, dates, etc.? Not most of it, but my point here is many folks who have inferior transplants are in the same boat. I forgot to add, after Dr. Bernstein left N.H.I., I decided to complain about Dr. Badamo (since fired from N.H.I. I believe) to Dr. Rassman in California as my wife & I were going to be in LA for another reason. Basically, Dr. Rassman couldn't be taken seriously and just joked & joked with me and gave my hair/scalp a view and said I had almost no miniturization. When I kept pointing him back to being serious about the hair direction, transplanted by Dr. Badamo, he agreed to give me a 10% discount on future transplants, but stressed, "if I needed one". Again, my point here is I'm not making this stuff up, but can't back it up with photos on this board. I can't say enough good things about Dr. Bernstein. Healing/direction of hair transplanted was great. My only criticism, if any, would be too conservative for me. In closing, I'll be more than happy to meet/speak to anyone considering trying the other doctors. The pitting can be seen fairly well when close up and in proper lighting. Thank you and I look forward to participating a bit more here if I can. I am considering Dr. Rahal if and when I go for the next one and trust me, I'll be doing photos and keeping much documentation this time.
  11. onemoretime, It's never a bad idea to proceed cautiously. While I think it's the best course of action to consider any and all reputable surgeons within a distance that you are comfortable traveling, I'd also like to state that Dr. Robert Haber performs world-class hair transplant surgery. For that reason, he is not only recommended by our community but is a well-respected member of the Coalition of Independent Hair Restoration Physicians. To learn about our criteria for recommending physicians, click here. I suggest taking a look at Dr. Haber's Coalition profile. Here are just a couple of highlights from his bio: In 1995, the International Society of Hair Restoration Surgery honored him with its first Award of Excellence in recognition of his innovative techniques. Dr. Bob Haber is the winner of the 2009 ISHRS Golden Follicle award. To learn more about his outstanding clinically based achievements in hair restoration and this award, visit “Coalition member Dr. Haber Receives the Golden Follicle Award at the 2009 ISHRS Meeting in Amsterdam”. You may also wish to view our interactive map where you can locate all of the physicians we recommend worldwide. Finally, it's important to note that our list of recommended physicians is by no means a comprehensive list of all physicians around the world performing ultra-refined follicular unit hair transnation. However, our screening process ensures that each of the physicians we do recommend are among the finest, most skilled and ethical surgeons practicing. For more on ARTAS, you may wish to view the following articles. ARTAS Hair Restoration System and the Hair Transplant Surgeons That Use It Advantages of the ARTAS Robotic Assisted Hair Transplant for Follicular Unit Extraction (FUE): By Dr. Robert Bernstein Best of luck!
  12. This is exactly why I decided to visit a HTN recommended doctor (Dr. Robert Haber) to have my sutures removed. I did not want to risk injury to the donor area...too precious!
  13. Hello everyone, I've just passed the two week postop mark. I have been spending time with family in Cleveland, OH for the holidays, so I looked up HTN approved surgeons in the area since I wasn't comfortable having a GP or nurse take out the sutures. I found Dr. Robert Haber was recommended by the HTN. so I scheduled an appointment with his office. It was a great experience. The removal of the sutures by one of the technicians was painless and the conversation I had with Dr. Haber was quite pleasant. He checked the recipient and donor areas and gave the check of approval (in terms of healing and the work done). Despite my protests, he didn't accept any payment. Although it seems that Dr. Haber doesn't showcase as many final results as other HT surgeons, I found his work to be of high quality when I perused his website and the examples of his results on the HTN website. As for my progress, the recipient site in unbelievable. The redness has already faded despite my fair complexion. The recipient area was red for two entire months after my Bosley surgery. I started slowing massaging the recipient area to remove the scabs per Dr. Rahals' instructions. The donor scar is still exhibiting some redness, but it easily covered by my longer hair in back. I can't wait for my haircut at one month to even everything out. One more thing for potential or upcoming Rahal patients: please take off at least two weeks from work or life in general after the HT surgery unless you can wear a hat. In my opinion, I've looked absolutely terrible for the last two weeks. Even though I kept my hair long in front to create a combover effect, the hair was constantly wet or greasy due to the postop care instructions. I got a lot of confused comments ranging from, "did you just get done running?" to "why is your hair always wet?"
  14. I think in many cases, after having a hair transplant, the patient sits back for some time (I know I did) and after complaining to the doctor about being unsatisfied, is told things like "don't worry, time will take away the pits at your placement sites" or "we have some things here in the office we can use to help with the healing process" and the next thing you know, it's a year or two gone by. Then the doctor drops all offers of support and the patient who's been "burned" doesn't have much other than words to back up their disappointment with the doctor. I've had some transplants. 1 with Robert Bernstein was the best ever and did a lot to cover up the bad transplant I had before that. It doesn't change that the 1st transplant was terrible!!!!! Do I have photos to document my 1st transplant? No. After Bernstein, I had another with Francis Badamo. He was hired by N.H. I. (Bernstein/Rassman) and after being promised by staff that Dr. Bernstein would oversee this procedure, he wasn't there that day. Result? Badamo had some difficulty with placement direction of the hair. What was I told would help this? Start plucking. I've plucked and plucked and plucked and they continue to grow. The plucking plan was offered as they will come bak thinner and thinner, then not at all. Never happened. My last transplant with Dr. Robert Haber was where I got all the pitting at the placement areas. It's next to impossible to show in photos, due to the Dr. Bernstein Transplant still holding up the "masking". Dr. Haber is the doctor who made the comments in my 1st paragraph and then after the healing/pitting never changed told me "it's caused from you getting transplanted so much" and the procedures that would remove the pitting (lasers/injections) would not work (lasers) and were only temporary (injections). It was a very different attitude than a few months earlier and a whole new agenda for the doctor. Can I prove this to this message board with photos, dates, etc.? Not most of it, but my point here is many folks who have inferior transplants are in the same boat.
  15. I did a search on this forum for info on Dr. Haber and i couldn't really come up with too much information. I know there's plenty of patients out there that have an account with this forum - can we really not get any conclusive thoughts together about his practice? I'm wondering about the overall experience, the expertise, the results, the naturalness ... anything and everything. Any ideas or thoughts on this greatly appreciated. Thank you
  16. Hi Everyone. This my first post on this site. I have been lurking around for a long while and thought I'd share my story and HT results. I had a HT just over a year ago and I'm very happy with my results. My experience was a good one. Although I have to say I feel lucky to have had these great results. It seems a lot of people do not. I really think doing research and gathering up all the information I could find assisted me with my decision and positive results. My Story: I'm 43 and started losing my hair almost 10 years ago. Not fast....just typical receding and thinning over the years. But it really bothered me. Especially these last few years. I started spending more and more time on it in the morning using hairspray and a blow dryer just trying to cover up what was happening. It got to a point where I wouldn’t leave the house until it was just right. Then it started to effect my personality. I lost confidence in my appearance and fell into depression. So I started searching the internet for hair restoration options and stumbled on to Hasson & Wong's website. I was blown away by the blogs with HT results. I knew I had to look into this further. I then found the hair loss forums and my life changed...I had hope! I also had support for what I was feeling. I was not alone!! I did a lot of research and looked at just about every post related to HT’s. By the time I made my decision to do it...I felt like an expert on the subject. However, I needed to find the right doctor. Again, I searched and read reviews on a lot them. I made my choice based on several things (doctor’s results/reviews, travel, down time, cost, etc.) I picked Dr. Robert Haber and made an appointment. He put me on FIN immediately. (3 months pre-op) I probably should have been on it years sooner. I let my hair grow longer in back for the surgery so it could help hide the donor site once complete. I took 2 weeks off work and scheduled my surgery for a Friday so I would have 16 days to heal as much as possible before returning. (I work in an office environment and can’t wear a hat.) I also asked the Dr. not to shave the donor area or the recipient area. Again, I did this to help hide the HT once complete. The surgery was a breeze. Although it did suck to have to sit there for so many hours but other then that it was easy. The first 2 days post-op were a little painful and the tightness in my scalp was weird feeling and annoying but that went away within a week. Not much swelling at all either. On the 15th day post-op my hair stylist shaped my hair to help hide the HT. Not much she could do to the recipient area but she was able to hide the donor scar real good. With some Dermatch and my new haircut, I returned to work without so much as a question as to what I did. Either people really didn’t notice or they were just being nice not to say anything. My wife said she couldn’t tell. I did everything I was asked to do by the doctor pre and post surgery. There were no surprises before or after the surgery. Here I am 12 months later and I am completely stoked on my results. I don’t even need Dermatch anymore. My only regret was that I had this done at the end of April which made for a rough summer. Special thanks goes out to Dr. Haber and his staff for their great work. Here are some pictures of my journey. 1 year
  17. If you are worried about distance, you might want to try Dr. Robert Haber in Ohio.
  18. In this hair transplant video interview, hair restoration physician Dr. Robert Haber discusses what he finds most gratifying about performing today's state of the art ultra refined follicular unit hair transplantation.
  19. Please join me in congratulating "Irishstreak" on his recent hair transplant surgery with Coalition member Dr. Robert Haber! To read his hair loss story and view his pre and post-operative photos, visit his social profile or click on the links below. Pre Op Immediate Post Op Let's show our support by posting comments on this discussion topic and on his photo albums. Happy Growing!
  20. Hair researchers and hair surgeons came together in Istanbul for The Next Big Thing (TNBT) conference. Each year, The International Society of Hair Restoration Surgery (ISHRS) invites a member who lives outside of States to organize a seminar for in order to share his/her own clinic researches. This year, Transmed Medical Director Dr. Melike Kulahci, who is board member of ISHRS and one of the most successful 30 surgeons accepted as an expertin their field, has become the name that carries this important meeting to Istanbul. The Next Big Thing Conference, which was arranged in Istanbul, gathered important names of the subject to share the new progress of the hair transplantation technology. In The Next Big Thing Conference, arranged by Transmed Hair and Plastic Surgery Clinic between the dates 13-15 May, Transmed team and surgeons who attended from abroad shared the latest improvement in FUE technique with live practice, the techniques they improved and medical gadgets. The Next Big Thing’s seminars performed in Sheraton Maslak Hotel, surgical practices performed in Transmed Hair and Surgery Clinic. In The Next Big Thing conference, the best researcher and surgeons of the hair world, discussed in details about cloning, FUE technique, PRP, the use of ACell and laser in hair transplantation and similar issues. In the live surgery practices and presentations of the conference, Dr. Jerry Cooley, Dr. Bessam Farjo, Dr. Robert Haber, Prof. Gerd Lindner, Dr. Jennifer Martinick, Prof. Val Randall, Dr. Ron Shapiro, Dr. Jerry Wong and Transmed surgeons with Transmed Medical Director Dr.Melike Kulahci took place. This conference created a strong platform to carry these progresses about hair transplantation in the world to the next level. 98 surgeons from 32 countries participated in TNBT and 5 live practices & 9 presentations were performed.
  21. Hair researchers and hair surgeons came together in Istanbul for The Next Big Thing (TNBT) conference. Each year, The International Society of Hair Restoration Surgery (ISHRS) invites a member who lives outside of States to organize a seminar for in order to share his/her own clinic researches. This year, Transmed Medical Director Dr. Melike Kulahci, who is board member of ISHRS and one of the most successful 30 surgeons accepted as an expert in their field, has become the name that carries this important meeting to Istanbul. The Next Big Thing Conference, which was arranged in Istanbul, gathered important names of the subject to share the new progress of the hair transplantation technology. In The Next Big Thing Conference, arranged by Transmed Hair and Plastic Surgery Clinic between the dates 13-15 May 2011, Transmed team and surgeons who attended from abroad shared the latest improvement in FUE technique with live practice, the techniques they improved and medical gadgets. The Next Big Thing’s seminars performed in Sheraton Maslak Hotel, surgical practices performed in Transmed Hair and Surgery Clinic. In The Next Big Thing conference, the best researcher and surgeons of the hair world, discussed in details about cloning, genetic engineering, FUE technique, PRP, the use of ACell and laser in hair transplantation and similar issues. In the live surgery practices and presentations of the conference, Dr. Jerry Cooley, Dr. Bessam Farjo, Dr. Robert Haber, Prof. Gerd Lindner, Dr. Jennifer Martinick, Prof. Val Randall, Dr. Ron Shapiro, Dr. Jerry Wong and Transmed surgeons with Transmed Medical Director Dr.Melike Kulahci took place. This conference created a strong platform to carry these progresses about hair transplantation in the world to the next level. 98 surgeons from 32 countries participated in TNBT and 5 live practices & 9 presentations were performed
  22. Recently, the Publishers of the Hair Transplant Network attended the 2010 18th annual ISHRS scientific meeting held in Boston from October 20 th through the 24th. Each year hair restoration physician from around the world gather for several days to attend lectures, meetings, workshops and discussions focused on hair loss treatments. It’s practically impossible to cover all of the important topics discussed at the meeting. Thus, this report will feature the highlights that may be of most interest to hair loss sufferers and those wanting to restore their hair. A few of these topics have been discussed and debated by patients for years online using our hair loss forum, while other topics provide information on innovative techniques and treatments that may potentially revolutionize the hair restoration profession in the future. However, despite some exciting anecdotal evidence provided in various presentations, it’s important to remain cautiously optimistic while much needed research continues and investigation is underway. Some of these topics include the benefits, limitations, and refinements in follicular unit extraction (FUE), its tools and techniques (including the controversial NeoGraft hair transplant machine); treating and minimizing the risks of scar stretching via follicular unit hair transplantation (FUT); Platelet Rich Plasma as a storage solution for grafts; Bioengineering of the hair follicle (hair multiplication) including exciting preliminary findings using the highly talked about formula ACell; the advantages and disadvantages of dense packing; studies on the causes and treatments for female hair loss and more. The attention to detail at these meetings is highly impressive and hair transplant surgeons who regularly attend deserve to be commended for their dedication to continuing education. Background on the ISHRS, Meetings and the New President The primary mission of the ISHRS (International Society of Hair Restoration Surgery) is to educate hair restoration physicians ranging from the beginner to the master. It is by far the most prominent hair restoration professional organization in the world and the host of the five day annual scientific meeting. Their website (www.ISHRS.org) provides useful information about hair restoration and profiles and contact information for its 700 worldwide physician members. Many of the physicians well recognized by patients online for achieving excellent results have also become well known and respected by their colleagues as leaders and teachers in the industry. Many leading physicians recommended by this community led or were a part of almost every discussion panel. At the meeting, highly esteemed Coalition member Dr. Jerry Cooley of Charlotte, NC became the acting President of the ISHRS for the coming year. Physician Recognition and Awards: The “Golden” and “Platinum” Follicles The “Golden” and “Platinum” follicle awards are the highest honors given to leading surgeons in hair restoration by the ISHRS at each meeting. These awards recognize outstanding achievement in basic scientific or clinically-related research in hair pathophysiology or anatomy as it relates to hair restoration. Congratulations to recommended physician Dr. Damkerng Pathomvanich of Thailand, Asia who received the Golden Follicle and Coalition member Dr. Bill Reed who was awarded the Platinum Follicle. To learn more about these prestigious awards and to congratulate these highly esteemed physicians, visit the discussion forum topic “2010 ISHRS Physician Awards: The Golden and Platinum Follicles”. See the formal Press Release. Congratulations as well to Dr. Dow Stough for winning the coveted Manfred Lucas Award for his many contributions to the advancement of physician and staff education, including his long time role in founding and nurturing the International Society of Hair Restoration Surgery (ISHRS). The critical role played by hair restoration technicians in preparing and placing grafts, was also recognized with a “Distinguished Assistant Award”, which this year was awarded to Emina Karamanovski. She is the hair transplant coordinator at the Lam Institute for Hair Restoration in Dalllas and has trained physicians and their staffs through out the US and Canada. She has also lectured widely on maintaining quality control and co authored the second volume of the book Hair Transplant 360 with Samuel M. Lam M.D., F.A.C.S. This second volume is written specifically for training medical assistants and includes numerous educational videos on DVD. Presentations at the ISHRS meeting of particular interest to Hair Loss Sufferers The Advantages, Limitations and Refinements in FUE, its tools and Techniques Given the increased number of inquiries about FUE on our forum over the last year, no wonder FUE has become a hot topic of discussion and debate amongst hundreds of hair transplant surgeons. Many leading surgeons consider follicular unit extraction (FUE) a viable alternative to follicular unit hair transplantation (FUT). Others feel that FUE may eventually replace FUT and yet others reject its use entirely and feel that its lack of consistency in results is enough to prevent them from incorporating this technique into their practice. However, due to the increased patient interest and refinements in various tools and techniques, several surgeons initially turned off by FUE are starting to recognize its place in the hair restoration profession. Below, we feature several innovative tools surgeons are using to perform FUE procedures. But just because someone is handed a hammer, doesn’t mean that everyone knows how to use it properly and efficiently. The vast majority of leading surgeons agree that the experience and skill of the surgeon performing the procedure is always paramount over any tool they use. Inexperienced hands with any tool are extremely dangerous to patients and the outcome of the procedure. It’s also doubtful that any tool listed below or otherwise will become universally accepted amongst hair restoration physicians. However, these tools do provide options for surgeons performing FUE. Just as there’s always more than one way to skin a cat, there’s always more than one tool available for experienced surgeons to choose from to perform an optimal FUE procedure. The SAFE System – Powered Scribe by Dr. Jim Harris Dr. James Harris presented the “Powered SAFE Scribe“, a new and revolutionary surgical FUE tool at this year’s 2010 ISHRS meeting. Research and testing have proven that this new powered instrument is even more effective than its manual, non-powered predecessor. The Powered SAFE Scribe is safe and effective in the hands of a skilled hair restoration physician and can reduce the time it takes to perform the procedure by half. Extraction rates of 500-700 per hour have been reported using the new powered version of the Scribe as opposed to approximately 200-300 with the manual one. Benefits include a reduction in pain, minimal scarring, more patients can become candidates based on donor characteristics, minimal transection and decreased time. Additionally, because this tool uses “blunt dissection” as opposed to a sharp punch, angle and direction of the punch is less critical to avoid transection of the hair follicle. The cost of Dr. Harris’ Powered SAFE scribe is approximately $3200. Dr. Jean Devroye’s Proprietary Motorized FUE Tool In an attempt to improve the quality of results patients can achieve with FUE, Coalition member Dr. Jean Devroye designed and has been using a unique powered instrument for FUE hair replacement procedures. This device was designed to improve the speed of the follicular unit extraction procedure while maintaining the same effectiveness as when performed manually by a skilled surgeon. This new powered FUE device works by spinning alternatively with a low angular motion. This allows for fast and effective penetration of the scalp and extraction of the follicle while keeping the risks of damage to the follicles virtually nonexistent. Its speed is controlled by a foot treadle allowing for better hand control of the device. While Dr. Devroye believes his FUE tool prototype helps to increase the speed of the hair restoration procedure, he admits it doesn’t reduce the already very low transection rates he achieves while performing follicular unit extraction with a manual tool. Dr. Devroye’s powered FUE instrument has allowed him to increase the number of follicular unit grafts he can transplant daily via FUE from approximately 1200 to 1500 per day. Above all else, Dr. Devroye feels the skill and experience of the physician and the size of the punch are crucial in achieving optimal results. By his observation, Dr. Devroye determined that smaller punches can easily increase the transection rate of hair follicles during the extraction process. For this reason, Dr. Devroye prefers using slightly larger 1 mm punches instead of incredibly tiny punches as small as 0.7 mm. In his experience, scars obtained with a 1 mm punch are hardly noticeable, even with a short hair cut. The cost of Dr. Devroye’s FUE tool is approximately $3000. Dr. Robert True Motorized FUE Coalition member Dr. Robert True has over 7 years experience with FUE and feels that he gets the best results with a rotary hand engine FUE tool with a sharp punch system and variable speed control. This unit can be purchased for approximately $1500 and the punches can be replaced as needed for less than $50 a piece. Dr. True believes that the skill and experience of the surgeon is critical to achieving optimal results in addition to working with only those patients who make good candidates for FUE. Dr. True can extract between 400 to 600 follicular units (FUs) per hour from the scalp with approximately 2 to 5% transection, 300 to 400 FUs per hour from the beard with 2 to 4% transection and 150 to 350 FUs per hour from the torso with approximately 8.7% transection. Each follicular unit is then inspected under microscopes, a practice not typically performed by most FUE clinics. Dr. True feels this is essential in maximizing optimal hair growth yield. The NeoGraft Machine No other FUE tool has stirred up as much controversy amongst patients and physicians as the much hyped NeoGraft machine. To learn more about how the NeoGraft works, including several concerns about the functionality and promotion of this device, visit “Can the NeoGraft Machine Revolutionize FUE?” Dr. Bob Bernstein also provides an excellent review of this tool on his website at “NeoGraft Hair Transplant Machine for Follicular Unit Extraction". In his review, Dr. Bernstein points out that the suction function of the Neograft machine introduces two risks not present with other FUE techniques: The suction has a tendency to strip the surrounding tissue from the lower portion of the grafts during their removal, exposing them to drying injury. The vacuum creates a continuous flow of dry air around the harvested grafts Physicians at the meeting also expressed their concern that the NeoGraft machine was being marketed aggressively to physicians with no training or experience with hair transplant surgery. However, despite the controversy the NeoGraft does have some useful features that have been reported advantageous by surgeons using this device such as Dr. Leonard who presented information on it at the ISHRS conference. Reported advantages include extractions quicker and easier to perform than manual tools and less manipulation of the follicles (uses suction rather than forceps). Disadvantages of this semi-automated NeoGraft device include the high cost of the machine ($80,000), potential desiccation (dehydration) of the follicles from the pneumatic pressure, and the potential damage to the follicles during the suction process. Dr. Leonard feels confident that the NeoGraft machine extracts healthy follicles with minimal transection but admits that FUE as a whole is only for a small group of qualified candidates. Summary The above presentations focused primarily on extracting follicles from the donor area. However, placing these fragile follicular units into tiny recipient incisions is just as critical to ensure optimal growth. FUE is still relatively new and most leading surgeons agree that while FUE has a place in hair restoration, despite its increasing popularity, not everyone is an optimal candidate. Thus, it’s recommended that patients explore and discuss the benefits and limitations of both FUT and FUE with several leading hair restoration physicians they’re considering for surgery. Minimizing and Treating Stretched Donor Scars from Follicular Unit Hair Transplant Surgery (FUT) Minimizing the appearance of the donor scar is a high priority for most hair transplant patients and leading hair restoration physicians alike. That’s why creating an optimal donor scar is a hot topic, not only on our forum, but also amongst leading physicians at the ISHRS scientific meeting this year. The number one cause of a stretched donor scar is closure under high tension and/or poor surgical planning and suturing. And while the majority of leading physicians produce minimal scarring in the majority of patients closing the wound under minimal tension with the newest trichophytic closure technique, stretched scarring can also occur for unknown reasons due to a patient’s physiology, although this is reported as rare. So what can be done to reduce the appearance of a scar once it’s already stretched? Patients with wide donor scars can sometimes undergo another strip procedure to attempt to reduce scarring. The old scar is harvested with a new strip and the new wound is closed under minimal tension using today’s state of the art techniques including the “gold standard” trichophytic closure. Double layer sutures are often used in order to reduce tension on the wound and minimize the air pockets underneath the scar. While at least some improvement is typical, optimal scarring isn’t always possible depending on the severity of the first scar. Dr. James Harris presented the value of filling the scar with FUE grafts to minimize the appearance of the scar. He believes this method is valuable for patients who are fearful of another strip harvest, lacks scalp elasticity or already had previous scar revisions via harvesting another strip with no or minimal success. Dr. Harris feels that a density of 20 to 25 FU/cm2 placed into the scar is sufficient to camouflage the scar. Coalition member Dr. James Vogel discussed the use of an expander for extreme cases in which the old scar is removed and an expander is inserted for a short time in order to expand viable and healthy tissue. Once removed, extra healthy skin is available while scarred tissue is significantly reduced. While keloid and hypertrophic scars (tissue abnormalities that can develop during the healing process) are very rare with today’s refined donor harvesting and closing techniques, Coalition member Dr. Sharon Keene presented evidence to suggest that Ace Inhibitors such as enalapril may effectively improve their appearance. Additionally, the likelihood of any reoccurrence was reported as minimal. Surgeons agree that the best remedy for stretched scarring is to prevent them from occurring. Thus, by carefully screening candidates and closing donors under minimal tension using a trichophytic closure is considered today’s “Gold Standard”. Platelet Rich Plasma as a Graft Storage Solution Whether or not Platelet Rich Plasma (PRP) is effective in treating hair loss has been a hot topic on our forum. And while there was no discussion of this at this year’s annual meeting, Dr. Melike Kulahci, who is recommended on the Hair Transplant Network presented studies regarding the use of PRP as a storage solution for dissected follicular unit grafts while outside of the body. The aim of the study was to determine the effects of PRP on wound healing and transplanted hair growth yield. After conducting a study on 300 patients, it was determined that postoperative crust/scabs fell off more rapidly however, shock loss still occurred. More research is needed to determine whether or not growth yield is higher using PRP as a graft holding solution. Preliminary Findings Cloning Hair Shafts with ACell MatriStem MicroMatrix There’s nothing that promotes as much excitement in balding men and women as the concept of being able to clone thousands of precious hair follicles until all of the balding areas are fully covered and hair loss is no longer a problem. While the majority of research on hair multiplication (cloning) to date has been in cloning derma papilla cells in order to reproduce a healthy, growing follicle, Coalition member Dr. Jerry Cooley has reported some exciting (although preliminary) findings in potentially creating derma papilla from hair shafts using the ACell MatriStem MicroMatrix. ACell Matrix MicroMatrix has been FDA approved for wound healing and has demonstrated benefits in healing injuries adjunct to surgery. Dr. Cooley has been using this product which is available both as a powder and a sheet for the last 18 months to study its effects on strip harvesting donor wound healing, FUE and punch harvest sites, dissected follicular unit grafts via FUT and last but not least, its use with the hair duplication (formerly known as “autocloning”) technique in which plucked hairs are used for grafting. Dr. Cooley feels that the ACell Matrix MicroMatrix solution demonstrated overall improved scarring. Most exciting however is Dr. Cooley’s report on hair duplication (autocloning). Dr. Cooley reported that by dipping plucked hairs in the ACell Matrix MicroMatrix solution and transplanting them into tiny prepared recipient sites - approximately 30 to 50% of these hairs actually began to grow. Since the donor area still contained the follicle, it would reproduce new hair. Meanwhile, evidence suggests that some of these transplanted hair shafts may indeed be reproducing follicles and derma papilla in order to continue growing. While the above preliminary findings are exciting, Dr. Cooley admits that the permanency of these “plucked” growing hairs are unknown and more research is needed before drawing any kind of real conclusions. Causes and Treatments for Female Hair Loss While male pattern baldness (androgenic alopecia) is pretty well understood by doctors as a condition by which the hormone DHT plays a major role in attacking healthy follicles genetically susceptible to it, whether or not DHT plays a role in female hair loss isn’t entirely understood. Thus, many hair restoration physicians are still asking, does androgenic alopecia truly exist in women or is it something entirely different? Dr. Andrea Marliani of Italy believes that insufficient local follicular estrone activity rather than increased levels of DHT may be responsible for the majority of hair loss cases in women. If this is the case, true androgenic alopecia doesn’t exist in women and should be renamed to something more suitable such as Low Local Estrone Alopecia or Estrone Deficiency Alopecia. Moreover, the above would mean that any antiandrogen treatments such as finasteride (Propecia) (which is prescribed by doctors to some women beyond child bearing years and/or not interested in having children) would be entirely ineffective in treating women with hair loss. To make matters more confusing, contradicting studies were presented at this year’s conference on the effectiveness of finasteride in the treatment of female related hair loss. Despite a smaller recent study suggesting that finasteride has no effect in women, Coalition member Dr. Sharon Keene reported findings demonstrating the positive effect of finasteride in some women with hair loss. This suggests that femaleresponders to finasteride have androgen mediated hair loss. Additionally, a large percentage of women who suffer from Polycystic Ovarian Syndrome (PCOS) also experience hair loss. Women with PCOS experience high levels of androgens (male hormones like DHT) in the body and as a result, are more susceptible and likely to experience hair loss. The above data suggests therefore, that at least some level of androgenic alopecia exists in women. Whether or not it’s as common in women as it was originally thought requires more research. It should be noted that each female should undergo a full medical examination in order to determine the specific cause of her hair loss. Determining the cause in each case is crucial in treating it. Advantages and Disadvantages of Dense Packing Whether or not to dense pack grafts and how closely they should be transplanted next to one another has been a hot topic amongst patient and physicians alike for years. Large densely packed hair transplant mega and giga sessions are desirable to patients since it often minimizes the number of subsequent procedures needed. But how many grafts/hairs can be transplanted safely in a square centimeter before growth yield is affected? Who is and who isn’t a candidate for dense packing? Coalition members Dr. Arthur Tykocinski of Brazil and Dr. Jerry Wong of Vancouver feel that dense packing up to 40 to 50 FU/cm2 when appropriate for the patient can produce optimal yield. However, these larger numbers are typically only achieved with single haired FUs. Not as many double, triple or quadruple haired follicular units are needed per square centimeter in order to provide the same appearance of density. Other physicians feel that a slightly more conservative approach to preserve the scalp’s blood supply is a better option. While a difference of opinion and philosophy will most likely always exist surrounding dense packing, how much and when to do it, the majority of leading hair restoration surgeons do agree that just because you can, doesn’t mean you always should. Due to the limited donor hair supply, dense packing too many grafts in a small area isn’t a good idea for patients with large balding areas to cover. It’s an issue of supply verses demand. Planting too many follicular units in a small area will leave less available donor for other areas of the scalp. Thus, it’s critical to make the best use of the available donor hair supply and only add more hair to areas of great concern to the patient. Final Acknowledgements Though being an ISHRS member and attending the meetings doesn’t guarantee a surgeon is performing state of the art hair transplants with results, it appears that most physicians who regularly attend these conferences are dedicated to continually improving their technique and level of patient care. A special thanks to all those physicians who attended the meeting and are working for the best interest of patients. Surgeons who are recommended by this community who attended the meeting include: Dr. Scott Alexander Dr. Bernardino Arocha Dr. Alfonso Barrera Dr. Michael Beehner Dr. Robert M. Bernstein Dr. Tim Carman Dr. Glenn Charles Dr. Ivan Cohen Dr. Jerry Cooley Dr. Robert Dorin Dr. Jean Devroye Dr. Bessam Farjo Dr. Nilofer Farjo Dr. Bijan Feriduni Dr. Shelly Friedman Dr. Steve Gabel Dr. John Gillespie Dr. Edmond Griffin Dr. Robert Haber Dr. Victor Hasson Dr. Jim Harris Dr. Sheldon S. Kabaker Dr. Sharon Keene Dr. Richard S. Keller Dr. Raymond Konior Dr. Melike Kulahci Dr. William Lindsey Dr. Pathuri Madhu Dr. Ricardo Mejia Dr. Mike Meshkin Dr. Parsa Mohebi Dr. Humayun Mohmand Dr. Thomas Nakatsui Dr. Bernard Nusbaum Dr. Vladimir Panine Dr. William Parsley Dr. Damkerng Pathomvanich Dr. Vito Quatela Dr. H. Rahal Dr. Bill Rassman Dr. Bill Reed Dr. Tom Rosanelli Dr. Paul Rose Dr. Marla Rosenberg Dr. Paul Shapiro Dr. Ron Shapiro Dr. Cam Simmons Dr. Ken Siporin Dr. Martin Tessler Dr. Robert True Dr. Arthur Tykocinski Dr. James E. Vogel Dr. Jerry Wong If you are a physician recommended by this community and attended the annual 2010 ISHRS meeting and don’t see your name on the above list, please contact us we’ll be happy to add your name. Onwards and Upwards, Bill Seemiller and Patrick Hennessehy - Publishers of this Community
  23. Patsy, Before you make a final decision on NuHart, get a consult with Dr Robert Haber in Cleveland, Ohio. I had a consult with NuHart years ago and was not impressed. I am assuming you live in the Pittsburgh Pa. area. Don't let travel stop you from getting the best HT you can. Check out the Doctors reccomended on by Pat and Bill on the Hair Transplant Network. They will not steer you wrong. Dr. Robert Haber is really not that far from you if you live in the Pittsburgh area. He is one of the top HT Doctors in the World. Also research Dr Ron Shaprio, Dr Glenn Charles, and Dr Victor Hasson and Jerry Wong from Hasson&Wong My advice is get many more consults and be a choosey in who you pick! Good Luck with your future HT. Johnny4hair
  24. I listed the following on my site a while back, but can't provide the link (which includes the below links) per regulations: * Dr. Michael Beehner (amazing hair and body transformation) * Dr. Brad Wolf (HT performed on him by Dr. Ron Shapiro) * Dr. Robert Jones' own HT and blog * Dr. Gary Hitzig (HT done in the late 1970s!) * Dr. Matt Leavitt * Dr. John Gillespie * Dr. Richard Rogers (not updated blog since first post) * Dr. Alan Feller (no before and after) * Dr. Robert Haber (no before and after) * Dr. Robert Dorin (no before and after -- HT performed on him my his partner Dr. Robert True) * Dr. Jerry Cooley (no before and after)
  25. Byehair, In addition to the fact that all recommended and Coalition surgeons receive our newsletter, Pat sent out a separate email to several leading surgeons interested in becoming a part of our advisory group. Among the surgeons included in the email were Dr. Ron Shaprio, Dr. Bob Haber, Dr. Ray Konior, Dr. Bill Parsley, Dr. Paul Rose, Dr. Robert True, Dr. Mike Beehner, and Dr. Robert Dorin. Though not every surgeon had the opportunity to respond, those that did were in favor of his recommendation. We did receive an email from Dr. Devroye in response to our newsletter with a question mark regarding one photo showing an appearance of a jagged donor incision. However, Pat saw nothing strange or unusual about the incision in person. Additionally, based on feedback we've acquired from other surgeons over the years, there are times when slightly jagged incisions can be appropriate. I am no longer going to argue with you about this. It's time to let it go and move on. Bill
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