New York Hair Restoration

 

 

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We offer procedures for hair restoration, including facial hair, and eyebrows restoration.  We offer two surgical options for hair transplantation, the first being the FUT (follicular unit transplantation).  Hair transplantation is a minor surgical procedure confined to the skin.  It is performed under local anesthesia and is a safe procedure with few complications.  With the introduction of the CompuMed Wand, patients are administered local anesthesia in a nearly imperceptible process.  Designed by dentists to alleviate the negative stigma associated with needle injections, the CompuMed Wand is a computer controlled delivery system that Dr. True and Dorin employ to offer their patients the maximum comfort while administering anesthesia.  Patients are given a small dose of oral Valium prior to surgery for its calming effect and to counteract the momentary agitation some patients have from xylocaine/epinephrine.  Patients should feel absolutely nothing during the procedure.  Local anesthesia, when properly done, is 100% effective.  In our landmark study published in the Journal of Dermatologic surgery in 2001 the Compumed pump was shown to not only produce significantly greater comfort during the procedure but also to reduce post operative pain.  Once the anesthesia is administered, the first portion of the procedure is donor harvesting.  Donor harvesting is performed exclusively by either Dr. True or Dr. Dorin. In Follicular Unit Transplantation (FUT), a strip of hair bearing scalp is removed from the sides and or back of the head. The area is then sutured with two-layer closure, which will result in a very fine scar hidden within the remaining donor hair. We utilize the double layer closure as it produces the thinnest scar possible. In addition to this closure technique, we now incorporate an additional technique called Trichophytic Donor Closure. This innovative method involves trimming the upper margin of the harvested area, which when brought together with the lower margin with sutures will ultimately enable hair to grow right through the scar. THE END RESULT IS A VIRTUALLY INVISIBLE SCAR. We believe this breakthrough in donor closure to be of tremendous significance and should alleviate fears of visible donor scars, which were common with older techniques. Because of the elasticity of the scalp, this process may be repeated in subsequent procedures. Each time a procedure is done, the scar from the first procedure is removed so that at the end of a treatment course there is only one donor scar. The nearly invisible scar is completely camouflaged within the remaining donor hair.

With Follicular Unit Extraction (FUE) a portion of the donor area must be shaved in order to harvest grafts. Once anesthesia is complete, individual follicle units are superficially excised and extracted using tiny extraction punches and fine tip forceps. No sutures are required with this technique. The tiny puncture sites heal on their own leaving barely perceptible tiny scars scattered throughout the donor zone.  These tiny grafts of skin contain units of 1-4 hairs.  The natural architecture of the average donor area is made up of a certain % of single follicular units, double follicular units, and 3-4 hair follicular units.  By keeping follicular units intact, we assure optimal growth rates.

The high rates (98 – 100%) of graft survival that are uniformly produced in our procedures occur because of meticulous attention to detail in graft handling and preparation. Tissue is placed in chilled holding solutions and maintained moist and cool throughout the transplanting process. The receptor sites are the tiny incisions into which the follicular unit grafts will be placed. The creation of receptor sites is truly the artistic portion of the procedure. The sites are exclusively created by either Dr. True of Dr. Dorin. Both doctors use our own unique custom cut to size micro blades to make the sites. These blades range from .7 mm to 1.1 mm in width and are created for each patient based specific individual criteria. The size of the patient’s grafts, the character of the recipient skin, and the density at which the grafts will be placed all determine the customization of the receptor blades. This practice enables the doctors to perform an ultra refined transplant at densities of 50 grafts per square centimeter. Dr. True and Dr. Dorin combine coronal, saggital, and a blend of coronal-saggital receptor sites to produce artwork that is specific to each patient. Design nuances such as direction and angle of hair growth, hairline shape, crown whorl, and overall hair flow are attained by subtly varying the combination and orientation of these tiny incisions. We believe a denser, more natural result is achieved through this methodology. Once the doctor has completed his design, a team of nurses and/or certified surgical technologists will place the grafts into the incisions. The grafts are carefully placed using very fine forceps. The placement process usually takes a few hours and the patient is watching television while the work is being done. At True & Dorin we are proud of the skill level of our technicians. Most of our staff has been an integral part of the practice since the early 1990s and have each placed over two million grafts. Each team of technicians is assigned to only one case per day.

The grafts are preserved in holding solutions under the ideal temperature conditions during the placement process. They are handled with the accuracy, delicacy, and precision necessary to assure optimal survival. Once the grafts have been placed, the doctor will inspect the transplanted area to insure the grafts are properly placed. A hair dryer is then used to blow cool air on the grafts, which will help form a natural adhesion and set the grafts in place. Bandages are not necessary, and the patient will wear a baseball cap for the trip home.

The patient will then watch the post operative DVD before leaving and the doctor will answer any questions about the post operative process. Although our patients are ambulatory at he time of discharge, we discourage driving after the procedure. The patient will return the next day for a check up and then at 10 days for suture removal. During the 10 day post operative period patients can expect to have very little difficulty or discomfort. Normal activities may be resumed in a day or so, and strenuous activity may be resumed after suture removal. Follow up visits are recommended every four months for the first year after treatment.

You will return the next day for a check up appointment, and then in 10-14 days for a suture removal appointment.  Follow up visits are recommended every four months for the first year after a FUE hair transplant.

 

 

 

 

Men and women are able to have these procedures.  Other medicinal treatments can be used as well, for men medications such as Propecia and Rogaine are excellent at stabilizing hair loss in 9 out of 10 men and 48% of all men see increased hair growth. And for women Rogaine and low level laser therapy is often helpful.

 

 

 

 

We provide consultations for 30-60 minutes with either myself or Dr. Dorin.  We will examine and diagnose your current hair loss and provide you with a detailed walkthrough of our procedure along with realistic goals you should expect for the minimal cost of $85.

 

 

 

 

In many situations we suggest using Rogaine or Propecia or other medications after having the transplantation as it will help stabilize further loss of native/non-transplanted hair.

 

 

 

 

Our patients typically leave our office with a clean adjustable hat to wear home, as bandages are not necessary.  

 

 

 

 

Patients should expect to see the first signs of hair growth at 3-4 months after the procedure.  The hair will become significantly longer and thicker by 6-7 months where the hair can be styled and the final results can be expected at 11-13 months after surgery, where the hair has reached its full potential in density and thickness. The transplanted hair is permanent and does not require any special maintenance.