Robert M. Bernstein, MD, F.A.A.D.

Hair Loss after Face Lifts and other Cosmetic Surgeries

Hair loss is a common complication of face and brow lifts, but this is rarely explained to the patients considering these procedures. Alopecia from face and brow lifts can be due to a number of factors: * Destruction of hair from incisions not parallel to the follicles * Destruction of hair from suturing * Destruction of follicles from undermining * Excessive skin tension * Disruption of... (posted by Robert M. 1 year 364 days ago.)

Basic Repair Strategies to Fix a Bad Hair Transplant

Establishing Priorities - Before repairing an old transplant, it is important to establish what aspects of the prior surgery are most bothersome to the patient. One should not assume that what concerns the cosmetic surgeon would also be a problem for the patient. It is important to have the patient prioritize his concerns and to discuss the management of each concern with him. It may not always be... (posted by Robert M. 2 years 7 days ago.)

A Comparison of Synthetic Sutures and Staples in Hair Transplants

In Follicular Unit Transplantation (FUT) a thin strip of hair is taken from the back and/or sides of the scalp. This is called the "donor strip" and the individual hair follicles that are used in the hair transplant are harvested from it. Once the donor strip is removed, the area where the strip was taken from is sewn closed. While the scar from the incision is usually undetectable... (posted by Robert M. 2 years 20 days ago.)

Beyond Staples -- New Sutures in Hair Restoration Surgery

For a number of years, hair transplant surgeons have used either metal staples or, more commonly, a running suture of Surgilene (or Nylon) to close the donor wound. However, neither type of closure was completely satisfactory. Metal staples were uncomfortable and disliked by many patients and they often left a fine, but very distinct line in the donor area. On the other hand, Surgilene sutures... (posted by Robert M. 2 years 27 days ago.)

Preparation, Handling and Projection of Implants During Hair Transplants

During a hair transplant, the individual implants, or follicular units, are obtained from the patient's scalp during dissection. The basic concept in dissection is to identify the patient's natural hair groupings and to isolate individual follicular units. A delicate balance must be reached between the goal of having the implant purely follicular and leaving enough peri-adventitial... (posted by Robert M. 2 years 34 days ago.)

Follicular Unit Hair Transplants Promote Faster Wound Healing than Traditional Hair Grafts

There are four related benefits to recipient site wound healing when follicular implants are used instead of traditional hair grafts. These are minimizing the recipient site surgical wound size, eliminating skin surface deformity, decreasing the dermal fibroplasia associated with healing, and avoiding pigment alteration. By limiting the implant to the follicular... (posted by Robert M. 2 years 62 days ago.)