Page 1 of Robert M. Bernstein, MD, F.A.A.D.'s writing

1. 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... (posted by Robert M. 2 years 106 days ago.)

2. 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... (posted by Robert M. 2 years 114 days ago.)

3. 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... (posted by Robert M. 2 years 127 days ago.)

4. 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... (posted by Robert M. 2 years 134 days ago.)

5. 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... (posted by Robert M. 2 years 141 days ago.)

6. 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... (posted by Robert M. 2 years 168 days ago.)

7. Hair Restoration Procedures to Repair Scars from Previous Surgery As patient awareness of new hair transplant techniques grows, the repair of improperly planned or poorly executed procedures becomes an increasingly important part of surgical hair restoration. The repairs are performed by excision with... (posted by Robert M. 2 years 176 days ago.)

8. How Hair Restoration Surgeons Use Aesthetics to Maximize Results in Hair Transplants As with any design process, aesthetics plays a large role in determining the final outcome of a hair transplant. Just as a sculptor must consider aesthetic concepts that are familiar to his or her audience, a hair transplant surgeon uses aesthetic... (posted by Robert M. 2 years 190 days ago.)

9. How to Obtain Insurance Coverage for "Difficult to Insure" Aircraft There are many aircraft in the aviation insurance industry that are considered "difficult to insure." There are many reasons that an aircraft may fall into that category that will be covered in this article. Before purchasing an aircraft... (posted by Robert M. 2 years 197 days ago.)

10. Follicular Unit Hair Transplant -- The End of the Evolution? After four decades of evolution from the large plugs of the late 1950s to the extensive mini and micro grafting of the early 1990s, possibly the central development in hair transplantation today is the recognition that the naturally occurring... (posted by Robert M. 2 years 197 days ago.)

11. Advancements in Hair Transplant Surgery from 1990 through 2010 Shape the Future The past few decades have witnessed major changes in hair transplantation, most notably the trend towards the use of large numbers of very small grafts and the emergence of follicular unit transplantation as possibly the new "gold standard." In... (posted by Robert M. 2 years 204 days ago.)

12. 12 Common Mistakes Made During Hair Transplants INTRODUCTION - Although follicular unit transplant eliminates many of the shortcomings of older surgical hair restoration techniques, such as a "pluggy" look, a "moth-eaten" donor area or midline scalp reduction scars, poor aesthetic judgment... (posted by Robert M. 2 years 239 days ago.)

13. Planning for a Hair Transplant: What to Expect During the First Session In our experience, patient expectations are most often influenced by the patient's age, stage of hair loss, and its rapidity. The young patient (those in their 20's) with the memory of their adolescent hairline and density still clear in their... (posted by Robert M. 2 years 267 days ago.)

14. Follicular Unit Extraction Introduction The follicular unit (FU) was first defined by Headington and the conceptual framework for using FUs in hair transplantation was laid out by Bernstein and Rassman. It became clear to most surgical hair restoration practitioners... (posted by Robert M. 2 years 316 days ago.)

15. New Instrumentation For Three-Step Follicular Unit Extraction When we published the technique of Follicular Unit Extraction (FUE) in 2002, Dr. Rassman and I described a two-step process for this new hair transplant procedure.[1] The first step was to use a sharp, circular instrument to separate the... (posted by Robert M. 2 years 331 days ago.)

16. Graft Anchoring in Hair Transplants It is a simple question, one basic to hair transplantation and one constantly asked by patients. The query always elicits a quick and authoritative response by the hair transplant doctor or surgical team. To our knowledge, however, it has never... (posted by Robert M. 2 years 359 days ago.)

17. Scalp Laxity Paradox - Scar Size After Hair Transplants It is surprising to find that, after a hair transplant, patients with tight scalps and snug donor closures often heal with fine scars, whereas patients with loose scalps and easy to approximate wound edges occasionally heal with unacceptably wide... (posted by Robert M. 3 years 14 days ago.)

18. From Scalp to Brow: Eyebrow Transplants are Hair Transplants Too Eyebrow reconstruction as a hair transplant technique is based on the technology first reported by Krusis in Germany in 1914 and later by the Japanese in the 1930 and 40s. In 1943, Tamara reported that single-hair grafts should be used for the... (posted by Robert M. 3 years 21 days ago.)

19. Blind Graft Production in Surgical Hair Restoration: Value at What Cost? I was fortunate to catch an early glimpse of the provocative article "Blind Graft Production with Cutting Grates and Multi-bladed Knives" on its way to Dr. Shiell and the Forum. The gauntlet having been tossed, let me be the first to enter the... (posted by Robert M. 3 years 41 days ago.)

20. Densitometry and Video-Microscopy in the Hair Transplant Evaluation Densitometry is a technique that analyzes the scalp under high-power magnification to give information on hair density, follicular unit composition and degree of miniaturization. It can be used to help evaluate a patient's candidacy for hair... (posted by Robert M. 3 years 48 days ago.)

21. What is Delayed Growth Following a Hair Transplant? The asynchronous cyclical nature of human follicular activity contrasts sharply with the synchronized "molting" pattern seen in other mammalian species. In the process of molting, animals shed their hair in a synchronized, seasonal pattern to... (posted by Robert M. 3 years 73 days ago.)

22. Unanswered Questions about Hair Restoration Regarding the ability to perform hair transplants using grafts in extensive quantities, many "unanswered questions" already have answers. The first issue that "the emphasis in hair restoration has somehow shifted from the eventual outcome or... (posted by Robert M. 3 years 86 days ago.)

23. Modern Hair Restoration: Are Scalp Reductions Still Indicated? Scalp reductions became popular at a time when the alternatives were large plugs and flaps. In the modern era of hair restoration surgery, where the transplantation of large numbers of very small grafts are possible, one should reconsider the... (posted by Robert M. 3 years 104 days ago.)

24. Hair Casts or Pseudonits Acquired Following Psychological Trauma This is a report presenting the unusual case of hair casts occurring after psychological trauma. These pseudonits must be correctly differentiated from pediculosis capitis. Hair casts (peripilar keratin casts), or pseudonits, are 2 to 7 mm... (posted by Robert M. 3 years 122 days ago.)

25. The Psychology of Hair Loss: Tips for Avoiding Making Your Hair Loss Your Obsession Hair loss affects millions of men and women, both young and old. It can decrease self-esteem and confidence, and limit the ability to enjoy life to the fullest. Persons balding at a young age may feel deprived of an essential element of their... (posted by Robert M. 3 years 174 days ago.)