Avoiding a Bad Hair Transplant

Avoiding a Bad Hair Transplant: Hair Transplant Guide to Avoiding Problems and Mistakes
Unfortunately, there are still a lot of horror stories about hair transplantation. Many men and women have had procedures done that have produced less than optimal results and poor growth. Dr. Brian Goertz has repaired many individuals who have suffered with bad or “botched” hair transplants performed at other clinics. Dr. Goertz put together some basic information to help men and women make the best choice for hair transplantation the first time and to help them avoid possible hair restoration problems and mistakes.


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Finding a Hair Transplant Doctor

The best way to find a Hair Transplant Doctor is through a referral either from your plastic surgeon, dermatologist, family physician or another patient who has had the procedure. Do not be tempted by infomercials or aggressive marketing campaigns promising you a full head of hair. Read real patient reviews on sites like RealSealf.com that have verified reviews of doctors.


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Scarless Hair Transplant

When hair loss is treated surgically we want no one to know. We want people to think our hair looks great and there no sign that we actually had a hair transplant done. Hair restoration began in the 1950’s as a plug procedure where 5-10 millimeter plugs were extracted from the back of the head (the donor area) this left an unsightly hair line and also horrible scarring in the donor area. The technique of removing a donor strip was developed in the late 1980’s which then allowed for dissection of donor hairs into naturally occurring follicular units. Hairs grow in groupings of 1-4 hairs called follicular units. The phrase “scarless hair transplant” is an unfortunate marketing term promulgated by unscrupulous hair transplant clinics. There is no such thing as a scarless hair transplant.


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What is Follicular Unit Transplant (FUT)?

The advent of Follicular Unit Transplantation (FUT) was first foretold in a study published by Dr. Bobby Limmer in 1994 showing results that were no longer “pluggy” in nature. Follicular Unit Transplantation is a procedure where hair is transplanted in its naturally occurring groups of 1-4 hairs. From a single donor strip the naturally occurring follicular units are microscopically dissected into their naturally occurring groupings. Since Follicular Unit Hair Transplants mirror the way hair grows in nature, the results in our hands will look completely natural as the units are planted correctly for angle and depth.


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What is Follicular Unit Extraction (FUE)?

Follicular Unit Extraction (FUE) is a method of obtaining donor hair for Follicular Unit Transplantation (FUT). Naturally occurring follicular units can be obtained in one of two ways; either through single strip harvesting and microscopic dissection, or through individual Follicular Unit Extraction (FUE). With FUE, individual follicular units are harvested directly from the donor area without the need for a linear incision. Follicles are removed in a 3 step process developed by Dr. Jim Harris; a 1-mm punch instrument is used to make a small circular incision in the skin around the upper part of the follicular unit, the follicular unit is then extracted directly from the scalp.


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What is the difference between Neograft, Artas, FUT and FUE?

There is no difference. NeoGraft and Artas are simply mechanized forms of FUE. Each is a machine/device that aids in the follicular unit extraction. NeoGraft also aids in the process of transplantation by blowing the grafts back in to the transplant area. FUE as a procedure has been around for a long time and is a good option of transplantation for select patients.


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Does Platelet Rich Plasma ( PRP ) work for Hair Loss?

The short answer is no, Platelet Rich Plasma Hair Loss Treatments (PRP) do not work. A recent double blind study from 2016 reported that there was no significant difference in hair count or hair mass index when comparing PRP to placebo. The study appears in Dermatological Surgery November 2, 2016 authored by Puig, Peters and Reese.


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Frequently Asked Questions

What are follicular units?
Over time, researchers in hair transplantation have discovered that hair grows in groupings of 1 to 4 hairs. These are called follicular units. During the hair transplant procedure the donor hair is dissected into the naturally occurring follicular units. These follicular units are then placed into the recipient sites to achieve natural looking results.


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Hair Loss Library

These peer-reviewed articles from the ISHRS (International Society of Hair Restoration Surgery) are provided to assist you in your research about hair loss and your options. Dr. Goertz believes that all patients should be well informed about their options so that they can make the decision that is best for them. The ISHRS is the largest hair restoration educational organization in the world. Dr. Goertz is board certified by the American Board of Hair Restoration Surgery (ABHRS) the only certification organization recognized by the ISHRS.


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Hair Loss Facts and Myths

Hair loss is a natural daily occurrence. Every hair on your head adheres to a genetically programmed schedule that includes growth, resting and shedding. On the average, 50 to 150 hairs are lost each day, but most hair re-grows because the follicle remains. When shedding significantly exceeds growth, baldness occurs.


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Choosing Hair Transplant Seattle

There are less than 100 full time hair restoration surgeons exclusively practicing hair transplant surgery in the US. Hair Transplant Seattle is one of them. Only about 70 of the full time practicing hair restoration surgeons are board certified by the ABHRS (American Board of Hair Restoration Surgery).


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A Typical Procedure

We make every effort to be sure your procedure will be comfortable and pleasant. Your procedure will take between five and eight hours, depending on the size of the session you are having.


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Trichophytic Closure Technique

The need to use the Trichophytic Closure Technique after donor area extraction is determined by the amount of transection of follicles during removal of the donor tissue. Most individuals will not need tricophytic closure when hair transplant surgery is performed by Dr. Brian Goertz.


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Hair Transplant Surgery

Hair transplantation is a very safe, minor surgical procedure that involves removing a strip of permanent hair-bearing tissue or extracting one follicular unit at a time using (FUE or follicular unit extraction) from the back or sides of the scalp (Donor Area). Most patients opt for strip excision.


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African American Hair Transplants

African American Hair Transplants are complex procedures with many steps, to ensure graft survival, and ultimately great hair transplant results. Hair transplantation on individuals of African descent with curly hair requires a carefully designed hairline in men and women, different from those in Caucasians. African American Hair Transplants involve intricate hairline variegation and angulation. Dr. Brian Goertz and his team take the appropriate steps to avoid any scarring in the recipient area.


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Laser Therapy

Low level laser treatment of the scalp has been advocated for years as a way to stimulate the scalp and/or hair to improve hair growth and reduce hair loss. The first FDA trials have been completed and the HairMax LaserComb was approved (2007) to re-grow hair and decrease hair loss. This FDA clearance of the HairMax LaserComb offers an exciting new modality for the promotion of hair growth in men. Until now, the FDA has only approved two other products (topical Minoxodile and oral Propecia) as solutions to combat hair loss, a condition that affects approximately 55 million men in the U.S.


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Medical Treatments

There are two FDA approved medications that seem to prevent or at least reduce hair loss.

  • Minoxidil (generic), also sold under trade name Rogaine
  • Finasteride sold under trade names Propecia and Proscar


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Healthy Living Tips

Here is a list of articles written by Dr. Goertz. It is Dr. Goertz’s recommendation to eat as healthily and organically as possible not only for hair health but also general health and longevity. Here Dr. Goertz explains in layman’s terms why certain foods and additives are unhealthy and relates them back to the scientific proof.


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The Truth about ACell and Hair Restoration

No scientific evidence that it works to regrow hair. I wish it did work. I feel strongly that preying on individuals with hair loss as a miracle solution with no scientific evidence of benefits is unethical. There are good dietary means available to improve the connective tissue in skin and does not include injecting ACell subcutaneously. I call upon all those promoting for reversing hair loss to show me the real scientific evidence.


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Please feel free to call the office and set up a consultation if you need more Hair Loss Information. You can also click here to set up your free complimentary consultation.