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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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?

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 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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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

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 Your Hair Transplant Surgeon

There are about 100 full time hair restoration surgeons exclusively practicing hair transplant surgery. 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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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.