Hair Transplants Miami
Miami Hair Transplant Surgery to Regain Real and Natural Growing Hair
Dr. Bared’s rare background as a fellowship-trained facial plastic surgeon amongst hair restoration surgeons provides Dr. Bared both the technical and artistic background to provide his patients with optimal results. Dr. Bared works alongside Dr. Jeffrey Epstein at the Foundation of Hair Restoration and Plastic Surgery. Like Dr. Epstein, Dr. Bared’s philosophy with hair transplantation is the creation of a natural appearance, which is paramount for Dr. Bared. Dr. Bared’s natural results are most apparent in his hairline designs as well as other artistically-demanding procedures such as the eyebrow or facial hair transplant procedure. Dr. Bared’s practice is strictly dedicated to hair restoration and facial plastic surgery.
Causes of Hair Loss
Hair loss can be due to multiple factors. However, in 80% of the cases, it is hereditary, coming from either one’s maternal or paternal side. Before seeking possible treatment for hair loss, it is important to be evaluated by a medical professional to ascertain the cause of your hair loss. Certain hair loss conditions may preclude one from having a hair transplantation procedure. You should be carefully evaluated for these conditions before pursuing a possible hair transplant. If you are found to have one of these conditions, Dr. Bared will discuss your options with you. Generally, hair loss is broken into 2 categories known as cicatricial and non-cicatricial alopecias. Androgenic alopecia falls within the non-cicatricial alopecias and is by far the most common cause of hair loss.
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Considering Hair Transplantation?
How can I treat my Hair Loss?
There are two goals to hair restoration: to stop or slow down the progression of hair loss as well as replenish hair into the areas where one has lost hair. There are various treatments that may help stop or slow down the progression of hair loss but nothing outside of a hair transplant will drastically restore hair so it is important to have realistic expectations with the following treatments:
Candidates for Hair Transplantation
Androgenic alopecia is the most common cause of hair loss and is the most commonly treated in both male and female patients undergoing hair transplantation. Unfortunately, androgenic alopecia is a progressive issue in which only the symptom of the hair loss can be treated. Since the cause of hair loss is genetic, we can’t treat the actual cause (we can’t change anyone’s genetics). Ideal candidates for hair transplantation are those patients who are taking measures to help slow down the progression of hair loss. The rate of progression and the age of onset hair loss vary between individuals. Although there is no strict cut-off age for when one can undergo a hair transplant, it is Dr. Bared’s practice to defer younger patients, encouraging the medical management of their hair loss. Dr. Bared adopts this approach because he feels it is in the best interest of his young patients. While they may benefit from a fuller appearance for a period of time, hair loss will inevitably progress. The next factor which is important in assessing candidacy is the rate of progression of the hair loss. Patients who are actively shedding hair are not the best candidates for a procedure. It is best for these patients to stabilize their hair loss before proceeding with a procedure.
Your Hair Consultation with Miami Hair Transplant Surgeon, Dr. Bared
Dr. Bared frequently performs hair transplantation in both male and female patients. As with any cosmetic procedure, proper expectations of what can realistically be achieved and the proper motivation will make for a great patient experience. Dr. Bared meets with all patients before the procedure either in person, if travel permits, or via phone or webcam. He will first review your medical history, family history of hair loss, methods you are currently taking to help slow down the progression of hair loss, and review your goals for the procedure. Dr. Bared will then assess the quality of your donor hair and examine your scalp. Before proceeding he will then make recommendations of what you can be doing to help slow down the progression of hair loss. At that point, if he feels you are a good candidate for hair transplantation, he will then discuss with you your options for donor hair harvesting. My visit to Dr. Bared, was excellent, before the surgery was started I was feeling comfortable and after the surgery I was more motivated that he would do a perfect job in which he did. Given Dr. Bared’s background and experience, he is capable of performing the state-of-the-art follicular unit extraction (FUE) technique or the more traditional “strip” or follicular unit grafting technique. If you have not already decided on which you prefer, Dr. Bared will review with you the pros and cons of each. This being said, with today’s advances in hair transplantation the FUE technique is the most common technique performed in Dr. Bared’s office. Dr. Bared will then make recommendations as to the amount of grafts which are needed to achieve the desired goals. The amount of grafts is determined by several factors including the availability of donor hair and the type of harvesting method used.
Hair Transplantation Procedure
All of Dr. Bared’s hair transplantation procedures are performed in his accredited procedures rooms. On the day of your procedure you will meet with Dr. Bared in the morning. It helps if you have already eaten a light breakfast before coming to the office. Dr. Bared will meet with you, once again, and will draw in the areas to be transplanted. The area will be shown to you in front of a mirror so you will see the exact placement of the hairline or the areas to be filled in. Once the area has been designed by Dr. Bared in front of a mirror, you will then be brought in to one of the procedure rooms. You will be given the option of an oral sedative to place you at ease during the entirety of your procedure. If you are having the FUE technique you will be lying face down during the first couple of hours of the procedure while the hair grafts are being extracted. Dr. Bared works with full-trained hair technicians at the Foundation which have been in practice with Dr. Epstein for many years and are all highly experienced in the field of hair restoration. Dr. Bared does not hire any temporary help for these procedures – only fully-trained technicians that are dedicated to this procedure. The hair transplant procedure is a very meticulous process where each incision (or what we call, a recipient site) is made by Dr. Bared followed by the individual follicular unit, or graft, is placed into that incision. This process happens back and forth, repeatedly, until the procedure is completed.
You should be prepared to spend the good part of the day in the office depending on the amount of grafts you are having transplanted. However, we try to make the experience as enjoyable as possible by having iPads available to watch movies, listen to music, etc. We also give the patient small breaks in between to use the restroom, stretch their legs, and also order them lunch in the middle of the day. Upon the completion of your procedure, Dr. Bared and the staff will review with you the written post-operative instructions and hair care instructions. You can expect to have your first hair wash performed in the office the day following your procedure.
Hair Transplantation Outcomes
Each individual heals at a different rate but, on average, it takes around a year to see the full results of a procedure. You can expect for the initial grafts to fall out around one to two weeks following the procedure. This is expected as the “old” hair and the surrounding skin fall out at this time. Outcomes vary with each person, the type of hair loss, the pattern of hair loss, the quality of the hair, and the coarseness of the hair. In general, results with frontal hair loss are more impressive than crown hair loss. Achieving a great amount of coverage in density in the crown is more challenging because of two factors: the area that needs coverage is larger than what it appears (it’s a convex surface) and the direction of hair growth in the crown is radial, or grows away from each other versus on top of each other in the same direction. Depending on these other factors mentioned, one can expect to have a moderately fuller appearance in the crown but complete crown coverage is very challenging to achieve.
As mentioned, the quality of the donor hairs will also determine the degree of density one is able to achieve. The characteristic of hair that provides the best coverage are patients who have thicker and wavy hair. Patients with finer hair will be limited to the amount of density that is attainable. Lastly, the less contrast there is between the hair color and scalp color, the greater the appearance of density. Lastly, as previously mentioned, the rate of hair loss needs to be addressed. Dr. Bared may recommend the use of medications such as finasteride (Propecia© ) or low level laser light therapy to help slow down the rate of hair loss. Given that hair loss is progressive while the grafts transplanted are not susceptible to hair loss, patients will continue to lose their native hairs while the transplanted hairs remain. In order to help maximize the results, it is imperative that measures are taken to combat the hair loss. All these factors and characteristics combine to give the various degrees of results after a transplant. Dr. Bared’s goal when performing a hair transplant procedure is to provide the greatest degree of density while keeping a very natural appearance.
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