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University of
Washington


UW
Dermatologic Surgery
Hair
Transplantation
Consults for Hair
Transplantation: 206-598-6647
Hair
transplantation has come a long way from the days of "hair
plugs" and a pleasing, natural result is now routine. It is
an excellent option for treatment of hereditary hair loss in
many men and women. A consultation with Dr Berg is
recommended to discuss the specifics of your case and decide
whether it's a good treatment for you. Resources on this web
page include:
1. A
link to UWTVs Cosmetic Surgery Rounds including streaming
video of Dr Berg reviewing hair transplantation. The
complete program covering several topics is one hour long.
Dr Berg's portion takes place from at 30 minutes, 34 seconds
until 46 minutes 10 seconds. The program can be viewed by
clicking
here
or by going to www.uwtv.org and searching the site for
"Cosmetic Surgery: A Multidisciplinary Approach"
2.
Frequently asked Questions (see below)
FREQUENTLY
ASKED QUESTIONS
WHAT IS HAIR
TRANSPLANTATION?
Hair transplantation refers to the
surgical movement of permanent hair with its roots to an
area of bald or balding skin. Hair transplantation is an
effective and permanent solution for hair loss.
HOW DOES IT
WORK?
In almost all cases of so-called
"male-pattern baldness", there is a permanent fringe of hair
along the side and back of the scalp. This hair demonstrates
"donor dominance". This means it will grow permanently even
if it is moved to an area which is bald or
balding.
WHAT DOES THE
PROCEDURE
INVOLVE?
Hair transplantation is done under
local anesthesia as an outpatient procedure. Hair and
follicles are removed from the "donor area" of permanent
hair along the back and sides of the head. This area is
immediately camouflaged by the surrounding hair.
The removed hair follicles are then
divided into individual grafts of varying sizes. The
smallest grafts contain 1-2 hairs and are often referred to
as "follicular units" or "micrografts". Larger minigrafts
may contain up to 6 hairs and can provide more density per
graft. Choice of number and type of graft is made taking
into account the patient's hair type, quality, color and the
area to be transplanted. Once prepared the grafts (hair and
its roots) are then inserted into the thin area.
HOW LONG DOES IT
TAKE?
Hair transplantation is an office
procedure that takes approximately four to eight hours
depending on the extent of the planned procedure. Most
people return to work two to five days after the surgery.
Most people require more than one session, each spaced at
least six months apart each to complete the hair restoration
in an area. The timing and number of transplants depends on
the amount of hair you have when you start, how much is
anticipated that you will continue to lose without
transplanting and how much hair density you
desire.
WILL IT LOOK
NATURAL?
Yes. In the hands of well-trained and
experienced physicians, and using newer techniques with
smaller grafts, the hair grows in the proper direction with
a feathered hairline, and a highly aesthetic
result.
The hair is your own, and just like
all of your hair it grows, can be washed, curled, cleaned,
permed and styled as desired. Once the transplants are
completed, no special maintenance is required.
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WILL I
SCAR?
The site from where the hair is taken
is usually a fine scar line which is hidden by the permanent
hair in that area. After the procedure there are tiny marks
where the grafts have been placed. Initially there is some
crusting over these areas (5-14 days) but after this, these
areas are usually not detectable.
WHEN DOES THE
HAIR
GROW?
In most cases, immediately after the
hair transplant the hairs fall out of the grafts, and do not
regrow for 1-3 months. After this they begin to grow as
normal hair. With each session there is more hair, and the
resulting appearance is thicker hair.
IF I AM A WOMAN,
CAN I BENEFIT FROM A HAIR
TRANSPLANT?
Women with localized thinning on the
top of their heads or thinning around the temples often make
good candidates for hair transplantation. Prior to
evaluation for hair transplantation, it is important for
women to discuss your thinning hair with a dermatologist
and/or endocrinologist to make sure there is no other
treatable reason for the hair loss.
WHAT IS THE
COST?
Hair transplantation is a
cost-competitive solution for hair loss. Other hair
replacement alternatives require additional maintenance over
the years. The cost depends on the amount of bald area that
will need to be transplanted, and the desired thickness.
More grafts are necessary to cover more bald or thin area
and to maximize hair density. Because the procedure is
individual, costs are usually determined
individually.
WHEN SHOULD I
CONSIDER THE
PROCEDURE?
Hair transplantation can be done both
on patients with advanced baldness and earlier thinning.
Newer treatments for men like Propecia or for both
men and women, like Rogaine should be considered as
well especially in patients with earlier thinning as these
medications often slow significantly the progression of hair
loss. In general, hair transplantation is not considered for
patients younger than their mid 20s because of difficulty in
predicting ultimate extent of hair loss.
WHAT
QUALIFICATIONS SHOULD I EXPECT FROM MY
DOCTOR?
Hair surgery requires both medical and
technical expertise as well as an aesthetic appreciation of
natural hair growth. At the University of Washington your
transplant will be performed by a team led by Dr Berg, a
recognized board-certified specialist in dermatology with
training and experience in dermatologic surgery. Dr. Berg is
a dermatologic surgeon, experienced in hair transplantation,
as well as other cosmetic and reconstructive skin surgeries.
He received his qualifications in Dermatology in 1991, and
completed two further years of training in dermatologic
surgery. He was trained in hair transplantation in both
dermatology residency and dermatologic surgery fellowships
where he worked with internationally recognized leaders in
the field. He has continued with this work since his arrival
in 1997 at the University of Washington where he is the
Director of Dermatologic Surgery.
OUR APPROACH TO
HAIR
TRANSPLANTATION
Hair transplantation at the University
of Washington is approached as an important surgical
procedure, in which the transplant recipient is viewed as a
patient rather than a client. For these reasons, medical
consultation and follow-up is always provided by the
physician who will oversee the surgery, rather than a sales
associate. The procedure itself is carried out by this
physician with the assistance of experienced hair transplant
technicians.
In keeping with proper medical
standards, the possible negatives of transplanting as well
as realistic expectations, will be discussed prior to you
proceeding with the surgery. For example, it is very
important to consider the role of future hair loss in
planning, and the possible need for more sessions to achieve
desired density. It is our philosophy to provide you with
medically sound and realistic information.
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Dr Berg Photographs (others
available at
consultation)
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Dan Berg M.D.
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Dan Berg M.D.
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Hair Transplant - Before
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Hair Transplant - After
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