Robert V. Cattani MD, David R. Marks MD, Michael L. Reed MD
When medical treatments for hair loss fail to bring satisfactory
results, some men turn to surgical treatments like hair transplantation
and scalp reduction. Such procedures have come a long way since the days
of big hair plugs, often yielding remarkably natural results. Our panel of
experts will walk you through the various options, and discuss video
footage of a hair transplant. Topics will include:
DAVID R. MARKS, MD: Hi, and welcome to our webcast. I'm
Dr. David Marks. Here's a depressing thought. 50% of us men,
that's 50%, will suffer hair loss by the time we're 50
years old. The good news is, there are many surgical treatments available.
Which one is the right one for you? We have two guests joining us today to
help us decide. The first is Dr. Michael Reed. He's Assistant
Professor of Clinical Dermatology at NYU Medical Center and he directs
their hair transplant program. Welcome.
MICHAEL L. REED, MD: Hi.
DAVID R. MARKS, MD: Next to him is Dr. Robert Cattani.
He's one of the founders of the American Board of Hair Restoration
Surgery and he practices in New York. Welcome.
CATTANI, MD: Thank you very much, David.
DAVID R. MARKS, MD: Dr.
Cattani, it used to be that when you saw a man on the street who had a
hair transplant you knew it. Nowadays you can't really tell. Why
ROBERT V. CATTANI, MD: I think that's a
good starting point for the audience there. Hair restoration began in 1958
and I think for the first 35 years we were almost offering apologies for
some of the work we were doing because we were transplanting very large
grafts. We all know the names. Cornrow, dolls hair, take offense, my god
they're awful. That was the only thing we had. Then because of
medicine and the wonderful progress we're able to make, we decide
that maybe less is more. We started to take down the size of the grafts.
From ten and 12 hairs down to five, four, three and two and sometimes one
We learned that men seek two things in hair restoration.
One, they want maximal naturalness, and two, they want minimal
detectability. Lastly, maximal naturalness doesn't have to mean
maximal hairiness. It's OK not to have a full head of hair.
DAVID R. MARKS, MD: You had some picture to demonstrate the
MICHAEL L. REED, MD: Yes, I think this is
the image that a lot of people have in their mind of going back to the 70s
and 60s. You see people who had incomplete or poor work and this is the
so-called old giant plug graft, the dolls hair look. That's been
totally replaced by much smaller grafts. This is just one session or these
tiny grafts have been put in. The knowledge that is the basis for this new
work is shown here. A kind of breakthrough in understanding the anatomy of
how mother nature creates density, is to understand something called the
follicular unit which is a natural, anatomical clustering of hair
follicles. They go in little clusterings where you can have anywhere from
one up to five or six hair follicles all together surrounded by a little
fibrous tissue compartment. We've taken this concept of the
follicular unit and now we have what's called follicular unit
grafting where we can take grafts which have one follicular unit, with
one, two or three hairs, to construct a natural frontal hair line just
like mother nature. Behind it we can use the same type of grafts or a
little bit larger grafts to create the density, so that when hair grows in
you see hair and no longer see scalp. So we can get results that are
natural in the front and dense in the back, and we can do it in as little
as one session in a lot of patients.
DAVID R. MARKS, MD: One
ROBERT V. CATTANI, MD: As little as one session, yes.
Although if a person looks real close at themselves in the mirror and not
just in casual circumstances, to rebuild a frontal zone may take two and
even three in some individuals depending on the hair color and texture and
the skin color.
DAVID R. MARKS, MD: OK. We're going to
go to some video here. Take a look at this scalp.