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What is Hair Restoration?

Hair restoration is the process of stimulating new hair growth with regenerative treatments, hair growth medications, or by transplanting hair healthy hair follicles to thinning or balding areas to create a more vital, healthy, youthful look. When it comes to the subject of hair restoration and hair transplant in NYC, Dr. Wolfeld is the surgeon to go to for your treatment.

Hair Restoration vs Hair Transplants

Hair restoration is the process of restoring hair to a thinning or balding area. It may involve hair follicle transplants to fill in a thinning or balding area, a receding hairline, or area of the scalp that has gone completely bald, but may also refer to restoring natural hair growth through regenerative techniques such as PRP hair restoration or with the help of prescribed hair growth medications.


What Causes Hair Loss?

Hair loss comes about due to various conditions, including inheriting male or female pattern baldness, hormonal changes, aging, some medical conditions, or the result of times of stress. It can also occur as a side effect of many types of medications, including certain cholesterol drugs, anticoagulants, blood pressure meds, treatments for psoriasis, anti-arrythmia drugs, certain antacids, some steroids, and anti-fungal medications. Radiation therapy can also lead to hair loss. The first step in planning your hair restoration in NYC is a full evaluation by Dr. Wolfeld to determine the underlying cause of your hair loss.


About the Hair Growth Cycle

Hair growth occurs in four stages. Hair typically grows about a quarter to a half an inch per month, with each follicle in one of these four stages:

  • Anagen: The growth phase. During this phase, the cells divide quickly. About 90 percent of your hair follicles are in the anagen phase.
  • Catagen: The transitional phase in which the hair follicles shrink. This phase lasts about two weeks, with the hair no longer growing, and detaching from the blood supply.
  • Telogen: The resting phase in which the follicle is not producing any hair, which lasts for several months. A new hair is beginning to grow within the follicle, with about 10 to 15 percent of your follicles in this phase.
  • Exogen: The shedding phase, with the hair falling out. A normal person loses about 50 to 100 hairs each day. The hair then returns to the anagen phase, with a new hair growing.

Am I a Candidate?

If you are losing your hair, notice your hairline receding, your part becoming wider, or your hair thinning, you may be a candidate for hair restoration or our NYC hair transplant procedure. Some people accept hair loss or may choose to wear some type of hair piece, while others prefer to take a proactive approach and undergo a procedure, therapy, or treatment to restore natural hair to a thinning or balding area. If you feel that hair loss is affecting your self-image, confidence, or makes you look older, you are likely a very good candidate for hair restoration.


Types of Hair Restoration:

  • FUE: FUE stands for “follicular unit excision.” This procedure involves harvesting healthy hair follicles from the back of the head, where they are not genetically programmed for balding. The hairs are extracted individually and then transplanted to the thinning or balding area. This procedure has the advantage of leaving no linear scar at the back of the head as occurs with FUT.
  • FUT: FUT, or “follicular unit transplantation,” is also called the “strip” method. In this procedure, a linear strip of healthy hairs is harvested from the back of the scalp where the hair is more abundant. The hairs are then carefully harvested from the strip and implanted, one by one, in the thinning or balding area. This technique has the disadvantage of leaving a linear scar at the back of the head.
  • ARTAS iX System: The most advanced hair restoration system, the ARTAS iX System is a physician assisted robotic method to harvest and implant hair. The system creates recipient sites in which to implant the hairs using a proprietary algorithm to create a completely natural look, a huge advance in modern hair restoration technology.

Medications:

If you are losing your hair, several medications are available that can trigger new hair growth. These include:

  • Propecia (finasteride): This prescription medication stimulates your body to produce hairs in thinning areas. It works by inhibiting the process of converting testosterone into dihydrotestosterone, which shrinks hair follicles, the underlying cause of male pattern baldness.
  • Rogaine (minoxidil): The most well-known of all hair growth medications, Rogaine works by dilating the blood vessels in the scalp to encourage healthy hair growth. This medication is applied topically to the thinning areas and has proven to be effective for both men and women suffering from hair loss.
  • PRP: Platelet rich plasma is loaded with natural growth factors that can trigger healthier hair growth, and restore follicles that are starting to produce thinner, finer hairs – the first stage in total hair loss. It is produced from your own blood, which is processed to create the regenerative serum, which is injected into the scalp. PRP hair restoration is most effective on those who are in the early stages of hair loss, and can reactivate healthy hair growth in dormant follicles.
  • Aldactone (spironolactone): A medication used to treat heart failure, Aldactone may be an effective treatment for women who are struggling with hair loss related to hormonal imbalances. It acts as an anti-androgen (hormones playing a role in reproductive activity) and can lead to fuller hair and less shedding. It is taken orally.
  • Vitamins: Viviscal is a supplement that provides nutrients that strengthen hair, helping it become noticeably healthier, thicker, and more attractive. The ingredients in this custom hair supplement addresses a range of underlying causes of hair loss, and has clinically-proven results.

Areas of Hair Restoration

Hair loss treatments can be performed on several areas. While our hair restoration in NYC is often to restore a thicker head of hair, modern techniques can increase the quantity of hair in the following areas:

  • Head
  • Eyebrows
  • Beard
  • Sideburns

Recovery / Post-Op Instructions

After hair restoration, you will need to carefully follow your post-treatment instructions, so you recover quickly, easily, and without pain or complications. With the ARTAS iX system, your recovery will be far easier to experience than hair restoration with older, traditional methods. You will be back to work or other activities within a few days and can sleep comfortably on the donor area without experiencing pain. Only Tylenol is needed for pain relief, if any, as the procedure produces far less trauma than traditional methods.

After a strip method (FUT), you will have stitches and will need to care for the incision site carefully, so it heals properly. You will have restricted activities and will be unable to sleep on the donor site for several weeks. When healed, you will need to wear a longer hairstyle so that the linear scar is not visible.


Downtime

FUT (Strip Method): With the strip method, you will have a several weeks of recovery, and your head will be bandaged for about a week. The stitches are removed in a week. In the early stages of recovery, it is normal to feel discomfort, have a sore throat, and suffer a swollen neck.

ARTAS iX: The downtime with the FUE ARTAS iX hair restoration is only two to three days. This advanced hair restoration system is precise, accurate, and has a far shorter recovery time than traditional methods of hair transplantation, requiring less time in treatment, and less stress on you, the patient.

Risks

FUT: Hair transplants performed with the strip method comes with higher risk, as it involves an incision at the back of the head. Another issue that can be problematical is that some of the transplanted follicles may not survive, requiring another procedure. Risks such as infection, excessive bleeding, or wider scars are possible with this method.

FUE with ARTAS iX: With the ARTAS iX method, the risks of suffering complications are very low. As each hair is harvested with a robotic system that creates a punch to extract the follicle, only a small wound is created that closes and heals quickly, rather than requiring weeks. The graft survival rate is very high with ARTAS.


Choosing a Surgeon: Why Choose Dr. Wolfeld?

Dr. Wolfeld is a nationally-recognized hair restoration specialist. He is a board-certified plastic surgeon who serves as an Assistant Clinic Professor of Plastic Surgery at Mount Sinai Medical Center, and the sole medical professional certified both by the American Board of Plastic Surgery and the American Board of Hair Restoration Surgery. His reputation for excellence has led to many awards and honors, including named in the New York Times “Super Doctor” list, Castle Connelly “Top Doctors in America,” and in “10 Best List of Plastic Surgeons” 2018 by the American Board of Plastic Surgeons. As a hair restoration specialist, he is known for his outstanding accomplishments in advanced hair restoration in NYC as well as nationwide.


What to Expect During the Procedure

Preparing for Hair Restoration

  • Your hair restoration design is determined with the help of the ARTAS Hair Studio to ensure the most natural look is achieved. A 3D digital model of your face and head is created, and the hair restoration options visible so the most attractive design is created for your face.
  • Four weeks prior to your hair restoration treatment, your hair must be cut close, to about ¾ in length.
  • Two to three days before your ARTAS treatment, your hair must be cut to 1 mm in length.
  • Avoid alcohol and tobacco use for at least two weeks prior to treatment.
  • Wear loose clothing to your procedure so you are comfortable.
  • Arrange a friend or family member to drive you home after your treatment.

During

The hair design created with the ARTAS Hair Studio is digitally transferred to the ARTAS system. The procedure will require several hours to complete, typically about four to eight hours, based upon the extent of the restoration. You will be resting seated comfortably throughout the procedure, and will not be in pain, as local anesthetic will be administered to numb the area.

After

When your hair restoration treatment is complete, you are free to return home, driven by another person. You may experience minor swelling, which diminishes in about one to three days. Most patients feel surprisingly well, are able to sleep normally, and require only Tylenol for comfort.


FAQs

When can I return to work?

After an ARTAS hair restoration, most people return to work within two to three days. Very small scabs will surround the implanted hairs which fall off or can be rubbed off after about 10 days. They are not large and unsightly, but visible. Some patients choose to wait until this has occurred to return to work.

How long does recovery take?

The ARTAS system has a far shorter recovery time than older methods, which required several weeks. With FUT hair restoration, you need about two weeks for the linear incision to heal. With ARTAS, most people feel comfortable enough to return to work or other usual activities in about two to three days. Some may choose to work from home until the visible small scabs are gone.

Is financing available?

Various financing options are available so you can have your hair restoration procedure when you want it, paying for it over time in easy monthly payments.

Is it painful?

No, your treatment will not be painful, as local anesthetic will be injected into your scalp. You will feel the injection of the anesthetic, but after that, you will be pain-free. In a longer procedure with a greater number of transplants, if you begin to feel the sensation of the harvesting and implantation, more anesthetic can be applied so you remain comfortable.

Will there be scarring?

The tiny punches created in harvesting single follicles with the ARTAS iX system leaves very tiny, ordinarily unnoticeable scars, and you can wear your hair any length confidently. With FUT, a linear scar will be on the back of your head for the rest of your life. This is not an appropriate treatment for those who prefer a shorter hair style.

How long before I can go in public?

You can return to your normal activities in two to three days, but the small scabs at the implant sites will be visible. If this causes you discomfort, you can wear a hat or other head covering, or wait until the scabs are rub off, which takes about ten days.

Do I need anesthesia?

Only local anesthetic is needed for the ARTAS iX hair transplant technique. If you undergo FUT (strip method) you will be put under general anesthesia for the procedure.

What's the cost?

The cost varies from patient to patient, depending upon the number of follicles to be transplanted. The cost is figured on a “per graft” basis. The procedure may be in the range of $4,000 to $12,000. Some patients need fewer grafts, choosing to restore a hairline or fill in a smaller balding area, while others want a more extensive restoration.

How long does the procedure take?

The procedure takes about four to eight hours, depending upon how many grafts are needed by the individual patient.

Can women get hair restoration?

Hair loss treatments are appropriate for both men and women. If you are noticing your hair becoming thinner, finer, or your part becoming wider and more visible, or you have balding areas, hair restoration treatments can help you look and feel younger and more attractive.

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