As they age, most men experience some degree of hair loss or thinning. A strong family history of balding in male ancestors, a history of scalp surgery, severe burns, trauma or medically-induced changes in hormonal balance are all risk factors which may amplify or accelerate standard age-related hair loss. The typical distribution of hair loss seen in most males includes variable involvement of the hair bearing scalp in the vertex (upper, back midline), frontal forelock (central front hairline), parasaggital region (extending out from and on either side of the central top midline), and temporal area (front portion of hairline of the temples). The posterior temporal and occipital regions (back portion of the temples and lower back hairline) are invariably spared in males. This distribution of hair loss is commonly referred to as ‘male pattern balding’. For some individuals, hair loss is viewed as an acceptable part of the normal aging process and they adapt appropriately to their maturing hairline. However, others may be dissatisfied with their changing appearance and unwilling to passively accept progressive hair loss. For these patients, hair restoration may provide the perfect solution.
Over the recent 10-20 years, significant progress has been made in the recognition and understanding of hair anatomy and physiology. This has resulted in the performance of increasingly sophisticated techniques for natural hair replacement, leading up to the development of ‘follicular unit’ hair transplantation as the modern ‘gold standard’ procedure for hair restoration. Performed under local anesthesia with oral sedation as an outpatient procedure in a State Licensed, Nationally Accredited Ambulatory Surgery Center (see ‘about Keystone Surgery Center’), follicular unit hair restoration involves removal of a thin strip of hair-bearing scalp from the back of one’s head (occipital region). This hair ‘donor site’ is then immediately closed, forming a fine line scar, concealed by the surrounding hair and completely imperceptible. The hair within this harvested strip of tissue is then carefully, microsurgically separated into its component hair follicles by a skilled medical team. Under magnification, these follicular units are then inserted into small puncture sites within the area of hair loss. Throughout this procedure, patients remain awake and comfortable, generally watching their favorite television programs. The results of follicular unit hair transplantation can be further enhanced by the use of oral (eg. Finasteride) and/or topical (eg. Minoxodil) agents to minimize genetically programmed ongoing hair loss and support and stabilize grafted hair follicles.
When considering a program of hair restoration, be sure to select a qualified, experienced plastic surgeon, certified by the American Board of Plastic Surgery (ABPS). As a board certified plastic surgeon with over 15 years of clinical practice experience and member of the American Society of Plastic Surgeons (ASPS) and American Society of Aesthetic Plastic Surgery (The Mark of Distinction in Cosmetic Plastic Surgery® ASAPS), Dr. Robert Kimmel welcomes the opportunity to help you achieve your goals by enhancing your appearance and enjoy a happier, more confident lifestyle.