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NFL Football Great Wes Welker Talks FUE Hair Surgery


Walker footballNFL great and wide receiver for the Denver Broncos, Wes Welker, went public today helping  his hair surgeon, Dr. Robert Leonard, promote public awareness of hair loss surgical restoration.

The story began almost a year ago when Walker underwent hair transplant surgery in New England with a procedure called Follicular Unit Extraction (FUE). FUE is a surgical hair procedure that is a relatively newer surgical technique compared to the traditional Strip method of hair transplantation that leaves a donor linear scar. Using this surgical technique, patients are able to use their own natural hair and transplant it to areas of baldness in men and women.

The surgical procedure is an advance surgical procedure that requires excellent hand-eye skills and much patience.

How FUE worksHOW DOES FUE WORK?

Using the FUE surgical technique, individual hair follicles are removed “one-by-one” from the back of the scalp, and relocated to balding areas of the scalp. The procedure is performed under local anesthetic with optional light sedation if requested. The entire procedure for a large 2000 graft case typically takes 12 hours to perform. Hair survival rates approach 90-95%, and after waiting nine to twelve months, patient experience their own hair follicles emerging on previous bald areas of the  scalp.

FUE Hair Surgeons-BUYER BEWARE!

There are only a handful of surgeons that actually perform FUE hair surgery. There is a growing concern among veteran hair transplant surgeons in the International Society of Hair Restoration Surgery (ISHRS), that new physicians entering the hair restoration field are hiring non-physicians to perform the entire hair transplant surgery. With little or no experience, physicians are allowing technicians to perform surgery.

Irvine hair restoration surgeon, Dr. Ken Williams, expresses his concerns, ” Technicians are not trained to monitor patients under sedation, give anesthesia, remove human tissue, or create the hair design.” Williams adds, “there are many surgeons who have purchased a FUE device, called NeoGraft, and are not following standard hair transplant practices. They allow technicians to perform the entire surgery and they are hurting patients.”

OC Hair Restoration Center is located in Irvine, California. The principle hair surgeon is Dr. Ken Williams, a leading FUE surgeon in the Western United States and whose hair surgical practice is primarily FUE based. He enthusiastically promotes FUE  “as a great procedure for younger men and athletes who want a shorter post-operative down time and who want to wear their hair short.  There is no donor linear scar with the procedure.”

For a consultation call (949) 333-2999 or visit our website at www.iimcs.org

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FUE Hair Transplantation-Challenges for surgeons


Derm SurgRecent Publication on FUE Hair Surgery-Dermatologic Surgery

Hair surgery techniques to redistribute hair to areas of alopecia include scalp reduction surgery; scalp and rotation flaps, advancement flaps, and free flaps; FUT by strip harvesting; and FUT by the follicular unit extraction (FUE) technique. The more aggressive hair surgical techniques such as flaps and scalp reduction are largely abandoned for cosmetic cases, but are used primarily in reconstructive surgerical cases from trauma and infection. The most common surgical method for hair transplantation is FUT either by the Strip technqiue or by FUE.

With the recent worldwide  interest of hair transplantation using FUE, many hair surgeons, plastic surgeons, dermatologists, and medical spa physicians are jumping on board. The introduction of this surgical technique into cosmetic practices is accelerated by certain FUE device manufacturers promoting a “turnkey” model for increasing the surgeons income.

But with the recent increase in physician training in FUE,  and an increase in consumer interest, new and different  challenges in the hair restoration field have emerged. The primary controversy is physicians with no formal training with this newer hair transplantation technique, and even worse physicians without any training or experience in hair transplantation; are contracting with non-physicians or hair technicians to perform the entire FUE surgical hair transplantation.

Dr.-Mohebi-Teaching-to-new-hair-transplant-surgeons

Irvine based hair transplant surgeon, Dr. Ken Williams, recently published in Dermatologic Surgery an article on this subject is entitiled: Current  Practices and Controversies in Cosmetic Hair Restoration.

In his paper, Williams “raises concern for the future viability, practice, and art of hair restoration surgery. The concept of physicians with outdated, minimal, or even no knowledge of hair restoration to allow nonphysicians (hair technicians) to perform hair surgery from start to finish is unethical and potentially criminal. In the view of many surgeons in the hair restoration specialty,it is inappropriate to advocate these “new” hair technician responsibilities.”

Even the worldwide medical society of hair surgeons, the International Society of Hair Restoration Surgery , has decided to establish best practices and standards by stating donor harvesting and expanding the duties of hair technicians is a “serious disservice to the patient.”

Todays medical literature reveals ample science-based evidence of the efficacy and reliable clinical outcomes of hair restoration surgery through the last few decades with Strip and FUE surgical techniques. Modern day hair transplantation began in the fifties using a now outdated technique where a 4mm circular manual punch removed  large pieces of scalp tissue containing numerous hair follicles causing an unnatural look. Today,  individual follicular units are removed and transplanted with motorized or robotic devices with a punch the size of the tip of a pen-1mm, and all patients can enjoy restoration of their hairlines with their own natural hairline.

Before Hair Surgery-Norwood 5-6

Before Hair Surgery-Norwood 5-6

After FUE Surgery

After FUE Surgery

New Finasteride and Dutasteride Medical Study


coverNewly released study on effects of DHT blockers

For over three decades, hair restoration surgeons have known that the Dihydortestosterone (DHT) molecule  has caused miniaturization of the hair follicle in both men and women. For over two decades we have known about specific blockers of these hormones, but only recently has the medical community come to understand the potential side effects of these powerful blockers.

A recent study  from Mayo Clinic and Tulane University School of Medicine physicians, was just released in the June 2013 issue of  Sexual Medicine Reviews. The article’s intended to review and summarize findings from all published medical and scientific literature detailing adverse events associated with Dihydrotestosterone blockers.

The results of the study validated current knowledge that DHT blockers are associated with a slightly increased rate of decreased libido, erectile dysfunction, ejaculatory dysfunction, gynecomastia, depression, and/or anxiety. This manuscript confirms previously known information and its findings do not change existing scientific and medical knowledge.

imagesThe controversy of DHT blocker use causing chronic sexual dysfunction began in 2012.  It was medical researcher, Dr. Michael S. Irwig, from George Washington University, who published a paper in the esteemed medical research periodical, Journal of Sexual Medicine, announcing certain chronic and long-term adverse sexual symptoms from DHT blockers.

The controversy surfaced because the study was not designed as a double blinded and traditional objective scientific study. Irwig’s study introduced researcher bias by recruiting patients from an internet forum site and a previous study he performed on the same subject material. Many medical doctors denounced this study citing inaccurate results because it could not be used to draw definite conclusions, and it lacked the high standards traditionally established in scientific publications.

Although, the majority of Irwig’s patients met the definition of sexual dysfunction by the Arizona Sexual Experience Scale, Irwig’s methodology in establishing a cause for his subjects sexual dysfunction has been scrutinized for simple issues such as a lack of baseline serum hormone levels of testosterone and DHT.

Irwig’s study today remains one of the very few studies defining possible long-term effects from DHT blockers. Dr. Ken Williams, an Irvine, California  hair restoration surgeon concludes, “This most newest research study reflects the need for ongoing and  further research, specifically aimed at finding prevalence rates and persistence of sexual side effects to establish a cause and effect relationships from DHT inhibitors.”

Live Hair Surgery Workshop in England


Screen shot 2013-04-22 at 11.13.06 AM

Dr_Bessam_FarjoBessam Farjo, MB ChB is hosting the ISHRS Regional Live Surgery Workshop in Manchester, England.  This workshop will focus on patient selection and frontal hairline design.  Dr. Farjo is the past president of the International Society of Hair Restoration Surgery (2007-08), past president and co-founder of the British Association of Hair Restoration Surgery (ABHRS), fellow, board governor & medical director of the Institute of Trichologists, fellow of the International College of Surgeons.

Course Faculty:

OC Hair Restoration Center physician, Dr. Ken Williams, will be attending this conference.  “I am excited to meet with the my colleagues who I consider my friends and the  best hair restoration physicians in the world. We all benefit from sharing our  surgical techniques and insight.  These surgeons have helped shape the hair restoration field into what it is today…. developing consistent outcomes and reliable standards in hair restoration surgery.”

Check back next week for an update on the latest information and techniques in the hair restoration surgery field.

The Many Colors of Rachel McAdams


State-of-the-Art Facial Aesthetics Conference


imageDr. Ken Williams of The Irvine Institute of Medicine & Cosmetic Surgery was honored to attend and speak at the 21st Annual State-of-the-Art in Facial Aesthetics 2013 conference sponsored by the Foundation for Facial Aesthetic Surgery.  The conference was held on March 20-24, 2013 at the Intercontinental Hotel Buckhead in Atlanta, Georgia.  Dr Williams presented video lectures on:

Anesthesia in Hair Restoration Surgery

Donor Harvesting With Linear STRIP (FUT) Technique

My Follicular Unit Extraction “FUE” Technique