Hair restoration is a tried and proven method of reestablishing hair growth in thinning or bald scalps. The state-of-the-art technology allows us to use microfollicular unit grafting to create a natural-appearing  and permanent hairline. If you are concerned about the thinning of your hair and want a long-lasting solution, hair transplantation may be for you.

Long gone are the days of plugs of hair transplanted in a doll-like fashion. Recent advances in technology  allow microscopic dissection of individual hair follicles which can be placed into the scalp one follicle at a time. Using this highly specialized technique, a hairline can be restored in a way that is so natural, your stylist  won’t be able to tell which hair is grafted and which is not.

Much like other plastic surgery, hair restoration is as much art as it is science.   Dr. Kolstad uses his Facial Plastic Surgery background to create elegant hairlines and most importantly, natural results. When hair follicles are placed with the correct orientation and spacing, their visual volume is greater than the actual number of hairs present. It is the ability to get the result to be greater than the sum of its parts that distinguishes a good hair restoration surgeon from everyone else.

Dr. Kolstad’s expertise in hair restoration comes from spending a year training in one of New York’s busiest hair restoration centers, the Quatela Center for Hair Restoration. At this authority in hair restoration, Dr. Kolstad learned state-of-the art techniques that create impactful, long-lasting results with minimal downtime.

It is through working and learning from the best that Dr. Kolstad is able to deliver such high quality care to his patients.

Hair transplantation, simply put, is the transfer of hair follicles from one part of the scalp to another. The back of the scalp has a surplus of hair, and hair follicles can be safely transferred to an area where the density is less. After transfer, hair follicles go into a three month dormant phase in preparation for growth.  After 90 days the hairs begin growing and achiever full maturity around twelve months after the procedure.   The growth is so gradual that the majority of our patients are able to avoid the “what did you have done” questions.

The highly specialized automated FUE/FUT procedure can take several hours to complete. The hair follicles are extracted and placed one at a time in a specific orientation and spacing. We typically recommend that our patients plan for a full day during the hair restoration procedure.

FUE Hair Transplant

Using state-of-the-art technology hair follicles are removed from the back of the scalp one at a time.  The hair grafts are gently inserted one at a time creating a remarkably natural hairline.

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Donor Site 1 Week After FUE Hair Transplant

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Frontal Temporal Hair Transplant Insertion Sites

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Front View 1 Week After FUE Hair Transplant

hair transplant san diego

 Top View 1 Week After FUE Hair Transplant

*Individual Results May Vary.

San Diego Hair Transplant Frequently Asked Questions

FUT (follicular unit transfer): FUT originally refered to the ability to insert hairs one at a time to create a natural appearing hairline.  Previous “hair plugs” would insert groups of 25-50 hairs that appeared like a dolls hair. FUT has become associated with “strip transfers” in which a large strip of scalp is removed from the back of the head.

FUE (follicular unit extraction): the process of removing hairs one at a time from the donor site.  Previous methods would remove a large strip of hair creating a very unnatural scar in the back of the head.

The Neograft advanced FUE technology represents a leap forward in hair transplant surgery.  Using sophisticated machinery follicles are efficiently extracted one at a time allowing larger volume hair transplants than traditional FUE methods.

Previous FUE techniques required the surgeon to remove follicles using a punch biopsy and scissors.  This labor intensive process required multiple hair transplants to achieve a 2,000 graft hairline.  Using  Neograft in San Diego allows up to a remarkable 2,500 grafts per session.

In male pattern baldness certain parts of the scalp contain hair follicles with receptors for DHT. Hairs possessing receptors for DHT will be lost in androgenic alopecia. The most common areas of hair loss are in the temples, crown and vertex.   Even in severe cases of AA a number of hair follicles will lack receptors for DHT.  These hairs tend to be distributed on the sides and in the back of the scalp. Hair transplant surgeons will only use grafts from regions that are genetically resistant to DHT. Because these hair follicles do not possess DHT receptors the grafts can be placed into areas of baldness. The hair grafts that survive the transplant process will continue to grow as they would in the back of the scalp.
FUT vs FUE scar

*Individual Results May Vary.

Using the Neograft FUE hair transplant technology there is NOT A LINEAR SCAR at the back of the head.  With any procedure there can be scarring in the skin but most people heal without visible signs at conversational distance.

You may go home after the procedure as long as you have someone to drive you.  Patients typically prefer to use a light oral sedation and cannot operate heavy machinery until the medications have worn off.
A significant advantage of FUE hair transplants is a reduction in postprocedure discomfort when compared to the FUT strip method. Many patients use Tylenol as their primary pain medication after the procedure.

1. No Linear Scars.

The primary limitation of FUT is the long, damaging scar left on the posterior scalp. Even in the best closures a thin, curvilinear line will always be present. After an FUT procedure shaving the head is no longer an option without the stigmata of a  strip scar.

During an FUE procedure our team uses specialized mechanical instruments to extract follicular grafts from the back of the head. Grafts are removed one-at-a-time and placed one-at-a-time. Extraction sites have a diameter of just 0.8 to 1 millimeters compared to a strip measuring 2 x 8 inches.

2. Quick Recovery.

Due to the extremely small size of the incisions on the scalp, FUE has significantly faster recovery compared to strip methods. Most patients return to work in 7 days and within 10-14 days the donor and recipient sites have minimal signs of hair  transplant surgery.

3. Less invasive.

4. Minimal bleeding at donor site.

A pressure dressing is used to cover the donor site for only 24-48 hours.

5. No nerve numbness.

6. Less painful during recovery period.

Stronger medicine can be provided but most patients require only nonnarcotic medicines.

1. Neograft hair transplant tends to be more expensive.

FUT can be performed using basic microscopes. Using the most advanced technology in FUE hair restoration requires additional hardware expenditures.

2. The same number of grafts takes longer to extract and place.

A strip can be removed in a matter of minutes. Extracting follicles one at a time takes a full morning.

3. More demanding on the skill and time of the surgeon.

4. Cannot perform megasessions (>4,000 grafts) compared to FUT.

5. Potential for small circular scars from excisional punch.

6. Requires more sessions to treat female pattern baldness than FUT.

1. Can perform larger sessions in the same amount of time compared to FUE.

2. A smaller area on the back of the head needs to be shaved for graft removal.

3. Mega session, transplanting up to 4,000 grafts per session.

4. Can treat female pattern baldness in fewer sessions than FUE.

5. FUT scars can be camouflaged if the hair is kept at 1/2 inch or longer.

1. Leaves a long linear scar on the back of the scalp. Shaving the head is no longer an option because of scar visibility.

2. Pulling the scalp together during closure can cause discomfort due to tightness.

3. Requires a larger team of hair technicians to section the grafts which can increase cost of the procedure.

4. More invasive.

5. Numbness at the surgical donor site.

6. More bleeding.

7. More chances of infection.

How It Works

For many patients looking to restore a youthful hairline a session of 2,000 – 3,000 grafts is recommended. If temporal loss is the only area being treated sometimes smaller sessions of 1,000 to 1,500 grafts can get the job done. Restoring the crown or vertex typically requires 2,000 to 4,000 grafts.

The process begins with Dr. Kolstad marking your hairline indicating the placement and orientation the grafts will be placed. The donor site area on the back of the scalp is trimmed very close to the skin. Using a wide area on the back and sides of the scalp allows hair follicles to be removed without thinning of the donor area.

 

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Within one week the hair on the donor site will have grown long enough to camouflage the extraction sites. The inserted grafts will likely have crusting present for 10-14 days but they are easily covered by the surrounding hair.

The beauty (and frustrating) part of hair restoration is that results grow in naturally and gradually over the next twelve months. After hair transplant procedures the hair follicle goes to sleep for a period of 90 days. A dormant hair follicle is in the ‘ telogen’ stage and remains without a visible hair shaft. After three months the hair follicle will become active sprouting small, thin hair shafts (anagen phase). It takes at least six months for these baby hairs to become visible and around twelve months for meaningful growth.

Because the hairs grow slowly throughout the year most of our patients do not draw unwanted attention. Think about it, if you were to show up to work on a Monday with a full head of hair it would be difficult to pass it off as natural growth. Slow, incremental growth patterns are always preferable leading to imperceptible hair restoration.

NEOGRAFT HAIR TRANSPLANT IN SAN DIEGO: FUE / FUT

Strip Method vs FUE Hair Transplant

Individual Hair Follicle Placement

 

Dr. Kolstad – Double Board Certified Facial Plastic Surgeon

PDFHair Transplant Before & After Surgery Instructions

Contact Us

To schedule an appointment call us at (858) 859-2563 or get in touch with the form below.

How Long Do Hair Transplant Surgeries Take?

 

 

 

On the day of your hair restoration you should plan for six to eight hours to complete the surgery, typically from 7:30 AM to 5 PM. You will be awake throughout the procedure and Dr. Kolstad will prescribe Valium and oral pain medicines for comfort.

 

The day begins by marking the areas where the grafts are placed and trimming the donor scalp.  Dr. Kolstad will numb […]

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The first procedures used to create a hairline were large rotational flaps.  Lamont’s double temporoparietal flap, the occipital flap and the Juri flap represent historical attempts to cover areas of baldness using hair bearing scalp.

Hair flaps created a very unnatural hairline and have little value when compared to state-of-the-art micrografting techniques.  Hair flaps can lead to disastrous outcomes when performed on the wrong candidate.  Imagine have […]