Over the past two decades Dr. Barrera has dedicated a lot of his time to perfecting the art and technique of hair transplantation. He is well known and respected nationally and internationally for his contributions in the advance of techniques of hair transplantation not only in male and female pattern alopecia but also in the reconstruction of burn injuries, accidents, birth defects, etc.
By using very small ( 1, 2, 3 or 4 hair follicular units) and numerous grafts today we can truly and predictably achieve natural looking results in hair transplantation. Often Dr. Barrera will do 1500 – 2500 grafts in a single session, depending on the availability of donor hair and the size of the area to be grafted.
A good head of hair as well as an aesthetically pleasing hairline are a very important aesthetic component of the face both on males and females. The hairline not only it frames the face, but defines the proportion of the upper third of the face. Furthermore its design and appropriate hair density are very important as well especially on the frontal (forehead) and temporal (sides) areas. A disproportionately high frontal hairline with or without scars not only can be unsightly but results on an aged and deformed appearance even on a young person.
Conversely, a properly positioned hairline with a pleasing design and appropriate density compliments facial aesthetics and contributes to a youthful appearance.
Dr. Barrera often encounters in his practice varying degrees of distortion, displacement, erosion, absence as well as scarring deformities of the frontal, temporal, sideburn and retro-auricular hairlines.
Proper technique of follicular unit hair transplantation allows Dr. Barrera to significantly help these unfortunate patients restoring the natural looking hairline they once had or creating a one they never had, immensely enhancing facial aesthetics.
Special attention must be paid to several key points for an optimal result:
- The shape and level of the hairline;
- Allow a mild but definite degree of irregularity (mimicking nature as best as possible)
- Direction of hair growth
- Avoid detectable scarring
There is no magic measurement as to the distance from the eyebrows to the frontal hairline or from the tail of the eyebrow to the temporal hairline, all patients have different size heads and craniofacial proportions, select what looks aesthetically best.
A natural hairline is not totally straight, there are no set rules but slight irregularity certainly helps.
The direction of hair growth is important, not only consistency on the direction of each hair but also the general direction and inclination. The direction of hair growth at the frontal hairline most frequently is anteriorly and slightly to one side or the other. However it varies sometimes at the frontal hairline direction of hair growth is upwards, and is aesthetically pleasing as well.
In the temporal area and sideburns as well as retroauricularly it is variable also, may be caudally and anteriorly , may be caudally and posteriorly, may be posteriorly. If there is residual hair we most follow that direction, if there is no hair at all we select what looks most natural.
By utilizing very small blades such as the 22.5 degree Sharpoint or the 15 degree Sharpoint blades we avoid visually detectable scars on the transplanted scalp and hairline.
To date it is not possible to make new hair, only relocate hair from one area to another. In order to be a candidate for this procedure the patient must have plenty of donor hair. The donor area generally is the Occipital (back of the head) and the Temporal ( sides of the head) areas.
Dr. Barrera will evaluate you in person in the office or you may e mail him good quality photos, he can then tell you how good a candidate you are and give you his best recommendation based in his extensive experience.
Below – Norwood’s Classification of Male Pattern Baldness – in seven stages.