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.
How Does Hair Transplantation Work?
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.
If there is residual hair we must 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 email him good quality photos, he can then tell you how good a candidate you are and give you his best recommendation based on his extensive experience.
Below – Norwood’s Classification of Male Pattern Baldness – in seven stages.
Hair Transplant Procedure
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 the donors 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)
- The direction of hair growth
- Avoid detectable scarring
How Soon Will My Hair Grow?
It starts growing immediately, however, at 2-3 weeks a lot of the newly transplanted hair goes into a resting phase (Telogen effluvium phase) and can begin shed, ( falls out) this is also called shock loss. This is normal and temporary, after 3-4 months shifts into the Growth phase (Anagen Phase). By the 6th month, your hair will look quite good and will continue to improve until a year.
Hair Transplant Results
When you get a hair transplant with Dr. Alfonso Barrera you can expect natural results. It is important to get your hair transplanted by a plastic surgeon like Dr. Barrera to make sure that the transplantation is done carefully and artistically. Dr. Barrera transplants every single graft himself, assuring the most natural-looking result.
Hair Transplant Before And After
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Frequently Asked Questions about Hair Loss Treatments
How Soon Can I Return To Work After My Hair Loss Treatment?
Usually, a week to 10 days, or sooner if you can wear a head cap. The important part of any hair transplant is beginning your daily activities with confidence, knowing you have the head of hair you deserve.
When Can I Have My Next Hair Transplant Treatment?
I recommend waiting at least 10 months, ideally for 1 year. Then we can double the density of the first session.
Who Will Be Doing My Hair Transplant Procedure?
Dr. Barrera, as a Plastic Surgeon, will transplant every single graft himself! He will not stop until you are satisfied with a thick, full head of hair, and is one of the best in the business.
Hair Transplant Patient Testimonial
Are Hair Transplants Painful?
By using IV sedation and local anesthesia, Dr. Barrera consistently performs no pain hair transplantation. There is no pain at all during surgery and little to no pain afterwards. It is extremely rare to have nausea or vomiting after surgery, which allows a faster recovery to go home or to a local hotel the same day soon after the procedure. This also eliminates the risk for deep vein thrombosis and pulmonary emboli which may occasionally occur when done under general anesthesia with gases.
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