At the Hair Transplant Institute of Miami we are always striving to improve our patients’ results. Both Dr. Rose and Dr. Nusbaum have over 25 years of experience in the field of hair restoration providing a solid foundation and track record for evaluating the best new techniques available to you. We are very excited to tell you about some new developments which we have incorporated into our practice.
Robotic Hair Restoration
In addition to the strip harvesting technique, we also offer a donor harvesting method named FIT Follicular Isolation Technique (also known as FUE). Using this technique the creation of a linear donor scar is eliminated. While this procedure has gained recent popularity, Dr. Rose has been performing it for over ten years with a special, hand-held motorized instrument and we continue to offer the hand motorized FUE . We also offer the ARTAS physician guided robotic system for FUE, FIT which is the most technologically advanced instrumentation worldwide. The ARTAS robotic instrument utilizes advanced digital technology and laser guided precision robotics to harvest permanent hair from the back of the head to be transplanted into balding or thinning areas. This is a minimally invasive procedure, with no linear scarring and less postoperative pain. ARTAS produces tiny dot- like scars in the donor area that are not visible with a short haircut although complete shaving of the head would reveal them. We believe the best candidates for this procedure are individuals who have never had a strip harvest procedure and wish to have transplants done yet want be able to wear their hair quite short with minimal evidence of a procedure .
Donor follicles, once harvested, must be maintained in a viable state until they can be re-implanted in the recipient area; and the entire process must take place within hours. The standard liquid solution, which has been used for years to hold follicular grafts during surgery, is saline water. Although this has been effective, we are now utilizing a product called Biolife, which is equivalent to the solutions that are used to preserve organs for transplantation. Preserving your follicles in Biolife further ensures that they will remain viable during the procedure. In our experience, it has increased follicle growth while at the same time, producing earlier growth than what we were getting with standard methods. Biolife contains nutrients that mimic the natural environment of the follicle cells within the tissues therefore minimizing the stress that the follicles must endure during the transplant process.
Platelet Rich Plasma (PRP)
PRP is prepared by drawing a small amount of your own blood at the time of the procedure. We then utilize a special method to concentrate your platelets, the latter which contain numerous growth and healing factors. PRP is injected into both the donor and recipient areas once they are already anesthetized and accelerates healing as evidenced by less redness and crusting in these areas. PRP may also improve the percentage of growth of transplanted follicles. We recommend PRP for all procedures but particularly for patients who have had previous transplants. In our experience patients who use PRP develop much less inflammation at the surgical sites, heal quicker and, although we have not scientifically studied this, may have improved hair growth.
Although the vast majority of our patients experience very little discomfort, requiring pain medication only during the first 24 hours post-op, we are always looking to improve the patient experience. Exparel is a new long-lasting local anesthetic that is contained in liposomes which act as a timed-release system.
To reduce your discomfort after the procedure, Exparel is injected into your donor area during the surgery and is specifically designed to release the anesthetic gradually, controlling postoperative pain for up to 48 hours.
Doctors Bernard Nusbaum and Paul Rose – Leaders in Hair Restoration
Our doctors have recently appeared in the news demonstrating the ARTAS robotic hair restoration technique on WFOR- CBS, Univision, CNET, and El Herald. While their constant focus is on patient care, Drs. Nusbaum and Rose continue their ongoing commitment to research and teaching. Recent medical publications include “Nonsurgical Therapy for Hair Loss ” in the Facial Plastic Surgery Clinics of North America, “Repair of the Height of the Hairline after a Juri Flap” in Hair Transplant 360 and “Surgical Considerations for Patients with Frontal Fibrosing Alopecia” in the Hair Transplant Forum International. They also created an instructional video on hair transplantation for plastic surgeons, which was published in “Hyperguide,” a plastic surgery online journal.
Both Doctors Rose and Nusbaum will be lecturing at the International Society of Hair Restoration meeting to be held in San Francisco later this month. This is the largest hair restoration conference, bringing together over 700 physicians from around the world.
Learn More About Miami Hair Loss Treatments. To learn more about what’s new at the Hair Transplant Institute of Miami, call our offices at 305-925-0222.