Hair Transplant

Key Advance in Robotic Hair Transplants Presented by Dr. Robert Bernstein at 2016 ARTAS Users Meeting

Dr. Robert M. Bernstein, a pioneer of robot-assisted hair transplantation, presented results of a study on a major new advance in robotic follicular unit harvesting, a key step in the surgical procedure, at the 2016 ARTAS User Group Meeting in Dana Point, CA. He reported that the new robotic technique resulted in a clinical benefit of up to 15% more hairs per harvest attempt and 11.4% more hairs per graft than with the current iteration of the ARTAS® Robotic Hair Transplant System.

The improvement in graft harvesting should result in better aesthetic outcomes for patients, and this will have wide implications around the world as robotic hair transplant procedures are booming in popularity. Dr. Bernstein presented the findings to a “who’s who” group in the new field of robotic hair restoration surgery at their annual meeting held on February 20th, 2016.

When asked about the significance of advanced robotic harvesting, Dr. Bernstein said:

“Through the hard work and ingenuity that went into developing the robot’s new graft selection capability, we have moved this new ARTAS application from the ‘proof of concept’ phase into an enabling technology that improves patient care.”

In robotic follicular unit extraction (Robotic FUE) hair transplants, the surgeon seeks to harvest as much hair as possible through the fewest number of donor sites. By maximizing the hair-to-donor wound ratio, they can maximize the cosmetic benefit of the procedure. The ARTAS robot’s new advanced graft selection capability uses its updated computer algorithm to determine which of the hundreds of follicular units -- naturally-occurring groupings of one to four hair follicles -- to harvest. By programming the computer to select only the larger follicular units (i.e., ones containing two or more hairs), the robot can automatically maximize the hair-to-wound ratio. The result is more hairs harvested with fewer post-transplant scars and an improved cosmetic outcome for the patient. Previously, the robot randomly selected follicular units to harvest.

To demonstrate the benefit of advanced automated graft selection, Dr. Bernstein presented findings of a randomized, bilaterally-controlled study performed on robotic FUE patients at Bernstein Medical – Center for Hair Restoration. The robot was programmed to select follicular units of two or more hairs in a first pass, and then all follicular units in a second pass. The control for the experiment was an area, on the contra-lateral side, that was harvested with the graft selection capability disabled. The first pass yielded 15% more hairs per harvest attempt and 11.4% more hairs per graft compared to the control. The second pass yielded 12.3% more hairs per harvest attempt and 6.4% more hairs per graft. These findings suggest that there is a significant clinical benefit in using the advanced graft selection capability when compared to random selection of follicular units.

Robotic Hair Transplants at Bernstein Medical – Center for Hair Restoration

Bernstein Medical – Center for Hair Restoration was among the first hair restoration facilities in the world to use the ARTAS system to perform Follicular Unit Extraction (FUE), a procedure pioneered by Dr. Bernstein. Bernstein Medical is a beta-test site for this innovative technology. Bernstein Medical physicians have introduced many new applications to the robotic system, including: robotic recipient site creation, advanced graft harvesting, custom punch sizes, and a “long-hair” harvesting technique. Every FUE procedure at Bernstein Medical uses the ARTAS Robot. Dr. Bernstein is a medical advisor to Restoration Robotics, Inc., the company that developed and manufactures the ARTAS system.

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Hairfear - 03-31-2016




Frequently asked questions about hair transplant procedures

How much does a hair transplant cost?

Hair transplants can vary in price based off of the area in the world that you are interested in getting a hair transplant as well as the size of the area where you may need a hair transplant. Experienced doctors in the United States will often charge some of the highest prices for a hair transplant worldwide and this is why so many travelers make the move to other parts the world like Turkey, India, Thailand, Mexico...etc for their hair transplants.

Will a hair transplant hurt?

Although hair transplants may look like a particularly unpleasant or painful experience is actually very little discomfort involved with the surgery itself. Hair transplants are always done under an anesthetic so there's absolutely zero pain during the treatment itself. Many people actually relate the process as being very similar to going to the dentist for filling or root canal. Mild pain can persist over the course of postop treatment but he generally just resumes for a few days.

Who can deliver the best surgery?

It's usually best to consider working with surgeons who have and IAHRS certification or international alliance of hair restoration surgeons recognition. IAHRS can often deliver recommendations for the best surgeons in each particular area.

Is this scarring noticeable?

Any type of hair transplant will require the use of incisions throughout the scalp. There can also sometimes be a small scar from the donor area towards the back of the scalp. Asking to look at photos of the surgeon's previous work will help you to see roughly how bad the scarring could be. In most cases an experienced professional can limit the look of scarring and noticeable marks from the surgery.

How long does it take for the hair to grow?

In most cases hair growth will start within eight months and you can start to see a full effect from the hair transplant after a full year. The initial signs of growth can usually start between 3 to 4 months after the surgery.

Are the results permanent?

The hair follicles that are transplanted are generally the ones which are genetically resistant against the symptoms of baldness. As long as you receive hair loss treatment later in your life after the symptoms of balding have started to subside, you can have a better chance at permanent results.

While everyone know you've had surgery?

If you want to limit the chance that people may find out about your surgery it's important to give at least three weeks of healing as the surgical area will be affected and red just after surgery. After around a month of healing it can look far less noticeable. You could consider wearing a hat while time passes or opting for some extra time off if possible.

How long should I rest after surgery?

It's recommended to rest for at least a few days after surgery so that your body can recover. Trenton to over exert yourself and limit sexual activity, running in the gym for around 10 days after surgery.

Is it possible to lose more hair as a result of surgery?

There is always a chance of shock loss which happens when the hair is weak and miniaturizing after the surgery. As long as the surgeon is choosing the correct hair follicles and performing the surgery well it's possible to minimize the chance of this happening however.

Will I need another hair transplant?

The need for another transplant really depends on the individual. With a solid foundation surgery and working to potentially bolster results with drug therapy, you can improve the stability of the hair that was transplanted as well as prevent further loss. Getting a hair transplant early on in your 20s or early on in life could lead to needing long-term transplants as hair loss can be progressive.


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