NeoGraft Hair Restoration in Denver

Video Transcript

1st Slide

Hello! Welcome to Broadway Plastic Surgery and Med Spa.
This short presentation will prepare you for your consultation and will provide brief education on proven hair restoration techniques used here at Broadway.
Let’s dive in.

2nd Slide – What Cases Baldness?

Did you know, we used to think that male pattern baldness or hair loss was solely genetic? Let’s take a look at this slide at the royal family as our first example.
In the royal family tree, Williams’s hair loss was thought to come from his mother’s father. What we’re seeing here is that it’s coming from multiple sides of the family.
So if your family is riddled with male pattern hair loss, you’re going to be more susceptible to it.
On the other hand, we’ve also seen people who suffer from male pattern hair loss don’t have a family history and they’re the first in the family to have it show up.
Hair loss is primarily related to genetics and your family history will give us clues as to how progressive your hair loss might be, when it might start, how aggressive it’s going to be, and what the final result would be unless we intervene.

3rd Slide – Types of Baldness

There are several different areas where baldness occurs. For most people, it starts from the front and works its way backward.
Most early patients have a temporal recession, hairline receding, and then it progressively gets worse. If left untreated, In many cases, the patient will become completely bald.

4th Slide – Best Indicators

The best indicator for what might happen is the individual age where it becomes noticeable. Some people may lose about 50% of their individual hairs before they notice that it’s getting thinner.
If this occurs at an early age, the predicted hair loss will become more severe. For other people, it may take a longer period of time before they start noticing it, a sign it’s progressing more slowly.
Whether slow or fast, what causes hair loss? The stimulus for your hair follicles to go into retirement is DHT. DHT is a by-product or breakdown product of testosterone.
This is the signal that tells our hair follicles to go into retirement. DHT shortens the growth phase, which we also call the antigen phase.

It miniaturizes the hair follicles and it thereby decreases the number of hair follicles. On this slide, you can see that the antigen phase can last for a period of years.
As an example, you might have seen a person with hair down to their waist, but you will almost never see anyone with hair all the way down to her ankles. That’s because the hair follicles go into a resting phase, fall out, and then the cycle starts over again.

5th Slide – External Options

So what are our options for hair loss?
1) We could accept it. That might not be the best option, but certainly, an option that you need to decide if it’s an issue, if it’s a big enough issue for you to pursue.
There are several other non-surgical options you might consider.

1. The first is infrared light. And this is just one example. Kapilis is a baseball cap, and I think it’d be easy to wear that around the house for a few minutes every other day or so. The way that works is it heats the scalp and that helps to bring in better blood supply. It’s a vaso-dilator opening up the blood supply, bringing in more nutrition and support for the hair follicle itself. The downside of this treatment option is that it can take a long period of time, and you still may not see any significant improvement.
2. Rogaine and other topicals are vasodilators as well.
   Originally it was used for high blood pressure and occasionally you’ll see a patient on Minoxidil for their blood pressure issue.
   As a vasodilator, it opens up the blood supply again, giving better nutrition and support to your hair follicles.
   In one study, 60% showed some increase in density, but most people who have tried this or currently use it only report a 10 to 12% increase in density, which is hardly noticeable.
   Many patients may or may not see a significant change in Rogaine by itself, but the thought process is to continue to support the hair follicles and delay the onset of male pattern hair loss as long as possible and help you hang on to the hair that you do have.
3. Propecia works a little bit differently in that it inhibits the conversion of testosterone to DHT and again, DHT is the bad actor. So in one study, 66% of patients showed some regrowth, but 99% showed no additional loss at two years. This option is helpful for people to hold on to the hair they currently have and support the hair follicles still have available.

6th Slide – Injection Options

1. Another option is PRP, which stands for platelet-rich plasma. The way that we obtain PRP is to take a blood sample from you, the patient. We spin that blood down and the platelets will separate out in different layers. We obtain those PRP and inject them. As you may know, PRP is also used to help rehabilitate athletic injuries. It’s used in a number of different ways for cosmetic surgery. It also can, in some cases, make a significant difference in your hair loss. Primarily, we’ve seen the results in women and also in younger men. While some don’t notice the results of PRP alone, we’ve found that when used to support follicles after transplantation, a surgery procedure for those who choose transplants. It works by prepping the scalp for the procedure; we see better results when pairing the two procedures together. PRP increases the vascular supply, reduces inflammation, and can increase the density of the non-transplanted hair.
2. Like PRP, Stem cell therapy is a newer more potent option that’s available. Stem cells can bring in blood supply, create new blood vessels, and enlarge the vessels. Once again, this treatment is best when paired with surgery options as it supports the transplanted hair follicles.

7th Slide – Surgical Options

1. Finally, the most effective solution for hair loss is surgical options. These primarily fall into several categories.
   One is the strip procedure. This used to be the most common way to obtain hair follicles. The surgeon excises a swath of scalp and that piece of scalp is then cut into progressively smaller pieces, finally getting down to the follicle itself. This results in quickly obtaining a larger number of grafts that can be obtained and transplanted in a single procedure.
   The downside is more postoperative discomfort, a visible long linear scar, and oftentimes the recovery times are extended.
2. Another surgical option, primarily used in the past is called “punch graphs. The advantage of this process at the time was that it showed the scientific community that the grafts obtained from the back of the head or along the side of the head were not as susceptible to the DHT. The great thing about these grafts was they showed us that hair transplantation was possible.
   The clear downside was that it left the patient with a doll-like appearance. There were also reported issues with post-operative discomfort.

8th Slide – Your Solution

1. So where have we landed with current technology?
   We now have what is called FUE (follicular unit extraction.)
   With this procedure, we use a machine called NeoGraft, which can be seen on the slide in the top left.
   The machine has a handpiece containing a small pen-tip-sized “small punch”
   The punch is spun very rapidly, and suction is applied at the same time.
   This removes a graph, which is shown in the center of the top of the slide.
   These graphs are captured in the filter and separated for implantation where needed.
   Unlike other procedures, this results in tiny holes where the graph was removed.
   These tiny holes close up very quickly and hair will grow back in those areas.
   In many cases, we will cut the hair short the back of the head, and within two weeks or less, the patient can get another haircut and no holes are visible; It’s a quicker recovery.
   Another benefit is the patient does not have a long linear scar.

Is this right for you? The best candidates for FUE or neograft are patients who want a quicker and less invasive procedure, less discomfort, and quicker healing.
It also allows patients to wear their hair short as well, unlike other procedures.

9th Slide – Recovery Time

Let’s look at a real case.
As you will see, with FUE, recovery is typically very simple. Most patients will use maybe one, or two pain pills postoperatively. Usually, they are off their pain medicine by the next day.
You can see the pre-op photo here on the slide where this patient has a receding hairline and a temporal hairline that’s not as dense. You can see the hair design as to where the grafts are going to be placed.
The next image is for the little slits that are being placed for the grafts to be placed into.
These little slits are made with either a needle or a little tiny pin-point knife blade.
Then the grafts will be placed. Following the implantation, small crusts will occur immediately after surgery and will take about five to 10 days to sort of fall off.
Once healed, it’s a rewarding waiting game. We learned about hair cycles earlier in this presentation; for the next 9 to 10 months your body will continue feeding the new follicles which will continue to grow a more full appearance. At 10 months you will see the full and final results, a significant difference in appearance.

10th Slide – Before and Afters

Here are a few other common results that can be seen in men and in women with the Neograft procedure.
This is an option that you could consider. (hold here for 5 more seconds so viewers can see the slides)

11th Slide – Boost your confidence

Thank you for watching this slide presentation!
We look forward to your discovery call where we will provide a custom quote range, and talk about financing options if lower monthly payments are a better option.
Most importantly, we look forward to helping you achieve your goals, you are now one step closer to a new look you love!