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Beyond Hair Plugs: Modern Surgical Options For Hair Loss in Men

Summary & Participants

When medical treatments for hair loss fail to bring satisfactory results, some men turn to surgical treatments like hair transplantation and scalp reduction. Such procedures have come a long way since the days of big hair plugs, often yielding remarkably natural results. Our panel of experts will walk you through the various options.

Medically Reviewed On: May 07, 2008

Webcast Transcript

DAVID R. MARKS, MD: Hi, and welcome to our webcast. I'm Dr. David Marks. Here's a depressing thought. 50% of us men, that's 50%, will suffer hair loss by the time we're 50 years old. The good news is, there are many surgical treatments available. Which one is the right one for you? We have two guests joining us today to help us decide. The first is Dr. Michael Reed. He's Assistant Professor of Clinical Dermatology at NYU Medical Center and he directs their hair transplant program. Welcome.

MICHAEL L. REED, MD: Hi.

DAVID R. MARKS, MD: Next to him is Dr. Robert Cattani. He's one of the founders of the American Board of Hair Restoration Surgery and he practices in New York. Welcome.

ROBERT V. CATTANI, MD: Thank you very much, David.

DAVID R. MARKS, MD: Dr. Cattani, it used to be that when you saw a man on the street who had a hair transplant you knew it. Nowadays you can't really tell. Why the difference?

ROBERT V. CATTANI, MD: I think that's a good starting point for the audience there. Hair restoration began in 1958 and I think for the first 35 years we were almost offering apologies for some of the work we were doing because we were transplanting very large grafts. We all know the names. Cornrow, dolls hair, take offense, my god they're awful. That was the only thing we had. Then because of medicine and the wonderful progress we're able to make, we decide that maybe less is more. We started to take down the size of the grafts. From ten and 12 hairs down to five, four, three and two and sometimes one hair.

We learned that men seek two things in hair restoration. One, they want maximal naturalness, and two, they want minimal detectability. Lastly, maximal naturalness doesn't have to mean maximal hairiness. It's OK not to have a full head of hair.

DAVID R. MARKS, MD: You had some picture to demonstrate the differences, correct?

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