All posts by Tempus Hair Restoration

There’s No Time Like the Present for a Hair Transplant!

Male Hair Restoration

Are you considering a hair transplant? If so, how long have you been thinking about it? Hopefully, you’re spending your time researching hair restoration procedures and surgeons through credible sources in order to make a good decision. However, there’s no time like the present to take the big step to improving your appearance and self-confidence! The new year offers new opportunities. Being the best possible version of yourself can help you make the most of them!

The World is More Competitive – You Need Every Advantage You Can Get!

Maybe you keep up with today’s rapidly changing technology out of necessity for your job, or just because you enjoy it. Although in the recent past being a rock star in your field was enough to keep you employed or position you as a desirable job candidate, we need to be honest about today’s situation. Projecting a dynamic, fit appearance now counts a great deal in how your employer—or potential employer—sees you. A balding scalp has an aging effect on even a young man. For a mature man, it can be a serious deterrent to job security or advancement.

Moreover, video conferencing is here to stay. Whether you’re interviewing for a job or meeting with coworkers and clients, that flattened-out, washed-out on-screen image is unflattering to most people as it is. Add hair loss to the equation. An increasing number of hair transplant patients specifically name Zoom as the motivation that brings them to the surgeon’s office.

The often unspoken concerns regarding age discrimination in the workplace are widespread and justified. According to Hiscock’s 2019 Ageism in the Workplace Study, more men than women feel that their advancing age has adversely impacted their careers—with 43% of men surveyed believing their age has prevented them from finding a new job. Our blog post—“Does Hair Loss Hurt Your Career?”—covers this topic in detail.

In addition to the job market, the dating scene is highly competitive. Hair loss can cause women to “swipe left” when they view your profile picture on dating apps. While it’s true that your positive qualities should outweigh physical appearance (the same could be said when you search such apps for an eligible bachelorette), many factors play into selecting a potential mate. And if that word seems a little prehistoric, there is much about how we subconsciously select a partner that’s hard-wired into our brain. A male with a full head of hair projects a desirable image of health and potency.

Again, let’s be honest. Women traditionally have been aware of the social price to be paid for showing signs of aging. But the bar is now being raised for men. If you’ve seen—or at least are aware of—the reality series, The Golden Bachelor, you know that men who have reached (or passed) their 50th birthday are expected to look robust and sport a full head of healthy hair. Also, highly promoted skincare brands marketed to men are making inroads, finding customers who want to fight wrinkles, under-eye bags and sagging skin. The ante has been upped when it comes to bringing your “A” game!

The Influence of Social Media, Pop Culture and International Culture on Perceptions of Male Attractiveness

We don’t live in a bubble. Expectations of physical appearance are now higher due to social media, as well as international influences on perceptions of male attractiveness. Instagram, TikTok and K-pop boy bands permeate our culture, setting style standards. Also, an openness to international cultures has introduced different aesthetic preferences.

For example, as our blog post—“Hair Restoration Around the World: A Cultural Perspective”—observes, the male beauty standards in East Asian popular culture – from Korean K-pop to Hong Kong’s movie industry—often favor big hair and boyish looks. With South Korea being a global leader in skincare and other beauty trends, the number of hair transplant clinics is growing. Moreover, hair transplant procedures are popular among Chinese males, with the number of Chinese patients in Asian clinics described by a CNN report as “booming.”

If you’re noticing more men sporting a hairline that’s closer to the forehead, there’s a reason! The hairline of Caucasian males is forward in youth, gradually receding from the temples somewhat until reaching its mature M-shape. Even when seeking a hair transplant for androgenetic alopecia (male pattern hair loss), Caucasian men typically are comfortable with a certain amount of recession remaining in this area.

However, a more forward hairline has long been favored by men of Black, Hispanic, Mediterranean and Middle Eastern heritage—who show a specific preference to restore this hairline when they undergo a hair transplant procedure. The aesthetic goal is toward a hairline that signals the vigor and virility of youth, which an increasing number of men of all backgrounds find appealing as the image they want to project.

Hair Restoration Techniques are Better than Ever!

Today’s hair restoration procedures and technologies are better than ever. When performed by an experienced surgeon who combines skill with an artist’s eye—such as  Dr. Marco Barusco—founder and Chief Medical Officer of Tempus Hair Restoration—a hair transplant achieves the look of natural growth.

Dr. Barusco offers the following procedures and treatments:

Follicular Unit Excision (FUE) — In this procedure, follicular units (hair grafts) in groupings of one, two or three hairs are individually extracted from the back of the head (donor area) using small circular punch blades instead of a scalpel. The grafts are then transplanted to the thinning or balding areas of the scalp. Once the desired number of grafts are obtained, the donor sites are left to heal without suturing. The resulting scars are not readily visible and are easily concealed even by very short hair.

No-Shave FUE — Developed by Dr. Barusco, the no-shave FUE completely conceals harvested donor sites immediately, allowing you to resume your regular activities with virtually no evidence of the procedure.

Follicular Unit Transplantation (FUT) — Also known as the “strip” method, the FUT procedure has undergone refinements over the years so that the only evidence is a pencil-line linear scar easily concealed by hair—even at a shorter length. Although many hair transplant practices encourage patients toward the FUE, there are circumstances in which the FUT will produce the more successful outcome.

Combination FUE and FUT — This technique covers large areas of baldness in a single surgery. Patients with advanced hair loss are typically required to undergo multiple hair transplant procedures to obtain coverage of their entire bald scalp—having to wait one year or more between procedures. This allows patients to achieve their ultimate goal sooner, with one procedure versus many.

So What Are You Waiting For? Don’t Let Another Year Go By Without Getting Your Hair Back!

This is the time to take action! Letting your hair loss continue will only make restoration more challenging should you eventually decide to explore your options for a hair transplant procedure. Meanwhile, the world will continue to turn faster, and standards for appearance will be set even higher. Don’t get left behind as others get the opportunities you want!

Start by scheduling your free virtual consultation with Dr. Barusco today and explore the solutions that best fit your needs—all from the comfort of your home. With over 25 years of experience and a reputation as an innovator in his field, Dr. Barusco leads Tempus Hair Restoration with a commitment to delivering personalized care. Every consultation is conducted by Dr. Barusco himself, ensuring that you receive expert advice tailored to your unique situation. We also offer financing options to make your hair restoration journey as accessible as possible.

Consultations are available in English, Spanish and Portuguese. For out-of-town clients, we offer a complimentary two-night hotel stay for those traveling 100 miles or more to our Port Orange, Florida, surgical center.

No matter the distance, we are here to help you restore your hair and your confidence. Contact us today, and let’s start your journey together! You deserve to live your best life! There’s no time like the present!

Can a “Pluggy” Hair Transplant be Corrected?

Male Hair Restoration,

Are you living with a hair transplant that gave you a “pluggy” or “doll-head” look? If so, you’re not alone. And if you’re reluctant to undergo another procedure to correct it because you’re apprehensive about making it even worse, help is available if you choose the right surgeon. Of course, we will soon talk about Dr. Marco Barusco—Founder and Chief Medical Officer at Tempus Hair Restoration—and his extensive experience in correcting botched hair transplants. But first, let’s look at the reasons this kind of bad result has occurred over the years, and why it continues to this day.

Pluggy Hair Transplants: A Brief History

Back in the mid-1970s through the ‘80s—when hair transplants were first gaining popularity—the technology and surgical procedures for harvesting and implanting hair grafts were primitive by today’s standards. Doctors harvested hair with a circular punch device, and each graft contained as many as 20 hairs. The surgical team placed the transplanted grafts far enough apart to ensure they had a sufficient blood supply to survive. The hair then grew out as isolated clumps, similar to those on a doll’s head, resulting in an unnatural look.

Fortunately, hair transplant technology has come a long way since then. When performed properly, the outcome has the appearance of natural growth—thus achieving the desired effect that no one can tell you had a hair transplant!

So Why Are Pluggy Hair Transplants Still Out There?

Unfortunately, there are a lot of unqualified or minimally qualified people performing hair transplant procedures. Regular readers of our Tempus Hair Restoration blog have learned about foreign black market hair transplant clinics where non-medical staff members harvest and implant hair grafts—often without supervision by a licensed surgeon—under unsanitary operating room conditions. In such clinics, a pluggy result would probably be the least of what could go wrong.

Even here in the United States, clinics and medical practices that use robotic devices to harvest and implant hair grafts can cut corners by using unlicensed technicians or other staff members to operate the machine—in effect, performing surgery. Our blog has covered this situation in depth, and Dr. Barusco has written this eye-opening article about why you should avoid choosing such a practice for your procedure.

Today, we can add changing taste in male hairline aesthetics to the reasons why pluggy hair transplants persist. Unlike their fathers, the new generation of men seeking hair restoration procedures tend to favor a more forward hairline, which is characteristic of a youthful hairline. In the hands of a surgeon who has a poor sense of how to place hair grafts to have some variation to avoid a straight-across look, however, the growth pattern appears “off,” with the hairs seeming to grow up from the hairline instead of subtly blending in.

Dr. Barusco’s Advice for a Viewer Unhappy with His Pluggy Hairline

Dr. Barusco answers questions from viewers of his YouTube channel, Hair Loss Medical Advice. One viewer said he had a hair transplant in England in 2016, and has a concern about his hairline and the direction of the graphs. There were multiple hair graphs placed right on the hairline, resulting in a pluggy look. His question to Dr. Barusco: What can be done to fix it?

Looking at the viewer’s photo on screen, Dr. Barusco identified where the transplant went wrong. Of course, you should watch the video, but the essence of the issue is the hairline is at once too forward and too similar to that of an inverted U-shaped female hairline. While Dr. Barusco provides detailed advice regarding correction in the video, he recommends surgically removing some of the hairs from the hairline, dividing them into smaller units, and re-implanting them in a more natural pattern to soften the hairline. This is typically achieved by using advanced follicular unit extraction (FUE) techniques to achieve a less obvious, denser appearance that softens the pluggy effect.

Dr. Barusco also recommends removing some grafts from the corners of the hairline frontotemporal angles) to make them appear more natural.

Will the viewer follow up by booking an appointment with Dr. Barusco for a one-on-one consultation and undergo the corrective procedure? We don’t know yet, but watch this space for a follow-up blog post if he does!

Key Steps in Correcting a Pluggy Hair Transplant

While we just looked at one specific individual with a pluggy hair transplant issue, the general steps in performing a corrective transplant procedure are as follow:

Removal of old grafts—The primary step involves carefully extracting the large, visible “plug”grafts using a punch tool, essentially reversing the previous transplant procedure. 

Graft manipulation—Depending on the size and quality of the removed grafts, the surgeon might divide them into smaller follicular units for a more natural distribution. 

Strategic re-implantation—The newly separated grafts are then strategically placed in the recipient area, following a natural hair growth pattern to camouflage the previous unnatural appearance.

Camouflage techniques—In some cases, where the donor area is limited, the surgeon might use existing hair to “camouflage” the remaining visible pluggy areas. 

Factors to Consider when Correcting a Pluggy Hair Transplant

Severity of the “pluggy” appearance—The extent of visible plugs will determine the complexity of the revision procedure. 

Donor hair availability—The quality and quantity of remaining donor hair will influence the potential for achieving a natural result. 

Surgeon’s expertise—Choosing a highly experienced surgeon with a strong aesthetic sense is crucial for a successful correction.

Living with a Pluggy Transplant? Don’t Give Up Hope! Choose Your Next Surgeon Wisely!

When you get a hair transplant, you deserve the result you expected. If you didn’t, don’t resign yourself to living with it—as well as the dissatisfaction and diminished self-confidence you feel every time you look in the mirror. When it comes to hair restoration, you deserve care from a surgeon with experience, integrity and a proven track record. With over 25 years of experience and a notable reputation in the field, Dr. Barusco leads Tempus Hair Restoration with a commitment to delivering personalized care. Every consultation is conducted by Dr. Barusco himself, ensuring that you receive expert advice tailored to your unique situation. We also offer financing options that can help place this important goal within your reach.

Ready to Take the Next Step?

If you’re looking for answers to your specific hair loss questions, schedule your free virtual consultation with Dr. Barusco today. Consultations are available in English, Spanish, and Portuguese. And for out-of-town clients, we offer a complimentary two-night hotel stay for those traveling over 100 miles to our Port Orange, Florida, surgical center. We will be with you at every step of your hair restoration journey!

More Hair Loss Myths

Hair Loss Procedures

Separating fact from fiction can be challenging, especially when it comes to personal topics like hair loss. Misconceptions about hair loss are everywhere, and they often discourage people from seeking real solutions. In this post, we’re tackling eight common hair loss myths that might be holding you back from the confidence you deserve. Let’s dive in and separate myth from reality, helping you find the answers that truly support your hair restoration journey.

If you’ve ever wondered if your hair loss might reflect something about you beyond genetics, you’re not alone. But here’s the truth: There’s no scientific evidence linking intelligence to hair loss. The primary cause of male pattern hair loss—known as androgenetic alopecia—is influenced by genetics and hormones, not intelligence. While society sometimes perceives bald men as wise or intelligent, these impressions are just that—perceptions.

  1. Highly Intelligent People are More Likely to Go Bald

The “logic” behind this myth is that intellectual people think so much, their brain overheats the hair follicles—or there’s increased blood circulation through the scalp, thanks to all that active thinking just below. Another variation suggests that high-level thinkers worry more, causing their hair to fall out. There’s a grain of truth here, as stress can trigger temporary hair loss through a condition called telogen effluvium, but this has no connection to intelligence.

Bottom line: Hair loss is not a measure of intelligence. If you’re experiencing it and want to understand your options, Dr. Marco Barusco—Founder and Chief Medical Officer at Tempus Hair Restoration—is here to provide clarity and guidance based on over 25 years of expertise.

  1. Baldness is Inherited from Your Mother’s Side

For those wondering if genetics might hold the answer to their hair loss, know that this isn’t entirely true. While early genetic studies suggested balding was passed down through the maternal line, we now know that genes from both sides of the family can influence hair loss.

To put it simply, both parents contribute to the genes that determine hair loss potential. According to Harvard Medical School, “Contrary to the folk wisdom that baldness is inherited from one’s mother’s family, the condition depends on genes from both parents.”

Bottom line: Genetics play a role, but they’re not solely responsible. Dr. Barusco can help you understand the genetic factors that may be at play in your unique case, giving you a clearer picture of your hair restoration options.

  1. Too Much Exercise Causes Hair Loss

You may have heard that working out too much can cause hair loss. While it’s true that excessive, high-stress workouts might impact hair health, regular exercise does not cause hair loss—in fact, it can boost blood flow to the scalp, supporting healthy hair growth.

For those involved in extreme training, like competitive bodybuilding, there can be additional factors at play, such as anabolic steroid use and nutrient deficiencies, which can indeed contribute to hair loss. The key is balance, along with making sure you’re getting essential nutrients to support healthy hair.

Bottom line: Your workout routine isn’t to blame for hair loss unless it involves extreme factors. Want to learn more about how lifestyle choices impact your hair health? Dr. Barusco is here to provide expert insights tailored to you.

  1. Too Much Testosterone Causes Hair Loss

This myth has staying power, thanks to portrayals of high-testosterone athletes and action movie heroes with thinning hair. The reality, though, is that high testosterone levels don’t directly cause hair loss. Instead, genetics determine how sensitive your hair follicles are to androgens like dihydrotestosterone (DHT), a byproduct of testosterone.

If your follicles are sensitive to DHT, even small amounts can trigger hair loss. For those with this sensitivity, solutions are available that target DHT without compromising overall health.

Bottom line: It’s not about how much testosterone you have, but rather your genetic sensitivity to it. Dr. Barusco can help you understand how your genetics play a role in hair loss and what can be done to manage it.

  1. A High-Sodium Diet Causes Hair Loss

A high-sodium diet certainly isn’t great for overall health, but it doesn’t directly cause hair loss. Instead, an excess of sodium can contribute to high blood pressure, heart disease, and kidney problems—conditions that can affect your hair health over time by limiting nutrient delivery to the scalp.

Bottom line: For a healthy head of hair and a healthy you, a balanced diet is key. If you’re unsure how nutrition might be affecting your hair, Dr. Barusco can offer personalized advice as part of your hair restoration journey.

  1. Sleeping on One Side Causes Hair Loss

The idea here is that sleeping on one side puts pressure on those hair follicles, causing them to weaken over time. In reality, this isn’t something to worry about. Most people shift positions throughout the night, and hair growth patterns are largely genetically programmed.

Bottom line: Sleeping position has no effect on hair loss. Hair restoration is about working with your unique biology, and Dr. Barusco can help you understand your options based on your individual needs.

  1. Frequent Shampooing Causes Hair Loss

This myth likely stems from concerns about harsh shampoos and over-styling, which can cause hair to break. However, regular shampooing, especially with gentle products, actually supports scalp health by keeping follicles clear.

Bottom line: Enjoy the refreshing feel of a clean scalp, knowing it’s only helping—not hurting—your hair. Dr. Barusco can recommend the best care routine tailored to your hair and scalp type.

  1. Blocked Follicles Cause Hair Loss

This is perhaps the most persistent myth of all, with countless products on the market claiming to “unblock” follicles and restore hair growth. However, hair growth isn’t affected by external blockage of the follicles.

Dr. Barusco has addressed this in detail on his YouTube channel, Hair Loss Medical Advice, where he explains that hair grows even when follicles appear “blocked” by sebum or oil. Products that promise to reverse hair loss by cleansing follicles don’t actually target the biological mechanisms involved in hair loss.

Bottom line: Don’t let these claims fool you. Real solutions start with understanding the root causes of hair loss, and Dr. Barusco’s years of expertise make him the trusted choice to help you explore options that work.

When It’s Time to Get Real Answers

Hair loss is about more than just appearance—it can affect how we see ourselves and how we feel each day. At Tempus Hair Restoration, we’re committed to giving you the confidence that comes with knowing you have expert support on your side. With over 25 years of experience, Dr. Barusco provides personalized care for each client, ensuring that every step of the journey is crafted with your unique needs in mind.

Ready to Take the Next Step?

If you’re looking for answers to your specific hair loss questions, schedule your free virtual consultation with Dr. Barusco today. Consultations are available in English, Spanish, and Portuguese. And for out-of-town clients, we offer a complimentary two-night hotel stay for those traveling over 100 miles to our Port Orange, Florida, surgical center.

Take the first step toward restoring your hair and your confidence. Secure your consultation now—spots fill up quickly, and we’re here to make this journey as smooth and supportive as possible. Contact us today, and let’s start your journey together!

Does Ozempic Cause Hair Loss?

Hair Loss Procedures,

Originally used to treat type 2 diabetes, Ozempic has gained widespread attention as an effective weight loss solution. But could hair loss be an unwanted side effect of Ozempic and other GLP-1 medications? Some media outlets sensationalize claims that patients are shedding hair along with the pounds, and exaggerated reports on social media can make it hard to separate fact from fiction. Let’s take a closer look at the real story.

What Are GLP-1 Drugs, and How Do They Cause Weight Loss?

GLP-1 drugs—also known as GLP-1 agonists—mimic the naturally occurring GLP-1 hormone, which helps regulate blood sugar and hunger. According to Harvard Medical School, GLP-1 agonists stimulate the pancreas to release insulin while suppressing glucagon, a hormone that raises blood sugar levels. This process is crucial for managing type 2 diabetes.

In addition to controlling blood sugar, GLP-1 drugs act on the brain to reduce hunger and slow down stomach emptying, which can lead to significant weight loss. The FDA has approved these medications not only for diabetes patients but also for individuals with obesity who are looking to lose weight.

Is Hair Loss a Side Effect of GLP-1 Medications?

In early 2024, the Food and Drug Administration (FDA) began investigating reports of hair loss in people taking GLP-1 medications like Ozempic. However, their findings did not demonstrate a clear link between these drugs and hair loss.

Instead, hair loss during dramatic weight loss is more commonly attributed to telogen effluvium—a temporary condition triggered by physical stress on the body, including rapid weight loss. Telogen effluvium causes hair follicles to shift into the shedding phase of their growth cycle, leading to noticeable hair loss about three months after the stressor.

The good news is that telogen effluvium is usually temporary, with hair growth resuming within three to six months after the underlying cause is addressed. However, it can take longer for your hair to return to its normal fullness, especially if it’s longer. Most people regain their hair volume within six to nine months.

What About Other Types of Hair Loss?

The American Hair Loss Association (AHLA) warns that while telogen effluvium is temporary, there may be more serious concerns for those misusing GLP-1 medications for rapid weight loss without medical supervision. The AHLA has suggested that hormonal changes triggered by these drugs could potentially accelerate androgenic alopecia (male or female pattern hair loss), which is a progressive form of hair loss that can lead to permanent thinning.

Considering Medical Weight Loss? Choose Your Physician Wisely!

Unfortunately, GLP-1 medications have become one of the many “services” offered by telehealth companies that also sell hair restoration and male health products. These companies may downplay the importance of proper medical supervision, turning prescriptions into a transactional service rather than a thoughtful medical decision.

Always consult with a licensed physician before beginning any weight loss treatment. Choosing a trusted medical professional ensures that your health is carefully monitored, and any potential side effects—such as hair loss—are properly addressed.

Considering a Hair Restoration Procedure? Choose Your Surgeon Wisely!

When it comes to hair restoration, you deserve care from a surgeon with experience, integrity, and a proven track record. Dr. Marco Barusco, with over 25 years of experience and a notable reputation in the field, leads Tempus Hair Restoration with a commitment to delivering personalized care.

At Tempus, every consultation is conducted by Dr. Barusco himself, ensuring that you receive expert advice tailored to your unique situation. We also offer financing options to make your hair restoration journey as accessible as possible.

Ready to Take the Next Step?

Book your free virtual consultation with Dr. Barusco today and explore the solutions that best fit your needs—all from the comfort of your home. Consultations are available in English, Spanish, and Portuguese. For out-of-town clients, we offer a complimentary two-night hotel stay for those traveling 100 miles or more to our Port Orange, Florida, surgical center.

No matter the distance, we are here to help you restore your hair and your confidence. Contact us today and let’s start your journey together!

August is National Hair Loss Awareness Month

Hair Loss Procedures, ,

The American Academy of Dermatology (AAD) has designated August as National Hair Loss Awareness Month to focus attention on the causes of and treatments for hair loss. According to Penn Medicine, hair loss affects more than 40 million men and 20 million women in the United States. However, statistics are made up of individuals. If you are experiencing hair loss, it’s a personal source of worry, uncertainty and frustration. We at Tempus Hair Restoration want to take this opportunity to cover the various common reasons for hair loss – both permanent and temporary – as well as transplant procedures and the types of hair loss each can best address.

What is Alopecia?

“Alopecia” is a general term for hair loss. There are many types of alopecia, each with its own pathology and set of symptoms. Androgenetic alopecia (AGA) is a common form of hair loss in both men and women. In men, this condition is also known as male-pattern baldness.

In men, hair is lost in a well-defined pattern, beginning above both temples. Over time, the “M” pattern that characterizes the mature male hairline recedes. Hair also thins at the top of the head (vertex or crown), often progressing to partial or complete baldness. This condition is genetic, running in families. In females, hair loss is diffuse, so that the scalp is visible. The center part also widens. Female androgenetic alopecia rarely leads to total baldness.

Other common types of alopecia include the following:

Alopecia areata – This is an autoimmune disease in which the immune system mistakenly attacks the hair follicles. This can lead to hair loss on the scalp and elsewhere. Typically the hair loss involves totally smooth, round patches about the size of a coin or larger. This disease may affect children, women or men of any age. The hair follicles – the “bulbs” below the skin surface – remain protected, so hair loss typically isn’t permanent. The National Alopecia Areata Foundation provides free information and resources for those living with this condition.

Traction alopecia – This is the term for hair loss from mechanical damage to the hair follicle caused by repeated tension or pulling. This can be caused by wearing the same hairstyle for long periods of time – especially those that tug on the hair, such as tight braids, cornrows and weaves. Tight hairstyles applied to chemically relaxed hair can lead to even greater damage. Our blog post – “Is a Hair Transplant a Solution for Traction Alopecia?” – covers this topic in greater detail.

What Are Other Causes of Hair Loss?

Although many people assume that the cause of hair loss is entirely genetic, lifestyle and health play an important role. No element of the human body exists or functions independently of the others – including hair follicles. Our blog post – “How Lifestyle Affects Hair Loss” – covers this topic in detail.

The following factors can cause or accelerate hair loss:

Stress – Many people experience a general thinning of the hair several months after a physical or emotional shock. Stress hormones – such as corticosterone – can put hair follicle stem cells into a resting phase, preventing them from regenerating hair follicles. However, the demands and uncertainties of modern life have made chronic stress commonplace. Fortunately, stress-induced hair loss is unlikely to be permanent. Using stress-management techniques and/or seeking professional counseling may help the mind-body connection deal with stress in a healthier way.

Smoking – Nicotine is a vasoconstrictor – which makes blood vessels contract. This restricts the delivery of oxygen to every cell of the body, including the skin and hair follicles. Over time, this makes hair regrowth harder, so when strands fall out, they aren’t replaced as readily – or at all. In addition to nicotine starving cells of oxygen, the numerous toxic substances in cigarettes have been implicated in causing damage to the DNA of hair follicles.

Poor diet – Hair is sensitive to nutritional imbalances. An inadequate intake of essential vitamins or minerals can impact the hair growth (anagen phase)/rest cycle (telogen phase). For this reason, a junk food diet high in saturated fat, salt and sugar – and low in essential vitamins and nutrients – not only leads to hair follicles being poorly nourished, but increases the risk for type 2 diabetes. Fad diets likewise tend to be imbalanced in food varieties and essential nutrients, and therefore should be avoided.

Medications and medical treatments – As Mayo Clinic states, hair loss can be a side effect of certain drugs – such as those used for cancer, arthritis, depression, heart problems, gout and high blood pressure. Radiation therapy to the head also causes hair loss.

Steroid use – Bodybuilders and others looking to increase muscle mass and athletic performance have long turned to anabolic steroids, despite their dangerous side effects and risk of addiction. Add hair loss to the list. Those who are genetically predisposed to AGA can quickly accelerate its progression, because the Type II 5-alpha reductase enzyme transforms testosterone into DHT (dihydrotestosterone). DHT clings to receptors on hair follicles and causes them to weaken. Hair loss accelerated by steroid use is permanent. Our blog post – “What You Need to Know About Bodybuilding and Hair Loss” – covers this topic in detail.

Hair Transplant Procedures

Not every type of hair loss can be addressed with a hair transplant procedure. Those whose loss is caused by AGA or traction alopecia can be good candidates for a hair transplant – taking into account such factors as the extent of hair loss, availability of hair in the donor site (the scalp area from which hair follicles are removed) and the overall health of the individual, among others.

For most other causes of hair loss, hair will eventually grow back unless the follicles themselves are no longer viable.

Hair transplant procedures include the following:

Follicular Unit Excision (FUE) – In this procedure, follicular units (hair grafts) in groupings of one, two or three hairs are individually extracted from the back of the head (donor area) using small circular punch blades instead of a scalpel. The grafts are then transplanted to the thinning or balding areas of the scalp. Once the desired number of grafts are obtained, the donor sites are left to heal without suturing. The resulting scars are not readily visible and are easily concealed even by very short hair.

No-Shave FUE – Developed by  Dr. Marco Barusco – Founder and Chief Medical Officer at Tempus Hair Restoration – the no-shave FUE completely conceals harvested donor sites immediately, allowing you to resume your regular activities with virtually no evidence of the procedure.

Follicular Unit Transplantation (FUT) – Also known as the “strip” method, the FUT procedure has undergone refinements over the years so that the only evidence is a pencil-line linear scar easily concealed by hair – even at a shorter length. Although many hair transplant practices encourage patients toward the FUE, there are circumstances in which the FUT will produce the more successful outcome.

Combination FUE and FUT – This technique covers large areas of baldness in a single surgery. Patients with advanced hair loss are typically required to undergo multiple hair transplant procedures to obtain coverage of their entire bald scalp – having to wait one year or more between procedures. This allows patients to achieve their ultimate goal sooner, with one procedure versus many.

The Importance of Choosing Your Surgeon Wisely

If National Hair Loss Awareness Month is making you think about seeking help for your own hair loss, you also need to be aware that not all hair restoration practices are equal in getting the best possible outcome. As we always say, “Knowledge is power.” Knowing how to find a skilled, experienced, ethical hair restoration surgeon is essential – yet can be difficult, as there is much misleading “information” regarding hair transplant surgery that works against consumers educating themselves about how to choose a qualified surgeon.

A good place to start is the website of the International Society of Hair Restoration Surgeons (ISHRS). This site provides consumers with unbiased information on a wide range of issues – including how to be sure that a properly trained and licensed physician performs your hair transplant procedure, questions to ask during your consultation and many others.

We also invite you to visit Dr. Barusco’s YouTube channel, Hair Loss Medical Advice, where you can learn as he discusses such issues as the types and causes of hair loss, hair transplant procedures, and much more. And of course, our blog features informative posts, updated every month.

Ultimately, choose your surgeon based on experience, results and integrity. Dr. Barusco’s long list of accomplishments, his notable artistic ability and his successful surgical team make Tempus Hair Restoration a renowned practice. We understand that the main concern you may have is cost, which is why we offer financing options that can place this important goal within reach.

Contact us to schedule your free virtual consultation. Dr. Barusco conducts every consultation himself, giving you the opportunity to learn your options in the comfort of your home – or any location, on any internet-enabled device. 

Dr. Barusco conducts consultations in English, Spanish and Portuguese. For your greater convenience, Tempus Hair Restoration offers a two-night complimentary hotel stay to out-of-town clients who travel 100 miles or more to our Port Orange, Florida, surgical center. No matter how far the distance, we welcome the opportunity to help you on your hair restoration journey!

The Millennial Man’s Guide to Hair Restoration

Male Hair Restoration,

Call the millennials the generation that can never catch a break. Born between 1981 and 1996, its members have dealt with jokes about receiving participation trophies just for showing up, and their appetite for pricey avocado toast. Now for the ultimate indignity, millennial men are going bald. But the generation that’s also known for its spirit of cooperation is coming together to face hair loss head-on (so to speak), and proactively seeking hair restoration solutions that meet its needs. If you’re a millennial man, here is your guide to making the right decision – for both the present and the long term.

Before we begin, let’s state the obvious. Millennials are far from the first generation to battle hair loss. The earliest recorded remedies for baldness date back to ancient Egypt, in the year 1550 B.C.E. Obviously, they were unsuccessful. But if it seems that hair restoration is more important to millennial men than those of previous generations, you’re right!

Why Hair Restoration is More Important to Millennial Men

Several factors account for the reasons hair loss is less acceptable to millennials – with the pervasive use of social media being foremost. Today, your online presence and identity is you! This shift in perception began with Instagram, Facebook and X (formerly Twitter) profiles and postings, then kicked into high gear when Zoom meetings became the main means of business and social interactions during the COVID-19 pandemic. At about the same time, TikTok became a phenomenon, making everyone an online video star. With your digital persona an important part of your self-image, balding is an especially stinging affront.

Which leads to another leading reason – the fear of aging. Hair loss has an aging effect on even the most youthful face. While the popular mantra is “age is just a number,” most people are more realistic. As our blog post – “Does Hair Loss Hurt Your Career?” – covers, appearances count in our society. While we may believe that people should be judged by their merits, abilities and character, such isn’t always the case. In particular, men who are in the job market – or interested in career advancement – and experiencing hair loss could be wondering if their male pattern baldness (androgenic alopecia) is harming their chances. The same goes for their social life.

For example, a study conducted by Johns Hopkins University recruited participants to compare photos of men before and after they got a hair transplant. Although they were looking at the same men, participants rated men after they got their hair transplants as more attractive, approachable, and successful.

Moreover, there are indications that men are beginning to experience hair loss at younger ages than any generation before them. However, it has not yet been established if this is a significant trend, or just more noticeable because of increased awareness.

If so, stress could be a contributing factor, considering the numerous personal and societal upheavals that the pandemic created. Poor nutrition may be another factor, as many millennials make fast foods the mainstay of their diet. As our blog post – “How Lifestyle Affects Hair Loss” – covers, hair is sensitive to nutritional imbalances. An inadequate intake of essential vitamins or minerals can impact the hair growth (anagen phase)/rest cycle (telogen phase). For this reason, a junk food diet high in saturated fat, salt and sugar – and low in essential vitamins and nutrients – not only leads to hair follicles being poorly nourished, but increases the risk for type 2 diabetes.

Changing Attitudes Towards Hair Transplants

In previous generations, society judged men who had a hair transplant with some amount of contempt – considering them vain or trying desperately to hold on to youth. Fortunately, public opinion has changed to approval, with the recognition that the desire to enhance one’s appearance is based towards achieving greater self-confidence.

Among millennial men, getting hair restoration treatment or a hair transplant procedure is a standard, acceptable solution to hair loss. Members of this generation have been accustomed to finding a way to meet their goals, rather than just resigning themselves to circumstances – in this case, a future of ever-increasing baldness.

Improved Hair Transplant Procedures

To be fair to your elders, one big reason men of previous generations were reluctant to undergo a hair transplant was because the technology was by today’s standards primitive – typically resulting in an unnatural-looking hairline and pluggy “doll hair” growth patterns. As cringeworthy as the much-ridiculed comb-over was, many men who wanted to conceal their bald spot decided it was preferable to the even odder-looking effect of the day’s usual hair transplant result.  

Hair transplant techniques have since greatly evolved, providing the look of natural growth when performed by an experienced, skilled hair restoration surgeon. Dr. Marco Barusco – Founder and Chief Medical Officer at Tempus Hair Restoration – offers the following procedures:

Follicular Unit Excision (FUE) – In this procedure, follicular units (hair grafts) in groupings of one, two or three hairs are individually extracted from the back of the head (donor area) using small circular punch blades instead of a scalpel. The grafts are then transplanted to the thinning or balding areas of the scalp. Once the desired number of grafts are obtained, the donor sites are left to heal without suturing. The resulting scars are not readily visible and are easily concealed even by very short hair.

No-Shave FUE – Developed by Dr. Barusco, the no-shave FUE completely conceals harvested donor sites immediately, allowing you to resume your regular activities with virtually no evidence of the procedure.

Follicular Unit Transplantation (FUT) – Also known as the “strip” method, the FUT procedure has undergone refinements over the years so that the only evidence is a pencil-line linear scar easily concealed by hair – even at a shorter length. Although many hair transplant practices encourage patients toward the FUE, there are circumstances in which the FUT will produce the more successful outcome.

Combination FUE and FUT – This technique covers large areas of baldness in a single surgery. Patients with advanced hair loss are typically required to undergo multiple hair transplant procedures to obtain coverage of their entire bald scalp – having to wait one year or more between procedures. This allows patients to achieve their ultimate goal sooner, with one procedure versus many.

Hair Restoration Pitfalls to Avoid

Now, here is where the guidance comes in. Not all hair restoration practices and surgeons are equal. You may know your way around the internet, but your searches might not lead you to the best surgeon – and could even lead you to one who’ll seriously botch your procedure. Others may not prescribe the right course of non-surgical treatment and might be unable to adequately monitor the progression of your hair loss. Previous Tempus Hair Restoration blog posts have alerted consumers to the following pitfalls to watch out for. In case this is your first time visiting our blog, here is a breakdown.

Online Hair Restoration Subscription Services – Purchasing goods and services online is the preferred way of doing business for millennials. But although there are many telehealth companies offering hair restoration medications, finding the right doctor and treatment for your specific hair loss isn’t the same as buying shoes online.

As reported by Natasha Singer and Katie Thomas in their article for The New York Times – Drug Sites Upend Doctor-Patient Relations: ‘It’s Restaurant-Menu Medicine’ – “The sites invert the usual practice of medicine by turning the act of prescribing drugs into a service. Instead of doctors making diagnoses and then suggesting treatments, patients request drugs and physicians serve largely as gatekeepers. Some of these companies operate in a regulatory vacuum that could increase public health risks … And federal and state health laws, written to ensure competent medical care and drug safety, have not kept pace with online services …”

These telehealth companies downplay the fact that even non-surgical treatment is still medical treatment that involves numerous factors a doctor needs to take into account and evaluate. However, as The New York Times’ article points out, these companies “… argue that they are tech platforms, not health providers. The sites connect consumers – and often process their payments – to doctors who may prescribe drugs and pharmacies that can ship the medications.” Their lack of accountability and responsibility to patient health should negate any perceived convenience in ordering prescription treatments with a couple of clicks.

Overseas Black Market Clinics – You’ve probably read about the advantages of traveling to Turkey for a hair transplant at a bargain price, with accommodations at a luxury hotel. However, much of what you read about Turkish hair transplant clinics are a combination of deliberate disinformation produced by the clinics themselves, social media hype and publicity provided by mainstream publications more eager for readers’ eyeballs than presenting the facts. Such clinics put you at risk for permanent disfigurement by a botched procedure performed by non-medical clinic employees who go to their other jobs, like waiting tables or driving taxis, after their shift at the clinic.

The International Society of Hair Restoration Surgery (ISHRS) – the world’s leading medical authority on hair loss treatment and restoration – launched a worldwide campaign designed to raise awareness of the risks of medical tourism for hair transplants. Its Fight the FIGHT (Fraudulent, Illicit and Global Hair Transplants) campaign targets the hair transplant black market, which is built upon fraudulent hair restoration clinics and misleading advertising claims. Please click the links to learn why you should avoid such clinics. Our blog post – “The Dangers of Black Market Hair Transplants in Turkey” – provides additional information.

Robotic Hair Transplant Devices – Robotic assisted devices are promoted by many hair transplant clinics as a quick, foolproof tool for performing the FUE procedure. Instead of the surgeon choosing which hair follicles to harvest from the donor area, a robotic assisted system evaluates the hair and – based on a complex algorithm – chooses the follicles that it identifies as being the best for transplantation. The device then harvests these follicles by means of a computer-controlled robotic arm. Although practices that utilize this device advertise it as the future of hair transplantation, there are limitations, even when used according to medical ethical standards and within the law.

Unfortunately, the nature of such devices leads to the slippery slope of unlicensed, non-medical personnel performing some or all aspects of an FUE hair transplant procedure – which is much more common than you may know. If you’re new to our blog, our post – “Don’t Let a Technician Perform Your Hair Transplant Surgery” – covers this topic in detail. We encourage you to read it, as well as our blog post – “The Truth About Robotic Devices in Hair Transplant Procedures” – for additional information.

The Millennial Man’s Guide to Hair Restoration

A valuable online resource for anyone considering a hair restoration procedure is the International Society of Hair Restoration Surgery (ISHRS). This is a global non-profit medical association, and the leading authority on hair loss treatment and restoration. With more than 1,000 members throughout 70 countries worldwide, the ISHRS is dedicated to achieving excellence in patient outcomes by promoting the highest standards of medical practice, medical ethics and research in the medical hair restoration industry. The ISHRS offers objective, unbiased information, and does not accept advertising or affiliate links.

The ISHRS website provides free resources for consumers – such as its Find a Doctor database. This is maintained and updated with the name, location, contact information and link to the ISHRS member page of each doctor.

Dr. Marco Barusco – Founder and Chief Medical Officer of Tempus Hair Restoration – is a Fellow of the ISHRS. This is a distinction that is only given to those ISHRS members who achieve certain landmarks on teaching and leadership. Currently, fewer than 10% of the ISHRS members are Fellows.

In conducting research on individual surgeons, the ISHRS recommends learning about the surgeon’s training, credentials and experience in the field of hair restoration. Start this process by visiting the website of each surgeon you’re considering. Our blog post – “Is Your Hair Transplant Surgeon Qualified? What You Need to Know!” – covers this important topic in detail.

For all the millennial men embarking upon their hair restoration journey, we hope we’ve provided helpful information for getting you on the right road! If you participate by choosing your surgeon wisely, you’ll receive a full head of healthy hair as your award!

Ultimately, choose your surgeon based on experience, results and integrity. Dr. Barusco’s long list of accomplishments, his notable artistic ability and his successful surgical team make Tempus Hair Restoration a renowned practice.

We understand that the main concern you may have is cost, which is why we offer financing options that can place this goal within reach.

Contact us to schedule your free virtual consultation. Dr. Barusco conducts every consultation himself, giving you the opportunity to learn your options in the comfort of your home – or any location, on any internet-enabled device. 

Dr. Barusco conducts consultations in English, Spanish and Portuguese. For your greater convenience, Tempus Hair Restoration offers a two-night complimentary hotel stay to out-of-town clients who travel 100 miles or more to our Port Orange, Florida, surgical center. No matter how far the distance, we welcome the opportunity to help you on your hair restoration journey!

Hair Restoration Around the World: A Cultural Perspective

Male Hair Restoration,

People of different cultures and ethnicities have different standards of attractiveness. Fortunately, in recent years, this diversity has become celebrated and accepted in mainstream American society, so that people from a rich variety of backgrounds do not feel the need to conform to one particular “look” in order to be accepted.

As you’ve probably guessed the direction of our blog post by now, this diversity also affects an individual’s preferences and expectations when seeking a hair transplant. While you might assume that everyone wants the same aesthetic outcome from a hair transplant procedure, such is not the case. Hair is often tied to one’s cultural identity and heritage, which strongly influences self-image – which, in turn, also impacts self-confidence.

A native of Brazil, Dr. Marco Barusco – founder and Chief Medical Officer of Tempus Hair Restoration – has been privileged to perform hair restoration surgery on patients of all ethnicities, crediting his adopted home of Florida with being a popular destination for people of every racial heritage throughout the world. Here is the perspective that our practice has on cultural traditions for hair standards.

Hair Standards and Hair Loss Among Asian Men

According to a CNN report by Oscar Holland, while studies have suggested that almost all Caucasian men will eventually face some degree of male pattern baldness – and around half can expect to lose their hair by middle age – Asian men, and East Asians in particular, have historically experienced the lowest incidence of hair loss in the world.

“But losing your hair may be especially difficult in countries where it’s less common,” Holland writes. “The male beauty standards in East Asian popular culture – from Korean K-pop to Hong Kong’s movie industry – often favor big hair and boyish looks.” However, South Korean standards regarding balding for white and black men tend to be more accepting.

With South Korea being a global leader in skincare and other beauty trends, the number of hair transplant clinics is growing. Moreover, the same CNN report indicates that hair transplant procedures are popular among Chinese males, with the number of Chinese patients in Asian clinics described as “booming.”

A skilled hair restoration surgeon experienced in performing transplant procedures on Asian individuals takes into account the fact that their faces tend to be broader and rounder than their Western counterparts – especially Chinese and Korean faces. The hairline shape matches the face shape in that the hairline tends also to be broader and rounder in shape. In addition, the shape of the hairline has less lateral suppression – that is, it tends to stay rounder even toward the fronto-temporal region. Because Asian hairs grow out straight and black, the result can look unnatural if the angles of the hair grafts are not kept very low in relation to the scalp.

Preferences for Black/African-American Hair Transplants

As our blog post – “Why is Ethnicity an Important Consideration for a Hair Transplant?” – notes, black men prefer a more even hairline. In his article for the ISHRS, hair transplant surgeon William D. Yates, MD, writes that his male African-American patients prefer less temporal recession in the design – that is, a less-pronounced “M” shape that characterizes the mature male hairline. Although Caucasian men often seek a transplant to address a receding hairline, they tend to be more comfortable with some degree of temporal recession.

A straight hairline for men in Black American culture is a traditional preference, as it is widely considered a symbol of status and self-worth. As they have over many generations, Black men place great emphasis on personal grooming as a means of self-expression and identity preservation. A straight hairline typically occurs naturally, but is given a sharper edge by barbers.

When assessing an African-American male for a hair transplant, an experienced surgeon who is attuned to hair growth patterns among individuals of each ethnicity will take into account that restoring a straight hairline will produce an aesthetically natural result that would appear “off” if applied to a Caucasian male.

In addition to genetic hair loss – otherwise known as androgenetic alopecia (male and female pattern hair loss) – traction alopecia is a major cause of hair loss among African-American women. Traction alopecia is the term for hair loss from mechanical damage to the hair follicle caused by repeated tension or pulling. This can be caused by wearing the same hairstyle for long periods of time – especially those that tug on the hair. Tight hairstyles applied to chemically relaxed hair can lead to even greater damage. 

Unfortunately, many of the styling techniques – collectively known as protective styles – that cause traction alopecia have a long tradition in Black cultural identity and beauty. A protective style refers to hairstyles that tuck away the ends of each hair strand to protect them from the elements, as the end is the oldest, most fragile part of the strand. Protective styles include but are not limited to twists, braids, updos, weaves and wigs. However, protective styles ultimately have the opposite effect. According to Kimberly Lewis, CEO and co-founder of CurlMix – a clean beauty brand for curly hair – protective hairstyles actually damage hair and hurt hair growth.

If a woman experiencing traction alopecia has enough surviving hair, a transplant procedure can be an ideal solution for permanent hair loss, achieving a natural-appearing outcome that fills in and covers bald scalp areas – while restoring the patient’s self-image and self-confidence. Our blog post – “Is a Hair Transplant a Solution for Traction Alopecia?” – covers this topic in greater detail.

Hairline Preferences in Hispanic Culture

The term “Hispanic” is very broad and encompasses many types of individuals of Spanish descent – including Mexican, Caribbean, European, and Central and South American. A hair restoration surgeon must address the nuances of each when planning a transplant procedure, determining the appropriate hairline to complement the individual’s facial shape, degree of hair loss and specific ethnicity.

Moreover, Hispanic hair can range from straight and silky to curly and coily. The texture of Hispanic hair is typically finer than that of African-American hair, but coarser and thicker than Caucasian hair. Hispanic hair can have a wide range of curl patterns, from loose waves to tight spirals.

Whatever the hair texture or national background of the hair transplant patient, however, a Hispanic male’s hair is a source of pride – with most paying attention to hairstyling and how their hair establishes their status within their social circle and larger community – not to mention increases their attractiveness to women. An increasing number of Hispanic men now explore their hair restoration options when hair loss begins.

As for hairline preferences, many Hispanic men want a lower hairline that is typically associated with youth. As our blog post – “When Should You Have a Hair Transplant Procedure?” – covers, the male hairline continues to form up to approximately age 29. This occurs when the hairline moves back about a half inch to one inch from where it used to be. A mature hairline forms the “M” shape that distinguishes the male hairline from the female oval hairline shape. The preference for Hispanic (as well as many of Mediterranean and Middle Eastern heritage) males for a more forward hairline represents a desire to project the vitality and virility associated with young men.

You Deserve a Hair Restoration Procedure that Respects Your Heritage

Hair restoration is not a one-size-fits-all solution, and its significance varies greatly across cultures. If you’ve decided to have a hair transplant procedure, be sure the surgeon you choose has experience with patients of your ethnic group, and has achieved good results. Our website’s Before & After Gallery provides examples of Dr. Barusco’s outstanding work in creating the look of healthy, natural hair growth for patients of all ethnicities. In addition, ask any surgeon you schedule a consultation with about their experience in performing hair transplant procedures on members of your group. The consultation also is the time to tell the surgeon about your own aesthetic preferences and expectations of the results you want.

Ultimately, choose your surgeon based on experience, results and integrity. Dr. Barusco’s long list of accomplishments, his notable artistic ability and his successful surgical team make Tempus Hair Restoration a renowned practice. Contact us to schedule your free virtual consultation. Dr. Barusco conducts every consultation himself, giving you the opportunity to learn your options in the comfort of your home – or any location, on any internet-enabled device. 

Dr. Barusco conducts consultations in English, Spanish and Portuguese. For your greater convenience, Tempus Hair Restoration offers a two-night complimentary hotel stay to out-of-town clients who travel 100 miles or more to our Port Orange, Florida, surgical center. No matter how far the distance, we welcome the opportunity to help you on your hair restoration journey!

Planning a Hair Transplant for Future Hair Loss

Male Hair Restoration,

One common misconception about a hair transplant is that it’s a one-and-done procedure. However, the need for additional procedures is very possible as time and hair loss progresses. A conscientious, ethical hair restoration surgeon – such as Dr. Marco Barusco – Founder and Chief Medical Officer at Tempus Hair Restoration – will discuss long-term as well as immediate plans for follow-up surgeries during the initial patient consultation.

“When I counsel my patients, I always discuss the possibility or the likelihood of more transplants in the future because hair loss is progressive,” says Dr. Barusco. “What you see today on your scalp is not going to be the same in 10, 20 or 30 years. It’s safe to assume that if you are experiencing hair loss and facing a transplant, you’re probably going to be needing more as you get older.”

Why You May Need a Second Hair Transplant

For a variety of reasons, patients often have more than one hair transplantation procedure over their lifetime. Hair loss is dynamic, and an individual’s trajectory continues to evolve over time based on numerous environmental factors, genetics, overall health and age. Age-related changes include decrease in hair density, pigmentation and mass.

However, the most common cause of hair loss is androgenetic alopecia (male and female pattern hair loss). This is an inherited, progressive condition. As the International Society of Hair Restoration Surgery (ISHRS) reports, it is also an unpredictably progressive condition. Early hair loss due to androgenetic alopecia can be an indication that hair loss will progress rapidly and will continue until most hair is lost. A hair restoration surgeon may recommend a program that conserves existing hair with a hair restoration drug approved by the FDA, such as minoxidil (brand name Rogaine) or finasteride (brand name Propecia – which is recommended for men only).

While a hair restoration surgeon assesses a patient’s donor area to determine the number of hair grafts available for the transplant procedure being planned, the surgeon should also be calculating how many can be harvested for a subsequent surgery. The donor area is the region at the back of the head where hair grafts are harvested for transplantation into areas experiencing hair loss. This area serves as the primary source of healthy hair follicles for the transplant procedure.

Predicting the progression of androgenetic alopecia is not easy. According to the ISHRS, “An experienced hair restoration doctor is able to anticipate future hair loss, and place transplanted hair into those areas to create a reserve against future hair loss. On the other hand, surgical hair restoration procedures may be required after the original procedure due to progressive and unpredictable hair loss. A potential problem over the years of treatment is the possibility that androgenetic alopecia will outpace efforts to restore hair, and at some point there might not be enough donor hair available for transplantation. The surgeon will be able to anticipate the patients’ need for subsequent procedures, and custom design the long-term treatment plan accordingly.

This is a critical issue that should be discussed by the patient with the physician hair restoration specialist in planning a comprehensive approach to long-term hair restoration.”

The Difference That a Skilled Hair Transplant Surgeon Makes

The key to planning hair restoration surgery to address future hair loss depends upon the surgeon’s skill, experience and eye for achieving the best aesthetic outcome in planning the initial surgery. This includes educating patients and ensuring they have realistic expectations of what can be achieved.

For example, men who start losing hair in their 20s may want a hair transplant – which is understandable, as hair loss has an aging effect. However, Dr. Barusco advises against hair transplant surgery for those under the age of 25. The reason is – as mentioned earlier – a hair transplant relies on using donor hair from the back of the head. If performed too early, the donor hair may be distributed too heavily in one area, leaving too little to be transplanted later, when needed on another area of the scalp as hair loss progresses.

Moreover, as our blog post – “When Should You Have a Hair Transplant Procedure?” – covers, the male hairline continues to form up to approximately age 29. Younger men may believe their hairline is receding, when in fact it’s evolving into what is known as a mature hairline. This occurs when the hairline moves back about a half inch to one inch from where it used to be. A mature hairline forms the “M” shape that distinguishes the male hairline from the female oval hairline shape.

For this and other reasons, Dr. Barusco advises his potential patients to wait until their hair loss has stabilized. Doing so not only allows him an accurate determination of the best procedure to perform to address current hair loss, but predict how the pattern will progress over time and plan accordingly for the second procedure.

One sign of a botched hair transplant is one in which the surgeon – or unlicensed technician who actually performed the procedure – created an aggressive, forward hairline and/or placed too many grafts to fill in bald or balding areas – thus overharvesting grafts from the donor area, not leaving enough for a future procedure. Our blog post – “Don’t Let a Technician Perform Your Hair Transplant Surgery” – covers this important topic in detail. We strongly recommend you take the time to read it.

Will Your Second Hair Transplant Procedure be the Same as Your First?

This depends upon the experience and skill of your surgeon. Each patient’s situation is unique, requiring the ability to accurately forecast the pattern of progressive hair loss and accessing the amount of grafts that will remain in the donor area. The main procedures are as follows.

Follicular Unit Excision (FUE) – In this procedure, follicular units (hair grafts) in groupings of one, two or three hairs are individually extracted from the back of the head (donor area) using small circular punch blades instead of a scalpel. The grafts are then transplanted to the thinning or balding areas of the scalp. Once the desired number of grafts are obtained, the donor sites are left to heal without suturing. The resulting scars are not readily visible and are easily concealed even by very short hair.

No-Shave FUE – Developed by Dr. Barusco, the no-shave FUE completely conceals harvested donor sites immediately, allowing you to resume your regular activities with virtually no evidence of the procedure.

Follicular Unit Transplantation (FUT) – Also known as the “strip” method, the FUT procedure has undergone refinements over the years so that the only evidence is a pencil-line linear scar easily concealed by hair – even at a shorter length. Although many hair transplant practices encourage patients toward the FUE, there are circumstances in which the FUT will produce the more successful outcome.

Combination FUE and FUT – This technique covers large areas of baldness in a single surgery. Patients with advanced hair loss are typically required to undergo multiple hair transplant procedures to obtain coverage of their entire bald scalp – having to wait one year or more between procedures. This allows patients to achieve their ultimate goal sooner, with one procedure versus many.

This decision should be based on a thorough consultation with a qualified surgeon. Each patient’s individual circumstances, preferences and long-term hair restoration goals must be carefully considered. Engaging in open and honest discussions with your surgeon is crucial to plan for the future. Understanding how many grafts you might need over time can help you decide whether FUT, FUE or a combination of both techniques aligns with your hair restoration journey while maximizing the potential of your donor area.

Plan Wisely for the Future by Choosing Your Surgeon Wisely

Being aware of the possibility that you will need more than one hair transplant procedure in your lifetime gives you all the more reason to make sure you choose your surgeon wisely. Ultimately, choose your surgeon based on experience, results and integrity. Dr. Barusco’s long list of accomplishments, his notable artistic ability and his successful surgical team make Tempus Hair Restoration a renowned practice.

We understand that the main concern you may have is cost, which is why we offer financing options that can place this goal within reach.

Contact us to schedule your free virtual consultation. Dr. Barusco conducts every consultation himself, giving you the opportunity to learn your options in the comfort of your home – or any location, on any internet-enabled device. 

Dr. Barusco conducts consultations in English, Spanish and Portuguese. For your greater convenience, Tempus Hair Restoration offers a two-night complimentary hotel stay to out-of-town clients who travel 100 miles or more to our Port Orange, Florida, surgical center. No matter how far the distance, we welcome the opportunity to help you on your hair restoration journey!

 

Reviving Confidence: A Comprehensive Guide to Hair Restoration with Dr. Marco Barusco

Hair Loss Procedures,

We at Tempus Hair Restoration often talk about the hair restoration journey. This is an accurate analogy, as there are many steps from the time you decide to explore your hair restoration options to the happy day when your new growth fills in so that you once again recognize the man in the mirror. However, there is much to learn to navigate this journey successfully and achieve the result you want.

We always sign off our Tempus Hair Restoration monthly blog post with the statement, “Choose your surgeon wisely.” Of course, we mean Dr. Marco Barusco – Founder and Chief Medical Officer at Tempus Hair Restoration. This month, we dedicate our blog post to introducing you to Dr. Barusco and the many reasons why he is the wise choice for your hair restoration procedure!

Meet Dr. Marco Barusco

A native of Brazil, Dr. Barusco decided to pursue advanced training in hair restoration techniques after completing his training in general surgery. His family’s history of hair loss weighed heavily in Dr. Barusco’s choice of specialty, knowing that he was very likely to experience it as well.

Says Dr. Barusco, “I’m a hair transplant patient too, so I understand how hair loss can affect your confidence and why I’ve dedicated my professional life to helping others who suffer from hair loss.”

In practice since 1998, Dr. Barusco is a leading hair restoration surgeon, devoted to developing and bringing the most advanced techniques to his patients. Moreover, he is a tireless educator who lectures and conducts workshops both nationally and internationally to instruct current hair transplant surgeons and educate the next generation. He is Assistant Professor of Surgery at the University of Central Florida College of Medicine, and has written chapters for numerous hair restoration textbooks.

Dr. Barusco also has been honored to serve in key positions for hair restoration organizations, including the following:

Know Your Surgeon – Who Will be Performing Your Hair Transplant Procedure?

Now that you know Dr. Barusco’s background, think about other surgeons or hair transplant clinics you might be contacting for a consultation. Who will be performing your surgery? What is his or her professional background? If you schedule a consultation at a franchise clinic, you may not be meeting the surgeon, but a salesperson or medical technician. At some clinics, unlicensed technicians illegally operating robotic devices harvest and implant hair follicles. We invite you to read Dr. Barusco’s article about the significant risks of this too-common practice.

In our blog post – “Behind the Reviews – Dr. Marco Barusco’s Hair Transplant Patients Share Their Stories” – beard transplant patient Argelis F. describes his consultation experience with Dr. Barusco as an example of how this important discussion should be conducted.

“I called plenty of other surgeons, but his was the only practice I called where I spoke to the doctor himself. With the other places, I never got the actual procedure explained to me by the doctor. It was always by somebody else in the office. But Dr. Barusco was different.”

So what should this conversation be like? Dr. Barusco’s consultations cover the following areas: your hair loss history, your family history of hair loss, your medical history, your past and current medications, your allergy history, surgical history and a timeline of your hair loss. The consultation will also include an examination of your hair and a basic medical examination if the consultation is conducted in-office. Dr. Barusco will then arrive at a diagnosis of your hair loss.

Although not generally known, people can have more than one type of hair loss. For this reason, Dr. Barusco may have two or three ideas of the cause – which is known as a differential diagnosis.

Once the diagnosis is given, Dr. Barusco will discuss your hair restoration goals with you. Dr. Barusco knows that good communication is essential to getting the result you want – which includes setting realistic expectations of what you can expect. For example, a 45-year-old can’t get back the hair he had at age 18, but can get a good hairline and aesthetically pleasing crown coverage, if those are the goals. It’s a collaborative process in which you and Dr. Barusco have a candid discussion about what’s possible, and the best procedure for achieving the optimum outcome.

Dr. Barusco’s Leading-edge Hair Transplant Procedures

Dr. Barusco has long been at the forefront of advanced hair restoration procedures, having developed such techniques as the groundbreaking no-shave FUE. Short for follicular unit excision, the no-shave FUE completely conceals harvested donor sites immediately, allowing you to resume your regular activities with virtually no evidence of the procedure.

Going one step beyond this procedure is the long-hair FUE. It is also known as the “preview” long-hair FUE because it provides a preview of what the ultimate result will be. As with any hair transplant, the hair in the newly implanted grafts soon falls out, to be replaced by new growth as the grafts establish themselves. Dr. Barusco is one of only a few doctors in the world with the experience and skill to perform this technique.

Another leading-edge procedure is the combined FUE and FUT (follicular unit transplantation). This technique covers large areas of baldness in a single surgery. Patients with advanced hair loss are typically required to undergo multiple hair transplant procedures to obtain coverage of their entire bald scalp – having to wait one year or more between procedures. This allows patients to achieve their ultimate goal sooner, with one procedure instead of many.

Regardless which procedure Dr. Barusco performs, he harvests and implants each hair follicle by hand. This is essential in selecting the right follicles from the donor area of the scalp, and creating the implantation site to achieve the best possible coverage. Implanting each follicle by hand also allows Dr. Barusco to position them at the correct angle – which is necessary to achieve the look of natural growth. No matter what you may have read or heard, no robotic device can achieve this degree of accuracy or level of artistry.

Dr. Barusco’s Skill in Performing Hair Transplants for Patients with Special Circumstances

Dr. Barusco is also renowned for his skill in performing hair transplants to conceal scars caused by head trauma or surgery (such as facelifts) – as well as restoration procedures for those who have undergone chemotherapy and/or radiation therapy. We invite you to read the inspiring story of “K.J.” – a patient whose near-fatal motorcycle accident left him with a wide scar where surgeons had to replace a section of his skull.

“(The patient’s) case was difficult, and posed a higher risk of serious complications due to the surgeries he had for his head trauma,” said Dr. Barusco. “Particularly the reconstruction of his skull with a synthetic material, which was placed under the area to be transplanted. This made the procedure of transplanting hair more challenging and risky. Most other doctors don’t have the experience or the facilities to perform this procedure under sterile conditions, and with the pre- and post-operative preparations that were needed to do it safely.”

Dr. Barusco created a pre- and post-operative protocol designed to increase safety in these types of procedures. This protocol was published in a scientific journal and in a medical textbook, and today is used by many doctors in the field.

As for K.J., his hair transplant successfully concealed his scar, allowing him to put this painful reminder of his traumatic injury in the past – and is now making the most of his second chance at life.

Success by Design – How Dr. Barusco’s Aesthetic Sense Creates Outstanding Results

Do you remember paint-by-numbers pictures? They’re still around and still the same: an outline of a drawing printed on canvas that has numbered sections for the different colors of paint to be used. The finished product is technically a painting, yet far from a work of art. Consequently, a hair transplant by a surgeon who lacks a sense of aesthetics may cover bald spots, but will look somewhat “off.”

As our blog post – “Principles of Male Hairline Design” – covers, in addition to properly positioning the hairline restoration to your facial features, implanting each follicular unit to create the appearance of natural growth is essential to preventing the result from looking like a hairpiece.

“There are no straight lines on the human body,” says Dr. Barusco. “You don’t want to put anything in a straight line because it doesn’t look natural. It will catch peoples’ eyes for the wrong reason. You want to create variability.”

During the transplant procedure, Dr. Barusco implants hair grafts to build macro and micro irregularities into the hairline. Each follicular unit graft can contain one to three (or even four) hair follicles, which Dr. Barusco varies to further create a natural effect.

Dr. Barusco also takes great care in creating a frontal temporal transition to achieve this visual variability. “If I just design a hairline and go straight into the hair without creating that soft transition to the temples, it’s going to look artificial. The effect will be so obvious that people will either know you’ve had a transplant, or think you’re wearing a hairpiece. Neither is a desirable outcome.”

Dr. Barusco Puts the Patient First

If you’re considering a hair transplant, you probably don’t know what to expect regarding the patient experience. What you should know is that you shouldn’t be treated like a product on an assembly line.

Dr. Barusco always puts the patient first. He makes sure that you understand how local anesthesia will be administered before the procedure, and that you have the appropriate pain management medications immediately after. His patients typically report that they are comfortable and relaxed during the procedure itself. They often are pleasantly surprised that Dr. Barusco gives them his personal cell phone number if they have questions, and calls them later that evening post-op to follow up on how they’re doing.

To further ensure a smooth recovery process and success of the procedure, post-op examinations are later scheduled at various intervals to allow Dr. Barusco to monitor scalp health and hair growth.

Choose Your Surgeon Wisely – Choose Excellence with Dr. Barusco

When it comes to hair restoration, expertise and compassion are essential. Dr. Barusco’s commitment to excellence, patient-centered approach and artistic precision make him a top choice for those seeking to restore their confidence and reclaim their youthful appearance. Explore your hair restoration options with Dr. Barusco, and embark on a transformative journey toward a revitalized you!

Ultimately, choose your surgeon based on experience, results and integrity. Dr. Barusco’s long list of accomplishments, his notable artistic ability and his successful surgical team make Tempus Hair Restoration a renowned practice. We understand that the main concern you may have is cost, which is why we offer financing options that can place this important goal within reach.

Contact us to schedule your free virtual consultation. Dr. Barusco conducts every consultation himself, giving you the opportunity to learn your options in the comfort of your home – or any location, on any internet-enabled device. 

Dr. Barusco conducts consultations in English, Spanish and Portuguese. For your greater convenience, Tempus Hair Restoration offers a two-night complimentary hotel stay to out-of-town clients who travel 100 miles or more to our Port Orange, Florida, surgical center. No matter how far the distance, we welcome the opportunity to help you on your hair restoration journey!

Behind The Reviews – Dr. Marco Barusco’s Hair Transplant Patients Share Their Stories

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Are you looking for a hair transplant surgeon? If so, you’re probably reading online reviews to get an idea of the surgeon’s ability to accomplish results that meet patient expectations. If you’ve been reading reviews for Dr. Marco Barusco – Founder and Chief Medical Officer at Tempus Hair Restoration – you’ve seen numerous five-star ratings and enthusiastic, heartfelt accounts of each patient’s experience. But what is the story behind their reviews? Two of Dr. Barusco’s patients offered to speak at length about their hair restoration journey – and why they were glad they chose him to achieve their goal.

Kevin Geddings – Owner of WSOS Radio and Morning Show Host, St. Augustine, FL

When Kevin Geddings started losing hair in his early 20s, he wasn’t surprised that it was from his crown area. “Balding in the crown is common in my family,” he said. “It’s just what’s expected. So that was my area of concern in seeking a hair transplant.”

Because radio personalities aren’t known for being introverts, his friends and associates never suspected that self-confidence was an issue. But his bald spot was an always-present, unwanted family legacy. When Geddings decided to look into his hair restoration options, Dr. Barusco was the first – and only – surgeon he consulted.

“One thing that impressed me is that the initial consultation was not rushed,” Geddings said. “Typically with a doctor, their time is very limited, and you feel they want to move things along. But Dr. Barusco talked at length with me during the consultation. We talked about hair growth patterns and how he figures that into the procedure to achieve a natural-looking result. We also talked very openly about pain management.

“Additionally, Dr. Barusco is on the faculty of the UCF medical school, which says a lot about his credentials. Also, it’s rare to work with a surgeon who’s actually had the experience of having a hair transplant. He just inspired a lot of confidence.”

In discussing the plan for Geddings’ procedure, Dr. Barusco determined he was a good candidate for the Follicular Unit Transplantation (FUT). Also known as the “strip” method, the FUT procedure has undergone refinements over the years so that the only evidence is a pencil-line linear scar easily concealed by hair – even at a shorter length.

During the surgery, Geddings reported a comfortable, pain-free experience. Especially noteworthy to him was the presence of other surgeons and doctors who were there to observe Dr. Barusco in order to perfect their own technique.

“For me, that was a key indication of his skill level,” Geddings said.

After many years of living with a bald crown, Geddings started seeing new growth in three to four months post-op.

“When I first saw the new growth, I thought it was very exciting. I was very pleased that I made the decision to do it. As Dr. Barusco will tell you, your hair will go through a shock, and you’ll lose the new hair. But it starts to grow again after. The result started to be most noticeable after nine months. I had a follow-up exam, and Dr. Barusco told me that he thought I could get even better results with a second surgery, since I still had plenty of inventory [donor hair] that we could utilize.”

Geddings underwent the second procedure in 2019 – about one year and a half after the first – happy that Dr. Barusco was able to harvest even more hair follicles from his donor area than during the original surgery. Today, Geddings is still thrilled that through the skill and artistry of Dr. Barusco he was able to reverse the family curse of a bald crown. In fact, Dr. Barusco has been a frequent guest on his radio show.

“Dr. Barusco is one of the best hair transplant surgeons in the world, if not the best, yet he genuinely enjoys getting to know his patients. He’s incredibly laid-back, and has a great personality. You won’t feel intimidated. After my surgeries, he called me on his cell phone at 8 p.m. to see how I was doing. It’s pretty rare that the actual surgeon will check in on you hours after the procedure.”

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                            Kevin Geddings: Before and After Crown Area FUT Hair Transplant

Geddings’ advice for men considering a hair transplant?

“Don’t delay. A lot of guys think this is going to be inconvenient or painful. These are excuses with no basis in fact. It wasn’t painful at all. I didn’t even take the prescription pain medication. I was right back to work on the radio the next day. Forget the old-school misconceptions of what transplants were back in the ‘90s. The results are really, really good!

“My biggest regret is that I should have done it years ago. If you’re thinking about a hair transplant, stop procrastinating. You’re not gaining anything by waiting.”

Argelis F. – Making the Dream of a Full Beard Come True

In his online review on RealSelf, Argelis F. shared the story of his beard transplant by Dr. Barusco, and the life-changing effect it’s had. 

Argelis wanted a beard ever since he was old enough to grow one. However, nature didn’t cooperate.

“I only had upper cheek patches,” he said. “The only thing that truly grew in was the line of the jaw, but I had always wanted fullness. Ironically, my brother was able to grow out a full beard.”

Although frustrated by his inability to grow a burly beard, Argelis had the financial responsibilities typical of a husband and father of four children. Yet he never lost sight of his dream, and eventually saved enough money through working overtime to look for a hair transplant surgeon.

“I called plenty of other surgeons,” Argelis said. “But his was the only practice I called where I spoke to the doctor himself. With the other places, I never got the actual procedure explained to me by the doctor. It was always by somebody else in the office. But Dr. Barusco was different.”

Argelis had a video consultation with Dr. Barusco. The appointment was scheduled after Argelis sent Dr. Barusco photos of his face as it was, and with a line drawn to indicate the areas where he wanted growth. During the consultation, he was surprised that Dr. Barusco wanted to see the back of his head, from where the donor hair would be harvested. Argelis hadn’t considered that Dr. Barusco would want to make sure that enough good-quality hair would be available to give him the coverage he wanted – and was impressed with Dr. Barusco’s attention to such an important detail.

“The way Dr. Barusco explained everything made me very comfortable. It was an excellent conversation. I could tell he has experience.”

On the big day, Argelis reported a very comfortable experience during surgery, which was performed under local anesthesia. He enjoyed lunch during a break in the procedure, then drifted back into relaxed sleep.

“There was no pain, even afterwards. It was almost like it didn’t happen.”

But just over two weeks later, Argelis began to see the proof that it really did happen.

“I believe that after the second week, I was able to scrub my face. I saw hair. Dr. Barusco told me not to be discouraged if I didn’t see anything after the scabs fell off, but six or seven months in, there was growth!”

It was a proud day for Argelis when he went to the barber to trim his beard and even it up. “It looks so natural, I don’t tell people I had the procedure done.”

Argelis said he appreciates Dr. Barusco’s technical skill and artistry, based upon the reactions he’s received – as well as the poor results he’s seen of beard transplants performed by other surgeons. He told of seeing a man he’d known for a long time who remarked on his beard. The man assumed Argelis had just decided to grow a beard – as if he’d always had the ability, but simply chosen not to do so until recently. Argelis did not correct him.

On another occasion, he went to a restaurant with his father-in-law, who knew someone who worked there. His father-in-law told Argelis the man had a beard transplant. “He went overseas for the transplant. It had been some time since he had it done, but he still had patchy growth and some red areas on his skin.”

Argelis: Before and After Beard Transplant

                                             Argelis: Before and After Beard Transplant

What advice does Argelis have for men considering a beard transplant?

“Don’t go for the cheaper things in life. You get what you pay for. If you want a beard that looks natural, you need a good surgeon. I left the review for Dr. Barusco because I’m truly happy with the result. To me, this is life-changing. I feel more comfortable as a man. I want people to know that this is worth it. The person I went to is the real deal.”

Read the Reviews to Help You Choose Your Surgeon Wisely

We at Tempus Hair Restoration thank every patient who has placed their trust in Dr. Barusco to perform their hair transplant procedure. Taking the time to write a review or agree to appear in a testimonial video on Dr. Barusco’s YouTube Channel – Hair Loss Medical Advice – means a great deal to us. You have helped others get the information they need to make an informed choice about an extremely important decision.

Ultimately, we want those considering a hair transplant to choose your surgeon based on experience, results and integrity. Dr. Barusco’s long list of accomplishments, his notable artistic ability and his successful surgical team make Tempus Hair Restoration a renowned practice. We understand that the main concern you may have is cost, which is why we offer financing options that can place this important goal within reach.

Contact us to schedule your free virtual consultation. Dr. Barusco conducts every consultation himself, giving you the opportunity to learn your options in the comfort of your home – or any location, on any internet-enabled device. 

Dr. Barusco conducts consultations in English, Spanish and Portuguese. For your greater convenience, Tempus Hair Restoration offers a two-night complimentary hotel stay to out-of-town clients who travel 100 miles or more to our Port Orange, Florida, surgical center. No matter how far the distance, we welcome the opportunity to help you on your hair restoration journey!