All posts by Tempus Hair Restoration

Does COVID-19 Cause Hair Loss?

Hair Loss Procedures,

The COVID-19 pandemic, unfortunately, continues to take its devastating toll. While vaccine introductions offer hope of relief, the virus remains a threat. Many who survive report physically debilitating long-term effects that prevent them from resuming the activities of their pre-coronavirus life. Yet even many among those who do make a complete recovery are reporting a baffling effect: hair loss.

As an industry-recognized leader in hair restoration surgery, Dr. Marco Barusco, MD – Founder and Chief Medical Officer of Tempus Hair Restoration – has recently seen a marked increase in the number of patients who survived COVID-19 now experiencing a significant amount of hair loss. Almost every discipline in the medical community is searching for answers about this puzzling development. Hair loss is not on the CDC’s list of known COVID-19 symptoms.

A Medical Mystery Emerges

“We don’t know exactly how COVID-19 influences hair loss,” says Dr. Barusco in his YouTube video series, “Hair’s the Truth.” In the episode – “Hair Loss After Covid-19 Infection” – Dr. Barusco discusses what he has learned based upon his examination of patients who have sought their own answers about why they’re suffering sharp, accelerated hair loss after recovery, as well as his ongoing research and review of medical literature covering this rapidly developing condition.

“It is not yet known if the virus damages hair follicles, or if the hair loss is secondary to the body’s reaction to the viral infection and the healing process. We are getting more and more questions about that.”

Based upon reports from other specialists as well as Dr. Barusco’s observations, hair loss typically begins two to four months post-COVID. However “hair loss” is a general term that covers several specific types. Telogen effluvium (TE) is a common form of hair loss characterized by diffuse hair shedding caused by an abnormal shift in follicular cycling. These early indications tend to implicate telogen effluvium in post-COVID hair loss.

In plain language, there are three phases in the hair follicle growth cycle: anagen (growth), catagen (resting) and telogen (shedding). At any given time, about 90% of hairs are in anagen, with 5% in catagen and 5% in telogen. In telogen effluvium, the proportion of hair follicles in the telogen phase significantly increases as much as 50%, leading to mass shedding. Most people shed between 50 to 100 hairs each day.

Unlike male pattern baldness, telogen effluvium involves shedding all over the head. With this condition, the scalp appears normal, with no rash or other symptoms, such as itching, burning, pain or flaking.

The afore-mentioned abnormal cycling shift has several common trigger events, such as the following:

  • Infection or high fever
  • Major physical or psychological trauma
  • Surgery
  • Extreme weight loss/change in diet
  • Drugs
  • Nutritional deficiencies
  • Hormonal changes

Considering that COVID-19 is a viral infection and high fever is among its symptoms – and that many patients experience significant weight loss – telogen effluvium has the optimum opportunity to occur.

Shilpi Khetarpal, MD – a dermatologist at Cleveland Clinic – reports that there may also be a genetic component in determining who experiences post-COVID telogen effluvium.

“Experts say it is hard to know why some patients recovering from COVID lose hair and others do not,” she said in an interview with Healio. “It may be related to genetics. We know that hair loss happens to people who are predisposed, but we do not know who or why. There are specifics about one’s hair cycle and genetics that make them prone or predisposed to developing TE.”

Pandemic Stress May Also Trigger Telogen Effluvium

As Dr. Barusco and other medical experts note, telogen effluvium is affecting people who have not had COVID-19. He has seen patients who cared for a family member with COVID-19 who also experienced hair loss, noting that stress is a common trigger event.

Says Dr. Khetarpal, “We are also seeing people dealing with TE who did not have COVID. There is immense stress around the pandemic itself. People are stressed regarding finances, child care, homeschooling and fears about contracting COVID, along with everyday life stressors. In my practice, I have seen a rise in patients with TE since early June and continue to see new patients every week complaining about excessive hair shedding.”

Can Hair Loss Related to COVID-19 Be Treated?

Dermatologist Sara Hogan, MD, tells WebMD that she is seeing an increasing number of coronavirus patients who have hair loss for the first time.

“Hair loss can occupy a large amount of someone’s mind share because our hair is something we see. It’s often part of our identity and how others perceive us. So when patients start losing hair, especially for the first time, they often come to me very upset.”

Based upon his examination of patients seeking treatment, Dr. Barusco says that as frightening as it is to have hair come out in handfuls – as was the case with an anonymous patient he features in his video – the hair follicles remain intact, meaning that regrowth can occur. This agrees with what is known about telogen effluvium, in which hair typically starts growing back in four to nine months. Initial regrowth may occur in patchy areas of the scalp, rather than evenly.

As for treatment, each person – whether a COVID-19 survivor or one who is experiencing the stress of COVID’s impact on their family or other areas of life – is different. Your individual case involves numerous factors, such as genetic predisposition. For this reason, it is very important to not try to diagnose and treat yourself. Making an appointment with a licensed medical specialist is essential to determine your state of health and its relationship to your hair loss. Based upon an examination, a specialist can recommend and/or prescribe the appropriate actions and/or medications required to promote hair growth.

Dr. Barusco is a board-certified hair transplant surgeon, trichologist and hair loss specialist with more than 20 years of experience. He is Assistant Professor of Surgery at University of Central Florida School of Medicine, and has dedicated his career to helping thousands of patients worldwide overcome their hair loss challenges using the latest medical and surgical procedures.

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.

As a COVID-19 survivor or one who is experiencing long-term stress from additional responsibilities and hardships resulting from the pandemic, you deserve to return to feeling whole and healthy, with the tools you need to promote your own sense of well-being. We would be honored to help you achieve your hair restoration goals. It may now sound clichéd, but we truly are all in this together – and we are here for you.

Early Signs of Hair Loss – What Hairstylists Can Look For

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Hairstylists serve many roles in their client relationships. From style expert to confidant, you are the one your clients trust to make them look and feel their best. You also are the professional who can first detect early signs of hair loss in your long-term clients. In some cases, the client notices such symptoms as decreasing hair volume and turns to you for confirmation that they aren’t just “imagining things” – as well as advice on the next step to take. On other occasions, you may notice thinning or patchy areas of the scalp before your client does.

In either case, knowing how to talk to your clients about this initial stage of hair loss and how to advise them to seek an accurate diagnosis and appropriate treatment gives you greater value as a beauty industry professional. Obviously, if you can alert a client about his or her hair loss in a timely manner and provide a knowledgeable referral to the right medical professional, you will keep that client longer! In addition, you will enhance your own reputation as a leading hairstylist who provides a higher level of service.

What amount of hair loss is normal?

According to Mayo Clinic, people typically lose about 100 hairs a day. As Salon Today notes, this amount doesn’t cause noticeable thinning because new hair is growing in at the same time. Hair loss occurs when the cycle of hair growth and shedding is disrupted or when the hair follicle is destroyed and replaced with scar tissue.

Knowing what to look for and providing the right advice

Dr. Marco Barusco – Founder and Chief Medical Officer of Tempus Hair Restoration – conducts a class on this important topic during the annual Premiere Orlando International Beauty Event. Although canceled this year due to COVID-19, this major industry show is scheduled to return to the Orange County Convention Center in October 2021.

This class is one way in which Dr. Barusco expresses his strong commitment to sharing his knowledge. In 2014, he was invited to be a part of the University of Central Florida College of Medicine faculty as Assistant Professor of Surgery. He also serves as a mentor for research projects in the areas of wound healing and surgery. Additionally, Dr. Barusco has written chapters in the most authoritative textbooks in the hair transplantation discipline. Some chapter examples include a description of the No-Shave FUE procedure developed by Dr. Barusco, and a description of the Tempus Crown-Hatching technique, which is used to improve coverage of the crown area of the scalp.

Dr. Barusco’s other credentials include the following:

As a generous authority in medicine and hair restoration, Dr. Barusco enthusiastically conducts his annual classes held exclusively for hairstylists. He knows that you are often your clients’ first defense in the battle against hair loss, and wants you to have the knowledge to help them prevent further loss. Dr. Barusco has provided the following text, taken from his class lessons.

Lessons from Dr. Barusco’s acclaimed class

“Stylists see hair loss all the time, multiple times a day, in both men and women. Unfortunately, not all of them are prepared to give their clients the correct advice, and often a patient will delay treatment for their hair loss because their hairstylist did not discuss it with them and/or did not refer them for medical treatment early enough.

“Many times, hair loss is present in areas of the scalp that are not accessible to the patient, such as the crown area and the back of the head, so clients sometimes don’t even know that they have an issue. Hairstylists are in a good position to detect potential hair problems and advise their clients, but in order to do it, they need to have the knowledge and be always on the lookout for problem areas.

“Hair loss can take many forms, and not all hair loss is genetic or “stress-related.” Many times a client’s hair loss can be triggered by medications, hormonal imbalances, anemia, thyroid disease, and other health issues that, unless treated, will continue to affect their hair.

Many of these health conditions are insidious and will not necessarily cause symptoms, so it is important to advise a client to look for a doctor with experience in hair loss so that these factors can be adequately investigated and treated. “Patchy” hair loss is easier to spot, and they can mean more serious problems, so if noticed, a referral to a specialist like us is paramount. Symptoms like itching, burning, and pain in the scalp are all red flags of inflammation, which can cause hair loss as well.

 “The bottom line is: any new onset hair loss (increased shedding, areas of thinning, patches of hair loss, irritated scalp, etc.) should be referred to a doctor for investigation, and not simply treated with the products that are sold at the salon. By working in conjunction with us, clients will have better hair for longer and will be happy that the stylist knew and cared enough to refer them. Worst case scenario, the client will have a simple type of hair loss and will benefit from treatment, along with their hairstylist’s advice on how to better make use of their hair.”

Open communication is key

Fortunately, most people feel comfortable talking with their hairstylist. If you are the one who notices early signs of hair loss, you can start the conversation by asking if the client has seen any changes in their hair recently. If the client brings the subject up, acknowledge that you see the change, as well, and take it from there. Losing hair is unsettling and frightening to most people, as so much of our self-esteem is based upon maintaining a certain image of ourselves. Having the support and informed advice of a trusted professional can make a significant difference in the progression of hair loss – and, in turn, the emotional well-being of your clients who face this challenge.

Make your referrals wisely

With Dr. Barusco’s extensive experience in medicine and hair restoration, you can be assured that your clients will receive an accurate diagnosis and the best treatment plan for their individual situation. In addition to his innovative surgical techniques, Dr. Barusco is a leader in such non-surgical treatments as subcutaneous adipose (fat) tissue, and growth factors therapy – which permits earlier intervention with a positive outcome, as stronger hair returns in the areas that are thinning, improving volume and scalp coverage.

We make it easy for your clients to contact us to schedule a free virtual consultation. Dr. Barusco conducts every consultation himself, giving your clients the opportunity to learn their options in the comfort of their home – or any location, on any internet-enabled device. Dr. Barusco conducts consultations in English, Spanish and Portuguese.

As we are always interested in building professional relationships, we invite you to reach out if you see the value in referring your clients to us for their hair restoration journey. We look forward to learning about you and your goals!

Getting Your Hair Back After You Get the Good News – Hair Restoration for Cancer Survivors

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The popular quote, “Cancer is a word, not a sentence,” is now, fortunately, more true than ever. If you’ve recently received the news that you are cancer-free, you may be starting to make plans that don’t revolve around doctor appointments, medical treatments and long stretches of post-treatment down time. While October is National Breast Cancer Awareness Month, surviving any type of cancer represents a new beginning that deserves to be celebrated.

Today, hair restoration is increasingly being considered an important step in the healing process. Our team at Tempus Hair Restoration, led by Dr. Marco Barusco, feels privileged to help these patients reclaim their life.

Because each patient is unique, evaluation of when hair restoration treatment can begin varies. If celebrating a cancer-free declaration by your oncologist means making plans to get your hair back to a full, healthy appearance, you should learn as much as possible about your options. It’s important to know that the experience and skill of the hair restoration doctor you select will make a significant difference in the results you can expect.

As a board-certified surgeon, Dr. Barusco has a depth of medical knowledge not found with many other hair restoration specialists. Combined with the advanced hair replacement procedures and non-surgical treatments he utilizes (and in some cases, pioneered), Dr. Barusco is recognized as a leader in providing specialized care to post-cancer patients.

Does every cancer survivor need hair restoration treatment?

Hair loss is a typical side-effect of chemotherapy and radiation therapies. In the case of chemotherapy, hair usually begins to grow back approximately two to three months after the last treatment. Chemotherapy also causes the loss of eyebrows and eyelashes. When scalp hair regrows, it may be a different color or texture than before treatment, or areas of regrowth may be irregular. Occasionally, however, as a result of extremely high doses of certain drug combinations, the loss will be permanent.

Unlike chemotherapy – which works systemically (throughout the body) – radiation therapy targets a specific area, using high-energy particles of waves to destroy cancer cells. It may be used alone, or in conjunction with chemotherapy. Radiation therapy can burn the skin over the treatment area, which may permanently kill hair follicles. Regrowth occurs at a slower rate than after chemotherapy, at an expected four to six months for an inch of hair.

So the short answer to this frequently asked question is “no.” If hair regrowth is satisfactory in the amount of scalp coverage and overall aesthetic effect – even if it looks different than before – enjoy this important progress! But for those who are not experiencing regrowth or a satisfactory amount of regrowth – or if radiation treatments or surgery to the head have resulted in scarring – hair restoration treatment could be an option. In the second situation, a hair transplant that successfully conceals such scars can also provide a powerful psychological boost, as your self-image as a healthy, whole person is restored and you no longer feel that others see your scar instead of seeing you.

What types of hair restoration procedures and treatments are available?

A wide variety of surgical and non-surgical restoration options are available for post-cancer clients. However, the first – and most important – question should be, “What are the qualifications of the surgeon?”

Not every hair restoration practice can provide the high level of surgical experience or sterile surgical environment required to treat those who have recovered from cancer. It is especially important to only consider surgeons who focus solely on hair restoration. Those who also offer “full-service” aesthetic procedures typically lack the level of medical education and experience to provide the safest possible environment and best possible outcome.

And despite the sophisticated marketing campaigns for practices utilizing robotic devices to harvest hair follicles, such are best avoided. We strongly encourage you to read Dr. Barusco’s insightful article about the risks involved with robotic technology and hair transplants performed by non-licensed, non-medical technicians.

To learn about the procedures and treatments that are available for post-cancer clients, please visit our website’s page, Chemotherapy Hair Regrowth, which also includes post-radiation hair restoration procedures:

  • Follicular Unit Extraction (FUE)
  • No-Shave Follicular Unit Extraction
  • Follicular Unit Transplantation (FUT)
  • Medical Treatments (includes prescription-strength hair restoration medications and other solutions)

Other important factors to consider

Tempus Hair Restoration maintains the highest standards of environmental services (EVS) in the operating room to ensure infection control – far above the measures taken by other hair restoration practices. This is especially imperative for patients with a weakened immune system, as results from chemotherapy and radiation treatment. Your safety is always our foremost priority.

Before scheduling a consultation with any hair restoration surgeon, discuss your intention to undergo hair restoration with your oncologist. If he or she agrees that you’re ready to move ahead, choose your surgeon wisely.

During your long, challenging journey back to health, we hope you had the support of a dedicated medical team who went beyond treating your condition to heal you as a complete person. You can be assured that you will find the same dedicated, compassionate treatment here at Tempus Hair Restoration.

If you are ready to take the next step in your healing, we are here to help you achieve the results you want to make the most of your new life. Schedule a free, no-obligation virtual consultation with Dr. Barusco to discuss your goals and learn your options. We look forward to hearing from you!

Spring Into Action Now – Making the Decision to Get a Hair Transplant

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Spring is typically the time for new beginnings. However, spring 2020 was anything but typical. Many plans had to be put on hold, or canceled entirely due to the spread of COVID-19. If you were considering a hair transplant earlier this year, the suspension of elective surgical procedures necessitated a delay in taking action. If you had not fully committed to scheduling a consultation with a hair restoration surgeon to learn your options, you’ve had a longer opportunity to think about it. Now that our Port Orange surgical center has reopened, the wait is over! Should you still be hesitant, here are some questions to ask yourself about how hair loss is affecting your self-esteem and other areas of your life.

 

How do you feel about yourself when you look in the mirror?

Do you feel older and less self-confident? The desire to regain a fuller head of hair and a more youthful hairline should not be considered vanity. You don’t want to look like a movie star – you just want to be able to recognize yourself as you see yourself. While well-meaning family members and friends may tell you that your self-esteem shouldn’t depend upon your physical appearance, it is human nature to feel better about yourself when you’re satisfied with the way you present yourself to the world. And that feeling can have a truly powerful effect.

As a great example that we like to share, Dr. Marco Barusco – Founder and Chief Medical Officer of Tempus Hair Restoration – was honored to receive a testimonial from a patient who described himself as plunging into a deep depression after his divorce. Deciding to have a hair transplant turned out to be the first step in his journey to improving his physical and psychological health. Inspired by the results of his transplant, the patient soon after joined a gym and lost a significant amount of weight. His success in this area then led him to undergo some cosmetic surgical procedures. Through these positive changes, he transformed himself into a healthy, fit, confident man who today is living his best life!

 

Do you feel that your hair loss is preventing you from getting a job or promotion – or getting back in the dating scene?

It may not be your imagination. Our blog post – “Does Hair Loss Hurt Your Career?” – referenced surveys and studies concluding that balding men are at a disadvantage during a job search or climbing the corporate ladder. 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.

The blog post was published before the pandemic. Because of the resulting societal changes, many job interviews are now conducted virtually, which can create an even more adverse situation for men experiencing hair loss.

While our blog post emphasized the effect of hair loss on men in professional-level jobs, the effect on those who make their living in the public eye can have especially devastating effects. English actor Jack P. Shepherd – star of the long-running daytime drama Coronation Street – recently discussed his two hair transplant surgeries, admitting that his hair loss had taken a toll on his mental health to the point that he almost quit the show. Now sporting a full head of hair again, the 32-year-old actor plans to enjoy many more years in front of the camera.

As for dating, the scene had been rapidly changing pre-pandemic. Dating apps have largely replaced in-person opportunities for meeting people, which means that a profile photo or video is all a prospective romantic prospect has to go by. Again, like it or not, appearances count, and you don’t get a second chance to make a first impression before someone scrolling through a dating app swipes left.

However, “appearances” can consist of a combination of positive traits that can shine through a photo: warm, twinkling eyes, self-confidence (that word again), inner-strength and kindness are all attractive qualities. If you’re apprehensive about being passed up because of a sparse head of hair, you’re not likely to project a high level of confidence in a photograph – or on an actual date.

 

Won’t people know I’ve had a hair transplant? Will it look odd right after surgery?

This is the time to weigh long-term benefits over short-term self-consciousness and inconvenience. However, some advanced procedures offer immediate concealment of donor areas of the scalp, as well as maximum coverage of large bald areas in one surgery.

For those who are good candidates, the advanced No-Shave FUE procedure pioneered by Dr. Barusco allows hair to be harvested from the donor site without having to shave your existing hair. The typical FUE (Follicular Unit Excision) procedure requires you to have your donor hair shaved, so everyone knows you had treatment unless you take off an extended period of time to let the shaved patches regrow.

Dr. Barusco developed the groundbreaking No-Shave FUE to eliminate this problem. It has become so popular that patients fly in from all over the world for this innovative procedure.

Dr. Barusco is also known for the combined FUE and FUT (Follicular Unit Transplantation) technique, which is designed to treat advanced hair loss during a single surgery as opposed to several with a one-year waiting period between – as is typical. This procedure allows patients to achieve their ultimate goal in less time, with one procedure versus many.

Even the traditional FUT – otherwise known as the “strip” method – has undergone advances to the closure methods and the healing of the donor incision. In most cases, the resulting linear scar from a strip hair transplant surgery is small and thin, with the patient being able to cover it well without having to grow their hair very long. A haircut with # 3 or # 4 clippers on the back and sides of the head usually completely conceals the donor scar.

In the popular FUE procedure, hair follicles are individually extracted from the back and side of the patient’s head and individually transplanted to the recipient area. Although some hair restoration practices emphasize the FUE and try to steer patients away from the FUT, the FUE technique is not appropriate for everyone.

However, because each person experiencing hair loss has numerous factors that need to be considered – such as the cause of hair loss (genetic, scarring, medication, etc.), extent and area of hair loss, and medical history, among others – getting a hair transplant isn’t the same as ordering a meal from a menu. A consultation with a surgeon specializing in hair restoration will give the surgeon the information that he or she needs to make a diagnosis and determine the best procedure for your individual hair loss.

This is also the time to discuss with the surgeon how much (if any) downtime post-surgery recovery will require, how much (if any) areas of your scalp will show visible evidence of the procedure and when you can expect new growth.

Again, depending upon the procedure, others may be able to tell that you’ve undergone hair restoration surgery. But this should not be reason for embarrassment. Cosmetic procedures – both surgical and minimally invasive – are widely accepted in today’s society. In fact, you may be surprised by the support you’ll receive from those who admire you for taking this important step! You could even inspire your family and friends who have been considering a hair transplant to follow your lead.

 

Isn’t a hair transplant expensive?

Our blog post – “Busting Common Hair Transplant Myths” – covers this question in detail. We highly recommend you read the entire article, as there is a good deal of misinformation and deceptive marketing claims by some practices.

Unlike many other hair restoration practices and clinics, Tempus Hair Restoration does not have set-fee procedures or pricing per number of hair grafts. Our approach is to treat each client as an individual, taking into account such factors as the following:

  • Your specific type of hair loss
  • Amount of current and projected hair loss
  • Complexity of procedure
  • Ethnic background (which affects hair texture and growth patterns)
  • Medical history/pre-existing conditions
  • Desired aesthetic result
  • Additional relevant circumstances, depending upon your individual situation

Once Dr. Barusco has made a diagnosis and treatment plan, our patient educator will discuss next steps, including pricing and financing options. We offer qualified clients third-party 12-month interest-free financing — as well as low-interest 60-month financing. A hair restoration procedure by world-renowned surgeon Dr. Barusco can be within reach.

 

It isn’t too late to make the most of 2020!

Let’s face it – 2020 isn’t likely to be remembered as anyone’s favorite year. But if a hair transplant has been on your mind, you can greet 2021 with a new growth of hair on your head! If you remember the optimism you rang in this year with, it is still possible to make a positive change that will give you the sense of achievement you anticipated.

So what are you waiting for? Spring into action now! 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. No matter how far the distance, we welcome the opportunity to help you on your hair restoration journey!

Don’t Let a Technician Perform Your Hair Transplant Surgery

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We at Tempus Hair Restoration have been witnessing a disturbing trend over the last few years. An increasing number of hair restoration practices and clinics offering a range of aesthetic services (such as cosmetic surgery) are using non-medical technicians to perform hair transplant surgeries. This practice is becoming so prevalent, that consumers have come to accept this as a typical, legitimate situation – which it is definitely not. These clinics gear their marketing and advertising to mislead the public into believing that technicians have a high degree of training and are just as capable as a surgeon to perform most – if not all – of the procedure. And that doing so allows them to offer hair restoration surgeries at a discount.

Don’t believe it. So serious is this problem that the International Society of Hair Restoration Surgery (ISHRS) – the world’s leading medical authority on hair loss treatment and restoration – has initiated a patient awareness campaign designed to help people understand why a surgeon is the only person who should be performing the procedure, and how to see through misleading marketing that makes technician-performed surgery seem safe and foolproof.

What is the ISHRS?

The ISHRS 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 organization is dedicated to achieving excellence in medical and surgical outcomes by promoting member education, international collegiality, research, ethics, and public awareness.

As the ISHRS states the situation, the organization “… is concerned about the growing risk to patients of unlicensed technicians performing substantial aspects of hair restoration surgery. The use of unlicensed technicians to perform aspects of hair restoration surgery, which should only be performed by a properly trained and licensed physician*, places patients at risk of: (i) misdiagnosis; (ii) failure to diagnose hair disorders and related systemic diseases; and (iii) performance of unnecessary or ill-advised surgery all of which jeopardizes patient safety and outcomes. There may also be a risk that unlicensed technicians may not be covered by malpractice insurance.”

The ISHRS believes the following aspects of hair restoration surgery should only be performed by a licensed physician*:

  • Preoperative diagnostic evaluation and consultation
  • Surgery planning
  • Surgery execution including:
    • Donor hair harvesting
    • Hairline design
    • Recipient site creation
    • Management of other patient medical issues and possible adverse reactions
    • Post-operative care

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 who achieve certain landmarks on teaching and leadership. Currently, fewer than 10% of the ISHRS members are Fellows. As such, Dr. Barusco and the Tempus Hair Restoration team are proud to help the ISHRS in this important mission.

ISHRS policy states that hair restoration surgery should only be performed by qualified physicians who possess education, training, and current competency in the field of hair restoration surgery or other licensed health care professionals who are properly trained, performing the procedure within their scope of practice, and supervised by a qualified and experienced physician.

Penalties are now being handed down to physicians who commit such professional misconduct. The ISHRS reported on the suspension of Dr. Dennis Daly’s medical license by the New York State Board for Professional Medical Conduct for allegedly allowing unqualified and unlicensed individuals to perform a hair transplant procedure at the SNY Surgery Center in 2017. Effective February 7, 2020, the Board suspended Dr. Daly’s medical license for a period of three years (which suspension was stayed) and placed him on probation for 36 months, among other penalties, including dissolving his practice.

Hair restoration surgery is surgery

It is important to understand that hair restoration surgery is the practice of medicine. Although patients receive a topical anesthesia and are awake during the procedure doesn’t mean that a hair transplant is without the potential for a disastrous outcome with permanent damage if performed incorrectly. Imagine a heart surgeon allowing a technician to perform any step of a bypass, and you’ll get the idea.

Even minimally invasive hair restoration procedures are, in fact, surgery requiring medical expertise. Important clinical decisions requiring expert clinical knowledge must be made during each procedure. For example, diagnostic decisions are continually being made – along with full thickness incisions into the skin. Follicular unit hair transplantation (FUT) involves hundreds to thousands of tiny incisions. This is also the case for hair transplant procedures using the strip-FUT and follicular unit extraction (FUE) methods.

As the ISHRS states, any procedure involving a skin incision for the purpose of tissue removal from the scalp or body, or to prepare the scalp or body to receive tissue by any means – including robotics – is a surgical procedure.

“Such procedures must be performed by a properly trained and licensed physician. All FUE harvesting tools, including robotic devices, are considered extensions of the hand of the operator, and as such, all operators of these devices must be physicians.”

“Physicians who perform hair restoration surgery must possess the education, training, and current competency in the field of hair restoration surgery.”

Now, a minute to address anesthesia. If your only experience with anesthesia has been at the dentist office, you may consider it a minor issue. However, appropriate dosing of anesthetic medication is critical to patient safety, and patients must be medically monitored.

There are no shortcuts. Any doctor, practice or clinic that advertises otherwise needs to be avoided.

A look at deceptive tactics

Unethical clinics that employ technicians to perform surgery aren’t always easy to identify at first glance. Some may have attractive websites that make their methods seem advanced and high-tech. Those that offer a variety of cosmetic procedures typically position this as an advantage – a convenient “one-stop-shop” for any aesthetic improvements you may want to achieve. They also often claim that their technology-assisted techniques make possible a high volume of transplants, which results in bargain prices.

It is typical in such clinics that physicians purchase a robotic device that can help perform one step of the hair transplant procedure. Instead of performing the procedure themselves, they hire technicians to perform most, if not the entire, procedure – including surgery planning, hairline design, graft removal and making incisions to place the grafts in the scalp. Patients are led to believe that a doctor will be performing the procedure, or assured that the technicians are “experts” and just as good as the doctor in performing hair transplants.

As we noted earlier, hair clinics that advertise heavily can mislead those unfamiliar with ethical practices and safe surgical procedures. In particular, the widespread use of robotic and power-assisted devices greatly enables technicians to perform procedures – which can lead to disastrous outcomes. As the ISHRS website notes:

“Only a doctor has been trained to maintain high patient safety standards, care for unexpected medical problems, has medical board oversight, and has taken an actual oath to keep your best interest in mind while you’re in his or her care. If your doctor allows technicians to do surgery for them, they are neglecting their oath, and you should shop elsewhere!”

We also invite you to read Dr. Barusco’s insightful post about the risks of robot-assisted hair transplant surgery. Dr. Barusco relates his experience with an ever-increasing number of patients seeking help whose initial procedure was botched – sometimes irreversibly – by unqualified personnel using such devices.

“Over the years, it would be fair to say that I’ve developed a unique perspective on these machines. I closely follow their development and release in our industry. First, they were aimed to experienced, competent hair restoration surgeons. Then, since many of us did not see the advantages of having them, the number of machines sold was too small to sustain business and profit, and they started advertising to cosmetic surgeons, plastic surgeons, family practitioners and others who had no training and no experience in hair restoration surgery. These doctors are pitched a quick-profit procedure that they really do not have to understand, since one company supplies the technicians to do all of the work, and the other will train them on how to operate the robot and its software—as if this did not require good cosmetic sense and a deep understanding of hair loss and hair restoration. The result? Many unhappy patients.”

As for the deep discounts that such clinics claim, a botched hair transplant is no bargain at any price. The additional expense to correct bad results will be greater than had you initially chosen an ethical practice – assuming enough hair remains in the donor area to be harvested.

Choose your surgeon wisely

Choosing a hair transplant surgeon based solely upon the amount of advertising the doctor or practice does is no guarantee of good results. The ISHRS provides a Find a Doctor list, which is maintained and updated with the name, location, contact information and link to the ISHRS member page of each member.

In conducting research on individual surgeons, the ISHRS recommends learning about the surgeon’s training, credentials and experience in the field of hair restoration. This is important, as a plastic surgeon may perform great liposuctions and facelifts and be an authority on these procedures, but no experience in hair restoration surgery. Be certain the surgeon will give you the names and contact information of patients you can talk to, as well as show you several before-and-after photos to ensure you like the aesthetic quality of their work.

Questions you should ask a hair restoration surgeon

Our blog post – “Undoing the Damage of a Bad Hair Transplant” – includes the following questions:

  • Who will evaluate my hair loss and recommend a course of treatment? What is their education, training, licensure, and experience in treating hair loss? Only physicians, Physician’s Assistants and Nurse Practitioners are legally allowed to diagnose a patient and to recommend medical treatments. Otherwise, the person recommending procedures and/or treatments is practicing medicine without a license, a Felony crime in Florida and many other states.
  • Who will be involved in performing my surgery, what role will they play, and what is their education, training, licensure, and experience performing hair restoration surgery?
  • Will anyone not allowed by the State Medical Board be making incisions or harvesting grafts during my surgery? If so, please identify this person, explain their specific role and why they are legally permitted to perform it.
  • Is everyone involved in my surgery covered by malpractice insurance?

Knowledge is power

The best defense against falling prey to unethical clinics using technicians to perform hair restoration surgery is to learn as much as possible about the professional qualifications and standards that ethical surgeons attain and uphold. We hope we’ve provided you with the facts that you need to make an informed decision.

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!

Busting Common Hair Transplant Myths

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Even in this age of instant access to all of the world’s knowledge, many myths persist. Misconceptions regarding hair transplants, unfortunately, are still common. Being unaware that some of your beliefs about hair transplants aren’t true can prevent you from seeking help from a qualified, experienced surgeon specializing in hair restoration. If you’ve bought into a popular myth, you may feel that looking into your options is a waste of time – or that you’d only be setting yourself up for disappointment.

However, it would be far worse if the time you wasted was the time in which you could have enjoyed a full head of hair and improved self-confidence. We’ll look at seven common myths about hair transplants so you can put aside your reservations and start your journey to effective treatment.

Myth #1 – Hair transplants don’t look natural

Hair transplant surgery has greatly evolved since its beginning in the 1950s. Even so, the image of “pluggy” results has carried over from the 1970s, when it was only possible to harvest large grafts of skin and hair from donor areas of the scalp. The “mini” and “micro” grafts popular during the 1980s through the ‘90s likewise fell short of creating the look of natural growth.

Today’s advancements make possible procedures that achieve natural-appearing growth patterns, hairlines and overall scalp coverage. The Follicular Unit Transplantation (FUT) – also known as the “strip” method – has been perfected to heal with minimal scarring that can be easily concealed by hair growth. The traditional Follicular Unit Excision (FUE) procedure ultimately produces a good outcome, but requires shaving the donor area – which can make you feel self-conscious about going out in public until it grows back.

The ground-breaking No-Shave FUE developed by Dr. Marco Barusco – Founder and Chief Medical Officer of Tempus Hair Restoration – completely conceals harvested donor sites immediately, so you can quickly resume normal activities without self-consciousness. Also, the combined FUE and FUT procedure is designed so that patients with advanced hair loss can be treated during one surgery instead of two or three surgeries performed about one year apart.

However, this is a myth with a qualification. Only a surgeon with a high level of technical skill and a strong sense of aesthetics in placing grafts according to growth patterns can consistently achieve natural-appearing results – which means that bad transplants are still out there. Reasons include procedures by doctors who don’t specialize in hair restoration, those who use medically unqualified technicians and/or robotic devices to harvest and implant grafts and – worse yet – foreign hair clinics that package hair transplants with a vacation. Our blog post – “Consumer Beware – The Risks of Medical Tourism for Hair Transplants” – covers this issue in detail. Choose your surgeon wisely, and be assured that your hair transplant will look natural!

Myth #2 – Older people can’t have a hair transplant

While the popular idea of men from their early-30s to middle-age undergoing hair restoration surgery is prevalent, older people (including women – see Myth #4) may also be appropriate candidates. However, those with type 2 diabetes need to have their condition under control, and get clearance from their primary medical care provider for the procedure.

Otherwise, older patients can benefit from the boost in self-esteem that a fuller head of hair can provide. This is especially true for those who lead a healthy lifestyle and pride themselves on being fit and projecting a more youthful image. As society redefines aging, a hair transplant can help enhance your enjoyment of life on your own terms.

Myth #3 – The younger you have a hair transplant, the better

Rather the opposite situation from Myth #2, hair restoration surgeons do not typically recommend any hair transplant procedure for those experiencing male pattern hair loss in their 20s (as opposed to hair loss from head trauma). When such hair loss begins early, the balding process will continue. Because there are a finite number of donor hair follicles, undergoing a hair transplant at a younger age will deplete the amount of donor hair available for transplant in later years.

In such cases, hair restoration surgeons typically recommend non-surgical treatments, such as Propecia (Finasteride) or Rogaine (Minoxidil). Another option that can achieve excellent results for young men is treatment with adipose-derived cells and growth factors. This advanced treatment is also suitable for women of all ages.

While online subscription services that diagnose hair loss and prescribe medications are popular, there are risks. 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, according to interviews with physicians, former federal health regulators and legal experts. And federal and state health laws, written to ensure competent medical care and drug safety, have not kept pace with online services, they say.”

Our recommendation – if you’re a young man experiencing hair loss, schedule a consultation with a reputable, experienced hair restoration surgeon. You’ll receive the best available treatment for your individual case, and be monitored over time until you are an appropriate candidate for a transplant procedure.

Myth #4 – Women can’t have a hair transplant

This myth has led many women to believe that they have to live with hair loss. Although the situation is gradually changing, women still experience embarrassment and feelings of isolation, using hats, ball caps and wigs to conceal thin and balding areas of the scalp rather than schedule a consultation with a hair restoration specialist.

Unlike typical male pattern baldness, women lose hair more diffusely over the scalp, but rarely become completely bald. In such cases, hair loss may be treated by non-surgical means – such as Rogaine, adipose-derived cells and growth factors or low-level laser treatment – as well as a combination of such therapies However, in such cases as scarring due to surgery or head trauma, a transplant procedure may be the best treatment.

Because female hair loss can occur for a variety of reasons, scheduling a consultation with an experienced surgeon for an accurate diagnosis and treatment plan for your individual case is essential.

“For hair loss, usually a combination of treatments works better than monotherapy,” says Dr. Barusco. “The combination provides the optimal environment for the hairs to be both protected against damage and stimulated to grow stronger and thicker. But the treatments must be decided based on each patient’s situation and guided by many factors, so it is important to be counseled by a physician who understands hair loss.”

Myth #5 – You’ll receive someone else’s hair

We don’t know the origin of this particular myth, but it is patently false. Just as with organ transplants, the body rejects implanted tissues other than its own. Organ transplants are only possible because the recipient must take strong anti-rejection medications for the rest of their life. If not, their body would quickly reject the organ. One exception is corneal transplants. Even then, rejection is a problem for up to three out of 10 people who have a corneal transplant. Be assured that only your own hair can be used in any hair transplant procedure.

Also, hair from other parts of the body are never used. Even for facial hair transplants, donor hairs are harvested from the sides and back of the head, which are the same areas used in standard hair transplant surgery for bald and thinning areas of the scalp. The only difference is that the hair removed is usually from lower toward the neck, where the hair quality is more compatible to that of facial hair. Dr. Barusco understands how hairs from different areas of the body behave, and has the skill and artistry to harvest those that are the best match, and ensure the hair follicles are angled correctly when transplanted.

Myth #6 – Transplanted hair requires special treatment

If you’ve been hesitant to look into your hair replacement options because you think you’ll have to “baby” your transplanted hair indefinitely, be assured that no special care is necessary. Aside from following post-surgical care instructions, you can shampoo, dry and style your hair as usual. However, whether or not you have a recent transplant, wear a hat or loose-fitting cap when participating in outdoor activities to avoid sunburn and the risk of skin cancer.

Myth #7 – A hair transplant is not affordable

Of all the myths surrounding hair transplants, this is perhaps the most insidious. Why? If you already assume that hair restoration surgery is too expensive, you won’t be likely to seek treatment. The only way to learn your options is to research hair restoration surgeons and schedule a consultation. Tempus Hair Restoration is currently still scheduling only virtual consultations out of an abundance of caution, although surgical procedures have resumed at our Port Orange surgical center. Consultations with Dr. Barusco are always free.

Unlike many other hair restoration practices and clinics, Tempus Hair Restoration does not have set-fee procedures or pricing per number of hair grafts. Our approach is to treat each client as an individual, taking into account such factors as the following:

  • Your specific type of hair loss
  • Amount of current and projected hair loss
  • Complexity of procedure
  • Ethnic background (which affects hair texture and growth patterns)
  • Medical history/pre-existing conditions
  • Desired aesthetic result
  • Additional relevant circumstances, depending upon your individual situation

Once Dr. Barusco has made a diagnosis and treatment plan, our patient educator will discuss next steps, including pricing and financing options. We offer qualified clients third-party 12-month interest-free financing — as well as low-interest 60-month financing. A hair restoration procedure by world-renowned surgeon Dr. Barusco can be within reach.

A word of caution: We all want to save money, but do not consider a hair clinic based on price alone. You’ll most likely get assembly line treatment, medically unqualified technicians harvesting and implanting hair grafts, and unsatisfactory results that will ultimately cost even more to correct (assuming enough donor hair remains). Choose your surgeon wisely, and start enjoying the self-confidence you deserve!

Now that you know, take the next step

Now that we’ve busted some common myths about hair transplants, we invite you to learn more about Dr. Barusco’s reputation for integrity and results, his long list of accomplishments and certifications, and his notable artistic ability – then 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. No matter how far the distance, we welcome the opportunity to help you on your hair restoration journey!

 

Transgender Hair Transplants – Becoming Your True Self, Beautifully

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The journey to becoming one’s true self is filled with challenges when that journey involves transitioning from the gender assigned at birth to one’s authentic identity – be it from male to female, or female to male. Transgender hair restoration surgery is typically the last step to achieving the natural appearance that aligns with the patient’s gender identity. Understanding the differences between male and female hairlines is of critical importance in hair transplants for both transgender females and males – as well as possessing the experience, skill and sense of aesthetics to successfully work with concealing scarring from previous procedures, such as surgical facial feminization.

As we celebrate Pride Month, Tempus Hair Restoration has been honored to help our transgender patients complete their journey, happy that the person they see in the mirror finally, truly reflects who they have always been inside.

As with all other surgical procedures in the transitioning process, choosing the right surgeon is critically important to attaining the desired result. Dr. Marco Barusco – Founder and Chief Medical Officer of Tempus Hair Restoration – has more than 20 years of experience in performing and innovating advanced procedures, such as the No-Shave FUE. His artistic eye and unsurpassed technical skill allow him to create the best effect for each patient.

The differences between male and female hairlines

The hairline and growth patterns for males and females are noticeably different.

The male hairline has the following characteristics:

  • A lower overall position
  • M-shape
  • Forward flow pattern frontal hairs
  • Male pattern baldness

The female hairline is characterized by:

  • A higher overall position
  • Inverted U-shape
  • Frontal hairs in a backward-facing whorl flow pattern
  • Overall thinning

In a male-to-female transition, surgical feminization of facial features consists of such procedures as brow bone reduction, tracheal shave (Adam’s apple reduction), jaw contouring and rhinoplasty. Feminizing the hairline completes the desired aesthetic effect.

This is where the skill of an experienced hair restoration surgeon is essential. Unlike female hairline lowering for biological (also known as “cis”) females – which brings down the hairline to correct the effects of hair loss at the front of the scalp – the procedure must convert the M-shaped male hairline into the feminine U-configuration. Cutting a long incision to advance the hairline cannot fill in the outer temple areas. In addition, hairs in the male hairline grow in the opposite direction and flow to those of a female.

Complicating factors may include permanent forehead scarring as a result of brow bone reduction surgery. Much like the scarring caused by a facelift, healing can be successful, yet leave undesired evidence of the procedure. Scars can be concealed through utilizing advanced hair transplant techniques, which requires a surgeon with a proven record of performing challenging procedures.

Finally, the creation of an attractive hairline is not a one-technique-fits-all process. A surgeon with basic technical skill can construct a female hairline. However, to create a flattering hairline that complements the client’s facial features requires an artistic eye and the ability to correctly place each graft so that the hair grows and falls around the face in a natural, pleasing pattern. As we always emphasize, not all doctors who perform hair restoration procedures have the ability to provide the highest level of natural-appearing aesthetic results.

With transgender hair transplants, another factor in the equation can be male pattern hair loss. Male-to-female transgender clients who begin transitioning at a young age are less likely to experience this type of hair loss, due to the early intervention of hormone therapy. However, if balding has begun at the time of transition, hair restoration treatment will be necessary. Estrogen therapy may prevent further loss, but cannot restore hair that has already been lost.

In the case of female-to-male transgender clients, those who have a genetic predisposition to male pattern baldness may start to experience hair loss. Again, an evaluation of the client’s individual situation will determine the best course of treatment – be it adipose tissue and growth factor therapy, a hair transplant procedure, or a combination of treatments.

As with transgender women, cosmetic surgery is available to create masculine features for transgender men. Facial hair transplant surgery is a popular option to achieve the client’s ultimate goal of being at ease in the world as a self-confident man – as well as to create this appearance without intensive cosmetic surgery. While hormone therapy may promote facial hair growth, it often is not dense enough to grow a full beard, mustache or sideburns. An eyebrow transplant may also be needed to provide the fullness typical of male eyebrows.

Techniques used for facial hair transplants differ from those used for the scalp, because the length, texture, characteristics and growth patterns of the hair differ. An experienced surgeon – such as Dr. Barusco – understands how hairs from different areas of the body behave, and has the skill and artistry to harvest those that are the best match, and ensure the hair follicles are angled correctly when transplanted.

Although June is designated as Pride Month, the long journey for transgender women and men deserves recognition and respect no matter what the calendar date. We provide a supportive environment for our transgender clients, and are here to help you achieve your desired outcome.

Our client, Ronie, took her time to provide a video testimonial about her hair replacement experience at Tempus Hair Restoration. Ronie wore wigs and hats for years to cover her hair loss. After learning about hair restoration surgery, she wrote an emotional letter to doctors all over the country asking for their help. Dr. Barusco was the only surgeon to respond. We thank Ronie for sharing her story and having the courage to prevail. Contact us to schedule your free virtual consultation with Dr. Barusco to learn your options, so that you can live your best, true life!

 

 

What You Can Expect During a Virtual Consultation

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The COVID-19 pandemic has resulted in major upheavals in many areas of life. In certain situations, a trend or practice that was already well under way was greatly accelerated. During the time that the State of Florida temporarily suspended elective surgeries, Tempus Hair Restoration encouraged those seeking a hair restoration procedure to schedule a virtual consultation with Dr. Marco Barusco – Tempus Hair Restoration’s Founder and Chief Medical Officer.

Although we are now scheduling surgeries to be performed in our Port Orange surgical center, our practice continues to emphasize the advantages of a one-on-one virtual consultation. Dr. Barusco has been a pioneer in conducting virtual consultations. Unlike many other practices that are relatively new to video conferencing, Dr. Barusco is experienced in providing a diagnosis that is just as accurate as an in-office visit, as well as determining the best treatment plan for the patient’s hair loss. As is the case with our in-office consultations, there is no fee for a virtual consultation.

Of course, experience and the trained eyes of a surgeon make a difference in the quality of the diagnosis a patient receives during a virtual consultation. During one such consultation, Dr. Barusco observed that the prospective patient – a male seeking an eyebrow transplant – had no hair on his arms. Dr. Barusco recognized this as an indicator of Alopecia Universalis, an autoimmune disorder.

Unfortunately, for this reason, the patient was not a candidate for the procedure he had wanted. However, he was spared the considerable expense, discomfort and inevitable disappointment of a failed procedure – which he perhaps would have undergone had he teleconferenced with a less-experienced, less-skilled surgeon.

You may be wondering what you can expect during a virtual consultation. We are taking this opportunity to explain the process step-by-step so that you’ll be prepared to make the most of your time with Dr. Barusco.

 

How can I schedule a virtual consultation?

Simply call us at 877-877-5200 or visit our website, www.hairdoctorflorida.com.

 

What is the next step? Will a Tempus representative call me?

If you request an appointment via email, a Tempus representative will contact you to schedule.

 

Do I need to choose which video conferencing platform I want to use before the consultation?

We use Doxy.me – the industry’s leading telemedicine platform. It is compatible with Android and Apple devices. Doxy.me complies with HIPAA, GDPR, PHIPA/PIPEDA and HITECH requirements, providing you with complete privacy and security of your personal data. You do not need to download software to use Doxy.me.

 

What is the best setting for a virtual consultation?

We recommend a well-lit room, which will allow Dr. Barusco the best condition for assessing your scalp.

 

How does the virtual consultation begin?

You will first meet with our patient educator, who will discuss the science behind hair loss and all treatment options. When this is concluded, you’ll meet with Dr. Barusco.

 

What kinds of questions will Dr. Barusco ask?

Dr. Barusco will ask about your medical history and the details of your hair loss. He will then perform an examination of your scalp.

 

Will Dr. Barusco recommend a treatment plan?

Yes. You will not have to wait for a diagnosis or treatment plan. These will be discussed with you during the virtual consultation. Unlike some hair restoration practices, Dr. Barusco is the only one who will make treatment recommendations or a treatment plan.

As we always emphasize to prospective patients, non-medical personnel should never tell you what you need – either surgery or not – since this is medical advice and offering it without being a doctor, nurse practitioner or physician’s assistant is considered practicing medicine without a license – which is a crime in the State of Florida.

 

Will I be able to make plans to schedule treatment at the end of the consultation?

If Dr. Barusco recommends a procedure, the patient educator will discuss the next step for scheduling, cost of treatment and financing options. We do not pressure prospective patients into making an immediate decision. We believe that our services and results are the best you can find, so we are confident that you will let us know when you are ready to proceed, should you choose to do so.

 

 

The advantages of virtual consultations

While virtual consultations and telemedicine (the use of telecommunications technology to provide real-time health care to patients at a distance) are receiving great attention during COVID-19, they’ve been trending upward well before the pandemic. For our prospective patients, the convenience of receiving a one-on-one consultation with Dr. Barusco – no matter where they are in the world – is a major benefit.

An internationally renowned hair restoration surgeon responsible for developing such innovative procedures as the No-Shave FUE, Dr. Barusco includes the following among his many credentials during his 23-year career:

  • Leadership positions on the American Board of Hair Restoration Surgery (ABHRS) and other professional associations.
  • Assistant Professor of Surgery, University of Central Florida College of Medicine.
  • Global Clinical Scholars Researcher, Harvard Medical School.
  • Clinical Partner of HairClone®, a biotechnology company based in England, UK, which is conducting research to bring hair rejuvenation and regeneration into routine clinical practice. Dr. Barusco is one of only five United States-based physicians who is a partner, and the only one in Florida.

There is no need for distance to be a factor in your decision. You can consult with Dr. Barusco from the comfort of your home. Tempus Hair Restoration offers a two-night complimentary hotel stay to out-of-town clients who travel 100 miles or more. Dr. Barusco conducts consultations in English, Spanish and Portuguese.

Our message to you

We want everyone to stay safe and stay positive during these challenging times. We are glad to again have the opportunity to help our patients achieve the results that will improve their self-image and self-confidence. Contact us to schedule your free virtual consultation, and get ready to move forward!

 

Adipose Tissue and Growth Factors – Expanding Hair Restoration Horizons and Telling the Truth

Dr Marco Barusco,

While hair transplant procedures have become more technically advanced to provide superior aesthetic results – as well as less patient downtime – a safe and non-surgical treatment offers the advantage of stimulating healthy new hair growth, rather than working within the limits of the patient’s existing hair.

This therapeutic option for hair regeneration – which is currently under research at Tempus Hair Restoration – utilizes the stromal vascular fraction of subcutaneous adipose (fat) tissue, and the growth factors they secrete. In plain language, the treatment uses the patient’s own fat, harvested from just under the skin through a very thin liposuction cannula, with no stitches necessary. The fat is then concentrated and purified in a centrifuge. It is then combined with plasma obtained from the patient’s blood, then injected into the scalp. Results may be seen in three to four months, with 12 months typical to achieve the full benefit.

Using adipose tissue to stimulate hair restoration

Although the word “fat” has the inaccurate connotation of being inert, adipose tissue is a biologically active tissue that can stimulate the growth cycle of scalp hair. This therapy helps repair damaged hair follicles, stimulating stronger, thicker growth.

Who is a candidate for adipose tissue and growth factor therapy?

One of the exciting aspects of this treatment is that it is suitable for men and women – as well as young adults, who typically are not good candidates for a hair transplant. The reason is that their hair loss is still in the early stages, which is the ideal time for this treatment. Patients with more advanced hair loss will likely not benefit from the cellular treatment. For them, other treatments are available. Adipose tissue/growth factor treatment permits earlier intervention with a positive outcome, as stronger hair returns in the areas that are thinning, improving volume and scalp coverage.

Another advantage is that this therapy can be administered as either a stand-alone treatment, or in conjunction with a hair transplant. In the latter situation, a larger area of scalp hair can be restored, and achieve the desired aesthetic effect of a natural full head of healthy hair. The treatment may improve healing of the surgical areas and growth of the transplanted hairs, in addition to helping the native hairs that the patient still has, but that are thinning. Dr. Barusco is currently designing a study to look into the influence of these adipose cells in wound healing and hair survival after a hair transplant procedure.

Preliminary data suggests that this therapy is most successful when combined with other non-surgical treatments, such as Finasteride, Minoxidil and laser therapy. Because each case of hair loss is different, Dr. Barusco will determine the best course of treatment during the initial consultation.

What types of hair loss does adipose tissue and growth factor treat?

This therapy may be appropriate for those dealing with androgenetic alopecia (AGA) – otherwise known as common male pattern baldness (MPB) – and female pattern hair loss (FPHL). Because MPB and FPHL account for more than 95 percent of hair loss cases, the treatment may provide an excellent option for the majority of those affected.

Results vary from patient to patient – and, of course, there are no guarantees with any medical treatment. However, patients in the study regularly report fuller, thicker hair a few months after treatment. These changes in the hair are also measured by Dr. Barusco and his team during the follow-up visits.

Not all adipose tissue and growth factor therapies are the same

Dr. Barusco is a leader in this field of treatment, with Tempus Hair Restoration being the first dedicated hair restoration practice in Florida to offer it. His treatment uses the most advanced technology available for the processing of adipose tissue and growth factors – the treatment is done under an investigative study registered with the FDA and overseen by an independent Ethics Committee or Institutional Review Board. As such, Dr. Barusco’s treatment protocol exceeds industry standards. The strict protocols we follow ensure that our patients receive the safest, highest quality treatment available.

Dr. Barusco and the STRAAND Study – researching the next generation of treatment

Dr. Barusco is one of four hair restoration surgeons nationwide on the research team for the STRAAND clinical trials. This study is investigating this breakthrough treatment.

The primary objective of this study is to evaluate the safety and efficacy (effectiveness) of cell-enriched Biocellular Regenerative Therapy. It is supervised by an independent ethics board, which is a requirement for clinical studies in order to protect patients against unethical practices.

The STRAAND Study is currently accepting candidates to participate in clinical trials. Eligible prospective candidates must have a diagnosis of AGA or FPHL. You can learn the details about this important study – including eligibility requirements – by clicking here to visit its website.

Learn the truth about the STRAAND Study research team – beware of false claims!

Dr. Barusco is the only hair restoration surgeon in Florida who is on the STRAAND Study research team. Unfortunately, other doctors are falsely claiming to be on the research team or making misleading allusions that may confuse those seeking information about the STRAAND Study. Our practice has had to take legal action against one such doctor, while another is currently promoting his participation in a different similar study without identifying it by name – creating possible confusion between that particular study and the STRAAND Study.

This same doctor refers to “… an FDA-approved study …” In fact, the FDA does not “approve” clinical trials. In addition, a link on this doctor’s website that is supposed to open the study’s official page instead leads to his practice’s blog. Being misleading is the same as being untruthful.

For the record, the treatment in the STRAAND Study is being studied under an Investigational New Drug Application (IND), which is a clinical investigation plan submitted and allowed to proceed by the FDA.

Knowledge is power – make an informed decision

If you think you may be a candidate for adipose tissue and growth factor treatment, contact us to schedule a free consultation with Dr. Barusco. If you’re interested in participating in the STRAAND Study, visit the study’s official website, read the eligibility requirements and – if you meet the criteria – fill out and submit the online form. We are here to answer your questions and provide the highest level of care for every patient, always with your health, safety and best possible outcome our primary priorities.

 

Does Hair Loss Hurt Your Career?

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Like it or not, 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. While there is no single answer that applies to all, this is a legitimate question that’s being asked more frequently in today’s highly competitive environment.

Not very long ago, only men in the entertainment industry had to be concerned about hair loss affecting their career. Our blog post – “Celebrities and Hair Loss – When Image Really Counts” – discussed two patients of Dr. Marco Barusco: Jimmy “The Mouth of the South” Hart and Brazilian actor Humberto Martins. Hart’s career path led from musician to professional wrestling superstardom. Still involved in the wrestling and entertainment worlds, Hart believed that his gradual hair loss was eroding his youthful image – and in turn, his ability to connect with his fans. In the case of Martins, the dashing leading man noticed the roles he was being offered were for older characters.

Now, however, men in professional-level jobs are anxious about hair loss. This can be attributed to the often unspoken concerns regarding age discrimination in the workplace. 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.

Surveys reveal widespread anxiety about hair loss and job marketability

The job search website Ladders reports a survey conducted by Dove Men+Care which found that of the 2,000 men who participated, the majority tied their work identities to their hair. The article reports the following results and observations.

“In the hair census, 8 in 10 men said that their hair made them look professional, the look of it was important, and that their hair helps them feel confident. Perhaps the majority of these men are preoccupied with their hair because they recognize what science has found: that societies judge men on how much hair they have on their heads.”

The Ladders article also notes the following:

“A study in JAMA Facial Plastic Surgery found that a few more hair follicles can make all the difference between people seeing you as a success or a lost cause. The Johns Hopkins University researchers 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.”

While Americans are known for being focused on self-image, the anxiety that balding men face regarding discrimination while job hunting is international. As Joe O’Shea reports in the Irish Independent, the reasons why men feel compelled to take action on hair loss have changed in recent years. Where once the main motivation may have been in conforming to an ideal of attractiveness, professionals in the hair restoration field say their clients now talk about wanting to look young and vital in an increasingly competitive job market.

“We do have guys that come to us that feel that going thin on top is going to count against them in their careers,” says Jessica Kidd of JK Hair Replacement, a Dublin practice specializing in non-surgical hair replacement treatments and hair systems. “They worry that people will make negative judgements in a job interview, or how they are seen in the company they work for.”

According to Thomas Cash, emeritus professor of psychology and author of The Body Image Workbook, societal bias against men experiencing hair loss is real. In a study that looked at bias, Cash showed people photographs of bald or balding men – as well as men with a full head of hair – asking them to rate the men for qualities such as self-assertiveness, social attractiveness, intelligence, life-success, personal likability, physical attractiveness and perceived age. He found that “… the bald or balding models were perceived more negatively on every dimension except intelligence.”

As for the matter of age perception, Cash’s study found that when people were shown photographs of bald men and asked to estimate their age, they added an average of three years and nine months to the men’s actual age. Men with a full head of hair had an average of two years and five months taken off.

Be proactive, but be smart

Considering the aging effect that hair loss has on one’s appearance, an increasing number of men are more proactive in seeking treatment during the early stages, which typically begins after age 20, but can occur sooner – even during adolescence. Unlike previous generations, today’s young men are less willing to accept hair loss as inevitable.

This has perhaps led to the rise of online subscription hair restoration companies, which prescribe and sell prescription medications to treat hair loss. While patients may like the convenience such services offer, a brief online consultation with a doctor chosen by the company or simply diagnosing their own type of hair loss to receive home delivery of medication carries risks. It is a little-known fact that there is no single federal or state agency in charge of overseeing online prescription drug services.

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.”

Online subscription companies treat healthcare like any commodity that can be ordered and shipped. For treatment in any branch of medicine to truly be successful, a doctor-patient relationship based on trust, accountability, mutual respect and transparency is essential. The bottom line: make sure you’re not trading your health for convenience in stopping the advancement of hair loss.

Surgical hair replacement procedures for those who take the next step

Just as in other fields of medical science, advancements are constantly being made in hair transplantation surgical procedures. Tempus Hair Restoration offers advanced procedures that provide options to achieve the most aesthetically pleasing, natural-appearing results. Our surgical treatments include the following.

Follicular Unit Extraction (FUE) – Typically done as a shaved procedure (where the donor area is shaven), Dr. Barusco created an improved technique known as the “No-Shave FUE.” This technique allows patients to have the benefits of an FUE procedure without having the downtime of waiting for the hairs of the donor site to grow in. Advantages include complete concealment of harvested donor sites immediately, and a quicker return to normal activities, as no suture removal is required.

Follicular Unit Transplantation (FUT) – This is commonly known as the “strip” method of hair transplantation. In this procedure, hair is removed from the donor area of the scalp by removing a strip of skin and hair before the area is then stitched up. Advances in the closure methods and the healing of the donor incision results in a small, thin linear scar that is easily concealed without having to grow the hair very long.

Word of warning: sensationalist marketing material from doctors wanting to promote the FUE method usually depicts a large linear scar on the back of an individual’s head next to another picture of an individual where the scar is not visible. These types of advertisements have been produced to scare patients away from FUT surgery so they only consider the FUE procedure. However, the FUE technique does not work for every patient. For a variety of factors, you may be a better candidate for the strip surgery.

Combined FUE and FUT procedure – 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.

Tempus Hair Restoration offers a safe, tested hair transplant surgery solution for patients with advanced hair loss: a combined procedure in which – by using both FUE and FUT techniques – we are able to move a large amount of hairs in one procedure, covering large bald areas at one time. This allows patients to achieve their ultimate goal sooner, with one procedure versus many. But be aware that this is an advanced procedure and should be performed only by doctors and teams with a great amount of experience. For this reason, selecting the right doctor and team is even more important!

Dr. Barusco’s success stories

As mentioned earlier, two of Dr. Barusco’s celebrity patients – Jimmy Hart and Humberto Martins – achieved the career revitalization they’d hoped for with thick, full hair. Hart began getting compliments on his ageless appearance – a tale he relates in his inimitable style in his testimonial video for Dr. Barusco. And Martins was again winning younger roles.

Will a hair transplant make it easier for you to land your next job or get a promotion? Some psychologists say that the increased self-confidence helps create an aura of success that can translate into convincing a potential employer you’re the perfect fit – or a current employer that you’re the one to move up the ladder. And if you believe employers expect to see a youthful, vital candidate and that’s what you are, you’ll have a valuable competitive edge!

You are invited to learn more about the innovative surgical and non-surgical hair restoration procedures that Dr. Barusco offers at Tempus Hair Restoration – as well as schedule a free consultation to learn your options. If you are unable to visit one of Tempus’ 16 Florida locations in person, you may consult with Dr. Barusco via teleconference. For your convenience, consultations are offered in English, Spanish and Portuguese.