All posts by Tempus Hair Restoration

Hair Transplants to Conceal Facelift Scars – What You May Not Know

Once only within reach of millionaires and movie stars, facelifts are now more affordable – as well as more socially acceptable. Today’s emphasis on youth has made turning back the clock through cosmetic surgery a matter-of-fact procedure rather than a “secret” that nevertheless gave itself away when the recipient resumed their regular activities looking significantly younger!

Yet for all the open discussions about facelifts, many prospective patients may not realize that the surgery that refreshes their appearance also leaves permanent scars which – depending upon the patient’s hairline and amount of hair – are easily visible. For this reason, following a brow (forehead) lift, face lift or other cosmetic facial surgery, many people need a hair restoration procedure to conceal scarring, lower their hair line back to its original position or conceal hair loss that may have occurred at the incision site.

As an internationally renowned board-certified hair restoration surgeon, Dr. Marco Barusco – Founder and Chief Medical Officer of Tempus Hair Restoration – has extensive experience in performing this final step in perfecting the patient’s desired aesthetic effect of an invigorated, youthful appearance. Here is what you need to know about scarring from facial cosmetic surgery, and how a skilled hair transplant surgeon can artfully conceal the results.

Do all facelifts leave scars?

A facelift is performed by the surgeon making incisions along the natural contours of the ears and face. Incisions can be made in the hairline starting at the temples, continuing down and around the front of the ears and ending behind the ears in the lower scalp. A skilled, experienced surgeon will work to ensure the incision heals with the absolute minimum amount of scarring possible.

However, each patient experiences different rates of healing. Also, the commitment to following the surgeon’s post-operative care instructions play a role in the amount of visible scarring that results. Lifestyle choices are another factor. Heavy alcohol use and smoking hinder the healing process. Smoking, especially, deprives tissues of the oxygen essential to healthy function and, of course, healing.

In addition, the surgeon’s level of experience, skill and artistry can determine how well scars are concealed. As we well know, these qualities are extremely important in the results that hair transplant patients can expect, and not all doctors who perform hair restoration procedures have the ability to provide the highest level of natural-appearing aesthetic results. The same is certainly true of cosmetic surgeons.

Although this is not a definitive answer, two different people can undergo the same facelift procedure, yet one may experience more obvious scarring than the other. As we always recommend to our prospective patients, choose your surgeon carefully based upon thorough research. If you have not yet undergone a facelift but are in the consultation process, ask the surgeon direct questions about the type and amount of scarring your procedure will involve, and how he or she will work to minimize it. Also ask if the procedure will affect the position of your hairline. If you feel the surgeon is underplaying or dismissing your concerns, you may want to continue your search.

Other post-facelift issues that can necessitate a hair transplant

Scarring is not the only issue that a facelift patient may have to deal with. A facelift sometimes results in a hairline that is higher or farther back than desirable. And patients who are already experiencing hair loss – or who start losing hair after surgery – could find that previously hidden scars become more visible or exposed.

Hair transplant options for facelift patients

It does seem ironic that a surgical procedure performed to restore a youthful appearance can create its own issues that need to be corrected with additional surgery. Fortunately, achieving an aesthetically pleasing, natural-looking result is possible. Despite the misconception that hair cannot grow in scars, the transplanted hair continues to grow and look natural. Again, selecting the right surgeon is essential. Dr. Barusco employs several advanced techniques to conceal facelift scars. These procedures include the following:

Follicular Unit Transplantation (FUT) – This is commonly known as the “strip” method of hair transplantation. In this method, 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.

Be aware that some hair restoration practices that specialize in the Follicular Unit Excision (FUE) procedure try to steer patients toward the FUE by using misleading marketing material depicting “after” FUT photos of patients with a pronounced scar. Again, today’s advanced FUT technique provides greatly improved results. For a variety of circumstances, the FUE is not appropriate for every patient. Some may be a better candidate for the strip surgery than the FUE procedure.

Follicular Unit Excision (FUE) –  Typically done as a shaved procedure (where the donor area is shaven) at Tempus, Dr. Barusco created an improved technique known as the “no-shave” procedure.This technique allows clients 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 .

Choose your surgeons wisely

As previously stated, cosmetic surgery and hair restoration surgery are, after all, surgical procedures, to be taken with the same degree of due diligence as choosing a surgeon to repair or replace a major organ. Most people wouldn’t consider looking for a bargain heart surgeon, yet too often do just that when seeking aesthetic surgery. You get what you pay for, and a never-ending supply of heartbreaking patient accounts about botched procedures should provide good reason to exercise caution.

When you have a consultation with a hair restoration surgeon, you should expect (in fact, demand) an open, detailed discussion about your concerns and aesthetic goals. The surgeon should not only assess your scarring, but the overall condition of your scalp, possible donor area and your general health.

Dr. Barusco examines and evaluates each patient on an individual basis. Because he is experienced and skilled in every hair transplant procedure, Dr. Barusco will recommend the option that is best for the patient – unlike many other hair restoration surgeons, who are only familiar with a limited range of techniques, and so promote them over a technique that could be more beneficial.

As also previously mentioned, open communication is essential. If you feel the surgeon is not answering your questions to your satisfaction, or otherwise seems dismissive of your concerns, look elsewhere. It doesn’t matter if the surgeon says that he or she has performed the same procedure “a million times” with no complications. You have the right to be fully informed. Our blog post – “What to Look for in a Hair Transplant Surgeon” – provides a valuable guide.

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.

Dr. Barusco also conducts virtual consultations for those who can’t travel to one of our 16 Florida locations, and our office will arrange travel and accommodations for out-of-area patients for their procedures. We invite you to learn more about our procedures, then contact us to schedule your free consultation with Dr. Barusco. We look forward to meeting you and discussing your options.

 

Caring For Your New Hair Transplant Over the Holidays

‘Tis the season for holiday celebrations and travel for family get-togethers! If you’ve recently undergone a hair transplant, you can enjoy this special time of year while being mindful of giving your transplant the best possible conditions for success. Under ordinary circumstances, getting off-schedule during the holidays – as well as the stress of travel, family gatherings, etc. – can leave you at risk for coming down with a cold, flu or gastrointestinal distress. Keeping in mind that a hair transplant is a surgical procedure, exercising extra caution will help you see in the new year ready to achieve the full results you’ve been looking forward to!

However, it is also important to keep in mind that the post-op instructions given to you by your surgeon need to be followed, first and foremost. Dr. Marco Barusco provides instructions based upon each patient’s unique situation. Even when two people undergo the same procedure, each has their individual medical history, background and other factors that need to be considered. We provide the following recommendations in the interest of increasing your awareness about balancing fun (and a demanding schedule) with good choices.

Take care of the surgical site – Whether you are male or female, or have had a scalp or facial hair transplant, the site of your transplant is still healing. While the first two weeks post-surgery are the most critical, don’t assume you can engage in all activities soon thereafter. If you travel, it’s easy to disrupt your skin/hair care regime. Be sure you pack the products your doctor has prescribed or recommended, and use them accordingly. It may seem more convenient to use your brother’s shampoo, but it could be too harsh for your scalp.

Likewise, if you’ve been prescribed or instructed to use a topical medication or treatment, apply it as closely as possible to the time of day you’ve been using it at home. Skipping one treatment typically does no long-term harm, but hit-or-miss compliance is more likely to compromise long-term results. Don’t get so caught up in your activities that you fail to take the extra time necessary.

Consider your physical activities – If your plans include a good amount of outdoor activities – such as visiting theme parks or the beach, or golfing – wear a hat or loose-fitting cap to avoid sunburn on the scalp. Winter sunlight is still strong in Florida, which you know if you live here, or need to know if you plan to visit. As for swimming, the general advice is to not swim in chlorinated pools during the first 14 days after surgery, as chlorine (and other pool chemicals) may damage the grafts. Do not dive. However, ask your doctor if it’s safe for you to take a dip after two weeks have passed. Again, no two people heal at the same rate.

Be aware of other physical activities. If your family get-togethers include backyard football, “wrassling” or tumbling around with the grandkids, avoid contact with your scalp, or whichever area has had a hair transplant. Don’t let curious young ones reach for your emerging beard, for example!

Don’t overindulge – It’s human nature to give yourself a “pass” during the holidays. People tend to eat more than usual, as well as indulge in a greater amount of high-fat, high-calorie foods. There’s also a tendency to snack frequently, and increase alcohol consumption. Holiday binging takes a toll on health and well-being – which, in turn, affects your ability to heal and promote healthy hair growth. Just remember the considerable investment you made in your hair transplant before reaching for that extra cocktail or helping of baked ham!

Writing for Forbes, Noma Nazish provides valuable advice on staying healthy during the holidays. In addition to eating mindfully, Nazish points out the importance of maintaining proper hydration. Because water accounts for 60% of our body weight, we need to stay hydrated to maintain this ratio. Water is also necessary for several bodily functions, including maintaining cell fluids and delivering nutrients. Limit your intake of high-calorie drinks like eggnog, martinis and margaritas, she writes, and alternate your cocktails with a glass of water in-between.

Also, Nazish writes, boost your immune system with a variety of fruits and vegetables – which deliver vitamins and minerals. And make sure to get proper sleep. Need we say that following this advice throughout the year will pay off in improved health and overall well-being, as well as ideal conditions for optimum healing and hair growth?

What results can you expect to see by now?

Our February 2019 blog post – “New Year, New You” – features an interview with Dr. Barusco in which he covers questions about hair transplant procedures, healing time and what results patients can expect if they want a good amount of new growth for end-of-year holiday time.

“Patients choose this time of the year to treat their hair, so that their hair will be better for the following holiday season,” says Dr. Barusco, who observes that people tend to have realistic expectations regarding the amount of time required to heal from surgical procedures and to begin seeing hair growth – particularly growth that reaches the patient’s desired length.

“I think part of the reason is the information available about hair transplants on the internet. But sometimes, we find ourselves having to educate patients on what to expect as far as healing and results, so they may plan their life events accordingly. These patients need to be educated very well about short- and long-term expectations in order to correctly prepare them for what is coming and for the achievable results, so that they are happy in the end.”

So if your hair transplant is relatively recent, taking conscientious care of yourself this holiday season will increase your success for having a fuller head of hair – or fuller beard – to impress your family and friends at next year’s celebrations. Keeping your eye on the long-term prize will help you stay better focused!

If you’re considering a hair transplant and researching surgeons for their reputation, experience, results and standing within the medical profession, we invite you to explore this website to learn more about Dr. Barusco and the advanced procedures he performs. Dr. Barusco’s long list of accomplishments, notable artistic ability and successful surgical team make Tempus Hair Restoration a renowned practice worldwide.

Dr. Barusco also conducts virtual consultations for those who can’t travel to one of our 16 Florida locations, and our office will arrange travel and accommodations for out-of-area patients. Contact us to schedule your free consultation with Dr. Barusco. We look forward to meeting you and discussing your options.

 

What to Look for in a Hair Transplant Surgeon

You may be surprised to learn that the field of surgical hair restoration is not regulated by either the United States government or the medical community. According to the American Hair Loss Association, any licensed physician can legally perform hair transplant surgery without any prior surgical training or accreditation of any kind. While this is true for any medical specialty (theoretically, any licensed physician may do any medical procedure they want), you won’t see a physician trained in plastic surgery performing a hernia operation. They reason why is that most physicians know their limitations and train extensively before they feel that they are proficient in a given procedure.

However, hair transplantation is pitched to physicians by device manufacturers in the United States and abroad as a simple procedure that does not need to be performed by a physician. Instead, it may be done by trained “technicians.” Nothing could be further from the truth. Hair transplantation is a complex procedure that requires a trained physician and a trained team in order to be successful. Otherwise, horror stories occur. And these have become more common in the last few years.

Under these circumstances, the typical advice of “do your research” is all the more important and challenging for those considering a hair transplant. Even minimally invasive hair restoration procedures are actually surgery requiring medical expertise. Unlike buying a car, most people don’t have experience when deciding who to trust with performing hair transplant surgery. Because we at Tempus Hair Restoration recognize that knowledge is power, a well-informed consumer is one who will ultimately be the best-satisfied with the results. Toward this goal, we offer the qualities to look for, as well as warning signs of who to avoid.

The first area to navigate is finding reliable sources of information. As WebMD acknowledges, “Social media, radio, television, and traditional print media market to the vulnerable hair loss consumer a more risk-free, guaranteed product as opposed to the highly specialized cosmetic surgical procedure it is.” With today’s emphasis on convenience and instant gratification, such pitches have great appeal to people who want a full head of hair in the least amount of time and at the cheapest price. Patients have been lured into going out of the U.S. to have their procedures done. Any marketing that makes it seem everyone will get the same results – despite the required disclaimer that results are not typical – does not have education as its goal.

One excellent starting point is the International Society of Hair Restoration Surgery (ISHRS) – 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, the ISHRS is dedicated to promoting the highest standards of medical practice, medical ethics and research in the medical hair restoration industry.

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. In addition, Dr. Barusco is an active leader in the ISHRS, with various committees participations, lectures ministered and surgeries performed in the ISHRS’ workshops and congresses.

The ISHRS website is written in consumer-friendly language, easily accessible to those seeking objective information. A section specifically for patients consists of the following:

So, whose advice should you trust in finding a hair transplant surgeon?

You may be surprised to learn that the American Hair Loss Association recommends avoiding referrals for a hair restoration surgeon from your dermatologist or family practitioner.

“While your family doctor or dermatologist might mean well, the fact is that most physicians in this country know very little about the scope and pitfalls of this demanding cosmetic procedure. Unless your doctor has personal experience with the hair transplant physician he [or she] is recommending, our advice would be to say thanks, but no thanks.”

This is good advice. If you ask your dermatologist or primary care doctor for a referral to a hair transplant surgeon, make sure you ask if they know the work of the doctor they are recommending. This is very important. Dr. Barusco receives numerous patients who have been referred by other physicians of many specialties. Many of these doctors are actual patients of Dr. Barusco, so they know first-hand the quality of his work.

Finding a surgeon

Again, 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 July 8, 2019 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 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?

Once you are at the consultation, make sure all of your questions are answered to your satisfaction and demand to see a physician. If the surgeon who would be performing the procedure isn’t in the office at the time of your consultation appointment, leave. At Tempus Hair Restoration, every prospective patient meets with Dr. Barusco – whether the consultation is in-office, or by video conference. The consultation is the time during which you should make sure you have a clear understanding of what can be accomplished for your unique situation.

The in-office consultation is also the time when you should take note of how the office is run. Is the office staff helpful, considerate and willing to answer questions about billing, insurance, etc.? Is the office or clinic neat and clean?

One very important point we always emphasize is that you should never feel pressured to make a decision before you’re ready. Ethical practices do not use high-pressure tactics to have you sign a contract. You should feel comfortable taking all the time you need.

What to avoid

As we noted earlier, mass-market 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 places patients at risk of disastrous outcomes – especially when they’re used by technicians to perform procedures. 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.”

The next step of your hair restoration journey

Many people – especially men – typically don’t want to talk about the emotional toll that hair loss takes. Yet this is an important factor in choosing a hair restoration surgeon. Combined with a lack of solid, objective information, making a quick decision based upon emotions can leave you vulnerable to results ranging from unsatisfactory to disastrous.

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.

Dr. Barusco also conducts virtual consultations for those who can’t travel to one of our 16 Florida locations, and our office will arrange travel and accommodations for out-of-area patients for their procedures. We invite you to learn more about our procedures, then contact us to schedule your free consultation with Dr. Barusco. We look forward to meeting you and discussing your options.

 

Consumer Beware – The Risks of Medical Tourism for Hair Transplants

If you’re considering a hair transplant, you have probably conducted online searches for hair clinics. In the process, you’ve also probably found websites for overseas clinics – usually in Turkey – offering transplants at bargain rates, included as a package deal with airfare, luxury hotel accommodations and transportation. But the lure of combining an exotic vacation with hair transplant surgery should raise a major red flag, as black market hair restoration practices are proliferating unchecked – leaving patients with disastrous results and no recourse.

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 worldwide patient awareness campaign designed to help people recognize fraudulent hair restoration clinics and misleading advertising claims. The ISHRS has encouraged its members to raise awareness of the risks of medical tourism for hair transplants.

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.

Launched in March 2019, the campaign, Beware of the Hair Transplant Black Market, provides valuable resources to help patients evaluate a surgeon’s credentials, and patient photos illustrating the disfiguring – and many times irreversible – outcomes of botched surgeries by untrained, unqualified staff members.

To define the issue, “medical tourism” can be a confusing term. Patients often travel long distances for a surgeon with an excellent reputation and credentials. Dr. Barusco treats international patients at Tempus’ surgical center in Port Orange, Florida, providing a convenient, complimentary two-night stay at a nearby hotel. However, all travel, additional transportation and other expenses are the patient’s responsibility.

The negative aspect that the medical profession attributes to medical tourism is when unscrupulous clinics leverage the promise of travel to unsuspecting patients, then subject them to treatments performed under substandard conditions by nurses or non-medical technicians.

Why Turkey is the world’s black market hair transplant capital

Popular destinations for hair transplants include Mexico, India and Sweden, but Turkey is where the most aggressive marketing is conducted. Although Turkish law prohibits hair transplant surgery from being performed outside of a hospital setting, black market practitioners get around the restrictions by illegally setting up shop in private hospitals or clinics. Bribery of officials is commonplace, allowing such clinics to operate without consequences. The TURSAB (a committee working with the Turkish Health Ministry) reports that Turkey’s income from medical tourism topped $4.5 billion in 2015.

In addition to lining the pockets of those entrusted to protect the public, black market clinics use the internet to draw in patients. Slick clinic websites making false claims about their legitimacy, staff experience and positive patient outcomes do effective groundwork in misleading potential patients. Their doctors are given a veneer of respectability by paid writers who represent themselves as journalists filing objective reports about the clinics and the successful results they achieve.

According to the ISHRS, “Many of the illegal clinics have sophisticated websites ranking high with Google paid ads to attract the consumer into a clinic that appears on the surface very professional. The marketing tactics are deceptive as it appears like a team of professional doctors with excellent testimonials. However, the reality is your surgery may be done by someone with no medical training. The demand is so high, reports are that Taxi cab drivers and Syrian refugees do the surgery in some overseas countries.”

What is the real cost of a hair transplant?

Consumers who lack knowledge about ethical medical practices and conduct in the hair restoration field are particularly susceptible. But their greatest vulnerability is the pursuit of a bargain. The cost of a hair transplant in the United States varies widely, depending upon many factors – such as the type of procedure, extent of hair loss, amount of donor hair available, etc. The patient can expect to pay several thousand dollars, however.

As the ISHRS emphasizes, hair transplant surgery is still surgery, with all the risks of surgery performed on any other area of the body. Unethical overseas clinics offer procedures at the same price for all patients, ranging from just $600 to $2,000 USD.

What do patients get for their hair transplant package? Poor growth, improper graft preparation (which means a higher number of grafts become non-viable), misangled graft placement, unnatural hairlines, a pluggy doll’s hair appearance and complete donor decimation are often reported. Severe scarring and disfigurement are also common. Add to that the risk for such infections as hepatitis or HIV. This is because the emphasis for the clinic is volume – performing as many hair transplants as possible each day for maximum profit.

Why don’t victimized patients report black market hair transplant clinics?

Why hasn’t word gotten out? Ironically, many patients are satisfied with their experience – at first. Results from a hair transplant typically require a year to fully activate and grow out. Patients who don’t know what a good transplant looks like during each stage assume that what they see is normal, and that the appearance of their scalp and hair will improve over time.

When they finally realize their surgery has been botched, they have no recourse. Dr. Barusco treated one such patient who traveled back to the Turkish clinic that performed his transplant to have complications corrected, and found the clinic had gone out of business. Actually, the clinic may well have moved to a different location under a new name, continuing to run its illegal assembly line surgeries – as is common practice.

As noted by one observer of Turkey’s booming medical tourism scene, “The market is plagued by corruption, fake clinics and gullible customers looking for a bargain. And the market is only expanding.”

Knowledge is power

Human nature being what it is, we want to believe what we want to be true. But if something sounds too good to be true, it is. This includes a bargain hair transplant performed during an all-expenses-included exotic vacation. Educating yourself about hair transplants and the questions you need to ask any surgeon before consenting to treatment are essential to avoiding unscrupulous clinics and ensuring the best possible outcome. Our July 8, 2019 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 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?

Once you are at the consultation, make sure all of your questions are answered to your satisfaction and DEMAND TO SEE A PHYSICIAN. At Tempus Hair Restoration, every prospective patient meets with Dr. Barusco – whether the consultation is in-office, or by video conference.

Investigate other trusted resources

We hope we have provided information that will prevent you from making a serious mistake that can negatively impact the quality of your life and general health. To further educate yourself, we recommend visiting the links we’ve provided in this blog post to the ISHRS website. This organization is an unbiased source of information, and holds its members to the highest ethical standards – as well as establishing and enforcing industry standards.

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.

Dr. Barusco also conducts virtual consultations for those who can’t travel to one of our 14 Florida locations, and our office will arrange travel and accommodations for out-of-area patients. We invite you to learn more about our procedures, then contact us to schedule your free consultation with Dr. Barusco. We look forward to meeting you and discussing your options.

 

 

A Fascinating Look at Eyebrow Transplants

In 2018, actress Meagan Good went public about her eyebrow transplant, sparking mainstream interest in this increasingly popular hair restoration procedure. Much as with scalp hair transplants, surgery to restore eyebrows to a full, youthful appearance has been discretely sought over the years. Today’s more open attitude is encouraging women to explore this permanent, aesthetically pleasing solution to the ongoing frustration of dealing with sparse brows. Here’s what you need to know about eyebrow transplants to make the right decision.

Why do eyebrows thin?

Eyebrows thin for a number of reasons. Among women, overplucking is a leading cause. The trauma inflicted on hair follicles during tweezing – as well as waxing and threading – can lead to permanent damage of the hair follicles, causing them to die out. The effect can show up as thinning areas, bald spots and loss of the “tail” of the brow. While the thick “Instagram brow” is now popular, pencil-thin brows were the trend during the ‘90s – resulting in women who followed suit then unable to grow their brows back now.

Coinciding with the overzealous eyebrow grooming practices prevalent when Christina Aguilera was topping the charts are the hormone changes that come with age – with the same factors that sometimes cause female pattern hair loss in the scalp contributing to thinning brows. Aside from hormonal changes, even the aging of hair follicles themselves can lead to scalp and eyebrow hair looking thinner and more sparse.

Thinning brows are also a common side effect of other conditions, such as atopic dermatitis – better known as eczema – due to inflammation and itching around the brow area. A dermatologist can recommend medications and topical treatments to help. Low thyroid hormone levels, also extremely common in women, are a common cause of the loss of eyebrows, particularly their “tails.”

Other common causes include chemotherapy and/or radiotherapy treatment; scarring or skin trauma; or trichotillomania – a self-harming behavioral trait that involves tugging or pulling at the hairs in the brow.

The problems with tattoos and microblading for sparse brows

As covered in our April 25, 2018 blog post – “No More Pencils – Your Guide to Eyebrow Transplants” – so-called “permanent makeup” tattoos intended to achieve the effect of natural brows have notable drawbacks. They do not convincingly replicate the look of individual brow hairs, and eventually fade, creating a blotchy, even more artificial appearance.

The recent surge in popularity for microblading positions this procedure as a desirable semi-permanent solution. Microblading is a cosmetic tattooing procedure that fills in thin eyebrow areas to make them look fuller. The process uses a hand-held device containing small needles. The esthetician uses short strokes to apply a pigment intended to replicate the appearance of brow hairs. Unlike a traditional tattoo, the pigment lasts from one to two years, with a touch-up needed a few weeks after the initial procedure.

However, there are risks. The U.S. Food and Drug Administration (FDA) does not regulate the color additive substance of the pigments used in microblading. Poorly trained estheticians, improper sanitation procedures and unsterile tools leading to infection – including HIV and hepatitis B and C – are other serious pitfalls. Photos of botched results are easily found online, ranging from unflattering, uneven shapes and faded tinting to scarring and infection.

When done incorrectly, microblading cannot be easily concealed, and the client will likely have to pay additional costs to manage complications and correct the procedure as best as possible.

The benefits of eyebrow transplants

Foremost, surgical eyebrow restoration has the benefit of being a permanent solution. Instead of just attempting the illusion of natural brows, they’re real, using your own hair. It is an in-office procedure performed under local anesthesia, after which the patient can resume normal activities. Keep in mind that post-surgical care instructions regarding the donor and recipient sites must be carefully followed to prevent complications and attain the best possible result.

Tempus Hair Restoration – our eyebrow transplant process

Though eyebrow transplantation is not a new procedure, not every hair restoration practice has the experience to perform at the necessary high aesthetic level to achieve a pleasing, natural-looking brow line and fullness. In fact, many experienced hair transplant doctors do not offer eyebrow procedures to their patients, due to its technical complexities and the fact that patients usually have very specific goals for the look of their eyebrows. Dr. Marco Barusco – founder and Chief Medical Officer of Tempus Hair Restoration – is a board-certified surgeon who is internationally recognized as a leader in hair restoration. Dr. Barusco himself conducts every consultation (which is always free) with each patient to study their hair loss, and discuss the patient’s treatment goals and options.

For those seeking a full restoration of both brows, Dr. Barusco works with the patient to recreate the brows in a natural contour, outlining the eyebrow area to complement the individual’s facial characteristics.

Once the desired shape, width and thickness of the brows have been discussed – marked by Dr. Barusco and approved by the patient – the surgical procedure itself is very comfortable for the patient. After the patient receives local anesthesia, the donor hair graft is harvested from the scalp, with preference for the temporal areas, where the hair quality is more compatible to eyebrow hair (finer, more delicate hairs). Grafts are carefully selected to achieve the appearance of natural eyebrow hair once transplanted. The individual follicular units are then extracted and treated to ensure they remain healthy and viable when inserted at the recipient site.

Dr. Barusco’s technical skill and artistic eye places each hair in keeping with the angle and direction of natural growth – a critical factor for the natural look of any hair transplanted, particularly the eyebrows. As a Fellow of the International Society of Hair Restoration Surgery (ISHRS) and Fellow of the American Academy of Cosmetic Surgery (AACS), his experience and credentials are unmatched in making Dr. Barusco uniquely qualified to perform eyebrow restorative surgery. Not to mention that he has been a Diplomate of the American Board of Hair Restoration Surgery since 2001 and served as its President in 2017.

Depending upon the individual, both the donor and recipient areas will take up to seven days to heal. The brow hairs will shed after about two weeks. A growth cycle will become established over the next three to six months, during which the new eyebrows will grow out. Because they grow longer than natural eyebrows, they’ll need to be trimmed about once a week or more often, depending on the patient.

Other situations appropriate for the effects an eyebrow transplant can achieve

Eyebrow transplants offer a solution for those who want to conceal scarring in the brow area, as well as transgender individuals seeking fuller brows for a more masculine appearance.

Whatever one’s reason for considering an eyebrow transplant, the ultimate goal is to achieve a balanced appearance and enjoy the self-confidence that comes with the ability to live according to the image or identity you want to present to the world. Whether that self-image is youthful, healthy or whole, brow restoration can help you put your best face forward.

Choose your surgeon wisely

If you’ve decided to take this step, perform your due diligence. Research the qualifications and experience of those you contact for a consultation. Again, the precision necessary to achieve the best possible aesthetic results depends upon the experience and skill of the surgeon – who should be performing the procedure, never an assistant or technician. The disclaimer “under the medical direction of” that many clinics use should be a red flag that someone other than a surgeon will be performing this exacting procedure. There are certain parts of the procedure that are considered by many State Medical Boards as “non-delegable” and their delegation to non-licensed professionals is considered a Felony crime in many states.

Speaking of Christina Aguilera, recent photos show her with a fuller pair of eyebrows. Did she, or didn’t she? The pop star doesn’t have to go public as Good did with her eyebrow transplant, if that were the case. It’s just a matter of personal choice. And if you choose to pursue an eyebrow transplant, be sure to find the best, most qualified surgeon who can achieve the trouble-free, permanent results you want for a natural appearance.

Contact us to schedule a free consultation with Dr. Barusco at one of our 15 Florida locations, or anywhere in the world via video conference. We look forward to meeting you.

 

 

 

Undoing the Damage of a Bad Hair Transplant

Undergoing a hair transplant is an important decision. But if you choose the wrong doctor, the outcome of a bad hair transplant can be far worse than disappointing – it can be disfiguring and virtually impossible to hide. Disastrous results may range from over-harvested donor areas to unnatural growth patterns. For those who anticipated a fuller head of hair and a more youthful appearance, a bad hair transplant can have a profoundly negative effect on one’s self-image and self-esteem.

While such a devastating experience may leave one reluctant to undergo a corrective procedure, Dr. Marco Barusco – founder and Chief Medical Officer of Tempus Hair Restoration – has proven it is possible, in many cases, to mitigate the damage of bad hair transplants and achieve the look the patient had originally anticipated. First, however, we should look at why some hair transplants go wrong – as our July 2018 blog post covers.

Unfortunately, the main reasons are not improving. Many hair restoration practices market themselves primarily as providing an aesthetic service, rather than performing surgical procedures and acknowledging the serious responsibilities and risks involved. Unethical practices take advantage of their prospective patients’ lack of knowledge to mislead them into accepting situations and conditions that should not be at all acceptable – such as allowing technicians (not a doctor) to harvest hairs from the donor area and to create the incisions that will receive the harvested hairs.

The consensus of the many international professional societies dedicated to hair restoration surgery, the American Board of Hair Restoration Surgery and many State Medical Boards in the United States and abroad is that harvesting donor hair from a patient and creating incisions on the scalp to receive the harvested hairs are “non-delegable” phases of this complex procedure, and should only be done by a physician or adequately licensed professional.

The International Society of Hair Restoration Surgery (ISHRS) – of which Dr. Barusco is a committee member – is concerned about the growing risk to patients of technicians performing substantial aspects of hair restoration surgery. 

The use of technicians to perform the aspects of hair restoration surgery that should only be performed by a properly trained and licensed physician, places patients at risk of misdiagnosis and mistreatment; failure to diagnose hair disorders and related systemic diseases; and performance of unnecessary or ill-advised surgery – all of which jeopardizes patient safety and outcomes.

An increasing number of hair restoration disasters are being reported by patients whose Follicular Unit Excision (FUE) procedure was botched by technicians using robotic surgery and other devices, the most widely known being the Neograft and the SmartGraft devices. The manufacturers of these devices recruit doctors with little to no experience in hair transplantation and sell them a machine that they don’t have to learn how to use – your entire procedure at these practices will be performed by technicians sent by the company. 

Dr. Barusco has written an informative, insightful article about the widespread misuse of robotic technology in hair transplants. He relates his own experience in correcting the damage done to patients who had placed their trust (and money) in doctors who depend on these machines to perform the delicate procedures that only a highly skilled surgeon can.

Regardless of who you select to perform your hair restoration surgery (initial or corrective), taking a few minutes to read Dr. Barusco’s account will make you a better informed patient.

A key member of Dr. Barusco’s team is Jessica Aivazis, Patient Education Liaison. She has met at length with those seeking corrective treatment, and relates the experiences they’ve shared with her, as well as her own observations.

“Unfortunately, skill and technique are not uniform in this field, and we have seen many clients who have suffered poor results coming to Dr. Barusco for a solution. Unnatural results in the hair line and poor hair placement, and overharvesting of the donor site are the most common. We have even seen clients looking for assistance with infections they have developed at other offices.

“Each case is different, but Dr. Barusco makes it a point to meet with every client and attempt to assist them in gaining the results they originally expected. Due to his many years of experience and expertise, Dr. Barusco can provide a treatment plan most of the time. But it is heartbreaking when the situation is so bad that we cannot offer any help.”

 

Ms. Aivazis addresses the following questions regarding bad hair transplants.

Is there any type of badly performed procedure that’s particularly common?

“Due to the popularity of the Follicular Unit Excision (FUE) procedure, we have seen many patients who have suffered from overharvesting and detrimental scarring to their donor area. While this procedure is excellent – as it offers the patient the opportunity to have different hair styles – it must be done by a physician with experience and skill, as it has a higher chance of complications when not performed correctly.”

 

Why did these patients initially choose the doctor who botched the procedure? Was their decision based solely on cost, or were they uninformed, or both?

“Many times, cost was a driving factor for the clients who have had ‘botched’ results. During the consultation, we educate clients that skill and experience in hair transplantation and hair loss diagnosis should be the driving factors in choosing a physician. Here at Tempus, we offer many different financing options to make this an affordable decision, thus eliminating cost as a factor.”

 

Did anyone mention to you that they had some misgivings about their original doctor before and/or after the procedure? Was there a point at which they knew something was seriously wrong?
“Yes, many times clients feel in their gut that something isn’t right during the consultation, i.e. even before the procedure is done. There are many cases where clients don’t even meet their physician until the day of the procedure, or they don’t see the physician at all and notice that the technicians are performing the entire procedure themselves.”

 

I imagine that it is much more difficult to correct another doctor’s bad work than it is to start fresh, so to speak. How does Dr. Barusco plan corrective surgery in such cases, knowing that each situation is unique?

 Hair Transplant Dr Mauro Barusco

“Dr. Barusco meets with every client during the consultation, which I believe is pivotal in deciding the best treatment plan for the client. Once he develops the treatment plan, it is discussed with the client in length prior to scheduling. On the day of the procedure, Dr. Barusco takes as much time as needed to make sure that the patient understands and agrees with the treatment plan before proceeding. I have seen Dr. Barusco cancel procedures in the morning they were going to take place, because he did not feel that the patient was ready and/or had a good understanding of both the short- and long-term implications of his or her decisions. This gives a hands-on approach in tackling every client’s unique case.”

 

What kind of credentials should a surgeon who does corrective work have?

“The surgeon should have experience in hair restoration, and it should be their specialty. Add to that a background in surgery, good cosmetic sense and a team that has been with the physician for years, and you have a great combination.”

 

Can you provide examples of patients (anonymously, of course) who saw a major improvement after Dr. Barusco corrected their bad transplant?

“I know many clients who have seen major improvements by Dr. Barusco’s hands. However, the two that stand out to me are the following.

“A gentleman had a couple of procedures done by a doctor via FUT (or strip method). Typically when an FUT procedure is done and a client comes in to have another procedure (whether it be for density purposes or to assist with further loss), the physician will utilize the same scar line on the client so they do not have multiple scars. However, this was not the case for this gentleman, who was left with multiple unsightly scars on the back of his head.

“Dr. Barusco was able to assist the client with scar revisions and hair into the scar area in order to limit the client to one scar. Unfortunately, his donor area was affected due to the multiple scarred areas, and the chance of having another procedure to add density is no longer there unless the patient undergoes hair clone therapy, which is under development.

“There is also a female client who comes to mind who had a procedure elsewhere and was left with an unnatural hair line that was extremely evident to all who looked at her. She had a hard time styling her hair, and the punches done were large and unsightly. Dr. Barusco was able to soften her hair line with one procedure to give her a more delicate, feminine look. Her hair is now better able to be attractively styled, and she has more confidence.”

What advice can you give people who are considering a hair transplant to ensure they get the best restoration procedure?

“The best advice I can give is to know your surgeon, do your research and ask questions. A well-informed client is important to ensure a decision like this can be made confidently.”

Patients should ask 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 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?

Once you are at the consultation, make sure all of your questions are answered to your satisfaction and DEMAND TO SEE A PHYSICIAN. At Tempus Hair Restoration, every prospective patient meets with Dr. Barusco – whether the consultation is in-office, or by video conference.

Throughout the time a patient is under Dr. Barusco’s care, Ms. Aivazis guides each patient, educating them on the technique(s) that will be implemented during their treatment. She spends as much time as needed to ensure that patients understand what they can expect, as well as to provide instructions and explanations on post-surgery care. Besides, all patients have direct access to Dr. Barusco’s cell phone, so they have an open line of communication with him if needed.

Choose your surgeon carefully 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.

Dr. Barusco also conducts virtual consultations for those who can’t travel to one of our 14 Florida locations, and our office will arrange travel and accommodations for out-of-area patients. We invite you to learn more about our procedures, then contact us to schedule your free consultation with Dr. Barusco. We look forward to meeting you and discussing your options.

Restoring Your Crowning Glory – Hair Loss Treatment for Women

The adage, “A woman’s hair is her crowning glory” perhaps holds even more true today than ever before. While male baldness is generally accepted by society (although not necessarily by the individual men affected), hair loss in women remains a condition often left undiscussed – resulting in greater feelings of isolation and poor self-image.

Fortunately, women are now learning that they’re not alone in suffering from hair loss – and, more importantly, are now learning they have options to permanently restore their hair. One such woman shares her story of a six-year struggle with hair loss that finally ended after seeking treatment from Dr. Marco Barusco, Founder and Chief Medical Officer at Tempus Hair Restoration.

 

Janis’ Journey

Describing herself as always active, Janis Gagliardi enjoys a busy life that includes her husband and two adult children. After retiring from her career in nursing, Janis enthusiastically embarked upon her new endeavor as a real estate agent – seeing the common factor that “both are people-oriented jobs.” Seeking to make positive changes in other areas of her life, Janis also became involved in body building. But what she expected to result in improved fitness and well-being coincided with a sudden loss of hair.

Janis reacted the same as most people experiencing the early stages of hair loss. She bought over-the-counter treatments and nutritional supplements that promote healthy hair, but nothing worked. Her hair continued falling out for no apparent reason. She didn’t use performance-enhancing drugs – baldness being among the many serious side-effects of anabolic steroids – or supplements containing exotic, unproven ingredients. For a woman who prided herself on successfully taking on any challenge, watching her hair become increasingly sparse and wispy was an upsetting, frustrating experience.

Wearing ball caps became Janis’ go-to solution for concealing her thinning hair and bald patches. She tried fluffing up her remaining hair, which only succeeded in making the bald areas more conspicuous. Taking the opposite approach, Janis then combed her hair flat, but the effect was similar to that of the much-ridiculed male “comb-over,” and easily undone when the wind picked up. Another cruel blow to Janis’ self-image was giving up her black hair coloring, as it only created a greater contrast against her increasingly visible scalp.

After about six years of Janis’ solo battle against hair loss, the situation was getting worse. When people started asking if she’d been on chemotherapy, she knew she needed help.

Like many women, Janis associated hair restoration with transplants – especially the old-school “plugs.” But a lunch at The Pavilion at Port Orange gave her hope for the possibility of effective treatment. An advertising poster for Tempus Hair Restoration was on display at the shopping complex, leading Janis to ask herself if this could be the solution she had long hoped for.

“I didn’t like the idea of a hair transplant, but wanted to learn my options,” Janis said.

Janis scheduled a free consultation with Dr. Barusco, and was quickly put at ease by him and everyone she met in his practice. “They anticipated my unhappiness and embarrassment,” said Janis. “I was very self-conscious about it.”

Dr. Barusco performed a biopsy to rule out an autoimmune disorder. The result was negative, and his diagnosis of androgenic alopecia opened a treatment plan combining non-surgical treatment, pills, topical medication and laser therapy utilizing the CapillusRX™ laser therapy cap.  For this, Dr. Barusco is recognized as an innovative leader.

“For hair loss, usually a combination of treatments works better than monotherapy,” Dr. Barusco said. “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.”

 

Treatment and follow-up

Janis described her non-surgical treatment as a painless procedure performed under local anesthesia that took from two to three hours. Follow-up treatment included laser therapy, which she still receives in-office three days weekly.

As her hair gradually began to grow back, Janis felt renewed optimism for a successful outcome. No longer would she feel embarrassed by bald patches – such as the time her husband mentioned he noticed two large areas on the back of her head, which she couldn’t see.

With Dr. Barusco constantly monitoring her progress, Janis showed remarkable improvement over the course of one year.

Janis even has a new hair color of choice – a trendy icy white shade that expresses her ever-youthful outlook and joy from again having a full head of healthy hair.

 

A lift in spirits

Although Janis had maintained her characteristic upbeat attitude throughout the challenges of her hair loss, Dr. Barusco noticed a lift in her spirits with the regrowth.

“I think that she has even more of a sparkle in her eyes now,” Dr. Barusco said. “She has always been, to me, a very positive, kind and bubbly person, but I think that now she is happier.”

Dr. Barusco and Janis expect to see further improvements. Dr. Barusco stresses the importance of maintenance treatment to experience the best, most long-lasting results after any hair restoration procedure.

“Women really don’t come out and talk about hair loss,” said Janis. “A lot of women have little tricks to hide it, like hats, wigs and ball caps. Hair loss is very concerning to women, more so than men.”

 

Dr. Barusco’s perspective

Janis learned that women no longer have to suffer in silence and feel isolated over hair loss.

Dr. Barusco offered his valuable insights, gained through years of experience in treating female patients.

“Women lose hair just as men do. Certainly, for women there is more of a stigma about hair loss. A woman with thin or thinning hair may become depressed, withdrawn and may start to shy away from people. So psychologically, it can severely impact their social and professional lives, particularly when the hair loss happens when they are very young.

“In women, particularly, it is very important that a full medical history is obtained, as often their hair loss is a consequence of other problems – such as thyroid disease, rapid weight loss, stress, childbirth, etc. If the underlying cause of the hair loss is not identified and treated as well, their response to treatment may be poor. On the flipside, when we are able to improve their hair, they are the happiest, and become big advocates to other women.

“The main point to drive home is that the earlier we can start treatment, the more hair we will save, and the better the outcome, both short and long-term. So it is important that women understand that this is nothing to be ashamed of, and that there are very effective solutions for treatment. But they have to take the first step, which is a consultation.”

Taking that first step

If you are a woman experiencing hair loss, trying to diagnose and treat yourself will only delay the treatment that can prevent further loss. 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 your free consultation. We look forward to meeting you and discussing your options.

Celebrities and Hair Loss – When Image Really Counts

From local celebrities to international superstars, image is everything. While a growing number of people pursue an “Instagram-ready” look for their “followers” of friends and family, celebrities are under greater pressure to maintain a youthful, vital appearance. For male celebrities experiencing hair loss, a hair transplant procedure can be what’s needed to keep their career active, and the confidence to stay on their “A” game.

Because successful men in the public eye typically seek the best, most qualified surgeon to achieve phenomenal results, Dr. Marco Barusco – Founder and Chief Medical Officer at Tempus Hair Restoration – has had the honor of treating many leading actors, entertainers and professional athletes. While most choose to not confirm or discuss their procedure – wishing to maintain the illusion of eternal youth – others are glad to speak out about what led them to undergo a hair transplant.

Dr. Barusco and Jimmy Hart

One of Dr. Barusco’s patients who is well-known for speaking out is Jimmy “The Mouth of the South” Hart.

His career began in the 1960s with a rock band called The Gentrys, whose biggest hit was “Keep on Dancing.” After The Gentrys disbanded, Hart found superstardom as a professional wrestler in the World Wrestling Federation and World Championship Wrestling. Now a manager of professional wrestlers, Hart continues his passion for music and showmanship.

In his testimonial video for Dr. Barusco, Hart enthusiastically relates his hair transplant journey.

Hart’s hair loss involved his hairline, crown and back of the head. Although always keeping an upbeat attitude in public, he was increasingly unhappy with the changes, and believed his fans noticed the difference, as well.

“I know I could tell when I would do the shows … where people go, ‘Hey, Jimmy, how you doing,’ but nobody really came up to me and said, ‘Oh my gosh, you look so young!’”

That changed after meeting Dr. Barusco and undergoing a hair transplant procedure Hart described as painless and easy, allowing him to return to his busy schedule the following day.

Dr. Barusco describes the procedure he recommended for Hart:

“Jimmy had a couple of FUT (or strip) procedures, with the goal of filling in his hairline, mid scalp and crown. Due to the characteristics of his donor hair (caliber, density, etc.), I felt that the FUT procedure would provide him with the best result, combined with medical treatments to strengthen and preserve his native hair. He has done very well, and the small scar on the back of his scalp is not noticeable at all.”

Hart’s fans now tell him how young he looks – which speaks volumes about the successful result Dr. Barusco achieved. On a trip to Los Angeles, he said,

“Everybody asked me the same thing: ‘Jimmy, you look younger and younger! What’s the secret?’ I said, it’s the hair, baby!”

Dr. Barusco and Raven

Another of Dr. Barusco’s patients from the professional wrestling world, Raven, experienced hair loss in a more dramatic way – in the ring. The legend of ECW, WCW, WWF and TNA wrestling tells the story behind his decision to undergo a hair transplant in two testimonial videos for Tempus Hair Restoration – one pre-surgery; the other, the following day.

 

 

Raven’s larger-than-life persona owed a great deal to his luxurious mane of hair. One fateful match required the loser to have his head shaved immediately after – in the ring, before a house full of fans. Unfortunately, Raven was not the victor that night, and the person in charge of shaving used a sheep sheer turned upside down, slicing through Raven’s scalp with every pass. Blood ran down Raven’s face, which brought cheers from the crowd, who probably thought it part of the show. After the wounds healed, Raven’s hair failed to regrow properly, thinning in the center.

Quoth Raven: “I always thought I would just go bald, but after seeing my head bald, it’s not a good look for me. It was either go thin, or get a hair replacement. My ego prevailed. I never thought I would have an ego about this – that when it came time to go bald, I would just go bald gracefully. But apparently, I have more ego than I thought.”

 

Dr. Barusco recommended a procedure that would give Raven the desired fullness: “For Raven we also opted for the FUT procedure. He normally wears his hair long on the back, and for him having a small linear scar on the back of his head is not a big deal. We also recommended a plan so that his hair loss will slow down.”

The day after undergoing surgery, Raven spoke about the ease of the procedure and minimal sensation at the surgical sites. Today, he’s no longer balding, and back to bringing on the intimidation!

Dr. Barusco and Humberto Martins

Dr. Barusco’s famous patients aren’t all professional wrestlers, however. He tells of renowned Brazilian actor Humberto Martins, whose long career includes numerous movie and TV roles. As hair loss creates the appearance of age, this dashing leading man was being offered more and more roles of older characters. He decided to start treatment with Dr. Barusco in 2016 to win younger roles again.

Said Dr. Barusco: “For Humberto we used a combination of various strategies to rejuvenate and preserve his existing hair, which achieved the results he expected: subtle changes in his hair density, which has helped him with his career.

“However, whether a patient is a celebrity or not, everyone is a VIP for us and we use every treatment and technique at our disposal to provide patients with accurate diagnosis and the latest treatment modalities, including medications and/or surgery, when appropriate.”

Dr. Barusco and his staff treat one patient at a time, giving each the focused attention they deserve for a safe, comfortable procedure and the best possible outcome.

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’ 14 Florida locations in person, you may consult with Dr. Barusco via teleconference. For your convenience, consultations are offered in English, Spanish and Portuguese.

As fitting, we’ll let The Mouth of the South have the last words about the benefits of a hair transplant by Dr. Barusco – regardless the degree of your fame.

“Through the years, we all get a little bit older, and we all want to look a little bit younger … If you feel good, that’s what it’s all about!”

Facial Hair Transplants – Getting the Best Beard and Mustache

November is a special month for many reasons – Thanksgiving being the most obvious. But thanks to some very committed people, it’s also known as Movember. Started by the non-profit Movember Foundation, this annual observation held every November since 2003 focuses on raising awareness of men’s health issues. Dedicated to early detection and life-saving treatment, Movember has a fun side to its serious cause. Men are encouraged to grow a moustache, share photos of their ‘stache on social media and tell others about how men can live healthier, longer lives.

 

Whatever month of the year it is, however, many men like the distinctive masculine look that facial hair bestows. For those with sparse facial hair who are challenged in being able to grow a moustache, full beard, goatee or sideburns, a facial hair transplant may offer the ideal solution.

Also, men who have facial scars may no longer be able to grow hair over them, resulting in a patchy, uneven effect for those wanting a beard or moustache. This relatively new area of hair transplantation surgery achieves permanent, natural-looking results that can give you the beard of your dreams – provided you choose an experienced surgeon who knows hair growth patterns and has a high sense of aesthetics.

 

Dr. Marco Barusco – founder and Chief Medical Officer of Tempus Hair Restoration – is among the world’s leading surgeons performing facial hair transplants. As an award-winning board-certified surgeon with more than 20 years dedicated exclusively to hair restoration, Dr. Barusco uses his advanced procedures to fill in areas where facial hair is thin, or to subtly conceal facial scars. Because it’s important to know that the techniques for facial hair transplantation differ from those used for the scalp, Dr. Barusco takes care to educate potential patients about what the procedure involves.

 

Why can’t I grow a beard?

 

But first things first. Certain myths persist as to why some men experience only light facial hair growth. Genetics is the reason, but not in the way that may be expected. Men start to develop facial hair – which is regulated by testosterone – during puberty, and it doesn’t fully mature until their early 20’s. The interaction between testosterone and the hair that already exists causes it to grow thicker and darker.

 

And here is where the myth enters. It is typically believed that men who can grow a beard have a higher testosterone level – but in reality, most men have about the same level of testosterone. What makes the difference in facial hair growth is how one’s body responds to testosterone – which is genetically determined. Being highly sensitive to testosterone results in more facial hair. On the down side, it contributes to baldness.

 

“Genetics is the main factor,” says Dr. Barusco. “Even men with a family history of a full beard may have thin, patchy areas.”

 

In his experience with facial hair transplant patients, Dr. Barusco has found that sparse growth and patchy growth are equally prevalent conditions – and normally coexist in the same patient, who can have areas of sparse growth (defined as a low density of hairs), as well as areas where the beard is patchy.

 

Dr. Barusco finds that the recent trend for facial hair is shaping attitudes regarding the inability to grow the desired amount. Unlike the negative associations of baldness, Dr. Barusco notes “there is nothing against a clean-shaven man.” However, he says, “facial hair has become more of a fashion in the last few years. An interesting factor is that while hair loss in the scalp makes a man look older and therefore it is not desired, a beard or goatee will also age a man, but many opt to have it … myself included.”

 

Which should not be surprising. According to Domen Hrovatin, self-proclaimed “facial hair addict” and contributor to Balding Beards, facial hair – particularly beards – signify masculinity, strength, intelligence, confidence and a balance of sensitivity and edginess. Such positive qualities, of course, have been desirable long before the age of the hipster.

 

As for what type of facial hair his patients most frequently seek, Dr. Barusco says the most common requests are for a goatee and cheeks. “Many men can grow a satisfactory mustache, but often the mustache does not connect with the goatee, or they have sparse hair on their cheeks and can’t grow a full beard.”

 

What a facial hair transplant involves

 

The hair for facial hair transplants is typically harvested from the sides and back of the head, which are the same areas used in normal hair transplant surgery for bald and thinning areas of the scalp. The difference is that the hair removed is usually from lower down toward the neck, where the hair quality is more compatible to that of facial hair. This includes planning the angle and direction of hair for the most natural looking results. 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.

 

“The challenges with transplanting into the face are many,” says Dr. Barusco. “From a technical standpoint, the most crucial is the angle and direction in which the hairs have to be placed to produce a natural result that will allow the patient to grow it long, if they so desire.

 

“Another aspect of the facial hair transplant is the donor area selection. Most of the time, we use scalp hairs from the safe donor zone, and the patient may need these hairs in the future, should they develop male pattern baldness. This factor becomes more important because most of the patients looking for facial hair transplants are young men. If the area(s) to be filled are small and few grafts are needed, we may use beard hairs, which are usually harvested from under the chin, as the source of donor hair.”

 

As Dr. Barusco takes great pride in his ability to conceal facial scars, he notes the considerable challenges it involves. “When transplanting into scars, I have to always be careful with blood supply, so hair grafts need to be placed further apart to guarantee growth. Patients who do hair transplantation into scars are always warned that they may have to do one more procedure for final hair density into the scar. But when done correctly, hairs will grow well in scarred areas.”

 

Healing of both the recipient and donor areas is typically complete in one week. Transplanted hairs will fall out two to three weeks after surgery. This is normal. New, permanent growth will begin within three to four months. Once permanent growth is established, the transplanted hair will blend in with any surrounding original hair. It may then be shaped and groomed in the same way as natural facial hair.

 

Making the right match to represent your heritage

 

Ethnicity plays a large role in the hair restoration process, as your genetics determine hair growth patterns, hair characteristics, hair density and hairline. Just as Dr. Barusco takes into account the ethnic background of hair transplant patients in order to achieve the right aesthetic effect, he does the same for facial hair transplants. Beard growth and density is different for men of different ethnic groups. Indian and Middle Eastern men tend to have denser beards, while Caucasians and men of African heritage have good density and more hair in their beards than Asian men. It is important for the surgeon performing a facial hair transplant procedure to achieve the aesthetically appropriate result that truly represents and respects your heritage.

 

You may have read that facial hair transplantation gives you the option of a “designer beard” or mustache – that is, a full beard, goatee or other style or configuration. While this is true to a certain degree, only a hair restoration surgeon can determine the extent of transplantation possible and advisable for your particular situation. Remember, a conscientious, skilled surgeon such as Dr. Barusco will also be closely examining the health of your scalp hair and assessing your risk for male pattern baldness.

 

Although more closely associated as an aesthetic choice for women, eyebrow transplants are likewise increasing in popularity. Men may elect for this procedure to conceal scarring from head trauma or eyebrow loss from other causes. Again, harvesting and crafting the donor hairs to achieve the appearance of naturally growing brows requires a highly skilled surgeon. Not all are equally qualified to perform this exacting procedure.

 

A note for “new” men

 

While facial hair transplants are a comparatively new frontier, the procedure also offers a way for trans males to achieve a more masculine appearance that aligns with their expressed gender identity. In addition to beards, mustaches and sideburns, eyebrow transplants can complete the picture by creating the thick, full brows identified with men.

 

Just as important is choosing a surgeon – and practice – able to provide a supportive environment that respects your emotional needs during the transition period. Dr. Barusco has provided hair transplants for many transgender patients, allowing them to bring full expression to their true self.

 

Making the right choice

 

Regardless of the reason you’re considering a facial hair transplant, the surgeon you select will make a significant difference in its success, and your satisfaction with the results. A transplant can be technically correct – that is, the surgery involved no complications, and the hair follicles survived and thrived – yet fall short of the appearance you want because the hairs weren’t placed correctly, or without consideration of your ethnicity.

 

Before you make your decision, we invite you to schedule a free, no-obligation consultation with Dr. Barusco. You can visit one of our

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14 Florida locations in person, or by online video conference via Skype, FaceTime or WhatsApp. For your further convenience, we offer consultations in English, Spanish and Portuguese. We look forward to meeting you and helping you achieve a beard – or mustache – or perhaps both – that you’ll be proud of for many years to come!

See Me, Not My Scar – Restoring Hair to a Head Trauma Patient Other Surgeons Turned Away

It had been several years since the motorcycle accident that almost cost K.J. his life. Suffering severe head trauma, he was unconscious in his hospital bed when the doctor told his wife to prepare herself for the worst. But the 40-year-old husband and father fought to live, eventually making a recovery that stunned the doctor who had made the grim prognosis. Now, the only visible sign of his injury was the surgical scar and slightly recessed area where steel plates held a piece of his skull in place. Ready to move forward and make the most of his second chance at life, K.J. wanted to take the final step in healing: restoring his hair.

 

Although K.J.’s story may seem easy to sum up in one paragraph, his journey was grueling, with setbacks along the way. The injury necessitated removing a heart-shaped piece of skull, which was preserved for future replacement. The plate that was originally placed over the area also had to be removed because of high intracranial pressure – a life-threatening development. After he was out of immediate danger, K.J. underwent physical rehabilitation and wore a protective wrestler’s helmet for six weeks prior to surgery to replace the section of bone.

 

“It was pretty intense,” K.J. recalled. “For some crazy reason, I’m still here.”

 

K.J.’s next contact with the medical field was voluntary. Learning about the Orlando Live Surgery Workshop – a conference of hair restoration surgeons sponsored by the International Society of Hair Restoration Surgery (ISHRS) – he submitted his case for consideration. Having attended full of hope, his heart began to sink as surgeon after surgeon declined to treat him.

 

Until Dr. Marco Barusco, Founder and Chief Medical Officer of Tempus Hair Restoration, reviewed K.J.’s case and examined his scars – then gave K.J. the answer he had long been awaiting: he was a candidate for hair transplant surgery.

 

What did Dr. Barusco see that the other surgeons had missed? The deciding factor wasn’t so much what they didn’t see, as what they were unable to do.

 

“(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.”

 

However, K.J. would have to wait a little longer for the complete restoration of his appearance. Because Dr. Barusco determined the surgery required more controlled conditions than the live surgery workshop provided to minimize the risk of infection, Dr. Barusco performed K.J.’s hair transplant surgery at Tempus Hair’s Port Orange location, which is designed to provide patients with a safe and comfortable surgical experience.

 

Dr. Barusco chose the Follicular Unit Transplantation (FUT) procedure on K.J., which he determined would achieve the best results. “Due to his various scalp scars, the safe area for donor hair harvesting was limited to the back and right areas of his scalp,” said Dr. Barusco. “An FUT was recommended in order to move more hair in one procedure.”

 

 

“I had quite a bit of hair loss,” said K.J. “But I started seeing results about six months after the transplant, with full growth after one year. I could hardly believe it! The scarring is covered, and the growth pattern looks natural. Before, I felt like people saw the scar before they saw me.”

 

When asked what motivated him to undergo one more surgical procedure after he’d been through so many, K.J. reflected:  “I wanted to move on in life. When I see people with scarring, I can relate to what they’ve been through. My life is back to normal. I have my wife and my friends. Once you have hope and the will to survive, you make changes. I work out at the gym five days a week, and lead a healthy lifestyle. I’m in better shape now than when I was 40!”

 

In fact, K.J. recently returned to Tempus Hair Restoration for the same reason as the vast majority of Dr. Barusco’s other patients who trust themselves to his care – to treat standard, typical hair loss.

 

“When you start feeling more confident, you want to keep that feeling,” said K.J. “Dr. Barusco is just a phenomenal surgeon. I highly recommend him. He and his staff were very supportive. Dr. Barusco did his research and took his time.”

 

As remarkable as K.J.’s experience was, he is not the only patient with a challenging situation who Dr. Barusco has successfully treated. In fact, 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.

 

We invite you to visit our Before & After Gallery to see a wide range of inspiring results – then schedule a free, no obligation consultation with Dr. Barusco at one of our locations, or by video conference to learn your options. We look forward to meeting you, and helping you achieve the self-confidence to live your best life!