A:

Hair loss has many different causes in men and women.  Male pattern baldness or hereditary androgenetic alopecia is the #1 cause in men.  A hormone called dihydrotestosterone (DHT) causes this process to occur.  In women, most patients seen by Dr. Schreiber present with an hereditary female pattern hair loss.  Ongoing research is being done to determine exactly which hormones cause this hair loss pattern.  In Dr. Schreiber's Baltimore office, he sees other causes of hair loss such as thyroid disease, iron deficiency, high fever, surgery, general anesthesia, "crash diets," childbirth, and certain medications.  Let Dr. Schreiber consult with you in his Baltimore, Maryland office to see if any of these conditions apply to you.  Likewise, dermatologic scalp disorders can also cause hair loss. These disorders include lupus, lichen planopilaris, and alopecia areata.

 

A: Not likely.  Dr. Schreiber is asked this question a lot.  In fact, poor circulation, clogged hair follicles, and frequent washing/shampooing also do not cause hair loss.

A: Actually, hair loss patterns can be inherited from either side of the family.  This type of hair loss typically starts after puberty. 

A: Dr. Schreiber sees many types of hair loss patterns.  Usually, however, the hair on the sides of your scalp and on the back is considered "permament" and almost never falls out!  This is why the back of the scalp makes a fantastic "donor" site for hair follicles to be be grafted to the front and top of your scalp. 

A: Yes!  Hair restoration procedures are permanent, and offer a virtually imperceptable way to recreate the hair that you have already lost.

A: Dr. Schreiber recommends two medications to assist with hair growth in addition to a hair transplant.  The first one is called Rogaine, and it's a foam or liquid that is applied to the scalp.  The second one is called Propecia, and it's a pill that you take once a day.  Come visit Dr. Schreiber in Baltimore, Maryland to learn more about which medication is right for you. 

A: Yes!  Dr. Schreiber has grafted scars from traumatic events and scars resulting from facelift procedures.

A: Yes!  Hair grafts will grow not only on your scalp, they will also grow where you have facial hair.  This includes beards and moustaches.

A: Yes!  Facial hair transplantation is frequently done and it can help to restore beards, moustaches, and goatees that are not complete.  Baltimore hair transplant patients can also get hair into bald skin of the face to create a new beard.  Sideburn hair and facial scars can also be treated with a hair transplant procedure.  The hair can be harvested with either the strip method or the automated FUE scarless method.  

A: As a Baltimore hair transplant expert, Dr. Schreiber is asked this question almost every day.  Basically, there are only 2 medications that are FDA approved to treat hair loss: finasteride and minoxidil.  Dr. Schreiber will discuss with you whether or not these medications are right for your during your consultation.  Vitamines, like biotin and folic acid, have shown some promise is several studies, but other studies have shown no benefit.  Exercise caution when using medications that are not FDA approved or are obtained over the internet and not at a US pharmacy.

A: After your Baltimore hair transplant procedure, Dr. Schreiber recommends taking off 5-7 days depending upon how many grafts you get and upon where you get the grafts (scalp, eyebrow, eyelash, beard, or moustache.)  Swelling from the numbing medicine can cause swelling of the eyes.  This can interfere with work where you need to be in the public eye. You can, however, do computer work or any other work from home.  Once the swelling goes down, you can resume going to work and/or going out in public.  Dr. Schreiber will review with you several times before and after you hair transplant ways to reduce the swelling faster.  He will also give you medicine to help expedite resolution of the swelling.  

A:

Six months after your Baltimore hair transplant procedure, your scalp will be back to normal.  Your exercise routine will be back to normal, including your hair washing routine.  As far as hair growth goes, you should have already started to see some hair growth by 6 months.  The time where men and women start to see hair growth after their procedure varies, but most patients start to see some growth at 3-4 months with robust growth at months 10-12.  In fact, some literature supports the fact that the hair may continue to grow for up to 18 months after the hair transplant!

A: Patients who are either thrilled with their first Maryland hair transplant procedure and want thicker, denser hair or those who are looking to correct/revise a previous hair transplant that didn't go their way can actually get several more procedures.  The timing is typically about 1 year after the previous hair transplant.  This is because the hair goes into the telogen or hibernation stage the transplant and can take up to 1 year to "wake up" or start to grow out of the telogen/hibernation stage.  Then, the hairs start to grow like you normal hair.  Baltimore hair transplant expert, Dr. Jeffrey Schreiber, believes that the best Baltimore hair transplant results can be obtained by waiting the full year after the previous hair transplant so that you don't transplant onto an "unerupted" hair follicle.

A:

The cost of a hair transplant depends upon 3 things:

 1.  Number of grafts required

2.  Type of harvesting method - FUE (follicular unit extraction) or strip technique

3.  Where the grafts are placed - scalp, eyebrows, eyelashes, beard, or moustache

 

The exact cost of the Baltimore hair transplant procedure usually requires an in-person consultation as everyone is unique in their hair loss patterns and aesthetic goals.  Out-of-state patients can do a Skype, phone call, or internet consultation and a price estimate can be given.  However, the cost may change slightly when seen in person due to the actual physical exam.  For the best Baltimore hair transplant cost analysis, please see Dr. Schreiber in person or at least do a virtual consultation.  You can request an appointment online here or call (410) 902-9800.

A: A hair transplant is typically a permanent hair loss solution so can last for many, many years.  However, several "touch-up" procedures may be required to either fill in areas where you continue to lose your native, non-transplanted hair follicles or if you want to increase the density of your current hair transplant.  For the best Baltimore hair transplant results, consult with Dr. Schreiber and he can tell you whether or not you'll need more than one hair transplant procedure to get the results that you want.  The reason why a Baltimore hair transplant is permanent is due to the fact that the hair used for the procedure comes from the back part of your scalp.  This hair is usually programmed to be resistant to falling out and can stay with you forever.  The wonderful thing about hair transplants and why they are so successful in restoring your hair permanently is because the hair MAINTAINS this permanency AFTER the hair transplant procedure!

A:

In order to determine whether or not you are a candidate for a Baltimore hair transplant procedure, you'll need a consultation with Dr. Schreiber first.  If you are out-of-town, please feel free to email Dr. Schreiber at doctor@BaltimorePlasticSurgery.com.  He will then arrange a virtual consultation with you to see if a hair transplant is right for you.  However, the typical hair transplant candidate has one or more of the following things:

 1.  Hair loss - scalp, eyebrows, eyelashes, beard, or moustache

2.  Healthy - uncontrolled diabetes, heavy smoking, uncontrolled high blood pressure, and untreated thyroid abnormalities are just a few examples of certain health conditions that need to be resolved before your hair transplant procedure

3.  Motivated - recovery time takes a few days to up to a week depending upon where and how many hair grafts you get.  Time off of work is sometimes required.

 

For the best Baltimore hair transplant results, Dr. Schreiber recommends a consultation first to determine if a hair transplant procedure is right for you.

A: After your Baltimore hair transplant procedure, regular hair washing can begin about 10 days afterward.  This includes using your normal hair care products and shampoos.  Right after the hair transplant, Dr. Schreiber will review with you how to wash your hair.  This includes rubbing the shampoo on your hands, patting the hair grafts, and then pouring water from a cup over your head.  Avoid placing your head directly underneath the water stream from the shower head for 10 days after the hair transplant.  

A: Yes!  Many of Dr. Schreiber's hair transplant patients come from outside of Baltimore.  Patients come from all over the U.S. as well as other countries!  In order to facilitate these patients, Dr. Schreiber requests photos via email and a phone number. After he reviews your pictures, he will call you to discuss your aesthetic goals and he can give you a price.  Photos can be emailed to doctor@BaltimorePlasticSurgery.com.

A:

Yes!  Hair transplants are great for filling scars resulting from a number of things.  For example, we have successfully transplanted into scars from:

1.  Scalp surgeries

2.  Previous strip hair tranplants

3.  Facelifts and brow lifts

4.  Radiation

5.  Chemotherapy hair loss

 

The FUE or follicular unit extraction technique is ideal for this because the areas where the grafts are borrowed from heal essentially scar-free.  Several Washington DC hair transplant patients have had great success with covering up scars with a hair transplant.  The pre-existing scars do decrease the total success rate of the procedure by about 15%, but many patients are more than willing to get the transplant knowing this fact because the scars bother them so much.  Therefore, if you're concerned about covering up scars on your scalp consider an FUE hair tranplant!

A: Yes!  You don't have to be completely bald or have severe hair loss in order to get a hair transplant.  A smaller number of grafts is usually required, but you may need several hair transplants to "keep up" with any future hair loss.  Maryland hair transplant patients can benefit from this greatly even if you're in your late 20's or early 30's.  Let Dr. Schreiber review with you whether or not you would benefit from a hair transplant for a receding hairline by calling (410) 902-9800 today! 

A: Every patient is unique, so you would need to review your medications with Dr. Schreiber before your Maryland hair transplant procedure to determine what can be resumed afterward.  Certain medications, like blood thinners, will need to be stopped 10 days prior to your procedure as long it's okay with your primary care physician.  Oral steroids and Rogaine can resume 1 week after the hair transplant procedure.

A: Usually, a second (or third, fourth, etc) hair transplant can be done 1 year after the previous Maryland hair transplant procedure.  On rare occasions, it is better to wait 18 months if there are still new hair grafts that are starting to grow from the prior hair transplant.

A: It is very common to have swelling after your Maryland hair transplant procedure, but this depends upon how much local anesthetic is placed.  For those patients who get 1,500 grafts or less the swelling usually resolves in 5-7 days whereas those getting 2,000-3,000 grafts may have swelling for 10 days.  Dr. Schreiber will review with you techniques that will help to minimize swelling after your hair transplant and to make it go away faster.

A:

Dr. Schreiber will assess how many grafts you will need for your Maryland hair transplant depending upon:

1.  The amount of thinning or baldness

2.  The quality and quantity of your donor sites

3.  The amount of existing hair

This way, Dr. Schreiber can make the best recommendations of how many hair transplant grafts you will need to meet your hair restoration goal!

A: You're in luck!  Dr. Schreiber offers the scarless automated hair transplant procedure (Maryland FUE - follicular unit extraction) for those patient who have very short hair in the back of the scalp or for those patients who simply don't want the linear scar from the strip Maryland hair transplant. Every patient is unique, so Dr. Schreiber carefully explains the difference between the two and with his patients offers the best method for hair graft harvest.

A: Yes and maybe not.  When hundreds and even thousands of grafts are transplanted with your Maryland hair transplant procedure, they may not all grow back at the same rate.  In fact, Dr. Schreiber doesn't take the "after" photos until 12-18 months after the hair transplant procedure in order to wait for all of the grafts to fully grow and mature.

A: Dr. Schreiber's maximum for a Maryland hair transplant procedure is 3,000 grafts.  After this, patients tend to get a bit tired of sitting all day.  Also, most patients' donor sites don't usually allow for more than 3,000 grafts at one time for the hair transplant procedure.

A: The answer to this question depends upon how you are healing and what type of hair/eyebrow/eyelash transplant you received.  Check with Dr. Schreiber first, but after your Maryland hair transplant procedure he usually allows his patients to get a haircut after 4-6 weeks.

A: Most likely...yes!  As a Maryland hair loss expert, Dr. Schreiber has placed grafts into many different areas of the body and scalp, including the back.  It is very common for patients to get the Maryland FUE hair transplant and have grafts placed into an old linear scar from a previous strip hair transplant.

A: The Maryland FUE hair transplant technique can be performed by any number of machines and/or devices.  However, the goal of all of them is a "scarless" hair transplant.  Dr. Schreiber offers this type of hair transplant and patients have raved about their amazing results!  Schedule a consultation with Dr. Schreiber to see if the automated FUE hair transplant is right for you.

A: It usually takes 12-18 months to realize the final results from your Maryland hair transplant procedure.  Sometimes, it takes more than one procedure to reach your aesthetic goals.  Medications, like finasteride and minoxidil, can help in the situations where several procedures are required to reach a patient's hair transplant goals.

A: Pressure has been associated with hair loss.  This can occur from a long surgical procedure or even an event such as a coma.  It may take about a year for the hair to recover, but if it doesn't a hair transplant might be the answer.  Maryland hair loss expert, Dr. Jeffrey Schreiber, has successfully restored hair in areas where pressure did, in fact, cause hair loss.  Schedule a consultation today if this has happened to you.

A: Yes!  Maryland hair transplant expert, Dr. Jeffrey Schreiber, has transplanted many patients with traction alopecia.  This is a very common issue with women and men who have had locks or tight braids in the past.  During a consultation, you could discuss the details of the procedure including the cost.

A: Many patients need multiple hair transplants in order to get to their hair restoration goal.  All of this depends upon the amount of hair that needs to be grafted and upon the quality and quantity of the donor site.  For your best Maryland hair transplant results, let Dr. Schreiber assess you to determine the number of grafts and transplants that you'll need.

A: After your Maryland hair transplant procedure, you may resume using the iGrow laser after 2 weeks.  This way, Dr. Schreiber can make sure that the grafts are taking well and that any sutures remaining have been removed.  The laser has been shown to "wake up" the hair follicles sooner from the telogen phase and put them in to the anagen growth phase so that you can see more hair follicles growing!

A: Even though an infection may have occurred with a previous hair transplant, that doesn't mean that you will get another infection at your next procedure.  Also, hair can be transplanted into previous scars from scalp surgery or a strip hair transplant.  To explore your best Maryland hair transplant options, discuss your questions and concerns with Dr. Schreiber.

A: Yes!  A hair transplant can be done to lower hairlines and restore sideburns.  The follicles are harvested with either the automated FUE or strip procedure and then place one-by-one into the areas marked out by you and Dr. Schreiber.  The best Maryland hair transplant results can be obtained with a thorough evaluation and carefully done hair transplant procedure, like those done by Dr. Schreiber.

A:

Options for thinning hair include the following:

1.  Laser - Dr. Schreiber recommends the iGrow hair laser.  It has been shown to "wake up" the hair follicles from the telogen or hibernation stage so that you have more hairs growing and visible in the anagen or growth phase.

2.  Vitamins - biotin and other nutrients found in products like Viviscal Professional have been shown to help thinning hair

3.  Hair transplants - once the hair is so thin that bald scalp is visible, then you may want to consider a hair transplant.

Maryland hair transplant expert, Dr. Jeffrey Schreiber, will assess your thinning hair and give you some of the best hair loss options available.

A:

To provide his patients with the best Maryland hair transplant results, Dr. Schreiber offers his top three options for men with male pattern baldness:

 1.  Hair transplants - the automated FUE (follicular unit extraction) as well as the time-tested strip method of hair transplantation can give safe and reliable results.  There are virtually no scars with the FUE, but you may need 2-3 sessions a year apart each to get to where you want to be as far as hair restoration concerned.  The strip method does leave a fine line scar, but when men (and women) have longer hair in the back this is a great option as well.

2.  Finasteride - this one-a-day pill is great to decrease the amount of DHT in your body which is the bad player in hair loss.  This will most likely help you keep what you have and prevent any further hair loss.  DHT, or dihydrotestosterone, bombards your follicles and makes them get smaller and smaller until they eventually fall out.

3.  Viviscal Professional - this dietary supplement is great to thicken existing hair follicles.  The pills are easy to take and they can make a nice difference.

If you do all 3 of these options, you have a great chance of getting back a fuller head of hair!

A: Viviscal Professional is a dietary supplement that helps to thicken your hair follicles.  As you Maryland hair transplant expert, Dr. Schreiber recommends this to his patients who have thin hair follicles.  The pills are taken twice a day for 6 months and then just once a day.  Be careful buying the product online as there have been reports of fake pills being sold and only doctors' offices can sell the professional strength.  Dr. Schreiber has seen amazing results when patients combine the Viviscal Professional supplements with a hair transplant.

A: As a Maryland FUE hair transplant expert, Dr. Schreiber strives to keep his patients up-to-date on the latest hair transplant news.  Recently, the ISHRS recommended that the "E" in FUE be changed from extraction to excision.  This was done to further clarify that fact that the FUE procedure is surgical in that tissue is actually removed from the body and replaced in another part of the body.  Basically, the hair follicular unit is moved from the back of the scalp to the front of the scalp.

A: As your Maryland hair transplant expert, Dr. Schreiber has vast experience in seeing when the hair starts to grow after a Maryland hair transplant procedure.  Typically, you'll start to see some hair growth 3-4 months after your procedure.  This starts out as little bristles and grows into full length hair over time in most cases.  However, sometimes it takes a little longer, like 6 months, to see some growth as every patient is unique.  The hair will continue to grow for about 12-18 months after the procedure with most people seeing the final result at about a year.

A: As a Maryland PRP  (platelet rich plasma) specialist, Dr. Schreiber realizes that thinning hair may be helped with PRP injections.  Typically, patients get the PRP with a hair transplant for areas of baldness.  However, if a patient is not a hair transplant candidate then PRP may be right for him or her.  Several PRP sessions may be required and the addition of taking Viviscal Professional may help as well.

A: With years and years of experience, Maryland FUE hair transplant expert, Dr. Jeffrey Schreiber, realizes that not everyone has enough donor hair in the back of the scalp for a hair transplant.  In these cases, hair may be taken from other parts of the body, like the back, for a hair transplant.  However, Dr. Schreiber reminds his patients that the transplanted hair typically maintains its curve and quality when placed on the scalp.  So, expect the hair on your head to look like the hair that was on your back.  Therefore, this technique is good for those patients with some hair already and want to increase volume or density of scalp hair.

A:

Baltimore FUE and FUT expert, Dr. Jeffrey Schreiber, knows that medical terms and even hair transplant terminology can be confusing and not uniform throughout the internet and medical world.  So, here are the basic differences between FUE and FUT:

FUT (Follicular Unit Transplantation) - this is a hair transplant where a strip of skin is removed from the back of the scalp.  Typically, the strip is about 1 1/2 x 20 cm.  This allows for the final scar to be very inconspicuous and very difficult to see with about a quarter of an inch to a half an inch of hair growth.

FUE (Follicular Unit Extraction) - this is a hair transplant where the grafts are removed from the back of the scalp with an automated FUE machine to remove each individual graft.  This is a virtually scarless technique and only with extremely close inspection can the scars be seen.  This is because the instrument used to harvest the grafts is about 8mm in diameter.