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Hair Restoration and NeoGraft

Published on August 16, 2017

“Invest in your hair, it is the crown you never take off”
Vidal Sassoon

Q: Dr. Kaufman, how long have you been doing hair restoration surgery (hair transplants) for?
A: I first started performing hair restoration surgery during my dermatology residency in 1988. Back then we were using standard size grafts, which were about one-sixth or one-eighth of an inch in diameter. We didn’t transplant as many grafts but each graft had a larger number of hairs per graft. Hair restoration surgery certainly has changed over the last 30 years.

Q: Even though your practice is primarily dedicated to Mohs Surgery for the removal of skin cancers, what is it about hair restoration surgery that you enjoy to keep it a part of your practice?
A: I feel that I can meet with a patient and hear their story and their concerns and examine their hair loss and their donor site and come up with a plan that can really help them. Most patients are men and to a lot of men hair is very, very important. In many instances we can make significant improvements with just one procedure and adding some medical treatments as well.

Q: Have you used other methods prior to the “strip-method” and NeoGraft?
A: Yes, when I first started hair restoration surgery we used larger grafts and then we started using the hair between the standard grafts and then we started using strips or multiblade scalpels and finally we progressed to Follicular Unit Extraction. We use NeoGraft for extracting the follicular units.

Q: You brought the NeoGraft method to The Center for Dermatology Care in early 2015. What made you decide NeoGraft was a good fit for the practice over other new technologies for hair restoration surgery?
A: Follicular Unit Extraction has a lot of benefits over the traditional strip method. The long linear scar from strip method is frequently more noticeable than the small multiple scars from NeoGraft and Follicular Unit Extraction. There tends to be less pain post-operatively since there isn’t tension from closure of the donor site. But again one of the main reasons that I prefer it is because I did not like to create a long linear scar with the strip method, which sometimes would widen or become more of a cosmetic problem.

Q: What are some good characteristics you look for in a candidate?
A: Stable hair loss and realistic expectations. I think it is also good that somebody undergoing surgery use medical products to limit hair loss. After all, the surgical result will be better if male or female pattern hair loss is stopped or limited in the period after hair restoration surgery.

Q: If someone was not a “good candidate” or looking to avoid surgery, do you offer other treatments for non-surgical hair restoration?
A: There are plenty of options available for both patients that undergo surgery and for those that do not. Best option is to meet with your doctor. Some of these options may include Rogaine, Propecia, Low Level Light Therapy, Viviscal and Platelet Rich Plasma (PRP).

Q: Do you have any advice for someone in their 20’s or even early 30’s that are beginning to notice thinning or hair loss?
A: Best advice is to see your dermatologist as soon as possible. The sooner that you begin treatment of hair loss; the better the chance that you will respond to treatment and start regrowing your hair.

To schedule an appointment with Dr. Andrew Kaufman for either medical or surgical hair restoration, please call us at
Thousand Oaks (805) 497-1694
Santa Barbara (805) 682-7874
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