Over the past 20 years, our patients have chosen our practice to receive the best hair transplant in NYC. Our focus is your hair. We have perfected the artistry of hair transplant.
Face the world with confidence.
Hair transplant surgery has attained new levels of excellence in the past decade. In our practice we embrace these advancements, and we respect the importance of maintaining healthy hair density as part of sustaining a beautiful and vibrant face. It is the combination of our physicians’ artistic eye and superb surgical skill that restores thickness and natural appearing hair lines for both our men and women patients. We are committed to helping you achieve the best hair transplant result.
What Is A Hair Transplant?
Hair transplantation surgery has improved remarkably in the past decade and reassuringly the days of “plugs and corn rows” are gone.
A hair transplant is a modern technique to transfer single hair units, called follicles, into regions of thinning. There are two main forms of hair transplant, which differ in how the hair is harvested. Single hair follicles can be taken directly from the donor zone by using a rotary micro-punch, called follicular unit extraction (FUE), or the hair follciles can be divided from a strip that is taken from the donor site, called follicular unit transfer (FUT). Regardless of harvest technique, the result of a hair transplant will produce a lasting improvement as the transplanted hairs will maintain their dominant growth potential.
Hair transplant is an excellent, maintenance-free form of hair restoration for both men and women. Our results are natural, consistent, permanent, and virtually pain free.
Hair transplants can lower the hairline, reinforce the hairline, and improve density on the scalp as well as the eyebrows, goatee, sideburns or other areas of hair loss.
Why choose HairCareMD for your Hair Transplant? Which surgeon at HairCareMD should I choose do to my hair transplant?
Each hair transplant is unique.
HairCareMD is known for superb design, artistry and experience. For the past decade, Dr. Benjamin Paul has been the lead hair transplant surgeon and has designed thousands of stunningly beautiful hair transplant results that are natural in appearance and last a lifetime.
The top 4 most important reasons to choose NYC’s best hair transplant surgeon Dr. Benjamin Paul to perform your hair transplant is:
- Expertise – With over 20 years of experience, the team at HairCareMD has a long and deep understanding of artistry, technique and outcome. We routinely perform 200+ hair transplants per year with outstanding beauty and consistency. We are the busiest high-end practice in NYC and Dr. Benjamin Paul is the number one organically recommended hair transplant surgeon on Yelp.
- Individual treatment focusing on a perfect short term and long term plan – Our boutique practice caters to each patient’s individual needs. We craft a perfect treatment plan that does not just address the coming year but looks ahead to the years and decades to come to ensure the result is loved in both the short and long term.
- We consider all treatment options and have the most advanced technology – Our team at HairCareMD understands that there are times when more than just a hair transplant is required to achieve the best possible result. In terms of methodology, our surgeons are double board certified and perform all forms of hair transplant, allowing you to receive the best option for your hair restoration.
- Artistry – our personalized touch and dedication allow us to craft natural results that are beautiful. We understand that the placement, angle, and distribution of each hair placed in a transplant is an artform. It is our expertise, our experience and our dedication that combine to help each patient achieve the most beautiful result possible.
Who is a candidate for a hair transplant? Am I a candidate for a hair transplant?
A hair transplant is a procedure that takes hair from the donor site and places it into a region of thinning.
The biggest determining factor to what is possible during a hair transplant is the donor site. If you have a lot of healthy donor hair and targeted region of loss, a transplant will likely be an excellent option. If you have very little residual hair and a large amount of hair loss, then the result from a hair transplant will be more limited.
Donor hair can be any color, including grey. Donor hair can be wavy or even curly. The technique to harvest may be adjusted depending on the nature and characteristics of the hair to produce the optimal result. Your physician will guide you on the best method of transplant for you during your consult.
The most common reasons that men get hair transplants are to 1) reinforce or restore the hairline 2) improve density in regions of thinning. The most common reasons that women choose to 1) improve density, especially in the frontal center for a widened part 2) to fill the frontal-temporal angles, which often never grew in thick from birth 3) to reinforce or thicken the hairline.
Both men and women also choose to have a hair transplant to fill in regions of facial or body hair thinning including the eyebrows, beard, goatee, sideburns (after facelift especially), and other regions.
There are many reasons someone would get a hair transplant.
Hair transplant – Case 1
This patient underwent a hair transplant by Dr. Benjamin Paul to reinforce the hairline and thicken the frontal core. The above result is 1 year after surgery.
This is the same patient 1 year after surgery, looking down.
This is the same patient, now 3 years after surgery. You can see how durable his hair transplant result is. Not only does he have a lasting result, but his hair is more mature and healthier appearing.
Hair transplant – case 2
This dark haired patient underwent FUE (follicular unit extraction) and PRP (platelet rich plasma) treatment by Dr. Benjamin Paul to thicken his hair as well as to stimulate the health and vitality of his original hair. The after photo was taken 1 year after treatment.
Hair transplant – case 3
This patient is 8 months after FUT (follicular unit transfer) hair transplant to fill in the central hair in the region of the frontal core. The work, performed by Dr. Benjamin Paul, was completed in one session. The result has both filled in the bald spot as well as narrowed the widened part.
Hair transplant – case 4
This female wished to reinforce her hairline as well as to re-shape her frontal-temporal angle. The procedure was performed by Dr. Benjamin Paul. This procedure both improved as well as lowered her hairline. The patient loves her improvement in facial framing. Using a hair transplant to improve the frame for females is immensely popular.
Hair transplant – case 5
This is a patient who underwent FUE (Follicular Unit Extraction) by Dr. Benjamin Paul to reinforce his hairline. The patient has curly hair.
Hair transplant – case 6
This patient had full reconstruction of the front half of his hair-bearing scalp with hair transplant. The result is stunning. The after photo was taken 1 year after FUE (follicular unit extraction) hair transplant.
Hair transplant – case 7
This patient is shown 1 year after hair transplant to scar tissue from traction alopecia. The patient wore his hair in a tight bun in his childhood and he stopped growing hair in the area of maximal hair tension. Dr. Benjamin Paul performed and FUE, follicular unit extraction, hair transplant to restore the regions of scar tissue that had stopped growing hair.
Who is not a candidate for a hair transplant?
Hair transplant can be truly amazing, but unfortunately, not everyone is a perfect candidate. The four major reasons someone is not a good candidate is 1) poor donor hair 2) issues with recipient site 3) severe underlying medical condition preventing a hair transplant 4) patient has unrealistic expectations.
While we wish to help each patient look their best with the most dense and gorgeous hair possible, we understand that every procedure has certain limitations. When evaluating what is possible, we closely consider the donor hair, as this is often the limiting factor in what is possible. As a rule, any hair follicle removed from the donor site will no longer grow in the donor site (think about uprooting a tree). The transplanted hair will root in the recipient site and not grow in the donor site anymore. For this reason, each patient will only have so many donor hairs that can be transferred in a lifetime.
If someone does not have enough donor hair, then the result will be limited. During your consultation, your physician will closely inspect your donor site and review the best options. When the donor site is limited, we may still consider transplant and may just focus on choosing a limited target area that will give the best cosmetic enhancement. For example, in a patient with a small donor and significant balding, we may just focus the transplant to the front half of the head to ensure the face gets framing and we have enough hair to achieve the result. There are times when we do not recommend hair transplant at all. Though this may come as a disappointment, we would rather hold off on a hair transplant that would not produce the desired result.
For those with adequate donor hair, we are careful to consider the visual match of the donor hair with the recipient site. We will do our best to create a textural and color match between the original hair and donor hair to ensure the most natural and blended result possible.
Rarely, the recipient site may limit a hair transplant. If the patient has poor tissue quality, a large birthmark or mole, or a very thick scar, this may present a challenge to hair transplant. A hair transplant into scar tissue can show less dense results as the blood supply may not be as rich as your natural scalp. That said, we are often able to transplant in to scar successfully. If this is a concern for you, please discuss this with your doctor.
There are certain medical conditions that are considered too risky to proceed with hair transplant. If someone cannot have local anesthesia (lidocaine), is on strong blood thinners, or has active psoriasis or keloids, we may require medical optimization to proceed with transplant. Rarely, there are medical conditions that will prohibit transplant, and your doctor at HairCareMD will guide you.
For patients with severe anxiety, our center offers the ability for an anesthesiologist to assist to make the experience completely anxiety and pain free. If you think you may need this option, do not hesitate to let the team know at your consultation.
What are the types of hair transplant?
There are two main types of hair transplant, known as follicular unit extraction (FUE) and follicular unit transfer (FUT). Both techniques will allow the surgeon to isolate the follicular unit, which is the fundamental unit of hair growth. You would not know from the result which technique was chosen as both techniques transfer the same structure. The advantages and differences between the techniques are described in this section:
FUE – Follicular Unit Extraction
With FUE, individual hair follicles are transferred one at a time, from the back of the scalp, where hair is densest, to the area where hair has thinned. The hairs are “extracted” with advanced technology involving a microdrill. The main advantage of this method relates to the “sutureless” donor area which allows patients to wear their hair very short without revealing telling evidence of surgery. FUE can be done by hand, known as manual FUE, or by robotic assistance, known as ARTAS robot hair transplant. Occasionally FUE, can be done by a hybrid manual and robotic approach. At this time, we routinely recommend the FUE transplant to be performed with oscillatory-rotary manual technology as it is superior to the current ARTAS robot.
FUT – Follicular Unit Transfer
Like FUE, the Follicular Unit Transfer (FUT) method collects the hair to be transplanted from the back of the scalp. However, instead of removing one hair at a time, this approach takes a “donor strip” that contains thousands of follicles. Under the microscope each follicle is individually separated from the strip and then transplanted into the area of need.
Which Hair Transplant Procedure is right for you? Making the Choice between FUT and FUE
|FUT (follicular unit transfer)||FUE (follicular unit extraction)|
|Technique||A strip of skin is removed from the donor site and follicular units are dissected under magnification.||A microdrill is used to extract single follicular units. The follicular units are then prepped under magnification.|
|Healing||A running suture is used to close a linear incision line. The suture is removed after one week.||Sutureless; may heal with punctate, white dots from where follicles were extracted.|
|Early evidence||The hair above the donor sites is kept long enough hide the incision line. No early evidence of donor harvest.||The hair in the donor site is cut short. After one week, there is little evidence of surgery if neighboring hair is also short.|
|FU Limit||May transfer more follicular units than FUE.||Limited by the area of the safe donor zone.|
|Viability||Excellent; considered the “gold standard”||Excellent, though up to 10% of follicles may be transected|
|Time||Rapid extraction||Variable pending number of FU needed|
|Post-op limits||No heavy exercise for one month||Return to exercise sooner (no sutures).|
|Cost||Less expensive||More expensive; increased time and labor|
|Scalp laxity||Important – can only perform if laxity present||Unimportant; can perform even if prior FUT (strip)|
|If patient wears hair <2mm||Possible to see the linear incision line||Preferable|
|Curly hair||Gold Standard||Concern of follicle transection|
|White hair||Gold Standard||Concern of follicle transection|
It is important to realize the choice of technique is individualized to each patient and will be discussed during the initial hair transplant consultation.
How does a hair transplant compare to other types of hair restoration?
Hair transplant is the only form of hair restoration that requires no long-term maintenance to grow the transplanted hairs. Hair transplant can thicken a region of loss and can re-establish a faded hairline. Hair transplant is also the only form of hair restoration that can grow hair in an area of the skin or scalp where there is no hair growth or viable hair follicles as new hair follicles will be implanted.
Hair transplant is an important piece in the hair restoration jigsaw puzzle but it is not the only treatment option. Though there are some patients who only require a hair transplant, there are many instances where the other forms of hair restoration are complementary to a hair transplant because hair transplant does not enhance the vitality of the original hair. For instance, if a patient desires a hair transplant because of hair thinning, the transplant may fill in a region of loss, but it will not stop the progression of thinning. The medicines and adjunctive treatment options are often used alongside a hair transplant to stop hair loss and thicken the original hairs.
During your consultation, your physician will discuss what may be beneficial to complement a hair transplant in the consideration of your long term hair goals.
What are the causes of hair loss? What causes of hair loss are best treated by a hair transplant?
In both men and women, hair loss is most commonly caused by androgenic alopecia, but male hair loss and female hair loss are not the same. Male hair loss usually presents as a loss of the hair on the top of the head ,and the side and low back hair remain in the shape of a horseshoe. Females will maintain a stronger horseshoe shape of hair during androgenic alopecia, but they will usually keep their hairline and show a widened part. For this reason, it is now preferable to call male androgenic alopecia, Male Pattern Hair Loss, and female androgenic alopecia, Female Pattern Hair Loss. Both male and female pattern hair loss may be improved through hair transplant.
There are many additional causes of hair loss such as scarring, medical (thyroid, anemia, vitamin deficiency, lupus), medicine-induced, radiation, and psychological (trichotillomania – hair pulling). Many of these conditions are treatable with hair transplant, and your physician will help to determine the root cause of your hair loss and your candidacy for hair transplant in addition to the other treatment options that exist for hair loss.
What is the best age for a hair transplant?
A hair transplant may be performed once the patient has gone through puberty and has “adult donor hair’. That said, a hair transplant should be delayed the pattern of hair loss is understood. For most men, this becomes apparent by the early 20s though this can vary. As we get much older, the hair also ages. That said, we have no upper age limit to transplant, and we have transplanted patients successfully in their mid-80s. During your consult, your doctor will guide whether you are a candidate for transplant.
Can any ethnicity have a hair transplant?
All ethnicities may benefit from a transplant. In general, the hair texture may adjust the treatment recommendation or surgical approach. As a rule, patients with strong and straight hair have the most consistent results. Patients with grey hair, curly hair or very fine hair may see a more substantial result with the strip harvest, FUT (follicular unit transfer), though this is case-by-case and determined during your consult.
Can you fix a bad hair transplant result from another clinic?
There are a few types of bad hair transplants that we routinely see from other clinics, and fortunately, we are able to repair many bad hair transplant results. Please feel free to have a consult to discuss your concerns, and we will do everything we can to help you.
The Hair Transplant Experience
Every patient who wishes to have a hair transplant in our clinic is asked to first have a consultation. During this first meeting, we will discuss your goals and motivations, what you have tried so far to manage hair loss, review your medical history, examine the scalp, a confirm of the cause of hair loss, and discuss the treatment options. If a hair transplant is a reasonable option, a description of the procedure, the options in approach, and recovery will be discussed. You will meet with a patient care coordinator after meeting with the physician where you can discuss availability and costs associated with a hair transplant.
Preparing for your procedure
All patients are provided with very thorough paperwork to guide the before and after care well before the day of the procedure. We will send all necessary medicines before your arrival so you do not need to visit the pharmacy after your procedure. Some patients will need medical clearance to optimize certain conditions, and you will be advised in advance if this is necessary.
Most patients can color and cut there hair up to 4 days before.
The day of your hair transplant
All of our hair procedures take place in our gorgeous, state-of-the-art facility. On the morning of the procedure, you will meet the physician and transplant team. We will confirm the boundaries of the recipient site. We will give you a haircut to reveal the necessary donor site, but it is not our routine to shave the recipient site, which differs greatly from most clinics. On the morning of surgery, local anesthetize will be administered to the scalp. The experience is so comfortable that most patients are able to nap and listen to music during the session. The day is split into three parts; harvest, site making, implantation. For the harvest, you will be face down and we will work to extract your hair. For the site making, the physician will carefully make all the sites, which are the pockets into which the hairs will be placed. This is the stage that sets the architecture and artistry of the result. The final stage is implantation, in which the hair is inserted into the pockets in the recipient zone. A wrap is then placed on the head, and the patient can go home. After your procedure, post-op care instructions will be reviewed prior to discharge.
Adding growth factors to hair transplant from the blood.
There is new evidence it the medical literature that growth factors may be helpful to reduce inflammation and assist in follicle take. There are times that growth factors may be recommended as an adjunct to hair transplant. Rest assured that this is an exceedingly safe addition, as the growth factors are extracted from your own blood ensuring you will have no allergy, rejection of your own growth factor, or get a virus or reaction to a foreign donor.
How are the sites made and the hairs implanted?
In our office, we are focused on optimizing the viability of each hair follicle as well as the health of the scalp. Sites (pockets for the hairs) are made by the physician with a proprietary depth-controlled needle system. This technique minimally disturbs surrounding tissue leading to 1) better blood flow the grafts 2) faster healing. To implant the hair, we use a forceps technique to gently place the follicle in the site. Dr. Paul has worked with his team for over a decade and the communication on angulation and familiarity with technique allows for very efficient implantation. This helps also with viability because the follicles spend less time out of the body.
Aftercare and follow up
At the end of a hair transplant surgery session the patient may return home or for out-of-town patients to their hotel room. There are no drains present. On the next day patients bathe and two days after surgery gently wash their hair using a modified technique, which will be taught during your visit. For the first week the forehead may appear slightly swollen, the back of the scalp will feel tight and small scabs will sit where the transplants were placed. Within 1-2 weeks, the redness fades, the scabs flake off, and patients look normal and can return to routine social, work and physical activities. The transplanted hairs are expected to shed a few weeks after the transplant. After shedding, the follicle rests before growing new hair. The result begins to appear 6 months after transplant and continues to improve over the following 1-2 years. For most, once 9-12 months have passed, the results become thrilling.
Best Hair Transplant Doctors & Surgeons in Manhattan, New York City – HairCareMD NYC
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FREQUENTLY ASKED QUESTIONS
What is the downtime from a transplant?
Most patients are surprised to learn that the downtime from a hair transplant is shorter than they expect. Patients can work from home the following day, shower normally at 2 weeks, and do light exercise at 2 weeks. Most people have little to no evidence of a hair transplant at 2 weeks.
How long does recovery take?
Though your doctor will give you more personalized guidance, most patients are able to work from home and take short walks the next day. The patient can return to light exercise and normal shower at two weeks. Most patients have little to no evidence a transplant was performed at two weeks after the procedure.
What is the treatment timeline for hair restoration?
The transplanted hairs will grow for 3 weeks to 3 months then shed. This is normal and expected. There are times the hair does not fall out and there are times the shedding can be delayed. Once the hair sheds, the transplanted hair follicle rests. New hair arrives roughly 6 months after the transplant. Traditionally, people see 80% of the result at 8 months after transplant. The result will continue to improve until about 18-24 months.
When can I return to work?
Most patients are able to work from home the next day. The work must not be physical. Ideally, there would be no video conferencing. Reading, computer work, and telephone meetings are all encouraged in the early post-operative period. Patients may have swelling of the forehead and it is not advised to return to the office for one week, though your doctor will advise your during your consult depending on the work being done.
Is the procedure painful?
The hair transplant procedure is not very painful. Most patients report that the injection of the numbing shots feel like a pinch-and-burn that lasts for a few seconds. Within a few minutes, patients can feel pressure but feel no pain. The first night after a hair transplant, it is normal to feel sore and throbby. By the next day, most patients have minimal discomfort controlled by Tylenol, though many patients do not need any pain medicine the next day.
Do I need anesthesia?
Most patients take oral anxiolytic (valium) during the transplant and receive local numbing medicine. This means that you will be awake, able to speak, able to use the restroom, and you should not feel discomfort once you are numb.
If a patient expresses a wish to undergo the procedure with light IV sedation, then we can arrange to have our anesthesiologist present for the whole time of the procedure. This is helpful for patients with significant anxiety or restlessness. Please let us know during your initial consult if you think you may wish to have an anesthesiologist present for your hair transplant.
Will there be scarring?
Both the strip (FUT) and dots (FUE) technique leave fine scars. The strip technique leaves a linear scar in the back of the scalp. For most, this is easily covered with hair. If you get a strip procedure, you should not get a haircut too short or the strip may be revealed. The dots technique (FUE) leaves small white dots on the scalp. There are some instances where these dots are hard to find, but there is always some evidence. There is no such thing as a “scarless hair transplant”. FUE allows more flexibility to wear the hair shorter.
There are times that a technique called scalp miropigmentation (SMP) through semi-permanent fading micro-tattoo can be utilized to better camouflage scarring from harvest, though this is not necessary in most cases.
What leads to a natural appearance after hair transplant?
A beautiful hair transplant enhances the aesthetic of the patient and looks natural. Each physician has a different aesthetic and each patient has a different desire. The best results occur when the alignment of the goals are clear in advance and the plan makes sense in both the short and long term. No two hair transplants are the same.
To create a natural hair result, the recipient needs are considered. We do not want to over lower a hairline. We do not want the hairline to be too straight or artificial in structure. In general, more density leads to a more natural and better result. Artistry is not just the distribution and shape, but also the exit angle of the hair must be considered. This is critical to avoid a “picket fence” or “cross-x” appearance. The exit angle is determined by the pocket in which the follicle is placed. This pocket is termed the “site” and how sites are made is one of the biggest variables in how a result will look between clinicians.
How many grafts do I need?
As each case is unique, the number of grafts that are needed to complete the transplant can vary greatly. In general, we speak in terms of hair count, not graft count, as this is a more accurate reflection of the work performed.
The factors that are used to make the determination of how many grafts/hairs:
- How big is the area of need / size of the recipient site?
- How many donor hairs are available? This may limit the amount that can be transferred.
- What is the nature of the donor hair? For instance, fine hair will require more hair for an equivalent level of density. Curly hair cannot be placed as densely but will carry more visual weight as the hair curls on itself.
- What is the natural grouping of the hair in the follicle.
In general, the parameters of the transplant will be discussed during the consultation. You can learn more about our cost structure (link to cost page).
Is hair transplant only for men?
Hair transplant is for both men and women. There is little role for hair transplant in children.
Is the doctor actually performing my hair transplant surgery?
Hair transplant requires many repetitive steps. The physician will lead a team of vetted professionals who will assist with various aspects of your hair transplant. The physician will always be responsible for the administration of local anesthesia, the design, and the overall result of the work performed.
Is the procedure covered by insurance? Is there financing?
At this time, insurance does NOT pay for a hair transplant for androgenic alopecia, male pattern hair loss, and female pattern hair loss. There are some insurances, such as Amidacare, that may provide coverage for transgender patients seeking hair transplant.
We are not in-network with any insurance.
We do not participate in financing for hair transplant.
How long does a hair transplant take?
Hair transplant can take anywhere from a few hours to 10 hours. The average hair transplant is between 5-7 hours.
Can women get a hair transplant?
Yes! Female hair transplant is a successful way to treat a number of concerns. The most common reasons that women choose to have a hair transplant include narrowing a widened part, enriching the frontal central hair, improving the frame of the hairline including filling in the fronto-temporal hairline, restoring side-burn hair after facelift, and treating balding spots from scalp scars.
Do you offer virtual consultations?
Yes. We offer virtual consultations for evaluation and guidance regarding hair transplant.
Do you offer walk-in appointments for hair transplant?
We require an appointment to visit the office. By setting aside the proper time, we can ensure you meet with a physician and are given a thorough evaluation and guidance on the best recommendation to address your concerns.