Dr. Sean has gained expertise in correcting the appearance of many poorly performed hair transplants resulting from poor techniques, wrong, or outdated methods. Bad hair transplant techniques result in pluggy, or unnatural looking hairlines. Unfortunately for many who had bad hair transplants, the results were psychologically disastrous. The sad emotional aftermath of a bad hair transplant could be even worse than feeling of balding.
Dr. Sean Behnam has been a major contributor to new methods, including using ACELL, for correcting the problems caused by outdated hair transplant procedures. The outdated procedures created many cosmetic problems. Unnatural hair lines, pluggy looking, poor hair direction, and inconsistent hair growths were most common. Dr. Behnam has introduced many innovative methods that help with redesigning and restoring of the bad hair transplant techniques. Procedures such as Follicular Unit Extraction (FUE) and in some cases Follicular Unit Transplantation (FUT) are able to address some of these issues. Dr. Sean uses different techniques to resolve each problem to mimic exactly the way hair grows naturally. Thanks to Dr. Behnam’s advanced surgical methods, the number of candidates who are benefiting or have benefited from correct hair transplant repair methods will continue to grow as more people become aware that the older procedures can actually be corrected. Dr. Behnam has not only mastered both the Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT) but also contributed to these techniques. These new techniques allow the most naturally looking hair growth and hair lines. Both FUE and FUT techniques, however, require substantial skills and profound knowledge and are only performed well by limited number of physicians.
What is scar revision?
Scar revision is a procedure that removes scars of hair transplant in the donor area. The end result is a minimal looking scar that can easily be concealed.
Why would somebody need scar revision?
Many older hair transplant techniques may be used in the process of strip hair transplantation may leave linear scar in the back of the scalp that are wide or hard to conceal. If somebody does have a scar from a previous hair transplant, Dr. Behnam can remove that scar and suture the area again in order to make it look better.
If the old scar has to be re-incised, how does this process reduce the appearance of the new scar to make it look it smaller, thinner, and less visible?
There are four factors involved. Typically, when a strip of tissue is removed for hair restoration, the width of the tissue is at least 1 cm. In scar revisions, the focus and goal is only to remove the scars, so there is less than 1 cm. Dr. Behnam uses a triple method technique to reduce scarring. The patient must do at least two weeks of scalp exercise. Scalp exercise increases the elasticity of the skin. It will reduce the tension on the back of the scalp when that strip of tissue is removed. Tension between the upper and lower skin edges is what leads to stretched scars. Dr. Behnam uses a double layer closure during the procedure. This is when “inside of the wound and outsides are closed.” Dr. Behnam uses dis-solvable suture for the inside of the wound and then closes the outside edges using strong staples. The inner sutures reduce tension and the outside staples prevent stretching of the scar. Dr. Behnam also uses the trichophytic closure technique. In this technique, a special cut is made such that the hairs grow into the level of the scar when it heal up and makes it look less visible.
How is scar revision performed?
For approximately 2 weeks prior to the procedure, you will be doing special scalp exercise that increases the laxity of skin. Then on the day of the procedure, the area is numbed up and the scar is removed. The inside of the wound is then closed twice with a dissolvable suture. The trichophytic technique is then used such that when the hair grows out, the new hair grows into the level of scar.
How often does Dr. Behnam do scar revision?
Dr. Behnam performs a lot of scar revisions.
How often has Dr. Behnam had to revise his own scar?
Since implementing the triple method technique in 2008, we have not had any patient that required scar revision.
What is the importance of ACELL in scar revision?
ACELL is an extracellular matrix that promotes wound healing and decreases scarring. It is FDA approved for wound healing and provides a significant advantage in scar revision procedures.
What is trichophytic closure and its importance scar revision?
Trichophytic closure refers to a specific closure method such that the hair grafts grow into the scar. During the actual procedure, special cut is made. A few months after when the wound has healed, the hair should actually grow at the level of the scar and camouflage it. Dr. Behnam uses the trichophytic closure on every patient.
What is double-layer closure and its importance in scar revision?
Double-layer closure refers to the special closure of the wound. When a strip is removed, the inner layer is sutured completely, then the outer edges are also closed up. This double closure technique leads to minimal scarring.
Will the scar be completely gone after scar revision?
No, there will still be very light scar visible, however it will be minimized, and easily camouflaged.
Instead of removing a scar, can a graft be placed into the scar?
Yes, this is known as a scar camouflage with grafts. Typically follicular unit extractions are used o remove the individual grafts which are then placed into the level of the scars.
How is scar camouflage different than scar revision?
In scar revision, the actual scar is cut and removed and in scar camouflage, individual grafts are placed into level of the scar to camouflage it.
What is the cost of scar revision?
The cost of scar revision is $750. The use of ACELL is $750 as well.
What if some hairs are also removed along with the scar, what will happen those hairs? Will I have to pay for them to placed?
No, you does not have to pay extra. We complimentary place those hairs at no extra charge.
Four Phases of Healing
Typically, absent the use of ACELL Extracellular Matrix Technology, there are four phases to the process of healing a wound:
- The Inflammatory Phase involves bleeding, narrowing of blood vessels, clot formation, and release of chemical substances that will begin healing.
- Next is the Proliferative Phase in which a matrix or latticework of cells begins to form scar tissue.
- The Remodeling Phase begins after 2-3 weeks when the matrix becomes more organized, strengthening the scar tissue.
- The Epithelialization Phase is the process of laying down new skin covering the scar tissue.
Efforts to improve wound care treatment have focused on developing anti-inflammatory drugs and improving surgical techniques, neither of which address the dis-figuration and loss of function associated with scarring.
ACELL IS A Revolutionary Breakthrough
Regenerative medicine represents a revolutionary breakthrough in wound healing. Extracellular Matrix (ECM) is the material which holds cells together in the bodies of all mammals. ECM is like an information super highway loaded with information telling cells to grow, divide, and differentiate. The ACELL includes a combination of ECM, growth factors, and proteins which stimulate and guide the process of tissue regeneration. The body recognizes the ECM signals and recruits the appropriate cell factors which differentiate according to what they should be. The process is a recapitulation of developmental biology.
Why choose Dr. Behnam?
- Dr. Behnam does one of the most free comprehensive hair transplant examinations to accurately calculate the number of hair grafts a patient needs (for accurate costing) and you will always meet with Dr. Behnam 1 on 1
- You will not get an estimate for number of grafts; you will get an accurate number based on proven method for full density. Please see Consultation page.
- Either you are a good candidate for hair transplant or not, you will hear his honest opinion; this all depends on the quality of hair on the back of scalp
- Follicular Unit Extraction (FUE) can be used to transplant hairs from other areas such as chest, arms, or legs in case back of scalp is not a good candidate
- Dr. Behnam dedicates more than 8 hours to each procedure with the goal to provide you great surgical care.
- We take care of you before, during and after your procedure
- Dr. Behnam has been named the top 10 doctors by Newsweek magazine and awarded the Compassionate Doctor’s Award and Patient’s Choice Award
- We stand behind our work and we guarantee that the hair transplant looks natural
- All of Dr. Behnam’s follow up visits are complimentary
- Guarantee hair transplant growth in 3 months and will grow 1 inch every 3 months. By the 10 to 12 months, you will see about 2 to 3 inches of hair growth
- No hidden fees. We present you with all the cost at the consultation. We do not overcharge or have any surprise charges on the day of the procedure