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Alan J. Bauman, M.D.Microsurgical Hair Restoration Specialist

Beautifying South Florida Professionals,One Hairline at a Time

We all would like to believe that every potentialclient, patient, or acquaintance adheres to the

moral adage…“beauty is only skin-deep.” However,the U.S. advertising giants would prefer us to acceptas true, their supposition that the average Americanconsumer’s decision-making process will be more in-fluenced by an individual’s outward appearance thanby his or her professional credentials. Adding legiti-macy to their arguments is the estimate that 35 mil-lion Americans experience some degree of hair loss,and spend $900 million annually on medication and/or surgical procedures to grow it back, as reported byJournal of Pharmacology and Therapeutics in theirrecent Medical Sciences Bulletin.1

About 95 percent of all cases of hair loss are the re-sult of androgenetic alopecia (also known as male pat-tern baldness in men). Androgenetic alopecia occursmuch more frequently in men than in women. Approxi-mately 25 percent of men begin balding by age 30; twothirds begin balding by age 60.2

The causes of male-pattern baldness are thought to be

ALAN J. BAUMAN, M.D.MICROSURGICAL HAIR RESTORATION SPECIALIST

BEAUTIFYING SOUTH FLORIDA PROFESSIONALS,ONE HAIRLINE AT A TIME

By Christine Von Kantor

Because the operative area is under local anesthesia, the patient is able tocomfortably watch videotapes, listen to music, relax, or even take a napduring the procedure. Photo by Von Kantor & Associates 2000.

complex and are not fully understood. However, what-ever the reasons may be for the thinning hair, it is gen-erally considered to be a hereditary trait, influenced bymultiple genetic factors. A tendency toward baldness inmen on either the mother or father’s side of a man’sfamily indicates a genetic predisposition to baldness.The speed, pattern, time of onset, and degree of baldingare all influenced by heredity. Generally, the earlier theonset of balding, the more extensive the degree of hairloss will eventually be.3 With balding, there is a pro-gressive miniaturization of the follicle resulting inshorter and finer hair. The end result is a miniature fol-licle with no hair. In male-pattern baldness, hair losstypically results in a receding hairline and baldness onthe top of the head. Women can also experience a loss,or thinning, of their hair. In female-pattern baldness,however, the hair becomes thin over the entire scalp.4 Ittypically starts with affected follicles producing pro-gressively finer and shorter hair as one ages. Mostwomen first experience hair thinning and hair loss wherethey part their hair on the top-central portion of the head.5

While the thinning of one’s hair can be a devastatingblow to one’s self-image or esteem, there are medicaltherapies available in the marketplace today—from oralprescription drugs to surgery—that can successfully dealwith the problem. One of the more popular approachesto coping with hair loss, and one that offers a perma-nent solution to the problem, is hair transplantation.According to Alan Bauman, M.D., medical director andfounder of Bauman Medical Group, PA, “With the greatadvances in surgical hair replacement procedures, menand women can now have safe, permanent hair replace-ment and avoid the downside of hair loss. Toupees, hairextensions and wigs can camouflage hair loss, but theonly permanent and maintenance-free solution to male-pattern and female-pattern baldness is a surgical proce-dure called hair transplantation.”

In hair transplantation, productive hair follicles areremoved from a “permanent” donor area on the backand sides of the scalp and transplanted to a balding area.

MALE PATTERN BALDNESS

MICROSURGICAL HAIR RESTORATION

www.BaumanMedical.com • 877-BAUMAN-9 toll free

The follicles are commonly taken in “follicular-units”of one to three hairs (called micrografts) from the do-nor strip, and moved to the front and/or top, with thehairline being slowly reconstructed. Donor sites withan adequate quantity of hair make transplants more suc-cessful.6

“To be a good candidate for a hair transplant, a per-son should have enough hair at the sides and back ofthe head to serve as a donor area,” explained Dr.Bauman, who specializes in hair restoration for menand women at the Bauman Medical Group surgical cen-ter in Boca Raton.

A graduate of New York Medical College in Valhalla,NY, Alan Bauman, M.D., served his residencies in Gen-eral Surgery at Beth Israel Medical Center and MountSinai School of Medicine. “We were doing everythingfrom appendectomies to amputations,” says Dr. Baumanof his residency training, “but I was truly drawn to themore artistic cosmetic end of surgery. I had the oppor-tunity to go to Long Island to watch a hair transplantprocedure. I really didn’t know much about it at thetime…but it instantly appealed to me. On one hand, itwas a procedure that was very creative—using skingrafts to design a natural looking hairline from scratch,and yet it was also very detailed in terms of the ad-vanced microsurgical techniques and specialized in-struments that are used.”

Dr. Bauman is an active member of the InternationalSociety of Hair Restoration Surgery—the largest orga-nization of its kind dedicated to the enhancement of theknowledge and skill of Hair Restoration Surgery.6 He

Dr. Bauman and his team take pride in the personalized attention they offertheir patients as well as their meticulous attention to detail, constantly striv-ing to achieve the highest quality results possible. Photo by Von Kantor &Associates 2000.

sits on the Ethics and Bylaws Committee for the soci-ety and travels to several conferences each year wherehair transplant surgeons exchange the latest innovativetechniques and technology.

In a recent press release, Dr. Bauman announced theacquisition in his practice of the “Capillicare” hairanalysis machine from France. According to theproduct’s distributor in this country, Harmonix, Inc. inBoca Raton, Dr. Bauman is the first U.S. physician touse the machine for hair loss diagnosis and treatment.He described the unit as a non-invasive, hand-held videomicroscope attached to a computer with powerful im-aging software. The “Capillicare” aids the hair restora-tion surgeon in the diagnosis and treatment of patientssuffering from and/or concerned about hair loss. Dur-ing a consultation, it magnifies the patient’s scalp andhair (30X) to detect and record evidence of early hairloss. The machine is then able to monitor the effective-ness, and subsequent results, of the medical and/or sur-gical protocols implemented in the treatment program.Dr. Bauman expects this machine to revolutionize thetreatment of hair loss, easily allowing physicians andpatients to quantitatively analyze the effectiveness ofall types of hair loss treatments: non-medical, medicalor surgical. He believes that the use of the “Capillicare”might even “eventually stamp-out many of the spuri-ous snake oil ‘cures’ that are aggressively marketed tohair loss sufferers.”

Dr. Bauman’s highly trained surgical team begins to dissect thousands ofmicrografts from the donor strip. Photo by Von Kantor & Associates 2000.

NEW STATE-OF-THE-ART TECHNIQUES AVAILABLE


The patient’s hairline shown above was designed and transplanted by Dr. Bauman using follicular-unitmicrografts in a naturally wavy, feathered pattern. A synergistic combination of artistry and technologyallows Dr. Bauman to create surgical hairlines that “defy detection.”

1mm x 4mm Follicular-Unit Micrografts contain as little as a single hair-producing follicle and are manytimes smaller than the old-style “plugs” that could contain up to 30 hairs each.

In this same press release, Dr.Bauman also elaborated on the fea-tures, advantages, and benefitsavailable to both the surgeon and hisor her patient through the use of the“Capillicare” hair and scalp analy-sis machine:• Capilloscopy: Live visual high-

power magnification of the scalpand hair. This feature records andcompares the quality of the hairand scalp in different areas of thehead.

• Densitometry: Measurement ofdensity of hair per cm2. This mea-surement is utilized for the earlydetection of hair loss and facili-tates the planning of appropriatesurgical procedures.

• Trichogram: A microscopic exami-nation of hair-counts in variousstages of life—anagen, catagen,telogen. It determines the percentof hair in the growing or restingstages in the hair cycle.

• Phototricogram: The photody-namic examination of the scalpand hair, which facilitates the ex-amination of the hair cycle.

• Sebum rate: A measurement of se-borrhea of the scalp and hair fol-licles.

“With the ‘Follicular-UnitMicrografting Technique,’ we areable to transplant 1,500-3,000 tinygrafts in a single session, produc-ing a more natural result than theoutdated ‘plug’ methods. Thetransplanted hair will live and con-tinue to grow indefinitely. And itworks equally as well for both menand women experiencing hairloss,” says Dr. Bauman. “Underlocal anesthesia, a long strip-likeellipse of hair-bearing scalp is re-moved. Under magnification, thisdonor-strip is then meticulouslydissected by technicians into thetiny follicular-unit micrografts.The donor area is sutured closed(usually with absorbable stitches)

eventually healing into an unde-tectable ‘pencil-line thin’ scar andcovered by surrounding hair. Us-ing special instruments, I make therecipient sites in the thinning ar-eas of the scalp—determining theangle, orientation and position ofeach transplanted hair. After I’vemade the sites, the technicians as-sist me in placing the micrograftsinto the sites. We can move up to3,000 micrografts in a single‘megasession’ if the donor area al-lows—this is much more than wasever thought possible just a fewyears ago.”

FINANCIAL CONSIDERATIONS

TO THE PATIENT

The decision to seek treatmentfor hair loss is a personal one. Andsince it presents no physical risk

to the individual, it is consideredto be elective, or cosmetic, sur-gery. As such, these surgical pro-cedures are not covered by mostmedical insurance plans. Accord-ing to Bauman, “…hair restora-tion was once considered finan-cially out of reach for the aver-age patient, but new techniqueshave efficiently streamlined theprocedure, making it more afford-able than ever. What used to takea dozen or so treatments can nowbe accomplished in four treat-ments or less.” To accommodatethose individuals desiring hairrestoration surgery without the fi-nancial burdens, the BaumanMedical Group offers convenientfinancing plans to their patients,and accepts several major creditcards.

FOLLICULAR-UNIT

MICROGRAFTING


Since its original inception and use over 150years ago, the hypodermic syringe has remainedessentially unchanged as the instrument of choicefor the subcutaneous administration of medication.However, the use of The WAND®, the first micro-processor-controlled local anesthetic delivery sys-tem, is revolutionizing the administration of localanesthesia. Its benefits are no illusion—providingprofound anesthesia while minimizing the discom-fort associated with standard injections.

Because elective surgical hair restoration is per-formed completely under local anesthesia, the use

of The WAND®lends itself nicelyto the procedure.(What man orwoman experi-encing hair losswouldn’t be ex-cited about theprospect of a vir-tually painlesshair transplant?)

Hair Without the HurtBy Alan J. Bauman, M.D.

BAUMAN MEDICAL GROUP—A UNIQUE SURGICAL CENTER

What makes Bauman Medical Group so unique?Perhaps it is the man behind the machine, and howhe utilizes high-technology equipment, such as the“Capillicare,” during surgical consultations that pro-duce such handsome results in his patients. Accord-ing to Dr. Bauman: “…even though single-folliclemicrografting has been possible for several years,some surgeons still cannot create a hairline that looksnatural. A large portion of my practice is correctivework—patients who have had previous procedureselsewhere first, and now need a ‘touch-up’ to maketheir previous transplant look natural. It is the art-istry, the design and the execution of the design thatgoes into hairline reconstruction, that now makes ahair transplant literally undetectable. This is what Ido best.” His patients seem to agree with Dr.Bauman, since most of his workload is a direct re-sult of referrals from satisfied patients. “…eventhough the majority of patients that I see come fromSouth Florida, word of mouth and the Internet hasrapidly expanded my practice to international sta-tus in a short period of time. Because there are sofew hair transplant surgeons in the world (between600-800), and even fewer who perform artistic trans-plants, good news travels fast and far. We routinelyhave patients traveling long distances (nationally andinternationally) for treatment. Just this year, we’veoperated on a number of patients from SouthAmerica, the Caribbean, several countries in Europe.We have even received recent inquiries from the FarEast. I guess South Florida is not such a bad placeto travel to—patients can spend some time healingwhile being pampered at some of the most luxuri-ous hotels, spas and golf resorts in the world, righthere in Palm Beach.”

The average American devotes a great deal of timeevery day to the care and styling of his or her hair.The average American also spends large sums ofmoney on various types of hair products, in an at-tempt to improve his or her physical appearance.For many of these people, watching a hairline re-cede can be a traumatic experience. And since theemotional health of the patient is a vital factor inmaintaining the equilibrium of his or her overall well-being, shouldn’t hair restoration be considered to bea viable alternative to baldness? Dr. Bauman and theprofessionals at the Bauman Medical Group believeit should. And, as such, they will continue to performtheir state-of-the-art follicular unit micrografting hairrestoration surgical techniques…beautifying SouthFlorida professionals, one hairline at a time.

Resources:1 Journal of Pharmacology and Therapeutics. Medical Sciences Bulle-

tin. www.pharminfo.com/pubs/mxb/bald245.html.

2,3,7 American Medical Association. Health Insight Newsletter.www.ama-assn.org/insight/spec_con/baldness/baldnes2.htm

4 Information From Your Family Doctor. Hair Loss and Its Causes.www.familydoctor.org/handouts/081.html.

5 Mayo Health Clinic. Female-pattern Baldness. www.mayohealth.org/mayo/9702/htm/ww5rl65.htm

6 International Society of Hair Restoration Surgery. Doctors specializ-ing in the treatment of hair loss. www.ishrs.org.

Dr. Bauman demonstrates The Wand® for a TVnews crew covering a story on advances in an-esthesia.

Dr. Bauman was the first M.D. in Floridato use The WAND® for comfortable, com-puter-controled local anesthesia.


More 'before and after' photos can be found at www.baumanmedical.comFor additional information on hair loss or the "follicular-unit micrografting technique,

contact Dr. Bauman at (561) 394-0024, or toll free at (877) BAUMAN-9 or via email [email protected]. The Bauman Medical Group is located in Wharfside at Boca Pointe,

6861 SW 18th Street, Suite 102, Boca Raton, FL 33433 as well as in the Mayl Center forPlastic Surgery and Reconstructive Surgery adjacent to Imperial Point Medical Center,

6405 N. Federal Hwy. Suite 202, Ft. Lauderdale, FL, 33308.

Left: Patient: P.L., Age: 64 Sex: FemaleLudwig Scale: II

Background:Married, looking to eliminate hairpiece

Expectations:Restore permanent, maintenance-free hair in balding top area

Hair Characteristics:White, wavy, thin fiber thickness

Medium density

Surgical plan:2 sessions of approx. 1000 micrografts(3-4 hairs/graft used for density)

“Before” and 12 months “After”two sessions of approx 1000 micrografts each.

(90% of cosmetic result achieved at 12 months post-procedure)

Before After

“Before” and 12 months “After”two sessions of approx 1700 micrografts each.

(90% of cosmetic result achieved at 12 months post-procedure)

Before After Left: Patient: L.B., Age: 60 Sex: MaleNorwood Class: VII

Background:Married, professional, looking to eliminate hairpiece use

Expectations:Restore permanent, maintenance-free hair in frontal area of scalp

Hair Characteristics:Black, wavy, thin fiber thickness

Medium density

Surgical plan:2 sessions of approx. 1700 micrografts (1-2 hairs/graft used infrontal hairline, 3-4 hairs/graft used for density)

BAUMAN MEDICAL GROUP, P.A.State-of-the-Art Hair Restoration for Men & Women

BAUMAN MEDICAL PATIENT PROFILES

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