Hair Restoration Blog Dallas

One of my greatest passions in hair restoration is designing recipient sites. These sites dictate the pattern, direction, and density of transplanted and grafted hairs – something I feature throughout this website. At my annual hair transplant course that I direct and have done so now for 9 years, I always incorporate a lecture that […]

Passion in Hair Transplantation At times I get the question during a consultation, “What makes you better than [fill in the blank name]”?  Even though I may spend 30 minutes detailing every little nuance of what makes us better:  a more artistically designed and customized hairline, better donor harvesting and closure, better recipient site creation, […]

By Emina Karamanovski Over the years working with Dr. Lam and observing female and male patients approach aesthetic surgery differently, I also noticed that within hair restoration men and women behave differently. It is socially more acceptable to see a man than a woman losing hair. Therefore, women are more secretive about their hair loss […]

By Emina Karamanovski Recently I was diagnosed with hypothyroidism and personally experienced the horror of hair loss that many women share. One of the symptoms associated with it was hair loss. Beside the fact that my hair was shedding more than usual, it was becoming alarmingly thinner. As I was diagnosed and my thyroid problems […]

By Emina Karamanovski It is not a first time that an old technique finds a new application. In the last few years, the ancient art of skin pigmentation (tattooing) found its place in the medical community, specifically in hair restoration. I was sincerely impressed with the results of micropigmentation and its versatility. Men and women […]

Hair loss that affects men can be devastating. Hair loss in men who believe that they are truly women can be exponentially worse. They do not have the option of shaving their head and their gender identity can be worsened because of it. By being sensitive to this kind of plight is the first step. […]

Follicular unit excision, also known as FUE, is a minimally invasive hair transplant procedure in which hair follicles are harvested from the back of the scalp with no incision. Newly developed, FDA-cleared, technology has been developed by Restoration Robotics, Inc. that assists hair transplant surgeons in harvesting hair follicles with minimally invasive techniques. Called the […]

At times I get the question during a consultation, “What makes you better than [fill in the blank name]”? Even though I may spend 30 minutes detailing every little nuance of what makes us better: a more artistically designed and customized hairline, better donor harvesting and donor closure, better recipient site creation, more gentle graft […]

There are many types of female hairlines that exist in nature. It is important for every serious hair-transplant surgeon to study these natural variations before considering to undertake a hair-transplant procedure on a woman to ensure that the result is natural and also appealing. Some of the basic tenants of a female hairline is that […]

Traction alopecia refers to hair loss that arises from hair being pulled too tightly for too long causing permanent destruction to that hair. Most typically, this condition is caused by tight hair braiding, as seen more commonly in African-American women. Fortunately, this kind of hair loss is known as a non-scarring type of hair loss, […]

Although it is more acceptable to see hair loss in men as normal, it is not considered so in women. 30% of women over the age of 30 lose hair to some extent but sometimes it is not a genetic condition but related to hormonal changes that should be investigated. I rarely perform surgery on […]

Female hair restoration is always a special topic that is far different from how hair restoration is performed in men. Starting with the pattern of hair loss, many women typically lose their hair along the central forelock anteriorly with gradually less hair loss going backward toward the crown, which Elise Olsen has referred to as […]

When I was recently in Phoenix writing questions for the hair transplant board examination, I had a touching story recounted to me that I wanted to share with you. A fellow hair transplant surgeon had a patient come to him at 59 years of age to ask whether it would be considered too late to […]

Throughout many of these articles on hair restoration, I am trying to open up to you the reader the technical terms that I use in my day-to-day discussions and thoughts. This article will focus on one particular region of the scalp, the lateral crease. The lateral crease may be more colloquially defined as the line […]

We too often focus on the results of hair restoration, i.e., how the transplanted hairs look, and forget the importance of the donor area. I like to call this the “bank” since withdrawals are made from this area and it is important to preserve the “funds” here for future withdrawals. However, too often, the donor […]

My mentor always taught me, “Sam, no amount of ice can replace the gentle hand of a surgeon.” Those words have remained fixed in my mind every time I approach a patient and his/her tissues. Training for many years as a surgeon, I saw the full gamut of surgeons at work: some with delicate hand […]

One of my passions is female hairline reconstruction. A large reason why is that it is one of the technically most challenging and artistically demanding parts of the head to do and to do right. Unlike a male hairline in which all the hairs angle perfectly straight forward, the female hairline if done correctly goes […]

The donor area where hair is taken should be treated with the same degree of meticulous respect as the transplanted area. A good donor closure begins with excellent donor harvesting: when the hairs are cleanly removed without notable transection of the hair shafts, the nerve and blood supply are preserved, and the wound is clean […]

There are so many aspects to making excellent recipient sites during a hair-transplant procedure including angle, tilt, direction, pattern, density, etc. We will just focus on one aspect: interlocking. As a reminder to the general reader, recipient sites are the “holes” that are created by the surgeon into which the dissected hair grafts will be […]

All donor closures are not the same, nor is all donor hair harvesting. What is a prerequisite to good donor harvesting and closures is excellent tumescence. Tumescence refers to the injection of fluid under the skin the area for donor harvesting and closure prior to undertaking the harvesting. In this article, we will discuss how […]

The final area of the scalp that I am going to address is the crown. It is also known as the vertex. Some surgeons differentiate between the two terms, but I personally think that the two should be synonymous. The crown rests on the posterior vertical scalp transitioning to the posterior midscalp (on the horizontal […]

The lateral humps are the areas of the scalp that fall on the sides of the head. They start, as mentioned in the second part of this series, from the transition of the horizontal plane of the midscalp as it transitions over to the vertical side plane of the head and they end just above […]

The midscalp is the term used to describe anything behind the hairline zone, which in turn is defined as the first 2 to 3 centimeters in the front part of the transplant. The midscalp extends from behind the hairline zone all the way back to the crown. The area at which the midscalp turns into […]

In this article series, I will investigate some of the vital areas of the scalp that are transplanted and how I go about doing that. The terms that I describe here are ones that I use to communicate with my team and also how I strategize my approach to transplanting the scalp. The only area […]

Like any surgical procedure, pain can be part of your experience. The goal of this article is to describe ways to manage or minimize this part of a hair-transplant procedure. We will divide this article into how to manage discomfort during a procedure and then how to do so after one as well. What I […]

This is a basic article about how modern hair transplantation works with a little review of the history of hair restoration to understand how far we have come today. When many of my patients come to see me they are simply confused about how a hair transplant works and what they will need to do […]

This video was taken 8 months after hair transplant for female pattern baldness and shows the before and after results of female hair restoration.  There is a companion video of the patient giving a testimonial after her hair transplant procedure but this one focuses entirely on the close up inspection of the transplanted result. A […]

Female hair transplant patient, Clarice, talks about her hair transplant results only four months following a hair transplant procedure for female pattern baldness/hair loss in this video testimonial. Please note that all video testimonials on this Web site are unpaid and uncompensated in any way. Clarice’s type of hair loss involved the anterior hairline and […]

This young lady who was born with a high forehead and a receded hairline underwent a female hairline lowering procedure using a female hair transplant technique. She was kind enough to film herself every day for 10 days to show her recovery period. Patients are very much interested not only in the outcome of a […]

Dallas hair transplant surgeon, Dr. Sam Lam, describes the nuances of a female hairline to better understand how to perform a natural female hair transplant using the principles outlined in this video. The female hairline is completely different than a male hairline in that it is rounded and closed at the temples without any fronto-temporal […]

Identical twins, Sharen and Karen, talk about their hair transplant results one year after one session.  They talk about their concerns about their hair loss, their hair transplant experience, and what they think about their results.  Watch their video on YouTube:

Understanding Female Hair Loss & Female Hair Transplants Before female hair loss can be treated effectively with medication and or surgical hair transplantation, a physician must engage in appropriate dialogue with a woman to determine what causes may be accounting for her hair loss so as to safely rectify or improve her condition. Many starting […]