San Francisco Hair Restoration
Hair loss is predominantly caused by a combination of aging, hormonal changes, and a family history of baldness. Most of the time, the earlier hair loss begins, the more excessive the baldness will become.
Hair Loss – Truths and Myths
Baldness is often blamed on poor scalp circulation, vitamin deficiencies, excessive hat-wearing and even dandruff. All of these theories have been disproved. It is also untrue that hair loss can be determined by looking at your mother’s grandfather, or that if you are over 40 and haven’t lost your hair, that you will never lose it.
In male-pattern baldness, hair loss typically results in a receding hairline and baldness on the top of the head. Many women have hair thinning with age and may develop female-pattern baldness. In this form of hair loss, the hair can become thin over the entire scalp. Other causes of baldness include hormone disorders like hypothyroidism, the patchy baldness of alopecia areata, or baldness associated with scars. The later I see commonly in patients referred after face and browlift surgery, where micrografts have proven spectacular for this unfortunately too often seen side effect.
We have also seen excellent results in eyebrow and eyelash transplantation.
Hair Replacement Techniques
Hair replacement techniques use your existing hair, therefore candidates must have healthy hair growth at the back and sides of the head to serve as donor areas.
There are a number of techniques that have used in hair replacement surgery. Transplant techniques, such as punch grafts, mini-grafts, micro-grafts, slit grafts, strip grafts, flaps, scalp reduction and tissue expansion are procedures that we rarely perform any longer, as we can achieve predictable permanent and natural results with our follicular unit micrografting techniques. These techniques will be discussed during our consultations.
Our “standard session” patients come into the office in the morning, are relaxed with oral medications and walk out in the afternoon with a hat on and typically very little swelling, or signs of any surgery.
The Maas Clinic has expanded to include The San Francisco Rejuvenation Center, an accredited state of the art hair restoration center. Hair replacement is one of the most rewarding procedures I perform with very high patient satisfaction.

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