Posted on October - 19 - 2014

Nutrients for Hair Growth

Recently taken from the November, 2014 Women’s Health magazine was an article entitled “Feed Your Scalp.” It stated, Herbivores, take note: “Hair follicles can be sensitive to nutritional imbalance,” says Pullan, who notices that many of his female clients lose their hair when they become vegetarian. The thought is that they need more protein than can be extracted with vegetables as well as iron. The latter would be necessary for a higher hemoglobin and oxygen content necessary for the hair follicles.

Add plenty of nuts and beans to your diet for those much needed proteins, and leafy vegetables also have proteins as well as iron, especially dark green vegetables. Plus, the many phytonutrients, minerals and vitamins found in vegetables are so important to the cells that produce your hair as well as your skin. Another source would be marine algae or spirolina. Juicing is healthful as well, but you must make sure you get enough fiber.

According to WebMD the ten foods that promote hair growth are:




Sweet potatoes




Greek Yogurt

Blue berries


Supplements I have found that help hair growth are BioSil, which also helps with nail growth and joint pain, and Biotin. Health food stores also have combinations of supplements and amino acids for hair growth.

About 30% of wome after age 50 have thinning hair. First, hormonal studies should be performed by your dermatologist or physician. Then consider Rogaine 5%, topical medication over-the-counter medication, that has helped millions of people, both men and women. I have placed many people on Rogaine (minoxidil), and have found  it mostly keeps more hair from falling out. Minoxidil may thicken the diameter of the hairs you have not lost also. I prefer the minoxidil foam over the solution. Keep in mind that if you use minoxidil for 6 months and you see no change, that is a success!


If you have female or male pattern baldness, the NeoGraft hair restoration will add completely natural appearing permanent growing hair to your scalp without scars. It’s the latest technology.


  1. Ronald Finger, MD,FACS

Website: Finger & Associates
Phone: 912-354-4411

Posted on October - 19 - 2014

Should a man of 30 or less with a receding hairline use NeoGraft or any hair transplant method to lower his hairline on his forehead?

My belief is that it is not a good idea.

Why? Because if you have significant hair loss at such a young age, that is an indication that you will lose much more hair as you grow older. You are born with only 100,000 to 125,000 hair follicles, and we definitely don’t want to waste hair follicles that might be needed at a later date as you lose more hair. All follicles must be utilized efficiently looking at long term needs.

Generally, a young man with a receding hair line should replace only the hair in the receding areas and any other areas of hair loss and need, such as the top or crown. In the central part of his frontal hair line, hair follicle grafts should be used to maintain the present location of his most forward hair follicles, even though hair may be sparse. In the hair line area, single hair follicle grafts must be used to maintain a completely natural appearance.

In addition, every effort should be made to prevent further hair loss with the use of Minoxidil (Rogaine) and fenasteride (Propecia). The Propecia can have some undesirable side effects, such as reduced sexual performance. However, the Propecia has a very short life-time in the body, so there should be no long-term untoward effects if it is discontinued. The combination of Minoxidil and Fenasteride stops or greatly reduces hair loss. It is not needed for the NeoGraft, because the hair in grafts will grow regardless, but the combination of medications will help keep you from losing your existing non-grafted hairs.

Website: Finger & Associates
Phone: 912-354-4411

Posted on April - 07 - 2013

Advantages and Disadvantages of NeoGraft or Strip surgery in Hair Restoration surgery

Strip surgery is when a strip of hair bearing scalp is removed from the back of the scalp to capture the hair follicles. The donor area is then sutured closed. This can be done with minimal visible scarring if done carefully and properly. The recovery is more uncomfortable than a FUE (follicular unit extraction) technique, such as the NeoGraft, but discomfort is not too bad in either case in my opinion, and I have personally had the NeoGraft procedure done.

FUE procedures such as the NeoGraft involve removing a circular 1 mm graft which contain from one to four follicles within each graft. For a 1500 graft procedure, there would therefore be 1500 individual grafts taken, rather than the strip of scalp. The NeoGraft is an automated FUE procedure, which is very effective. FUE procedures can also be done manually, but it is very time consuming, which limits the number of grafts that can be taken in one session. The NeoGraft is the most modern method up to this date.

Advantages and disadvantages are:

NeoGraft FUE procedures require cutting the hair very short (almost to the scalp) in the donor area, which is the back and sometimes the sides of the scalp behind the ears. This can be quite a large area.

Strip surgery only requires shaving a 1.5 millimeter area at the donor site, and this part of the scalp will be removed to capture the grafts. Again, the edges of the scalp are sutured together leaving very little hairless scalp, but the hair grows very fast in the back of the scalp. Generally, the donor area is covered with hair in a week or less. This is s small inconvenience considering that most hair follicles will grow for many decades.

For women, we usually use the strip procedure as most have longer hair that would hide any donor scar, and it would take many months, if not years, for a woman to grow adequate hair length back in the shaved area of scalp.

For men, I prefer the NeoGraft because of the lack of a scar, especially when they prefer to wear their hair short. Plus, we can pick and chose the grafts we want instead of being obligated to use those from the strip.

Recovery time discomfort is less with the NeoGraft and there are no sutures to be removed. Pain is virtually non-existent, in my opinion. Recovery time is also less with the NeoGraft because of no need for suture removal.

Both procedures can yield very natural hair growth, and this is more related to the skill and expertise of the surgeon or specialist performing the procedure more so than the technique or equipment (strip or NeoGraft), as with any of the procedures.


Website: Finger & Associates
Phone: 912-354-4411

Posted on June - 19 - 2012

13 Signs of Aging with Treatment Options

13 Signs of Aging

  1. Skin – age spots, wrinkles, large pores, loss of elasticity and clarity.
  2. Hair – loss or thinning hair. Lush, thick hair makes everyone look better.
  3. Teeth – yellowing of teeth, crooked teeth, missing teeth-all easily treatable
  4. Loss of facial volume – Youthful faces are full and convex. Aging causes loss of volume in skin, subcutaneous tissue, and even bone. These losses cause shadows, hollows, which contributes to sagging.
  5. Sagging brow – brows sag with age, particularly the outer brow. There should be an arch with the highest point between the middle and outer 1/3 of the brow. This contributes to excess skin in the upper eyelid.
  6. Upper eyelids – excess skin and even some fat occurs with age. Some have this genetically. Either way it is treatable with minor surgery.
  7. Lower eyelids – bags and/or excess skin may develop. Hollows along the bony rim beneath the lid occur from loss of volume and/or bags. The circles are usually shadows from the volume loss.
  8. Crow’s feet – wrinkles lateral to the eyelids usually from lots of sun damage and animation
  9. Lips – aging thins the lips, and the distance between the nose and upper lip elongates. The corners of the mouth may turn down.
  10. Jowls – these develop from loss of volume and elasticity
  11. Neck – excess skin and/or fat develops. Platysma muscle bands may occur
  12. Ears – enlarge because cartilage continues to grow.
  13. Nose – continues to grow because of the cartilage growth. Drooping occurs from this and from loss of volume at the base of the nose.

Treatment of the above aging features

  1. Good skin care. We prefer New Youth Cosmeceuticals. Resurfacing with lasers, such as the Fraxel’s or less invasive lasers like the Laser Genesis.
  2. Hair transplant is the ultimate, preferably FUE (follicular unit extraction). NeoGraft is automated FUE technology. For prevention of further loss of hair, use Rogaine 5% and finasteride (a prescription medication).
  3. Floss at least once a day. Use a Sonic toothbrush. Teeth whitening kits can be purchased at any pharmacy.
  4. Fillers, such as Restylane, Juvederm, Sculptra, Artefill, and more are excellent fillers, each with different indications. These are called “liquid facelifts,”especially Sculptra. Fat can also be used, but must be used very discriminatingly to prevent irregularities and lumps.
  5. Brow lift, which is a surgical procedure. This can be done under local or general anesthesia according to the extent of the procedure
  6. Upper lid lift, called a blepharoplasty. Usually done under local anesthesia. Very rewarding providing it is done just right and not too aggressively.
  7. Lower lid Blepharoplasty. Can be done through an incision inside of the lids or through the skin just beneath the lashes. Bags can be removed at the same time. Lasers are good for the fine wrinkles.
  8. Botox is the champion for these. Also skin care and lasers, like the Fraxel’s.
  9. Fillers in the lips to add volume. Fat can be used also. My preference here is Juvederm because of its longevity and the fact that it is reversible with an enzyme called hyaluronidase.
  10. Face lift is best. Some improvement can be achieved with fillers on each side of the jowl and in the face and micro-liposuction of the jowl itself.
  11. Facelift is best. Sometimes the problem is only fat and liposuction works very well.
  12. Ears can be surgically reduced.
  13. A rhinoplasty (nose job) is best. Some minor improvement can be achieved with fillers at the base of the nose to elevate the tip. The cartilage usually needs to be trimmed, however.

Website: Finger & Associates
Phone: 912-354-4411

Posted on October - 10 - 2011

Hair Loss Solutions

By the time you see that your hair is thinning, you have already lost from 30 to 50% of your hair, according to the color and thickness of each hair. And, it is unlikely that you will get re-growth of the hair you have lost if action is delayed.  Medical remedies are available, but they more helpful in preventing addition loss than recapturing your lost hair because follicles that have been inactive for a long period of time are unlikely to be stimulated to re-grow new hair.

What are the medical options for you?

The most common medical options are the topical medication minoxidil (Rogaine) at 5% and the tablet finasteride (Propecia or Proscar) at 1 to 5 mg. For hair loss, 1 mg (the dose of Propecia) is all that is necessary, so the Proscar 5mg can be divided into 4 small pieces, which is substantially less expensive. The combination of the two is the most effective to date for delaying hair loss. Some even feel that they do get new growth, probably from the hair follicles that have recently become dormant. Finasteride should not be used by women until they have completed their childbearing.

Rogaine should be used at 5% twice a day. The FDA dose for women is 2%. Many women find more success with the 5%, and I suggest using the foam as it is less oily.

Other maneuvers that you should take are checking your hormone levels, particularly your thyroid levels and testosterone levels. These are blood tests that can be checked by your doctor. Either high or low thyroid levels can cause hair loss. You should strive to keep your levels at the high end of the normal range.

For the testosterone, the most important level to check is your DHT (dihydrotestosterone), as this can definitely cause permanent hair loss if excessively elevated. If it is elevated, medicine to reduce the conversion of testosterone to DHT can be taken. One such medicine is Arimidex at 1 mg once or twice a week.

What are the other options?

If laboratory results are within normal limits, one should consider hair transplantation. This involves taking the hair follicles that are destined to survive and grafting them to the hair loss areas. This is usually the sides or back of the scalp. However, hair transplants are quite successful when taken from the body as well. The most modern method for hair transplantation is the NeoGraft technology, which grafts follicular units with from 1 to 4 hairs per graft. The NeoGraft requires no scalpel, sutures, or staples and leaves no visible scar. The results are natural and literally undetectable. Superior hair transplantation results are not only due to the equipment, however. Performing any hair transplant requires careful planning, skill, experience and an artistic flair to achieve the most natural result. Skill is particularly required for the frontal hairline as well as aligning each hair in the proper direction according to its location on the scalp. The goal is to have hair that is manageable and not hair going in all directions.

How fast does the hair grow?

Typically the transplanted hair is shed by the follicle after transplantation after a few weeks. Then the first of the permanent hair growth will be seen at 3-4 months. At 6 months about 50% of the hairs will appear and at one year 95% will be growing. At a year it will appear that the hair growth is completed, but the final density will require about a year and a half. It is recommended that one continue using Rogaine and, if possible, finasteride to prevent further loss of hair. The grafted hair is usually permanent, but not the remaining hair in the areas typical of male or female pattern balding.

Website: Finger & Associates
Phone: 912-354-4411

Posted on May - 31 - 2010

Hair Transplant for Men and Women with NeoGraft

It’s a pretty fair statement to say that no one wants to lose their hair. Through the years I have seen people go to wigs, weaving, coloring the scalp (to make the hair look thicker), and other temporary measures, all of which are unsatisfactory. The ideal goal, however, is permanent, natural looking, thicker hair, and the only way to achieve this is with a hair transplant. The problem has been that a hair transplant is a big procedure and often they have the appearance of sprigging the yard with grass—except the hair doesn’t spread like grass. The only way to acquire the hair to transplant has been (until now) to remove a large strip of hair from the back of the scalp where the hair is thick. This required the addition steps of closing the wound with either sutures (stitches), or more commonly, staples. Such scars are often obvious, painful, and leave much of the scalp with numbness. In addition, this obviates wearing your hair short. In addition, the procedure is painful and the recovery prolonged.

The next step is painful for the people doing the transplant! The strip of scalp has to be tediously dissected down to “plugs” with very few hairs per plug, and this can take hours with several nurses or personel. Finally, the plugs have to be inserted into the pre-planned recipient areas. Generally, the hair falls out of the plugs and then re-grows at about two to three months. On the other hand, if properly performed by someone with lots of experience, it can give a very natural appearance,. so the concept is good, but the technique needed improvement.

Years ago, when I first started my practice in plastic surgery, I performed several hair transplants by this technique and it was uniformly disappointing to the patients and to me, so I stopped doing them. I even went to a few courses on the subject and picked up alternative surgical procedures like scalp reduction, which is basically surgically removing the bald area, and I did a couple of them.  This is not a bad technique in very select people, but it leaves a significant scar.  If the person becomes balder, the scar is more conspicuous—sometimes very conspicuous, and that’s bad. Another technique is using hair containing flaps which look like carpets. These look very unnatural to me.  So I gave it up—until now.

What’s the new technique? It’s automated and it’s done with a new machine called the NeoGraft. The equipment, with the use of vacuum, removes micro-grafts from the back of the head, each graft containing 1, 2 or 3 hair follicles, and then inserts them into the desired recipient scalp. The advantages are: no scar, minimal numbness and pain, better “take” of the grafts, more natural appearance, a shorter procedure time and up to 2,000 grafts at one sitting, which is enormous. In addition, most often no dressing is necessary and patients who have had both techniques done say it is “night and day” more comfortable, and the down-time is minimal compared to the strip method. With the NeoGraft, I expect the hair transplant procedure will become much more commonly performed in both men and women.

E. Ronald Finger, M.D., FACS

5356 Reynolds Street

Savannah, GA

912-354-4411/ 800-868-9301

Website: Finger & Associates
Phone: 912-354-4411