The Future in Hair Transplantation Robert M. Bernstein, MD, William R. Rassman, MD, David Seager, MD Walter P. Unger, MD, FRCP(C), Bobby L. Limmer, MD, Francisco Jimenez, MD Jose M. Ruifernandez, Joseph F. Greco, PhD, PA/C, James Arnold, MD, E. Antonio Mangubat, MD, Albert J. Nemeth, MD, Jung-Chul Kim, MD, PhD Jennifer Martinick, MD, Edoardo Raposio, MD, FICS, Leonard M. Patt, PhD Marty E. Sawaya, MD, PhD, Angela M. Christiano, PhD, Emanuel Marritt, MD Abstract The 1990's have witnessed major changes in hair transplantation, most notably the trend towards the use of large numbers of very small grafts and the emergence of follicular unit transplantation as possibly the new propecia lower testosterone level symptoms anorexia "gold standard." This article reviews the new developments that will shape hair restoration surgery as we enter the next millennium. Many aspects of hair transplantation will be explored including: the follicular unit/mini-micrograft controversy, ways to measure and maximize the donor supply, new concepts in graft storage, advances in wound healing, new instrumentation, automated graft cutting and placing, advances in laser technology, the role of new medical treatments, and finally the status of research in cloning and genetic engineering. Introduction Robert M. Bernstein, MD The 1990's have witnessed major changes in hair transplantation, most notably the trend towards the use of large numbers of very small grafts and the emergence of follicular balding medical symptoms anorexia unit transplantation as possibly the new "gold standard." In addition to improved surgical techniques, new developments in medical treatments, marketing on the part of physicians, and coverage by the media, have produced an increased public awareness of this rapidly evolving field. The long-term observations of patients treated with the older hair transplant techniques and the use of new objective means to measure donor supply, have made the modern hair restoration surgeon more keenly aware of the importance of maximizing the patient's finite donor reserves. As a consequence, new ways of harvesting and dissecting donor tissue have been developed to better preserve this supply, and new ways of handling traction or traumatic alopecia symptoms anorexia and
