Focus of Care


Androgenic alopecia is the scientific name for the genetic predisposition in both men and women for pattern baldness. Genetic hair loss in men is often referred to as Male Pattern Baldness (MPB) and is the cause of thinning hair in over 95% of patients who seek treatment. MPB occurs in predictable stages and is relentlessly progressive. Usually the earlier in life hair loss begins, the more advanced the pattern will ultimately become.

In MPB the hairs on the top of the scalp have a genetic sensitivity to the male hormone testosterone (DHT). The hairs on the sides and back of the scalp do not possess this sensitivity to DHT and therefore are not affected. For this reason, hairs removed from the sides and the back (Donor Hair) will maintain their genetic predisposition when transplanted and continue to grow when moved to the top of the scalp where hair loss has occurred.

Hair loss in females is less predictable. The hair loss tends to be more diffused creating a more generalized thinning effect throughout the entire scalp. Fewer medical and surgical options are available for these patients.

A comprehensive consultation with a physician is required to determine whether you are a good candidate for hair restoration surgery.

Dr. Gelman treats both men and women experiencing hair loss at his practice based out of Melbourne, FL.

The Hair Transplant Procedure

Hairs on the sides and the back of the head are not affected by MPB. As a result, we are able to remove donor hair follicles from the sides and back of the head and relocate them on the balding area and the newly transplanted hair will continue to grow exactly as it had from the donor region. Optimal hair growth may take 9-12 months because some of the transplanted hairs may go into a normal resting phase. Graft survival is usually over 95%.

Dr. Gelman performs Follicular Unit Grafting which is considered the “Gold Standard” in advanced hair restoration techniques. The procedure involves removing a narrow strip of hair from the back of the scalp and then separating the hairs into one, two or at the most three hair groups which are called follicular units. These follicular units are then precisely placed in a natural growth pattern on the top of the scalp. In the past, hair flaps, plugs and scalp reduction were all utilized. Today, follicular unit hair transplantation is the most common surgical treatment for hair loss. Cosmetic outcomes have improved steadily with experience, scientific advances and state-of-the-art instruments.

If further hair loss occurs after the first follicular unit transplant, additional procedures may be required. Often patients are encouraged to begin medical treatments for hair loss to prevent or delay future hair loss and the need for additional procedures.