Hair Restoration

Hair Restoration

Modern hair transplantation is truly a state-of-the-art procedure that has evolved dramatically when compared to the procedures of yesteryear. With the development and continual refinement of Follicular Unit Transplantation, or FUT, modern well-trained hair restoration surgeons are able to recreate a completely natural appearance to suitable candidates with hair loss. Gone are the days of “plugs”, “baby doll hair” and the unnatural look that these procedures produced.

As with previous procedures, FUT relies most commonly on extracting hair from the donor region on the back and sides of the scalp. If you recall the pattern of even the most “bald” of men, these areas almost invariably retain hair. This is at least partly due to a genetic difference in how the hair follicle from this location responds to the hormone dihydrotestosterone, or DHT. This hair, when transplanted to balding areas, retains its resistance to DHT and continues to grow for the remainder of the patient’s lifetime.

In the FUT procedure, a strip of hair is surgically excised from the donor region following local injection of anesthetic. The size of this strip is determined by the estimated amount of follicles needed for the procedure, the scalp laxity and the donor density. In preparation for donor excision, the traditional method used by nearly all hair restoration surgeons worldwide is to shave the donor area hair to approximately 2-3 mm in length. Dr. Williams is one of only a handful of hair restoration surgeons in the world to perform long-hair transplantation in which the hair is not shaven prior to excising the strip. The major advantage to this technique is the gratification of seeing the results immediately following the procedure. Other advantages include postoperative camouflaging of the recipient site and improved density confirmation. After excision the strip is placed in a special graft holding solution, slivered and then further divided into follicular units in preparation for implantation at the recipient site. A follicular unit is a natural grouping of hair follicles of either 1, 2, 3 or 4 hairs. The donor excision site is then closed with sutures. Just prior to implanting the grafts in the recipient area Dr. Williams utilizes cutting-edge technology by using Platelet Rich Plasma (or PRP) separated from the blood drawn at the beginning of the procedure and re-injected in the recipient area. PRP is a veritable powerhouse of growth factors that bathe the transplanted follicles giving them the best possible environment for growth. Dr. Williams then uses state-of-the-art Lion Implanters to implant the long hair grafts into the recipient sites utilizing different sizes depending on the size of the follicular unit being implanted. Significant advantages to using implanters include reduced trauma to the hair follicle during handling leading to increased graft survival, less bleeding at the recipient sites and faster implantation. The entire procedure typically takes 6-10 hours with minimal post-procedure downtime.

Dr. Williams and his phenomenal team perform this entire procedure in the comfort of the Austin office of Tru-Skin Dermatology under light sedation and local anesthetic.

Call us today to schedule a free consultation with Dr. Williams to see if Hair Restoration is right for you.

Platelet Rich Plasma Injections

Platelet Rich Plasma Injections have been used for decades by both plastic and maxillofacial surgeons to enhance the healing of wounds and bone grafts. More recently sports medicine physicians and orthopedists have began using PRP to stimulate healing in tendon and ligamentous injuries. Hair restoration surgeons have began utilizing the healing potential of PRP to stimulate hair growth in both male and female patients with hair loss, to enhance graft survivability during transplant and promote post-op healing.

Platelets are one component of whole blood along with white blood cells, red blood cells and plasma. By spinning the whole blood in a centrifuge the different components are separated by weight into their respective fractions. Platelet Rich Plasma is plasma containing an increased amount of platelets per volume when compared to normal whole blood. These platelets are loaded with several growth factors that promote the hair growth cycle including Platelet Derived Growth Factor (PDGF), Vascular Endothelial Growth Factor (VEGF), Fibroblast Growth Factor (FGF) and Transforming Growth Factor (TGF), among others.

Here at Tru-Skin Dermatology Hair Restoration we use a state-of-the-art PRP system, the Arthrex Angel, to obtain our PRP. Using the Angel System, we are able to titrate the final platelet concentration many times that of whole blood obtain the best possible results.

We inject PRP into the balding areas of the scalp after numbing the area. It is crucial not only to inject the proper concentration of platelets but also to place the injections at the proper depth in order to reach the critical target area at the level of the hair bulbs where the stem cells reside. During our hair transplant sessions, we also add PRP to our graft holding solution to bathe the recently removed donor follicles while they are awaiting implantation in the scalp.
PRP injections can be completed in one 45-minute appointment in our Austin office under local anesthesia and without significant downtime.

PRP injections offer a safe and very promising non-surgical option for many patients with hair loss.

Call us today to schedule a free consultation with Dr. Williams to see if PRP injections are right for you.

Laser Cap for Hair Loss

In exciting news for female hair loss sufferers LaserCap® Company has recently received FDA clearance with their LCPRO device for the treatment of female hair loss and to stimulate hair regrowth. This is potentially great news for the estimated 20 million women suffering from hair loss and thinning. This addition to the arsenal of medical hair loss treatments is most welcomed as traditionally women have had fewer options than their male counterparts. The good news is that it’s also potentially effective for the roughly 35 million males suffering hair loss as well.

The LCPRO is a safe, simple to use, portable device that utilizes 224 cool-light laser diodes spread over the surface of the entire scalp to help halt the progression of hair loss and restore new hair growth. This lightweight device is concealed under any baseball hat and noticeable results can be seen after 12 weeks with as little as 3-4, thirty-minute session per week.

Low-level laser light therapy is thought to work by helping hair cells to “breath” better thus stimulating the hair follicle to produce thicker, healthier hair. This treatment is a great addition to an overall optimal plan of medical therapy and is most effective in hair loss sufferers with mild to moderate loss.

LaserCap LCPRO is only available through select physicians and hair restoration clinics of which Tru-Hair Restoration is an authorized center.

Call us today to schedule a free consultation with Dr. Williams to see if laser cap treatments are right for you.


Who is a good hair transplant candidate?

Ideal candidates are over the age of 30 with progressive hair loss of at least 5 years’ duration in the classic patterned distribution; frontal/vertex/temporal/crown areas for males and vertex/crown areas for females. This type of hair loss is called androgenetic alopecia. The prospective candidate should also have realistic expectations with regard to the outcome of the procedure and that the native hair that is still retained will very likely succumb to the process requiring future sessions. Individuals with scars secondary to trauma, surgical procedures or burns are also candidates. Only a qualified hair restoration surgeon can make the final decision on an individual’s candidacy for hair transplantation.

Who is not a good hair transplant candidate?

While most meeting the above requirements will be candidates for the procedure there are a few reasons that may disqualify an individual such as a poor donor supply, active disease of the scalp, scarring hair loss, unrealistic expectations, young age, or a diagnosis of Diffuse Un-Patterned Alopecia, or DUPA), in which the hairs in your donor area are undergoing the same process as the other areas of thinning. Once again your candidacy can only be determined by a qualified hair restoration surgeon.

What does the procedure involve?

The basic premise of any hair transplant surgery is moving donor dominant hair, in other words, hair that is not prone to the effects of the androgen DHT, to the areas of balding. It is comfortably performed in our office under local anesthesia and mild conscious sedation. We have electronic entertainment available and lunch will be provided. Please refer to the following link for a more detailed description of the procedure…..(insert link to article titled Hair Transplantation: The Basics).

Is it painful?

Our approach to each transplant is to utilize every tool and procedure possible to make the experience as comfortable and pain free as possible. This begins with a thorough overview of the steps involved in pain control from beginning to end. We utilize a small butterfly needle to collect the platelet rich plasma at the beginning of the session followed by an injection of anti-anxiety medication to bring about a sense of calmness. Local anesthetic is injected initially, utilizing a very small needle to numb the superficial skin, followed by injection of a deeper tumescent anesthesia which provides a prolonged numbing effect. About mid-procedure both the donor and recipient areas are injected with a long acting local anesthetic and at the end we give an intramuscular injection of a long acting anti-inflammatory medication both providing extended pain relief. All of these steps create a comfortable surgical experience and very minimal post procedural pain requiring no more than standard anti-inflammatory dosages of ibuprofen for the first few days.

How much downtime?

This is one of the beauties of this procedure! Downtime is virtually non-existent for the majority of individuals as there is no need for drowsiness producing pain medications.

How long is the procedure?

Procedure times vary between 4 and 9 hours depending on the number of grafts that are being transplanted. While this may seem like a long day, the combination of mild conscious-sedation during the first half of the procedure, entertainment choices like Netflix and lunch served to you in your chair make the day pass much more quickly.

What should my expectations be post operatively?

You should expect some minimal discomfort in both the donor and recipient areas and in some cases mild bruising of the forehead. You will be required to sleep at a 45-degree angle for the first 3-4 nights which will be made easier by utilizing the provided sleep medication and included neck pillow. Washing of the scalp is prohibited for 72 hours to avoid dislodging the newly transplanted grafts. Strenuous activities, swimming in a pool for one week and swimming in a lake for 10 days are also prohibited. Detailed post-operative instructions will be provided to you after your procedure.

How many sessions will I need?

This depends on the severity of your hair loss both currently and predicted, your age, as well as your desired results. The average 30- to 40-year-old individual should expect at least 3 sessions over the course of their lifetime to maintain adequate cosmetic coverage.

Do the results last?

Yes, the vast majority of transplanted hair from a healthy donor area will last for a lifetime!

How much does it cost?

Consultations are free and you will be provided a detailed quote during your visit. However, the cost of the procedure is $6.00 per graft with a graft consisting of anywhere from 1 – 4 hairs. This price also includes the injection of PRP in the recipient area.

Are there non-transplant options?

Yes, medications such as finasteride (Propecia), minoxidil (Rogaine) topical for men and minoxidil for women are strongly encouraged both for those seeking surgery and for those who are not. These medications are also strongly encouraged to prevent further loss of thinning hairs even after transplantation. LaserCap At-home Laser Therapy and PRP injections can be very helpful in both male and female patients. PRP injections are done in the office at Tru-Skin Dermatology and LaserCaps can be purchased at any of our clinics.

How much is a consult and where can I get it done? Where is the surgery performed?

Consultations are free and can made at our Austin, Cedar Park, Bee Cave, Bastrop or La Grange locations. Surgery is performed at our Austin clinic at Jefferson and 35th Street.


This is a brief overview of the most commonly prescribed treatment options for male and female pattern baldness and is not meant to be comprehensive in any manner. Each of these treatments, while often effective, cannot be guaranteed to slow down hair loss or regrow hair in all individuals. Because there are many causes of hair loss a professional consultation is recommended, so that your hair loss can be thoroughly evaluated prior to recommending any treatment option.

Rogaine (minoxidil):
Many have heard of this treatment option. This medication is available over-the-counter in two formulations, solution and foam. The 5% percent strength is recommended to be applied topically in the areas of hair loss/thinning once daily for women and twice daily for men. This medication has been used for many years to stimulate hair growth after studies in men taking the oral medication for high blood pressure noticed hair re-growth in some of those with male-pattern balding. The exact reason why this medication causes regrowth of hair is not completely understood, but based on animal models, it is thought to shorten the resting phase of the hair cycle and promote earlier entry into the growth phase. I always recommend this medication first-line for hair loss in both males and females. It does need to be used for a minimum of 6 months to determine its effectiveness.

Propecia (finasteride):
This oral medication is utilized in males for genetic hair loss. A one milligram tablet is taken daily to slow the rate of loss and in some may help regrow hair. It blocks the enzyme 5 alpha reductase which is responsible for converting testosterone to DHT or dihydrotestosterone. DHT acts on the hair follicle and in those with the genes for hair loss gradually causes shortening and thinning of the hair follicle, known as miniaturization, until it no longer grows. The blocking of this enzyme reduces the concentration of DHT on the follicle and helps reduce miniaturization thus slowing the rate of loss, which as stated above can enable various amounts of regrowth. Overall this is a very safe and effective medication in males with genetic hair loss, but as with any medication side effects are possible and these will be discussed with Dr. Williams in detail before prescribing.

This oral medication is taken daily in a dose between 100 and 200 milligrams. It is useful in some women with female pattern baldness who have elevated levels of circulating androgen hormones such as testosterone. This medication is an androgen blocking agent which means it suppresses the levels of these hormones and thus their effect on the hair follicle. Once again side effects are possible and these will be discussed in detail before prescribing.