After a hair transplant with most surgeons, though they get some hair back patients always want to know why the hair isn’t thicker. The matter of density is what motivates Dr. Brett Bolton, a hair transplant surgeon in Fort Lauderdale, Florida. Today's 'gold standard' of hair transplantation is not high enough for Dr. Bolton who has specialized in hair transplants since 1997. Dr. Brett Bolton, the Magic Man, is raising the bar past the gold standard to platinum.
In the late 90's he was fortunate enough to enter the field of hair restoration surgery during a transitional time when technology was being shaped. Outdated techniques like the large chunky hair plugs, punch grafts and flap surgeries were on their way out and the defining new technique of follicular unit transplantation (FUT) was just cresting the horizon. Dr. Bolton's vantage point at that time could not have been any better. He learned from the mistakes of other hair doctors as he repaired bad implants, and he also gleaned valuable techniques from talented surgeons like the late Dr. Constantine Chambers who did wonders with old technology, especially in the crown area. It was this knowledge that would shape Dr. Brett Bolton into the amazing surgeon he is today.
With FUT, doctors implant small slit grafts that contain only one hair bundle. These grafts are harvested from a single strip of donor tissue and separated under a microscope. They contain a naturally occurring bundle of 1-4 hairs. The result is very natural looking, but Dr. Bolton would argue that there is not enough hair density to give patients a satisfying outcome with 1-4 hair grafts only. They will have hair, but it will be thin.
In the early 2000's, it became unheard of for doctors to perform surgeries using anything other than FUT. However, Dr. Bolton had already developed a method of transplantation using a mixture of graft sizes that far outperformed the standard follicular unit transplantation. He was not willing to cast off a technique that was proving to be extremely successful in his practice despite pressure from his medical peers. Instead, he refined and developed this approach and proudly applies Multi-Unit Hair Grafting, which he co-developed at PAI Medical Group in Nashville, Tennessee. By using a combination of micrografts (single hair grafts), follicular units and multiple follicular unit grafts, which is a slit graft containing 2 to 3 follicular units, Dr. Bolton gives patients 2-3 times the density compared to other doctors who use FUT only.
There are medical peers of Dr. Bolton's who would erroneously claim that multi-unit grafts are old style hair plugs. These new style slit grafts are slightly larger than standard follicular units. Although, separated under a microscope just like follicular units, these multi-unit grafts are not harvested with a punch biopsy instrument. This insures hardiness of the delicate hair follicles and surrounding tissue. They are never used in the frontal hairline and are strategically placed throughout the vertex and crown to make the most of density.
This style of transplantation is so unique, Dr. Bolton cannot even charge by the graft because it simply doesn't translate. Instead, he charges by hair volume. When compared to competitors, hair for hair, Dr. Bolton's surgery is the best value in the industry. His process not only saves the patient money, but gives them optimal density and when it comes to a hair transplant, it’s all about the hair anyway isn’t it?