Hair Restoration
Danville, Blackhawk, Walnut Creek and Manteca
At the Gladstone Clinic, we specialize in hair restoration surgery and medical treatment of hair loss for both men and women. Our surgeons are experts in the practice of follicular unit transplantation, a refined and state-of-the-art procedure in the field of hair restoration.
Renowned Hair Restoration Expert Joins the Gladstone Clinic
Dr. Paul Rose brings over 20 years of experience in hair restoration and is recognized internationally for achieving natural hair transplantation results. He is Past President and Board Member of the International Society of Hair Restoration Surgery (ISHRS) and has served as a trustee of the Hair Foundation, American Academy of Cosmetic Surgery and the Cosmetic Surgery Foundation.
Dr. Rose is certified by the American Board of Dermatology and is a Fellow of the American Academy of Dermatology and the International Society of Hair Restoration Surgery. He has served on the clinical faculty of the University of South Florida.
He is active in hair loss research and has published numerous articles on medical and surgical hair restoration. Dr. Rose developed the “ledge” trichophytic closure technique which minimizes donor scars by directing hair to grow through the line where the donor strip was taken.
He is a recipient of the ISHRS Golden Follicle Award presented for outstanding and significant clinical contributions to the field of hair restoration.
Hair Restoration/Transplantation Procedures
Individual hair follicles are extracted from your skin and implanted elsewhere on your body during a follicular unit extraction (FUE) hair transplant. The hair in the new area will appear thicker as a result.
The “classic” follicular unit transplantation (FUT) technique was to be replaced by FUE. This procedure involved taking an entire piece of skin or scalp, including the follicles, and transplanting the skin to the target area.
FUE has gained popularity over FUT because it is less likely to result in a “hair plug” look, in which sections of skin or hair do not match the surrounding areas. It will also not leave a large scar like FUT.
Someone with thinning or balding hair who still has enough hair nearby to use for a transplant is the best candidate for a FUE hair transplant. If you don’t have enough healthy or thick hair to transplant to the thinning or balding area, you may be ineligible for a FUE hair transplant.
Follicular unit transplantation, also called “FUT,” is a surgical procedure that involves:
- The removal of a strip of skin from the back of the head without it hurting.
- The hair roots are then taken out by a team of medical techs using microscopes.
- The doctor then puts these roots, called “follicular units,” into tiny cuts he or she makes in the balding or thinning areas of the scalp.
- These roots will grow new hair in about four months, after they have healed in their new places.
- The back of the head where the strip of skin was taken from is stitched shut. This is called the donor area. It heals with a straight scar that is quickly and easily covered by the hair around it. Most of the time, if more hair is needed in the future, this area can be used again.
Micrografts can be done in groups of two, three, four, or five hairs. Most grafts with one or two hairs are only 0.5 mm to 1 mm across, which is smaller than a grain of rice. Minigrafts, on the other hand, are a little bit bigger than micrografts. Each one has three to six hair follicles and is 1 to 2mm across.
Combining micrografts and minigrafts into one hair transplant procedure is now the most popular and effective way to treat hair loss, even though each procedure can be done on its own and looks completely natural after surgery. When micrografting is done, patients will not look like they are “under construction” or “half done.” To get more hair, you may need to do more than one thing.
In some situations, a patient can be happy with the results of just one procedure. Depending on how dense the hair needs to be, a single procedure can use anywhere from 500 to 2000 grafts. Most hair transplant patients, on the other hand, say they want more hair, which would require two or three more surgeries. If a patient needs 4000 grafts or more, we will come up with a hair restoration plan that includes two or more procedures.
SmartGraft® is an excellent choice for both men and women seeking a permanent solution to hair loss. Instead of a scalpel, SmartGraft employs a combination of precision craftsmanship and cutting-edge technology.
Patients can return to work in one or two days, and the results are completely natural. You will be given instructions on how to prepare for the procedure on the day of the procedure.
Dr. Paul Rose
Education
State University of New York, Bachelor of Arts, 1974 State University of New York, Downstate Medical Center, M.D., 1979
Post-Graduate Positions
1979 – 1980: University of Connecticut Medical Center, Internal Medicine Internship 1985 – 1988: Temple University, Skin and Cancer Hospital, Dermatology Residency
Board Certification
1988: American Board of Dermatology
Research Projects
- Alpha Ð1 antitrypsin Pi types, Brooklyn Jewish Hospital, Brooklyn, New York, New York Lung Association Research Grant 1975
- Mechanisms of Differentiation and Heterochromatization in Mealy Bug Germinal Tissue, SUNY at Buffalo, Buffalo, New York 1977
- T cell Migration Patterns in Lymph Node Post Capillary Venules, Downstate Medical Center, Brooklyn, New York, Student Research Grant 1978
- Histamine Influence on T cells, Johns Hopkins Medical Center Good Samaritan Hospital, Baltimore, Maryland 1978
- Selected for Student Elective at the National Institute of Health. Immunology Section, International Society of Hair, Bethesda, Maryland 1978
International Scientific Presentations
- Considerations for FIT, FIT-FUT Workshop – My Approach to FIT, Scalp Dermatology-NON SCARRING Alopecia.
- Presented at the International Society of Hair Restoration Surgery Annual Meeting, Vancouver, Canada
- FIT Problems and Solutions- The LEDGE Donor Closure Technique. Presented at the European Society Hair Restoration Surgery, Brussels, Belgium
- An Approach to “FIT”. Presented at the Italian Society of Hair Restoration, Torino, Italy
- Apoptosis and Androgenetic Alopecia. Presented at the International Society of Hair Replacement Surgery, Puerto Vallarta, Mexico
- Live Surgery- Follicular Unit Grafting. Presented in Orlando, Florida
Bibliography
- Rose, P.T. and Parsley W, The Hairline in Hair Transplantation, eds Stough, DB and Haber, R, Senior Ed, Dover J, Elsevier in press
- Rose, P.T., and Shapiro R., Pearls on Megasessions, International Journal of Aesthetic and Restorative Surgery 1995, Vol3,2: 133-136.
- Rose, P.T., Considerations in Establishing the Hairline, Intl J of Aesthetic and Restorative Surgery,1998.
- Rose, P.T., The Preparation of Mini Grafts Using Backlighting and/or Microscope, in Hair Transplantation ed Unger W and Shapiro, R, accepted for publication.
- Rose, P.T., Hairline Design, Hair Transplant Forum International, Volume 12, Number 5, 180, Sept/Oct 2002.
- Rose, P.T., Avram M, Cole J. et al ,The Potential Role of Minoxidil in the Hair Transplantation Setting, J Derm Surg 2002;28:894-900.
- Rose, P.T. , Shapiro , R and Morgan M, The Anatomy of the Hair Follicle, in Hair Transplantation ed Unger W and Shapiro, R, accepted for publication.
- Rose, P.T. , Shapiro et al, Scalp Anatomy, In Hair Transplantation ed Unger W and Shapiro R, accepted for publication.
- Rose, P.T. and Shapiro, R, Hair Transplantation in Scar Tissue, in Hair Transplantation, ed Unger W and Shapiro, R, accepted for publication.
- Rose, P. and Morgan, M, An Investigation of Apoptosis in Androgenetic Alopecia, Annals of Clinical and Laboratory Science, Vol 33, no 1, 2003.
- Rose, P.T. and Neff M, Medicolegal Aspects of Hair Transplantation.
- Rose, P.T., Techniques for graft preparation using the backlight.
- Rose, P.T., An Algorithm for Hair Loss, Published in Symposium, Pfizer 2003.
- Rose, P.T., Proper, S Mohs Micrographic Surgery for Skin Cancer, The Bulletin of Polk County Medical Association, Vol 30, No 8, August 1989
- Rose, P.T. Proper S, Fenske, N., Actinic Keratosis and Non Melanoma Skin Cancer Geriatrics, Vol 45:57-65, July 1990
- Rose, P, Proper, S., Pre-Operative Evaluation , Medical Complications, in Handbook of Mohs Micrographic Surgery, Mikhail G.,ed Philadelphia, Saunders 1991
- Rose, P.T., (Chairman Editorial Board) Medical Office Response to Emergency, Physician Office Products, New Smyrna Beach 1993.
- Rose, P.T. Scalp Reductions , in Principles and Techniques of Cutaneous Surgery, ed Lask G, and Moy R, R.L., Mc Graw-Hill, new York c 1996, pp 543-560
- Rose, P.T., An Adjunctive Technique for Treating Perioral Rhytids, International Journal of Laser Surgery
- Rose, P.T., Histological Changes Associated with Mesotherapy Journal of Cosmetic and Laser Therapy, 2005
