Restoring Hair to the Goatee, Mustache, Beard, and Sideburns

Facial hair transplantation restores hair to the beard area where hair growth is thin or missing. It can be performed to restore the goatee and mustache, sideburns, cheek beards, and anywhere that hair is desired, even if hair has never grown in the area before. Facial hair transplants can also be used to conceal acne scars and other types of scars.

The absence or loss of facial hair may occur for different reasons. While most commonly genetic, other causes include prior laser hair removal, priorsurgery such as a facelift or cleft lip repair, acne scarring, or burns. Gender reaffirmation female to male patients (FTM) may also benefit from a facial hair transplant to create a more more masculine appearance. Goals for this procedure range from minor filling of a limited area, to recreating sideburns, to the restoration of a full goatee or beard. The procedure can be performed on areas where there is no hair, or on areas where hair growth is thin and more fullness is desired. There should be no loss of preexisting hairs from the procedure. Areas of scarring can also be effectively concealed with facial hair transplants.

Graft counts depend on a number of factors including the amount of area to be covered, how much if any hairs are already present, the goals of the patient, and the thickness of the donor hairs. A general rule of graft counts are350 up to500 grafts (or around 400 to 500 hairs) for the mustache, 700 up to 12– grafts for a full goatee, 200 up to 300 grafts for each sideburn, and 300 to as many as 900 grafts for each cheek beard. Most patients achieve the desired results in a single procedure, however in the occasional patient a second smaller procedure may be indicated to achieve greater density or to extend the area of coverage. In younger patients at risk for developing male pattern hair loss it is important to recognize that any hairs transplanted into the beard will not be available for transplanting to the scalp. This means that if an individual typically has 6500 to 7500 total grafts (equivalent to 14,000 to 16,000 hairs) available for transplanting over a lifetime, if 2,000 grafts are used for the beard there will be 4500 to 5500 total grafts left for use in the scalp in the future. .

Patient Gallery Before and one year after 1800 grafts to beard. Before and After 2000 FUE grafts. BEFORE AND AFTER ONE PROCEDURE OF 1,700 GRAFTS. ASIAN HAIR CAN BE MORE CHALLENGING BECAUSE OF THE COARSENESS AND STRAIGHTNESS OF THE HAIRS. BEFORE AND AFTER ONE PROCEDURE OF 850 GRAFTS TO THE GOATEE Before and after 2400 FUE grafts transplanted to the beard Before and after 1800 grafts to beard VIEW OUR BEFORE AND AFTER HAIR TRANSPLANT RESULTS * All patients are unique and individual results may vary.

Beard hair transplantation using Implanter Pens. Here Dr. Epstein demonstrates the placement of hair grafts into the beard using the Implanter Pen, minimizing the trauma to the grafts for the most natural results and highest regrowth rate. The donor hairs for a facial hair transplant almost always are from the scalp that once transplanted, will grow and appear very similar to beard hairs. These grafts are obtained bythe FUE (follicular unit extraction) technique using the most advanced FUE systems with the smallest possible punches to assure excellent regrowth and minimal to no scarring of the donor area so in most cases the patient can shave his head as short as desired. The use of very small recipient sites typically 0.5mm in size assures essentially no scarring of the skin. This attention to detail by our practice is extended to the matching of hairs from certain areas of the scalp to certain parts of the beard where they will create the nicest result. This typically means that hairs from the back of the head are used to restore the goatee and mustache and central cheeks, while hairs from the sides of the head are used to restore the sideburns and posterior cheek regions. The transplanted hairs are permanent and will grow like normal facial hair and can be trimmed or shaved as desired.

Patients of all ethnicities and races can undergo a beard transplant. Proper motivation and realistic expectations are the most important criteria for undergoing the procedure. Younger patients needs to be aware that any hairs transplanted into the beard are hairs that will not be available in the future if a scalp hair transplant is desired. Our patients, if they choose, are able to shave their scalps and or beard areas with little risk of visible scarring.

Options For Your Evaluation

CONSULT IN PERSON – You can meet with Dr. Epstein in the Miami office if you live in or will be visiting south Florida. Here you can not only have a chance to discuss your goals and undergo a full evaluation, but also see the modern facility that is designed with patient comfort and safety in mind. Our office is located in South Miami close to Coconut Grove, Coral Gables, downtown Miami and Miami Beach, and is just 20 minutes from Miami International Airport. The office is on the campus of South Miami Hospital (affiliated with Baptist Health), and provides covered underground parking and sufficient privacy. Please be sure to bring your parking ticket for validation. You can schedule a consultation or learn more by clicking HERE. The $200 consultation fee gets applied to your procedure or any other purchase.

CONSULT BY WEBCAM – Dr. Epstein is no stranger to webcams, having provided hundreds of patients consultations over the past five years. Today, this has become the most popular method for patients to “meet” Dr. Epstein, especially considering that most patients are traveling from out of town. Your consult can be performed just like a regular in-office consultation, with the doctor discussing with you your goals and explaining his recommendations in a formal manner from the comfort of your home, your office, or even your car. The most common formats for the webcam are FaceTime or Zoom, but other modalities are available. You can schedule a consultation or learn more by clicking HERE. The $200 consultation fee gets applied to your procedure or any other purchase.

EVALUATION BY PHOTO REVIEW – This is an easy way to have your case evaluated, without any charge. By sending your photos, along with information on your age, hair loss history, any prior therapies or procedures, family history of hair loss, and your goals, Dr. Epstein can provide his recommendations and advice. If desired, once you receive his recommendations, you can have a webcam or in-office consultation to learn more, however by photo review you will have the opportunity to ask questions and speak with his assistant Roxy or Dannette who will be able to guide you through this process.

WHAT TO EXPECT WITH DR. EPSTEIN

Natural appearing hair restoration, whether to the beard, scalp, or eyebrows, is achievable with a combination of aesthetics and technique. For more than 25 years, Dr. Epstein has devoted himself to the science and artistry of hair restoration, and for the past 14 years he has applied his skills to the refined procedure of beard restoration. Having performed over 750 beard transplants, Dr. Epstein is a recognized leaders in this technique, and he has lectured extensively at national and international scientific meetings and published multiple scientific articles and chapters including authoring the chapter on beard hair transplants for the 2015 edition of the textbook “Hair Transplantation 360” Performing on average three of these facial hair procedures each week, most of our patients travel to have their procedure with us in order to be assured of a natural appearing result.

In most beard transplants, cases, single and two-hair grafts are combined to optimize naturalness and density. Each recipient site is made by the doctor so as to be sure of achieving the desired angle and pattern of hair growth. Our special “beard” team of assistants work with the doctor to help execute the desired final result.

Four days after 800 grafts to the mustache and goatee in an Asian patient Just eight days after the hair transplant with full healing of the FUE donor area

Procedure & Recovery



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Goatee/mustache design is determined along with a graft estimate to achieve the desired results. The facial hair transplant is usually performed under oral sedation with local anesthesia, but if desired can be performed under twilight sedation. Lasting three to eight hours, it is a relatively easy and essentially painless procedure Prior to completion, the patient is able to observe for himself the result and any desired changes can be made at this time. The procedure is performed under strict sterile conditions to assure patient health and safety.

The recovery is typically painless, and most patients return home the very next day wearing a mask for privacy. Tiny crusts at the site of each transplanted hair start to fall off five days later, while it takes seven to 10 days for the face to fully heal up other than in some cases some prolonged pinkness to the area. Full exercise and normal face washing is permitted on the sixth day, and once the transplanted hairs fall out by 10 days shaving can be resumed. By three days the donor area is fully healed.

Traveling for a beard transplant

Most of our beard transplant patients are from out-of-town, and the entire consultative process from evaluation to recommendations to scheduling can be done by email, phone, and or webcam, but of course in-office consultations are also welcome. The day of or the day before the procedure the patient will meet with the doctor to further discuss the goals and plan for the transplant. assure your goals are met. Patient advisors Roxy and Dannette work with our patients to assure the entire process proceeds smoothly and easily

Testimonials Dear Dr. E and the Foundhair team, I wanted to let you all know how pleased I am with the results. I am really glad I went forward with the procedure. The elegance of the technique and the artistry behind it were nothing short of remarkable. As both a physician with a very meticulous approach myself and as someone who appreciates aesthetic excellence, my expectations were exceeded. I can’t thank the team enough for everything that went into this. Attached are just a couple of pictures we snapped out of excitement (both without any alteration and after playing around with some beard trimmers). 5 stars D



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