Originating from the captivating realm of Thailand, Dr. Damkerng Pathomvanich has emerged as an unmatched pioneer in the intricate realm of refined follicular unit grafting. Revered for his unwavering commitment to the field of hair transplantation, Dr. Pathomvanich has left an indelible impression through his prolific writing, extensive educational endeavors, and, above all, his exceptional hair transplant results. The coveted Golden Follicle Award of 2010 stands as a testament to his extraordinary contributions.
Dr. Damkerng Pathomvanich stands as an undisputed giant in the field of hair transplants. His expertise lies exclusively in the art of ultra refined follicular unit hair transplantation. Armed with exceptional skill, vast experience, and a proficient team, Dr. Pathomvanich excels in performing large-scale hair transplant mega sessions that surpass an impressive count of 3000 grafts. He masterfully tailors his approach to suit the unique requirements of each patient.
Dr. Damkerng Pathomvanich is a renowned plastic and reconstructive surgeon with an illustrious career spanning 53 years. He obtained his medical degree from Siriraj Hospital at Mahidol University in Thailand in 1970, and later pursued fellowships in surgery from the esteemed American College of Surgeons in the United States in 1985 and 1988. Subsequently, he received a Fellowship in Cosmetic Surgery from the American Board of Cosmetic Surgery, USA. In 2003, he attained the prestigious status of Diplomate from the American Board of Hair Restoration Surgery. Cosmetic surgery and hair restoration surgery remain his primary clinical interests.
Dr. Pathomvanich’s approach is firmly rooted in customization, ensuring that each patient undergoes a tailored hair transplant experience. Every follicular unit undergoes meticulous scrutiny and trimming under powerful microscopes. These units are then delicately implanted by Dr. Pathomvanich and his skilled team into tiny recipient incisions, some measuring as small as 0.8mm, to maximize the yield of hair growth. Employing a combination of custom cut blades and needles, he adeptly creates minuscule incisions that perfectly accommodate the grafts, resulting in a flawless fit. Dr. Pathomvanich’s pioneering expertise extends to dense packing, a technique in which he can safely implant an astonishing 50 follicular units per square centimeter in the balding area, employing the revolutionary lateral slit technique.
Innovations: PRP and SMP
Recognizing the potential of cutting-edge treatments, Dr. Pathomvanich seamlessly incorporates platelet-rich plasma (PRP) into his hair loss therapies, utilizing it in conjunction with hair transplant surgeries when appropriate. He also reserves scalp micropigmentation (SMP) for addressing donor scars and small areas experiencing thinning, harnessing the transformative power of this technique.
A Revered Authority in the Field
Dr. Damkerng Pathomvanich’s contributions to the world of hair restoration surgery extend far beyond his surgical prowess. As a distinguished author, he has authored or co-authored several influential textbooks, including the groundbreaking works “Practical Aspects of Hair Restoration Surgery in Asians,” “Hair Restoration Surgery in Asians,” “Alopecia,” and “Hair Transplant 360.” Additionally, he has contributed extensively to esteemed medical journals. Dr. Pathomvanich’s profound expertise has led to his invitation as a distinguished speaker, moderator, and panelist at hair restoration surgery meetings worldwide for the past two decades, leaving an indelible impact. His vast knowledge and skills have empowered him to train numerous physicians across the globe, cementing his position as an authority in the field.
Follicular Unit Extraction (FUE) represents a minimally invasive hair transplantation procedure, wherein individual hair follicles are meticulously harvested from the donor area one at a time, utilizing either a power or manual punch. Our clinic employs cutting-edge punches, at the forefront of the hair transplantation industry, designed to minimize transection rates and ensure the extraction of high-quality hair grafts. Subsequently, these meticulously extracted hair grafts undergo inspection, and if necessary, trimming under microscopes. The surgeon then delicately places these grafts into tiny incisions made in the recipient area.
This advanced FUE technique distinguishes itself by avoiding the creation of a linear scar in the donor area, leaving instead numerous tiny white scars proportionate to the number of grafts extracted. The majority of patients experience a recovery time of just a few days. It is important to note, however, that we do not recommend shaving the donor area after surgery, as it may reveal the tiny scars.
The surgeon extracts a strip of scalp tissue from the ‘permanent zone,’ the area of donor hairs with healthy and robust hair follicles, employing the “open technique” under direct visualization—a method we pioneered to minimize follicular transection to as low as 1-2%. This strip is meticulously slivered under a binocular stereomicroscope to prevent any potential injury or transection to the hair follicles. Each graft, comprising 1 to 4 hairs, is then meticulously placed into tiny incisions made by the surgeon in the recipient area.
To close the wound, a double trichophytic technique is employed, and stitches are typically removed within 10-14 days. In most cases, patients can resume their normal activities a few days after surgery without the donor wound being noticeable, especially when the hair length is kept at least 3 cm. The scar is nearly imperceptible for the majority of patients, except for those who may be prone to wider scarring.
Combination FUT and FUE
The ‘COMBO’ technique is a fusion of FUT (Follicular Unit Transplantation) and FUE (Follicular Unit Extraction), gaining increasing popularity among hair transplant surgeons aiming to maximize grafts in a single session of hair restoration surgery. Following the completion of strip harvesting in FUT, the surgeon can proceed with FUE either higher or lower than the strip. The decision on the harvesting pattern is made by an experienced surgeon. This innovative approach aims to minimize the donor scar size associated with FUT and simultaneously reduce the diffused thinning area resulting from FUE.
Scalp micropigmentation (SMP) presents a non-medical, tattoo-based solution that serves as an effective “cover-up,” concealing undesirable conditions on the scalp and creating the visual illusion of thicker hair. Particularly adept at camouflaging scars, SMP acts as a semi-permanent concealer. The artistic application of micro droplets of pigment, resembling the stippling technique in painting, creates a dot matrix effect on the scalp, offering an aesthetically pleasing solution. Using a standard tattoo instrument, our clinic can expertly perform SMP for individuals with prominent scars resulting from donor strip harvesting techniques or specific areas of hair thinning.
Eyebrows are one of the most crucial cosmetic features on our faces, significantly influencing our appearances and self-confidence. Unlike standard hair transplantation surgery, eyebrow transplantation (EBT) poses a unique and challenging procedure for hair restoration surgeons. Both the surgeon and the assistant must exhibit extensive experience and precision to design and craft a natural-looking shape for eyebrows that complements each individual patient’s facial features.
The donor site is meticulously chosen from the mid-occipital area, as it is less prone to graying with age. To achieve a harmonious match with existing eyebrows, the caliber of the donor hair is carefully measured whenever possible. For women seeking eyebrow transplantation, fine hair is preferred, and the nape hair is often an ideal donor source. Graft harvesting can be executed through either FUT (strip technique) or long hair FUE. FUT, offering a preview of the EBT result, is favored by many surgeons. The grafts are delicately placed one by one into small incisions made by the surgeon, with the entire procedure conducted under local anesthesia.
Beard, mustache, goatee and sideburns transplantation
Facial hair transplantation is a specialized hair restoration procedure that involves relocating scalp hairs to areas on the patient’s face where hair is thinning or absent. This procedure is applicable to various facial regions, including beards, sideburns, goatee, and mustache areas. Donor hairs for this transplantation are extracted from the back of the head, similar to the process in scalp hair restoration surgery. The method of graft harvesting, whether FUT (strip technique) or FUE (follicular unit extraction), is determined during the initial consultation.
The design of the beard, mustache, goatee, and sideburns is a crucial step, requiring the expertise of an experienced surgeon. This design is discussed and finalized with the patient before the surgery. Once the desired shape is established, the surgeon can measure the area and provide a rough estimate of the number of grafts needed for transplantation. The entire procedure is conducted under local anesthesia.
Address: 1/8 Soi Pradipat 23 Pradipat Rd. Samsen Nai, Phaya Thai, Bangkok 10400