Dr. Peter Panagotacos

Dr. Peter Panagotacos

Nestled in the vibrant enclave of Cow Hollow in San Francisco, California, lies Hair Doc – a haven of hope for those seeking to reclaim their crowning glory. This is the realm where the indomitable Dr. Peter Panagotacos, a seasoned double board-certified dermatologist and cosmetic surgeon, weaves his magic to help patients surmount hair-related challenges stemming from illnesses, injuries, or hereditary factors.

Embarking on a journey that spans more than four decades, Dr. Panagotacos stands as an eminent luminary in both surgical and medical hair treatments. His odyssey commenced at Georgetown University in Washington, DC, where he forged his medical degree in 1968. This path unfurled further with an internship at St. Mary’s Medical Center, San Francisco, afterwards he took a formative dermatology residency at the hallowed halls of Louisiana State University Charity Hospital in New Orleans.

Before carving out his private dermatology haven in 1974, Dr. Panagotacos graced the United States Army with his dermatological expertise, notably as the final physician conscripted during the Vietnam War. Post his military service, his mission to heal continued, leaving an indelible mark on numerous lives. Furthermore, his commitment to academia flourished as he assumed the mantle of an esteemed assistant clinical professor of dermatology at the venerable University of California, San Francisco (UCSF).

Pinnacle of Dermatological Eminence

Dr. Panagotacos not only helms the dermatology department at St. Mary’s Medical Center but also commands respect as a sought-after global speaker on the intricate nuances of hair transplantation. His accolades include prestigious board certifications from the American Academy of Dermatology and the American Academy of Cosmetic Surgery.

Solutions at Hair Doc

Hair Doc

Within the comforting precincts of Hair Doc, Dr. Panagotacos unveils a symphony of solutions meticulously tailored to a spectrum of hair loss concerns. Here, the journey commences with a thorough assessment of each individual, laying the foundation for a bespoke treatment plan. Options abound, ranging from the cutting-edge finesse of FUE, harnessing the groundbreaking ARTAS robotic hair transplant system, to the time-tested prowess of FUT.  Laser caps, Platelet-rich plasma injections, and prescriptions like  finasteride and minoxidil embellish the array, addressing diverse needs.

Basking in the euphoria of advancement, Dr. Panagotacos introduces the revolutionary ARTAS Robotic Hair Transplant System, elevating the realm of hair restoration technology. A peerless addition, this state-of-the-art system, exclusive as the sole ARTAS iX in San Francisco, bequeaths the gift of genuine, naturally flowing hair. An added dimension of confidence unfurls as it grants the freedom to flaunt one’s cherished tresses at any desired length or style.

This transformative journey unfolds in a realm of minimal invasiveness, accompanied by the precision of 3D hairline planning and an unexpected bonus – wrinkle reduction. A rapid convalescence paves the avenue for a prompt return to daily rhythms, infused with the assurance that one’s hair can be adorned in myriad styles.

Personal Voyage Towards Revitalized Hair

In an era often characterized by detachment, Dr. Panagotacos chooses a hands-on approach. He accompanies his patients at every juncture – from the inaugural consultation to the execution of treatment procedures and the ensuing vigilance through follow-up visits. A pragmatic treatment plan, meticulously aligned with present and future hair loss aspirations, takes shape under his adept guidance.

Dr. Panagotacos refrains from performing “massive megasessions.”

Hair follicular unit micrografts

While the idea of placing more grafts in a single session might suggest achieving greater density in a shorter time, the opposite outcome may occur if many additional grafts fail to survive. Once these unsuccessful grafts are lost, they are gone permanently. It’s crucial to consider the actual number of hairs placed rather than just the number of grafts. For instance, 2,500 single hair grafts may not yield as much density as 1,500 grafts, with many containing two or more hairs.

Several factors influence the number of grafts placed, such as the size of individual grafts, the area needing coverage, hair follicle density in the patient’s donor site, the patient’s budget, and, most importantly, the surgeon’s judgment. Many experienced surgeons, including Dr. Panagotacos, opt not to take excessive risks with their patient’s donor hair follicles due to their limited number. If a patient requires 4,000 grafts, Dr. Panagotacos designs a hair restoration program consisting of two or more procedures to maximize the survival of transplanted hair follicles and provide the best outcome for the patient.

Single hair micrografts are employed to reconstruct a natural hairline in a single procedure:

Strips of donor tissue: Grafts are prepared from a strip of donor tissue removed from the back of the patient’s head. Each patient serves as their own “donor” for hair transplants. The surgeon, along with a team of medical assistants, individually prepares the grafts during the micrografting procedure. The surgeon then places the grafts into individually prepared recipient sites at the top and front of the scalp, ensuring their survival and mimicking the natural growth pattern of hair follicles.

Benefits of micrografts

Immediately after surgery
Immediately after surgery

Nearly undetectable: Follicular unit micrografting produces nearly undetectable results. The relocated hair follicles grow new hairs just as they did in their original location, and expert placement of the grafts results in a natural growth pattern.

Convincing hairlines: Micrografts are particularly effective in constructing convincing hairlines, with a zone of hairs thickening away from the face toward the top of the head. Natural-looking hairlines are crucial to appearance.

Efficiency: Hair transplants with follicular unit micrografts efficiently achieve a full head of hair with a limited quantity of donor hair. Although multiple sessions may be required for the ultimate desired density, a single micrografting session results in a natural-looking appearance of having more hair.

Versatile hairstyles: Micrografts grow real, growing hairs that look and style just like naturally occurring hairs. With an adequate number of transplanted hairs, any hairstyle, including short or combed straight back, can be worn.

11 months after
11 months after

Adding density: Micrografts can be individually placed between other growing hairs, adding density to thin areas before they become completely bald. Both men experiencing receding hairlines and women with overall thinning can benefit from micrografting before their hair loss becomes more apparent. Micrografts are also placed between hairs growing from previously transplanted micrografts, allowing hair density to increase with each additional transplant procedure. Unlike old-style full-size grafts, existing growing hairs are not sacrificed to make room for micrografts. Micrografts even grow well in scar tissue and can be placed after other cosmetic surgery procedures such as facelifts to hide scars that may otherwise appear on the scalp.

Enhancing past procedures: Micrografts are used to enhance the appearance of past hair transplantation procedures, especially at the hairline. For example, Dr. Panagotacos has further improved the appearance of patients who underwent full-size graft transplants decades earlier by performing additional micrografting procedures to enhance their hairlines.

No bandages: Micrografts are placed with minor injury to the scalp, healing rapidly. Dr. Panagotacos’ patients leave the office without any bandages on their grafts, and often without any bandages at all. Even when bandages are used, only a single small pad is placed over the donor site on the back of the head, and this is only for one day. Within just a few days after a micrografting procedure, there is little evidence to a casual observer that the surgery had even taken place.

Privacy: The relocated hair follicles begin growing new hairs within 3-5 months after surgery, resulting in a gradual thickening of one’s hair. Because there is no sudden change in appearance after surgery, no one has to know about the procedures being performed.

Continuous improvement: Patients in between procedures may have a thin-hair look, but they still have thicker hair than when they started. Micrograft hair transplant patients can schedule additional procedures as their time and budget allow, without concern for appearing “under construction.” With additional micrografting sessions, their hair will gain the look of even greater density.

Risks and disadvantages of micrografts

Limited results: The final density achieved depends on factors such as the number of grafts per session, the number of sessions, hair density, hair color and contrast with skin, hair curl, and hair shaft width. In most surgical hair restoration procedures, the illusion of more hair is very effective.

Delayed results: Hairs in the newly transplanted follicles are typically shed shortly after surgery, and 3-5 months later new hairs begin to grow out from the transplanted follicles. This is because surgery typically causes the transplanted hair follicles to enter the telogen or “resting” phase of the hair growth cycle, during which the hair follicles reestablish their connections to the blood supply in the scalp. At the end of the telogen phase, the new hairs grow for a normal period of about five years before the next resting phase starts the growth process over again.

Additional procedures: One follicular unit micrografting session may not be adequate for some patients seeking to restore their lost hair. Only a limited amount of grafts can safely be transplanted in a single micrografting session, and additional procedures may be required to add the density desired by some hair transplant patients. Also, as hair loss progresses over the years, additional procedures may be desired in the future.

Six to nine month intervals: A micrografting treatment program does not produce instant results. Most micrografting treatment programs are designed with 2 or sometimes 3 treatment sessions, with each session separated by 6 to 9 months. Separating the micrografting sessions allows the grafts placed in the previous session to grow out and provide coverage for the new grafts. Allowing adequate time between micrograft sessions also helps to achieve the greatest survival rate for the transplanted grafts. Placing too many grafts too close together, all in a single session, increases the risk that individual grafts may not get adequate nourishment and may fail to survive. Typically, 6-9 months are allowed between sessions to allow the newly transplanted grafts to reestablish connections to the blood supply, a process known as recapilarization.

Continued hair loss: Micrograft procedures have no effect on one’s genetic program for losing hair. After a hair transplant, hair loss due to inherited genetics will continue, and continued loss of hair may cause dense hair on the back, sides, and especially the top of the head to become thin. In anticipation of future hair loss, Dr. Panagotacos designs each of his micrografting procedures to “stand alone,” so anticipated future hair loss will not result in unnatural appearing “islands” of transplanted hair. The capability of micrografting procedures to “stand alone” is a significant advantage of micrografting over other more extensive surgical hair restoration procedures, where the risk of future hair loss can dramatically alter the effect of surgical results many years after the surgery if hair loss progresses beyond what was anticipated. (The risk of future hair loss can also be addressed with medications such as Rogaine and Propecia).

Unnatural appearance immediately after surgery: Micrograft procedures typically result in a slightly unnatural look immediately following surgery, although individual patients heal at different rates. There usually are some crusts from dried blood that can affect one’s appearance for a day or two or more after the procedure. Usually, these wash out after a few days of healing.

Possible complications: There are risks of complications relating to any surgery. Micrograft procedures involve minor cutting of skin tissues. There is a risk of temporary numbness, and sometimes but rarely, permanent partial loss of sensation on the scalp following surgery.

Variations by graft size and preparation: Dr. Panagotacos’ recommended procedure is Follicular Unit micrografting. This procedure is used on everyone, including men, women, new patients, and old patients seeking enhancements or repairs of grafts placed by other doctors.

Address: 2001 Union St #520, San Francisco, CA 94123, Estados Unidos

Website: https://www.hairdoc.com/

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