Marc R. Avram’s research while affiliated with Cosmetic Laser Dermatology and other places

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Publications (56)


Lasers, lights, and compounds for hair loss in aesthetics
  • Article

August 2021

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74 Reads

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11 Citations

Clinics in Dermatology

Christina M. Ring

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Robert Finney

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Marc Avram

Hair loss is a common complaint that is often stressful for patients and a challenge for practitioners to treat. Fortunately, innovations in the field have contributed to growing evidence for several promising topical, oral, and light and energy-based therapies. We have reviewed the current literature about the efficacy of these treatments, including topical agents (finasteride, latanoprost, spironolactone, caffeine, and metformin), oral minoxidil, nutraceuticals, platelet-rich plasma, low-level laser therapy, fractional lasers, and laser-assisted drug delivery. In addition, several debates related to these treatments have been discussed, including post-finasteride syndrome, effects of biotin supplementation on laboratory testing, standardization of platelet-rich plasma and low-level laser therapy, and combination treatment to enhance hair transplantation.


Hair Transplantation and Follicular Unit Extraction

July 2021

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62 Reads

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25 Citations

Dermatologic Clinics

This article introduces the reader to the key components of hair transplantation, including evaluating the surgical patient, deciding whether to perform follicular unit transplantation (FUT) or follicular unit extraction (FUE), understanding the key components of these procedures, and establishing practical preoperative and postoperative protocols.


Robotic Hair Transplantation

May 2020

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52 Reads

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15 Citations

Facial Plastic Surgery Clinics of North America

Contemporary hair transplant surgery creates natural appearing transplanted hair. The procedure is performed as an outpatient under local anesthesia. Donor harvesting can be performed by either elliptical donor harvesting or follicular unit extraction. An experience surgical team is needed for a high-quality, efficient procedure. Robotic hair transplantation allows precise and efficient removal of follicular units. The robot allows for minimally invasive surgery. Robotic hair transplantation is an important tool for hair transplant surgeons, but does not replace appropriate candidate selection, hairline design, and the judgment of where to place and not place transplanted hair for optimal short- and long-term results.



Hair Transplant

May 2019

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118 Reads

Both men and women are candidates for hair transplant surgery. There are a variety of causes that produce hair loss in patients, including genetic male and female pattern hair loss, primary inflammatory and infectious scalp dermatoses, and traumatic hair loss.






Hair Transplantation Controversies

November 2017

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70 Reads

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44 Citations

Dermatologic Surgery

Background: Hair transplant surgery creates consistently natural appearing transplanted hair for men. It is increasingly popular procedure to restore natural growing hair for men with hair loss. Objective: To review some current controversies in hair transplant surgery. Materials and methods: Review of the English PubMed literature and specialty literature in hair transplant surgery. Results: Some of the controversies in hair transplant surgery include appropriate donor harvesting technique including elliptical donor harvesting versus follicular unit extraction whether manual versus robotic, the role of platelet-rich plasma and low-level light surgery in hair transplant surgery. Conclusion: Hair transplant surgery creates consistently natural appearing hair. As with all techniques, there are controversies regarding the optimal method for performing the procedure. Some of the current controversies in hair transplant surgery include optimal donor harvesting techniques, elliptical donor harvesting versus follicular unit extraction, the role of low-level light therapy and the platelet-rich plasma therapy in the procedure. Future studies will further clarify their role in the procedure.


Citations (26)


... Androgenetic alopecia (AGA) is characterized by the impact of the androgen hormone dihydrotestosterone (DHT) on hair follicle regeneration, leading to male and female pattern hair loss (MPHL and FPHL, respectively) [1][2][3]. In specific scalp regions, DHT shortens the anagen phase, thereby inhibiting hair growth [4][5][6]. ...

Reference:

Nanotechnology-Driven Delivery of Caffeine Using Ultradeformable Liposomes-Coated Hollow Mesoporous Silica Nanoparticles for Enhanced Follicular Delivery and Treatment of Androgenetic Alopecia
Lasers, lights, and compounds for hair loss in aesthetics
  • Citing Article
  • August 2021

Clinics in Dermatology

... PRP has been utilized to accelerate wound healing in a variety of medical specialties since the 1990s, including urology, gynecology, and oral and maxillofacial surgery. Moreover, it is utilized in reconstructive and face plastic surgery for soft tissue augmentation, wound healing, skin renewal, and hair development [4]. ...

Platelet-Rich Plasma Therapy for Male and Female Pattern Hair Loss
  • Citing Article
  • October 2018

Dermatologic Surgery

... Over the last two decades, the cosmetic standard for hair transplantation has focused on creating naturally appearing transplanted hair. The outpatient procedure, performed with local anesthesia, boasts a low rate of medical and surgical complications, with continuous improvements in technique for enhanced efficiency, safety, and patient satisfaction [9]. Follicular Unit Extraction (FUE) has emerged as a popular cosmetic procedure for harvesting hair follicles from the scalp donor area [10]. ...

Hair Transplantation Controversies
  • Citing Article
  • November 2017

Dermatologic Surgery

... As a hair loss treatment, minoxidil and finasteride are well known for percutaneous application and oral use [60,61]. However, side-effects, such as decreased sexual desire, itchiness, and red spots, have been reported for the drugs [62,63]. ...

The Potential Role of Minoxidil in the Hair Transplantation Setting
  • Citing Article
  • October 2002

Dermatologic Surgery

... These findings are in line with the reports on complications of treatment with IPL, which indicate that blistering is the most common side effect of this treatment. Thus, blisters are predictable side effects when using IPL, but are not a major limitation to its use, if the patient responds well and benefit from this therapy [20,21]. ...

Vascular Lasers and Lights
  • Citing Chapter
  • October 2012

... Therefore, it is necessary to help patients establish long-term healthy lifestyles (QH Liu et al., 2018). Clinically, medical staff assist patients in planning and executing long-term postoperative interventions to improve survival rates, with health education being crucial for ensuring good surgical outcomes (Avram et al., 2014). ...

Side-effects from follicular unit extraction in hair transplantation
  • Citing Article
  • Full-text available
  • July 2014

Journal of Cutaneous and Aesthetic Surgery

... 31,32 Finasteride common side effects have been reported such as impotence, erectile dysfunction, semen dilution, loss of libido, 33,34 lower incidence of gynecomastia, 35,36 memory impairment, depression, and aggression. 37,38 1.1 | Herbal remedies for the treatment of AGA For treating AGA, several topical herbal products have been marketed around the world. This approach provides cost-effective and eliminates the need for additional treatments. ...

Persistent sexual dysfunction and depression in finasteride users for male pattern hair loss: A serious concern or red herring?
  • Citing Article
  • December 2014

Journal of Clinical and Aesthetic Dermatology