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Welcome to the Hair Restoration Center at Advanced Aesthetics

You Don’t Have to Lose Your Hair

The Hair Transplant Center at Advanced Aesthetics is the premier hair restoration practice in South and Central Texas, offering the most comprehensive and results-oriented approach to hair loss, including the latest advances like PRP (platelet rich plasma) injections, low level laser light therapy, and natural-looking hair transplants.  Our goal at The Hair Restoration Center at Advanced Aesthetics is to help you look and feel like your best self. My patients appreciate my attention to detail, warm bedside manner, and professional integrity. I’m committed to delivering the most comprehensive medical and surgical hair loss treatment.

Serving San Antonio, New Braunfels, Wimberley, San Marcos, Buda, Kyle, Seguin, Spring Branch, and Bulverde

Dr. Christopher A. Perro

As a Board Certified Facial Plastic Surgeon, Dr. Christopher A. Perro is happy to return home to New Braunfels and the San Antonio area to join Lopez Plastic Surgery.

Dr. Perro graduated valedictorian of New Braunfels High School then completed his bachelor’s degree magna cum laude in Pre-Medicine and Theology at University of Dallas. Subsequently, he attended University of Texas Medical School in San Antonio then completed his residency in Otolaryngology-Head and Neck Surgery at Southern Illinois University in Springfield, Illinois.

He was selected for a competitive one year fellowship in Facial Plastic and Reconstructive Surgery with internationally renowned master surgeon, Dr. Calvin Johnson, Jr. in New Orleans. During his fellowship, Dr. Perro received intensive training focused on rhinoplasty (nose-shaping surgery), facial rejuvenation surgery (facelift, brow and forehead lift, eyelid lift), otoplasty (ear reshaping surgery), and hair restoration surgery.

Dr. Perro is trained in the latest hair transplantation techniques having spent time under the tutelage of leaders Dr. Jeffrey Epstein and Dr. Sam Lam. Dr. Perro also spent four years proudly serving in the US Air Force as the Chief of Head and Neck Surgery at Travis Air Force Base in California. He has a special interest in bioethics and served as the ethics consultant and committee chair during his time in the military.

Dr. Perro was recently selected as one of Texas Super Doctors Rising Stars by Texas Monthly Magazine, representing the top 2.5% of young physicians in the area.

San Antonio’s Hair Restoration Expert

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HAIR TRANSPLANT

Hair restoration has come a long way in the past few decades, abandoning the “pluggy” or “dolls’ hair” look that older, less refined techniques produced.  Over half of both men and women will experience some degree of noticeable hair loss in their lifetime, most of whom experience the onset as early as their 20s.

Paramount to success in management of male and female hair loss are both medical and surgical therapies.  Medical therapy often includes topical minoxidil (Rogaine), finasteride (Propecia), and laser light therapy among other medications that you may be a candidate for as well. Medical therapy aims to slow the inevitable loss of hair but can also lead to some regrowth and thickening of your existing hair.

How Does Hair Transplant Work?

Hair transplant does not create new hairs; as of yet, this is impossible.  Instead, hair transplantation takes the patient’s existing hair from an area where it is ample in supply and unlikely to be programmed to fall out, and moves (or transplants) it to an area of bald or thinning scalp where coverage is desired.

What Are My Options for Hair Transplant?

There are two types of hair transplant that are being performed today and both can yield excellent results in the correctly chosen patient.  The two techniques are differentiated by how the donor hair is harvested.  They both involve similar methods for creation of recipient sites (where the new hair will go) and placement of the grafts in these sites.

1. FUT: One technique is called strip harvest (also known as Follicular Unit Transfer—FUT) and involves removal of a strip of hair bearing skin from the lower back part of the scalp and dividing the strip into groups of 1,2, 3, or 4 hairs under a microscope.  Hairs like to grow in such groups and respecting their naturally occurring relationships to one another when harvesting them makes them look much more natural when they are implanted and also helps their survival.

2. FUE: The second technique for collecting hair grafts is called follicular unit extraction (FUE, for short).  You may have heard of it from companies like NeoGraft, which advertise heavily, often in the airplane magazines.  FUE involves using small round punches around one millimeter in diameter to remove the hair grafts individually, respecting the 1,2,3, and 4 hair group relationships.  This approach avoids making a linear incision and hence scar on the scalp, in favor of making hundreds of very small round shaped incisions which may be better tolerated in a patient who likes to wear his or her hair short.  NeoGraft, SmartGraft, and other machines are tools that may be used to perform FUE.

Which Is Best For Me?

The choice of method for harvesting your hair grafts for transplant depends on many individual factors as well as your preference.  Dr. Perro performs both FUT and FUE, often performing them together as a hybrid procedure to reap the benefits of each for individual patients.  Also important is design of a hairline and correct placement of the grafts to cover bald or thinning areas of concern.  You should have a natural appearing hairline and one that is sustainable over time as you continue to age and in case your hair loss continues.

Dr. Perro is passionate about hair restoration and has received hands on training from some of the most respected leaders in the field, including Dr. Sam Lam, Dr. Nicole Rogers,  and Dr. Jeffrey Epstein.  He looks forward to meeting you and discussing your individual hair loss needs at your consultation.


PLATELET RICH PLASMA (PRP) FOR HAIR LOSS

There is an increasing amount of evidence to support the use of platelet-rich plasma (PRP) to treat hair loss.  Platelets are important because they secrete a variety of growth factors.  At a molecular level, these factors can upregulate hair growth signaling and improve hair quality and caliber.  They may also be able to increase the amount of time the hairs are in the actively growing (anagen) phase.

How does PRP work?

Dr. Perro draws your blood here in our office and use a centrifuge to spin it down and separate out the platelet-rich component.  While it is spinning, Dr. Perro will inject local anesthesia (lidocaine) along the frontal hairline. Vibration and ice are used to keep you comfortable while slowly and carefully injecting the PRP into areas of hair thinning.  The whole procedure takes about 30-45 minutes.  You may experience some slight tingling in the treated area for 20-30 minutes afterwards, which usually resolved by one hour.  Otherwise, you are free to return to your usual activities after the PRP session.  We only ask that you don’t wash your hair until the following day.

What are the advantages of PRP over other medical therapies?

PRP is a completely autologous treatment, meaning it makes use of tissue from your own body.  There are no medications that could have side effects or require lab monitoring.  It is also relatively non-invasive because it does not require surgery or any incisions.

How often do I need to do PRP?

Dr. Perro currently recommends 3 treatments over a 6 month period of time.  This is because it takes 6-12 months to see a difference in hair growth with any medical therapy.  However, some doctors recommend treatments every month, while others recommend a single session.  There is not yet widespread agreement on the optimal dosing frequency but ongoing studies are working to provide more guidelines.  If improvement is appreciated after the series of 3 treatments, Dr. Perro will recommend once to twice yearly “maintenance” sessions of PRP to perpetuate the beneficial effect.

Is this FDA approved as a medical therapy?

No.  This is still a relatively new treatment option for hair loss.  The equipment we are using has FDA clearance as a device, but no specific PRP device or protocol has been specifically approved for hair loss. 

Who should be getting PRP?

PRP is a great treatment option for people who have already maximized other medical treatment options for hair loss or who do not want to take medication in an open-ended fashion.  It can also be used as an adjunct to hair transplantation, starting around the same time of surgery and repeating during the first 6 months after surgery.  Many patients like doing this as a way to help maximize their results from surgery and possibly reduce post-operative shedding. 

How do I know if it will work for me?

Pilot studies show that PRP generally produces a clinical improvement for 40-60% of patients with male or female pattern hair loss.  The response is less well understood for alopecia areata or cicatricial (scarring) alopecias.  At this time, there is no way to predict which patients will experience the greatest amount of improvement.

Can I get pregnant while using PRP?

Yes. Although PRP has not been specifically investigated in pregnancy or breastfeeding, there is no reason to believe that it would harm a fetus or disrupt breastfeeding.  That being said, out of an abundance of caution, we do NOT recommend PRP treatments if you KNOW you are pregnant.

What about my other medications for hair loss?  Can I stop them?

Because PRP has a different mechanism of action than other medical therapies, we do not recommend that you stop them.  Please plan to overlap with your other treatments for at least 3-6 months or as advised by Dr. Perro.

Is PRP covered by insurance?

No.  Until PRP receives FDA approval as a medical therapy for hair loss, this treatment remains a cosmetic procedure.  You will be responsible for the cost of the PRP upon receiving your first treatment.  A cost advantage may be obtained by booking several sessions at once.

**If you are being treated for active skin cancer on the scalp, please tell Dr. Perro.  While it has not been proven, there is a theoretical risk that PRP injections may worsen or promote existing skin cancers or pre-cancers.


MEDICAL THERAPY FOR HAIR LOSS

Unfortunately, hair loss is a chronic, progressive condition for which there is no “cure” at this time. However, we do have several options available to help slow its progression, stabilize the affected hair follicles, and possibly increase the thickness and density of the remaining hairs that have not been terminally shed.

FDA-Approved Options

1. Rogaine (aka minoxidil)
Available over-the-counter at low cost. This low risk option may help many patients slow the progression of their hair loss and could lead to some improvement in density.  Minoxidil is used topically on the scalp and is approved at the 5% strength for men and at the 2% strength for women.

2. Propecia (finasteride)
Originally used as a drug to shrink enlarged prostate glands, it was found to lead to increased hair regrowth in patients with male pattern hair loss. It may be prescribed by a physician after discussion of possible associated risks. (only FDA approved in men)

Other Options-

1. PRP (Platelet Rich Plasma)
A new and cutting edge treatment option for men and women with hair loss, PRP involves drawing the patient’s own blood in the office and processing it with a machine called a centrifuge to separate out the platelets and growth factors they secrete. The platelets and growth factors are injected into the scalp in the areas of hair thinning and may lead to increased density and hair shaft thickness.

2. LLLLT (Low Level Laser Light Therapy)
Involves exposing the struggling hair follicles to laser light within a very specific wavelength range using a device which the patient wears on their head in the comfort of their own home. Typically used for 30 minutes three times weekly.


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