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Hair Restoration

Meet The Surgeons

Dr. James Romanelli, Dr. David Pincus, and Dr. John Layliev make up the uniquely qualified team of plastic surgeons at Romanelli Cosmetic Surgery.

Dr. James Romanelli Dr. David Pincus Dr. John Layliev

Hair Restoration

Long Island men and women interested in hair transplant procedures can rely on Dr. James Romanelli and Dr. David Pincus for attractive, natural-looking results. Dr. Pincus specializes in the advanced NeoGraft® automated hair restoration system. The state-of-the-art NeoGraft system is a breakthrough for Long Island patients who want a thick, full head of hair that looks natural and lasts indefinitely.

To learn more about your hair transplant options at our practice request a consultation online, or call Romanelli Cosmetic Surgery at (631) 424-3600 to schedule an appointment.

Before & After Photos

Keep in mind that each patient is unique and your results may vary.
  • NeoGraft case #178 before photo
    NeoGraft case #178 after photo

    Case #178

    These are actual photos of a patient who had NeoGraft® hair replacement surgery. On Long Island, Romanelli Cosmetic Surge... View Case 

  • NeoGraft case #180 before photo
    NeoGraft case #180 after photo

    Case #180

    After hair restoration surgery with the NeoGraft® system, the transplanted follicles begin growing new hairs in appr... View Case 

  • NeoGraft case #182 before photo
    NeoGraft case #182 after photo

    Case #182

    These photos show a man who had hair restoration surgery with the NeoGraft® system. Our experienced plastic surgeons cons... View Case 

  • NeoGraft case #185 before photo
    NeoGraft case #185 after photo

    Case #185

    This patient had hair restoration with the NeoGraft® system. The plastic surgeons at Romanelli Cosmetic Surgery offer this advanced ... View Case 

  • NeoGraft case #192 before photo
    NeoGraft case #192 after photo

    Case #192

    The NeoGraft® system makes it possible to fill in balding areas with your own natural hair. Visit the hair restoration... View Case 

  • NeoGraft case #193 before photo
    NeoGraft case #193 after photo

    Case #193

    This patient underwent hair replacement with the NeoGraft® system using his own natural hair. The Long Island hair r... View Case 

What Is NeoGraft?

The NeoGraft automated hair restoration system is a minimally invasive method of transplanting healthy, growing hair follicles from the back of your head to areas where you're losing hair. The precise, meticulous procedure doesn't require an incision, as some past methods did, and it extracts follicles using an automated air pressure system. This "no-touch" method minimizes the risk of damaging the follicles and greatly increases the success rate of grafts.

NeoGraft Hair Transplant Procedure

The follicular unit extraction (FUE) method NeoGraft uses begins with numbing your scalp with a local anesthetic. Your surgeon removes hair follicles in natural groups of 1 to 4 hairs using the automated system. Hair follicles from the back of the head are genetically programmed to resist the hormonal changes that cause male-pattern baldness. He then places the healthy follicles in the areas where hair is thinning, on the top and front of the scalp.

Transplanted hair follicles grow naturally and are nothing like the hair plugs that some people associate with hair restoration surgery. Transplanted follicles typically need about 3 months before they begin to grow new hairs. A process of shedding and regrowth occurs during that period, with good results at 6 months and full results after 1 year.

Before & After Hair Restoration


Photos courtesy of NeoGraft. For additional hair restoration before & after photos, visit our photo gallery.
*Your results may vary.

Who Is a Good Candidate for NeoGraft?

The key to being a good candidate for hair restoration surgery is to have enough hair on the back of the scalp to transplant to the balding areas. Patients with full, thick hair on the back of their heads can expect results to reflect that level of hair density. When the procedure is performed by a hair restoration specialist, you can expect results that look natural and meet reasonable aesthetic goals.

During your consultation with Dr. Romanelli or Dr. Pincus you discuss your concerns about your thinning hair and your cosmetic goals. Your surgeon assesses your hair and scalp and determines whether you make a good candidate.

Both men and women can benefit from the NeoGraft procedure. Hair loss in women is normal, but it can be embarrassing and distressing. Female pattern baldness is the most common type of hair loss experienced by women. Women concerned about hair loss can consult with Dr. Pincus or Dr. Romanelli to determine the specific cause of the condition.

Hair Restoration Options

The 2 primary methods of hair transplant surgery are follicular unit extraction (FUE) and follicular unit transplantation (FUT). Dr. Romanelli and Dr. Pincus both have extensive experience in hair restoration, and they prefer using the advanced NeoGraft procedure, an automated form of the FUE method, which is also performed manually using specialized tools. Follicular unit transplantation is also called the "strip" method because it involves surgically removing a narrow horizontal strip from the back of the scalp. Technicians then remove individual follicles from the strip using a microscope.

Dr. Pincus is a hair restoration specialist with extensive training using the NeoGraft system.

"The NeoGraft system represents a true breakthrough in the field of hair restoration," Dr. Pincus says. "Instead of having to remove a strip of the patient's scalp, creating a visible scar, the NeoGraft system enables surgeons to perform hair transplant procedures follicle by follicle, with virtually no evidence at the donor sites."

NeoGraft vs. 'Strip' Method

There are a number of advantages to using the automated NeoGraft hair transplant system when compared to follicular unit transplantation. The benefits include:

  • Minimally invasive: The "strip" method requires the surgeon to make an incision and remove a portion of the scalp.
  • No linear scar: Once the strip of scalp is removed, the surgeon sutures the scalp, which results in a long scar across the back of the scalp. It remains visible for men who wear their hair short or cropped close to the scalp.
  • Quicker recovery: Because NeoGraft is a minimally invasive procedure and doesn't involve stitches, the downtime is shorter and there are fewer limits to physical activities immediately after the procedure.
  • Excellent hair graft quality: Hair follicles extracted using the NeoGraft system aren't handled with forceps or scalpels. Once removed, they are stored in sterile canisters, minimizing the risk of damage and increasing the number of viable grafts to 95%.

Your Hair Transplant Procedure

During the NeoGraft procedure, a local anesthetic numbs the scalp and an oral sedative helps you relax throughout the treatment. The treatment may take several hours depending on how many follicles are involved, but because you are awake and numb, you can take food and bathroom breaks. There is minor discomfort after the procedure, which many patients liken to having a sunburn.

For patients who opt for the "strip" method, the recovery period is longer and you will have to limit physical activities until after the wound heals.

Common Questions

Will it be obvious that I had hair transplant surgery?

No, not at all. One of the main benefits of NeoGraft is that it produces results that look very natural. That's because hair follicles taken from the back of your head are transplanted one by one to the area that's balding. The "doll's head" look created by hair plugs years ago is a thing of the past.

How common is female hair loss?

It's much more common than most people believe. About 30 million American women are affected by hereditary hair loss, and a study conducted by the American Academy of Dermatology found that 50% of women have visible hair loss by the time they turn 50.

Will the transplanted hair fall out?

Hair that grows in the back of the head is genetically programmed to continue growing. That's why male pattern baldness doesn't affect that area. Once transplanted, the normal growth cycle will continue.

There is some initial shedding 2 to 3 weeks after the procedure, followed by new growth that begins in about 3 to 4 months. Because hair loss continues even after a hair transplant procedure, some patients may need to have follow-up treatments in the future.

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