The Art Of Restoring the Lost Hairline

Restoring the Lost Hairline

When mapping out a hair restoration surgery, an experienced surgeon will take into account a number of different factors. This allows the surgeon to design a hairline that looks natural and undetectable. Each hairline should be unique for every individual and is as much about a surgeon’s artistic aesthetic sensibilities as it is about being an expert surgeon. This is a critical component in restoring the lost hairline.

Only a physician with years of dedicated practice can discern all of the characteristics and intricate nuances required to ensure that a surgical hair restoration is able to mimic nature.

Restoring the Lost Hairline of one of Dr Gabel's patients

The before and after photos of a patient with a restored hairline can be quite dramatic

The Importance of the Hairline

Most patients wish to restore a resemblance of the hairline they once had before experiencing hair loss. Past photographs of patients can serve as an excellent tool to help a surgeon realize a patient’s former appearance.

Creating a new hairline using the lost hairline as a blueprint is often possible if the donor area is sufficient.  The design must also be capable of taking into account future hair loss considerations.

Patients often bring in photographs of hairlines they would like to have, be it from celebrities or magazines, which if factors permit, can also be taken into account as a possibility when designing a restored hairline.

Age and Ethnicity Considerations

An age appropriate hairline is crucial for creating a natural result.

Because of the progressive nature of hair loss, poor planning can lead to patients having a hairline that looks less than natural later on in life. Keeping this in mind, juvenile hairlines will never be designed for a patient as a teenage hairline is not found in nature on a mature or aging face.

Additionally, limitations in donor supply may limit how aggressive a doctor can be with hairline placement and density. More importantly, the physician must be able to take into account the limitations of a patient’s donor resources.

A person’s ethnic background and facial structure can have some bearing on the straightness, shape, and position of their hairline.

For people of African descent, the look of a straight hairline will generally work better. However, it may be more suitable for people of Asian heritage with a broader and rounder hairline . The shape of the head of all ethnicities will likely determine the placement of a hairline along the forehead.

The ideal hairline design for every patient should seek to complement their specific facial shape.

Realistic Expectations

Managing expectations is part of hairline design, patients must realize the limitations of their donor supply. They should also know the age appropriateness of what they want.

But with realistic goals, a patient and doctor can capably set out to create an aesthetically significant hairline that reframes the face and brings a more youthful appearance to an individual.

The impact of a well designed hairline can be profound, not just as a cosmetic change in appearance, but as a morale boost to a patient that has suffered from the frustrations of losing their hair.

Contact The Gabel Center

To learn more about hair loss, the latest medications and the latest techniques in hair restoration and surgery, contact Dr. Gabel’s Hair Transplant Oregon office. Our team at the Gabel Center look forward to your visit and discussing these matters with you in greater detail.


Best Natural Remedies & Ingredients for Hair Loss

Although we highly recommend hair transplant’s as the hands down, most effective way to restore your hair, we would be remiss to at least mention some of the ingredients in some of the more natural remedies for Hair loss. In fact, if you aren’t giving your hair the support of nutrients such as protein, iron, omega 3s and vitamin B , you may be hurting your hair’s chances of recovery rather than helping. The following ingredients, though they have been used for hair loss in the past, may or may not work, but it won’t hurt to be taking these too.
Other factors also come into play, such as nutrition, not just for your hair, but for your overall health too.


Biotin is one of the best natural remedies for hair loss. It is water soluble, and is a B-complex vitamin that helps to convert nutrients into energy. Biotin also improves the protein infrastructure in hair, skin, and nails. Certain studies of women who have taken marine protein supplements did notice hair growth in affected areas, and less hair loss overall. An easy way to get more Biotin into your system is by adding these foods into your diet:

Tomatoes are a great source of Biotin - Natural Remedies

Tomatoes are a great source of Biotin


  • Organ meats, such as liver or kidney
  • Egg yolks
  • Certain nuts, such as almonds, and walnuts
  • Legumes such as soybeans or peanuts
  • Whole grains
  • Bananas
  • Cauliflower
  • Mushrooms

Flax-Seed Oil

Another excellent natural remedy for hair loss is Flax-seed. Flax-seed oil contains omega-3 fatty acids, and contain Vitamin E, which have strong antioxidant properties. This will keep your hair follicles protected and can also help to stop scalp damage. Flax-seed also helps improve the efficiency of the capillaries, and increases blood circulation. The omega-3s nourish your follicles and hair shafts, and increases their

strength and resistance to damage. Flax seed can be added to many meals as a supplement or topping including adding to:

Flax-Seed contains Omega-3s which benefit hair health - Natural Remedies

Flax-Seed contains Omega-3s which can benefit hair health

  • Oatmeal
  • Smoothies
  • Baked goods
  • Milk
  • Yogurt

Folic Acid

One of the most underrated natural remedies for hair loss is Folic acid. It is a known fact that Insufficient folic acid in the diet can result in hair loss. It is also known as Vitamin B9, though rarely called that. Folic acid aids in tissue regrowth and will improve circulation, which in turn helps your hair follicles function correctly. Folic acid also helps transport nutrients to the hair and improves cell division around your hair follicles. You can increase folic acids simply by adding:

Folic Acid foods for Hair restoration and health Natural Remedies

Folic Acid, another necessary ingredient to hair health

  • Oranges, grapefruits and other citrus
  • Dark leafy green vegetables such as spinach or Kale
  • Cereals, and breads
  • Rice
  • Pasta

Vitamin A

Vitamin A through Papaya for Hair Restoration - Natural Remedies

Papaya is one good source for Vitamin A – though too much Vitamin A can actually harm hair health

Vitamin A is critical for many functions of the body, including the reproduction of cells, and is an antioxidant, which can protect your hair follicles from damage from free radicals. In addition it can keep the scalp moist and elastic. Unfortunately, taking in too much Vitamin A can cause their follicles to reach the end of their growth cycle too quickly, causing them to fall out. If there aren’t new hairs to replace those that have fallen out, baldness can occur.

Vitamin C

Vitamin C through citrus fruits - Natural Remedies

Citrus such as Oranges, grapefruit, lemons, imes and kiwi are all great sources for Vitamin C which aids in fighting hair loss.

Since hair loss is directly affected by Dihydrotestosterone, and having high levels of this male hormone can cause male patten baldness, it’s good to have Vitamin C as a way to combat balding. BY adding more vitamin C to the diet, scientists found that the DKK-1 “baldness’ protein would completely stop. Besides this, it can help the body produce sebum, the natural oil that protects your hair and strengthens it.


Oysters for Zinc and hair health - Natural Remedies

Oysters are a great and tasty source for Zinc

It can help with DNA & RNA production, critical for These trace minerals are important for maintaining scalp health through cell reproduction, tissue growth, and repair. Zinc can also help to balance the body’s hormones, and in some studies helped reverse gray hair back to the original coloration.


Lobster and selenium for hair loss - Natural Remedies

Lobsters and other shellfish are excellent sources for Selenium, necessary to combat hair loss

Selenium is an antioxidant and trace element/ mineral that helps to kill free radicals in the body. It also activates an enzyme in the body that helps other free radical killers, like vitamin c. This can further assist in the fight against baldness, including both male and female pattern baldness. Unfortunately lately many people hinder the effectiveness of Selenium in the body by smoking, drinking excess alcohol or taking birth controls pills.


more natural remedies for hair loss

It’s always best to not rely solely upon articles on the internet to self diagnose, but leave the questions to a professional like Dr. Gabel. He’ll give give honest feedback about what the best course of action is for you. In addition, he may have a more tailored plan including other natural remedies for hair loss besides those listed here. Dr Gabel’s office can be reached at 503-693-1118

Hair Loss News – Faulty Immune Cells May Play Role in Alopecia

ITregs from UCSFn experiments in mice, UC San Francisco researchers have discovered that regulatory T cells (Tregs; pronounced “tee-regs”), a type of immune cell generally associated with controlling inflammation, directly trigger stem cells in the skin to promote healthy hair growth. Without these immune cells as partners, the researchers found, the stem cells cannot regenerate hair follicles, leading to baldness.

“Our hair follicles are constantly recycling: when a hair falls out, a portion of the hair follicle has to grow back,” said Michael Rosenblum, MD, PhD, an assistant professor of dermatology at UCSF and senior author on the new paper. “This has been thought to be an entirely stem cell-dependent process, but it turns out Tregs are essential. If you knock out this one immune cell type, hair just doesn’t grow.”

Defects in Tregs responsible

The new study – published online May 26 in Cell – suggests that defects in Tregs could be responsible for alopecia areata, a common autoimmune disorder that causes hair loss, and could potentially play a role in other forms of baldness, including male pattern baldness, Rosenblum said. Since the same stem cells are responsible for helping heal the skin after injury, the study raises the possibility that Tregs may play a key role in wound repair as well. Read the rest of the article at

Repairing the deep front-temporal region

38 Yr Old Male has 2nd procedure with Gabel

This patient is a 38-year-old gentleman who was concerned about his deep front-temporal hair loss in the front of his head. The young man underwent a follicular unit hair transplant strip surgery, his second procedure with Dr. Gabel, at his Portland Hair Transplant office. In total, Dr. Gabel transplanted 3872 grafts into the area, which dramatically improved the look of the deep front-temporal region. This patient’s before and after photographs are presented in a side by side format to compare the 7-month results from the original surgery.

Deep Front-Temporal Hair Loss nearly gone

The patient was amazed and very satisfied with his results and significantly improvement of his self image.  He feels that it has made him appear many years younger. The deep front-temporal hair loss that was very evident prior to his surgery is now nearly gone, in addition, the thin line scar on the back of his scalp is nearly invisible, in part due to Dr. Gabel’s superior surgical skill using the Tricophytic closure technique.

Committed to what we do

Dr. Gabel and his staff are committed to hair restoration and hair transplants – that is what they do. Dr. Gabel is most noteworthy in that he performs every step of the procedure. He does not hire staff in from a national company to perform the procedure. The doctor has a full complement of staff who have been fully trained in the art of hair restoration. He is the most experienced hair restoration surgeon in Oregon. If you would like to schedule a consultation with Dr. Gabel, please click here, and he will follow up with you as soon as possible.


Front - with Deep Front-temporal hair loss
Front 45 - with deep Front-temporal hair loss
Left 45 - with Deep Front-temporal hair loss
Full Left - with Deep Front-temporal hair loss
Frontal hairline Right 45 - with Deep Front-temporal hair loss
Frontal hairline Right 45 down - with Deep Front-temporal hair loss
Close Up Left Frontal hairline - with Deep Front-temporal hair loss
Close Up Right Frontal hairline - with Deep Front-temporal hair loss

Weird Baldness Cures

We came across this article on weird baldness cures this weekend and just had to share it! Sometimes you really have to wonder how these weird baldness cures came about. We can’t really recommend any of these treatments, except the ;last one of course, but they’re fun to read about! This entertaining article comes to us courtesy of Jennie Cohen and If you’d like, click on the link at the bottom  to read the entire article!

Weird baldness cures!

Some men—and women—believe that receding hairlines, thinning manes and smooth craniums lend an air of dignity. For those who don’t, there have always been plenty of baldness treatment and prevention options available, albeit with highly variable levels of effectiveness. Find out about some of the weird and wacky ways people have attempted to curb or conceal their hair loss over the centuries.

Ancient Egyptian Cures

The Ebers Papyrus, a medical text that dates back to 1550 B.C., offers a number of recommended cures for ancient Egyptians suffering from hair loss. Suggestions include a mixture of fats from a hippopotamus, crocodile, tomcat, snake and ibex. Some others are porcupine hair boiled in water and applied to the scalp for four days. Still another uses the leg of a female greyhound sautéed in oil with the hoof of a donkey. Apparently concerned with maintaining adequate hirsuteness, both male and female royals in ancient Egypt were known to wear wigs and fake beards.

Continue Reading

Dr. Gabel showing how he extracts FUE grafts in hair restoration surgery

Follicular unit extraction (FUE)

Follicular unit extraction (FUE) is gaining popularity for a variety of reasons.  In most consultations with patients desiring a hair transplant at our Portland Hair Restoration Center, I discuss the virtues of FUE for my patients.  I also discuss the pros and cons.  There is a misconception that FUE is scarless surgery.  This is absolutely false.  FUE, while less noticeable then traditional strip surgery, leaves small 1-mm scars where the extractions were performed.  If one shaves their head, they will see the small scars.

FUE is an excellent method of hair transplant for those people who want to keep their hair short with less chance of noticing the scar, those patients who are nervous about a linear incision, or those who have had previous surgery and unable to have another strip procedure.  Dr. Gabel is also able to extract hair from the chest on those patients with good quality chest hair.

The following video shows an actual surgery where Dr. Gabel is extracting follicular unit grafts.


57-year-old Frontal Hairline Restoration

Enhancing the Frontal Hairline

This patient is a 57-year-old gentleman who desired to enhance his frontal hairline due to a slow recession of hair in the frontal region. Rather than bringing his hairline down significantly, he wanted to increase the density of that area to make his hairline appear fuller. The patient underwent a follicular unit hair transplant 1.5 years prior with Dr. Gabel at his Portland Hair Transplant office.

The patient’s before and after photographs are presented side by side to compare the 18-month results. The patient is extremely happy with the final outcome. This transplant has defined the frontal hairline and consequently produced a more youthful appearance for him.

Committed to what we do

Dr. Gabel and his team are committed to hair restoration and hair transplants – that is what they do. Dr. Gabel is most noteworthy in that he performs every step of the procedure. He does not hire staff in from a national company to perform the procedure. The doctor has a full complement of staff who have been fully trained in the art of hair restoration. He is probably the most experienced hair restoration surgeon in Oregon.


Frontal hairline
frontal hairline down
Frontal hairline Left
Frontal hairline Left 45
Frontal hairline Left 45 down
Frontal hairline Right
Frontal hairline Right 45
Frontal hairline Right 45 down

Viviscal – Vitamin Supplement for Hair Loss

What Is Viviscal?

Viviscal is an oral supplement intended for promoting hair growth in men and women.

At this time Viviscal is not FDA-approved for the treatment of hair loss or male pattern baldness and its benefits are still being studied and determined. The product was first introduced to the U.S market in 2008 by Lifes2good Inc. and it has been recommended by some physicians as a hair growth supplement since that time.

viviscalViviscal’s active ingredients include a proprietary mix of powders derived from sustainably-harvested shark and mollusk species. The result is a “amino marine complex,” called AminoMar®, and it is blended with vitamin and mineral nutrients such as zinc, niacin, biotin, and vitamin C, as well as other natural extracts that are known to play a role in promoting good scalp health and circulation.

One potentially beneficial aspect of Viviscal is that it contains a group of long chain sugar molecules called glycosaminoglycans (GAGs), which are very adept at attracting and retaining water. Some Scandinavian research suggests that ingesting these GAGs may contribute to healthy hair and skin. The research came about when a Scandinavian scientist noticed that Inuit people possess resilient skin and hair and conducted a study that isolated GAGs from their fish and protein-rich diets.

Only a thorough consultation with a qualified doctor can determine the cause of your hair loss and what treatment options are best for your specific case.

Is There Any Other Research?

Two decades of various published studies exist, many of which hint at Viviscal being able to promote hair growth, but none that conclusively provide evidence that it definitively does.

Dr. Glynis Ablon, of the Ablon Skin Institute Research Center, Manhattan Beach, California, has attempted to determine the viability and efficacy of Viviscal in female patients.

Among the most noteworthy yields from recent research was a 2012 pilot study led by Dr. Ablon which found that Viviscal increased the number of terminal hairs by 211% and 225% after three months and six months, respectively.

Dr. Ablon later reported finding a statistically significant increase in the number of healthy, terminal hairs after prolonged use of the product Viviscal Professional to the Journal of Clinical and Aesthetic Dermatology.

After six months of treatment, patients reportedly showed an almost 80% increase in terminal hairs and an increase in hair diameter of 11.67%.

When compared to a placebo group, patients taking Viviscal for six months showed 77% more terminal hairs, an almost 10% larger hair diameter.

Is Viviscal Appropriate As A Hair Loss Option For Women?

Viviscal is mainly marketed to women due to the limited number of effective hair loss treatments available for female patients.

The most widely used and effective hair loss medication on the market for male pattern baldness, Propecia (finasteride), is not safe for use in women due to poor efficacy and the risk of reproductive side effects.

A great many women with genetic hair loss are also unable to benefit from hair restoration surgery because their alopecia becomes a diffuse thinning all over the entire scalp.  In such particular cases, a hair transplant is not an option because the donor hair is also susceptible to miniaturization, and once transplanted, prone to thin again.

For this reason, Viviscal has the potential to supplement current hair loss treatments or provide an alternative for patients not well suited for surgical hair restoration or medical treatment.

What Are The Differences In Viviscal Products?

Viviscal markets three different products, and different amounts of AminoMar® are blended with plant extracts, vitamins, and minerals to create the three varieties offered.

Viviscal Professional

This is the product that physicians will typically recommend hair loss patients. The “professional” variety of Viviscal contains the largest amount of AminoMar® compared with the other varieties (475mg), and contains Vitamin C and biotin. Viviscal Professional has additional calcium, apple extract powder, procyanidin B-2, L-Cystine, and L-Methionine. Removed from the ingredients list are iron, zinc, and the horsetail and millet seed extracts.

Viviscal Extra Strength

Viviscal Extra Strength, contains 450mg of AminoMar®, plus the metabolism boosting B vitamins biotin and niacin. Vitamin C is present to improve the production of collagen, the crucial material that forms the building blocks of hair. Zinc and iron are also included, along with extracts of horsetail stem and millet seed.

Viviscal Man

This variety is intended exclusively for men, and is not unisex like the other varieties. Viviscal Man contains 452.9mg of AminoMar®, as well as Vitamin C, zinc, horsetail extract, and flax seed extract.

Contact The Gabel Center

To learn more about hair loss, the latest medications and the latest techniques in hair restoration and hair transplant surgery, contact Dr. Gabel’s Hair Transplant Oregon office. Our team at the Gabel Center look forward to your visit and discussing these matters with you in greater detail.

Nutrition and Hair Loss

Dr. Steven Gabel offers his patients many treatment options for hair restoration and strives to stay on the cutting edge of modern medicine.

The most common cause of hair loss in men is male pattern baldness, however, there are factors beyond the genetic predisposition of certain individuals that can lead to hair thinning or balding.

Among those that can be addressed are cases caused by nutritional deficiencies.
There are a number of vitamins and minerals that can become depleted from the body and that can lead to hair thinning or baldness.

Our objective here will be to look at some of the most common ways that a person’s overall health can affect their hair loss.

Only a thorough consultation with a qualified doctor can determine the cause of your hair loss and what treatment options are best for your specific case.

Vitamin Deficiencies

By far Vitamin A and Vitamin E are among the most important vitamins an individual must have to maintain robust scalp health. The impact of Vitamin A upon hair loss stems from the fact that it is a crucial element in the scalp’s creation of sebum. The presence of sebum is what lubricates the roots of your hair, without it hair will become dry and brittle. Failing to consume proper amounts of Vitamin A can lead to or worsen hair loss.

vitamins-and-mineralsThe importance of Vitamin E in maintaining a healthy scalp is the role that is plays in promoting blood circulation. Good circulation is the literal lifeblood of the scalp, it keeps everything from your skin, hair roots, to the hair itself healthy.

Iron & Zinc Deficiencies

Simply put, a lack of zinc in your diet can cause hair thinning and hair loss. Zinc is a known contributor to circulation for the scalp and hair follicles.

Having an iron deficiency can lead to a host of medical problems in the body, including hair loss. If you are not consuming enough iron you may develop anemia when your body can’t produce the proper amount of hemoglobin, which will lead to a reduction of red blood cells.

The Role of Protein & Niacin in Promoting Healthy Hair


Protein is a literal building block for hair as your hair is made out of protein.  If you consume less protein than your body needs to function properly, then your body will begin to ration off the protein supply from the hair follicles, resulting in changes in your hair quality and possibly even hair loss and thinning.

Niacin is an unsung hero in promoting your body’s overall wellness; not only does it play a crucial role in your blood circulation, but it’s also essential for keeping your body’s cholesterol levels stable.

Both niacin and protein are often overlooked as potential culprits for hair loss in certain individuals.

Is Hair Loss Caused By Nutritional Deficiencies Treatable?

The good news is that a vast majority of hair loss caused by nutritional concerns can be reversed.

Patients will need to educate themselves about their dietary habits and work with either a general practitioner or a dietary health specialist to identify nutritional deficiencies and how to alter their diets and lifestyles according to medical advice.

Hair restoration surgery is rarely a consideration for people experiencing nutrition related hair loss.

Contact The Gabel Center

To learn more about hair loss and the latest medications and the latest techniques in hair restoration and hair transplant surgery, contact our Hair Transplant Portland surgery center today. Our team at the Gabel Center look forward to your visit and discussing these matters with you in greater detail.