Hair restoration has seen remarkable advancements over the years, evolving from invasive procedures with visible scarring to more refined, natural-looking solutions. Dr. Kevin H. Ende, a highly skilled facial plastic surgeon, shared his expertise on the latest trends, challenges, and what patients should consider when exploring hair restoration treatments.

Dr. Kevin Ende’s Journey into Hair Restoration
Dr. Ende’s passion for facial plastic surgery was sparked during his training in head and neck surgery. A naturally artistic individual, he found that his surgical skills complemented his love for precision and aesthetics. After completing his residency at Temple University, he was accepted into a prestigious fellowship in San Francisco, where he trained under some of the pioneers in hair restoration.
With over a decade of experience in Manhattan, performing over 3,000 facelifts and a significant number of eyelid and injection surgeries, Dr. Ende eventually opened his own practice in Englewood, New Jersey, in 2019. His practice has since flourished, specializing in facial plastic surgery, hair restoration, and other head and neck procedures. His commitment to continuous learning and staying ahead of industry innovations has set his practice apart in a competitive field.
Challenges in Hair Restoration
One of the biggest challenges in the industry has been overcoming the stigma associated with older hair transplant techniques. Previously, a strip of hair would be taken from the back of the scalp, leaving a noticeable scar. Today, the technique has shifted to Follicular Unit Extraction (FUE), which involves individually harvesting hair follicles. This method eliminates linear scarring and reduces downtime for patients, making the process more appealing.
Another challenge Dr. Ende highlights is patient expectations. Many patients come in hoping to restore the thick, youthful hairlines they had in their twenties. However, the amount of donor hair available plays a crucial role in determining realistic results. Managing expectations and designing age-appropriate hairlines is key to achieving long-term satisfaction. Additionally, educating patients on the long-term maintenance of hair restoration is crucial, as factors such as lifestyle, genetics, and ongoing care play a role in the procedure’s success.
Trends and Innovations in Hair Restoration
Dr. Ende emphasizes that while many patients believe traveling abroad for hair restoration is cost-effective, safety and regulatory standards in the U.S. remain unmatched. In terms of medical advancements, one growing trend is the shift from topical minoxidil to oral forms, which some studies suggest may produce better results. Additionally, JAK inhibitors, a new class of drugs, are showing promise in treating inflammatory alopecia and could revolutionize treatment options in the coming years.
Another significant trend is the increased use of platelet-rich plasma (PRP) therapy as a complementary treatment to hair transplants. PRP involves drawing a patient’s blood, processing it to concentrate growth factors, and injecting it into the scalp to stimulate hair follicle growth. This non-surgical method is gaining popularity as an effective way to enhance transplant results and improve hair density.
Common Mistakes Patients Make

One of the most common mistakes Dr. Ende sees is patients undergoing hair restoration too early. While some individuals start losing hair in their late teens, it’s difficult to predict their final hair loss pattern at that stage. For this reason, Dr. Ende recommends waiting until at least the early 30s to consider surgery, ensuring a more strategic and effective restoration process.
Additionally, many patients fail to research the credentials of the professionals performing their procedure. With the rise of non-specialist clinics offering hair restoration services, Dr. Ende warns that many patients are not aware that technicians, rather than surgeons, perform much of the work in some facilities. He advises that prospective patients ensure their procedure is performed by a board-certified surgeon with extensive experience in hair transplantation.
What Sets Dr. Ende’s Practice Apart?
Unlike many clinics where technicians perform the majority of the procedure, Dr. Ende takes a hands-on approach. He personally designs each patient’s hairline, administers anesthesia, harvests the hair follicles, and creates the recipient sites. This level of surgeon involvement is rare and ensures precision and natural-looking results.
His practice, NJ Eye and Hair, also offers services beyond traditional hair restoration. These include:
· Eyebrow and eyelash transplants for patients who have lost hair due to surgery, trauma, or burns.
· Beard transplants for individuals looking to fill in patchy areas or achieve fuller facial hair.
· Alternative donor sites for procedures like eyelash transplants, where fine hairs from the back of the calf are used for a more natural match.
· Scar revision hair transplants for patients who have visible scarring from previous hair transplant procedures or injuries.
· Female hair restoration treatments tailored specifically for women who experience different patterns of hair loss than men.
Final Advice for Prospective Patients
Dr. Ende advises patients to research thoroughly before choosing a provider. A key factor is ensuring that the surgeon—not just a technician—is actively involved in the procedure. Additionally, he stresses the importance of patient education, providing extensive before-and-after photos on his website (www.drende.com) and social media to help prospective patients understand realistic outcomes.
Another important consideration is post-procedure care. Dr. Ende emphasizes the importance of proper healing and follow-up treatments to maximize the longevity of hair restoration results. He recommends patients follow strict post-procedure guidelines, including avoiding excessive sun exposure, refraining from strenuous activities for a few weeks, and using prescribed topical treatments to aid recovery.
Hair restoration is an art as much as it is a science, and with the right expertise, patients can achieve life-changing results. For those considering the procedure, consulting a dedicated professional like Dr. Ende can make all the difference. With the right guidance, knowledge, and realistic expectations, individuals can restore not only their hair but also their confidence and self-esteem.
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