{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T01:26:49Z","timestamp":1791509209818,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T00:00:00Z","timestamp":1602028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Hair loss affects most people at some point in their lifetime, causing anxiety and decreased self\u2010esteem. There are multiple surgical and nonsurgical treatments available, with the surgical options having greater and longer\u2010lasting effects. Such treatments have evolved over time with advances in technology and research, with numerous patients researching these treatments on Google. Many surgeons who provide these treatments belong to the International Society of Hair Restoration Surgeons (ISHRS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate trends in surgical hair restoration treatment from both the surgeon and patient perspectives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patient epidemiological and surgical data from the ISHRS were combined with search trend data from Google to analyze changing trends in surgical hair restoration treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Worldwide Internet searches for \u201chair transplant\u201d have increased from 2004 to the present. Follicular unit excision (FUE) has supplanted follicular unit transplant (FUT) as the most popular hair transplant performed. Since 2004, there has been an increase in both nonsurgical and surgical female patients. Beard and eyebrow transplants have increased in popularity. Google searches follow this trend. Nonsurgical treatments such as platelet\u2010rich plasma (PRP) are being searched more frequently. Hair restoration clinics and Google searches were affected adversely by the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Technological advances in available therapies, improvement in delivery systems, changes in hair fashion, and global events have direct impact on hair restoration treatments offered by physicians and researched by patients. It is in the best interest of all hair restoration providers to keep abreast of changing technologies and treatment trends to stay at the forefront of their profession.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.13723","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T07:53:34Z","timestamp":1600415614000},"page":"2974-2981","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Changing trends in surgical hair restoration: Use of Google Trends and the ISHRS practice census survey"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8664-7723","authenticated-orcid":false,"given":"Aditya K.","family":"Gupta","sequence":"first","affiliation":[{"name":"Mediprobe Research Inc. London ON Canada"},{"name":"Department of Dermatology Faculty of Medicine University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1806-5561","authenticated-orcid":false,"given":"Emma M.","family":"Quinlan","sequence":"additional","affiliation":[{"name":"Mediprobe Research Inc. London ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.15327"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14656566.2020.1721463"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13506"},{"issue":"4","key":"e_1_2_8_5_1","first-page":"213","article-title":"Surgical hair restoration and the advent of a robotic\u2010assisted extraction device","volume":"12","author":"Gupta AK","year":"2014","journal-title":"Skinmed"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.33589\/25.5.0177"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.5812\/jssc.101833"},{"issue":"3","key":"e_1_2_8_8_1","first-page":"35","article-title":"Scalp micropigmentation: a concealer for hair and scalp deformities","volume":"8","author":"Rassman WR","year":"2015","journal-title":"J Clin Aesthetic Dermatol"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000001894"},{"key":"e_1_2_8_10_1","doi-asserted-by":"crossref","unstructured":"ISHRS.About. 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Published February 25 2014.https:\/\/nypost.com\/2014\/02\/25\/hipster\u2010wannabes\u2010forking\u2010over\u2010thousands\u2010for\u2010facial\u2010hair\u2010transplants\/. Accessed August 13 2020."},{"key":"e_1_2_8_21_1","unstructured":"NewmanAA.Baby\u2010faced men opt for beard transplants. The New York Times.https:\/\/www.nytimes.com\/2015\/10\/02\/fashion\/mens\u2010style\/baby\u2010faced\u2010men\u2010opt\u2010for\u2010beard\u2010transplants.html. Published October 1 2015. Accessed August 13 2020."},{"key":"e_1_2_8_22_1","unstructured":"PrestonH.What is an eyebrow transplant? Meagan Good tells Wendy Williams about getting her \u201cexcellent\u201d brows. Newsweek. Published May 1 2019.https:\/\/www.newsweek.com\/what\u2010eyebrow\u2010transplant\u2010meagan\u2010good\u2010wendy\u2010williams\u20101412006. Accessed August 13 2020."},{"key":"e_1_2_8_23_1","unstructured":"World Health Organization.Timeline of WHO's response to COVID\u201019. World Health Organization. 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