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To apply to become an ABHRS Diplomate, visit: https://abhrs.org/certification/ ABHRS board certification and what it really means for hair restoration surgery, straight from Dr. Carlos Puig, Executive Director of the American Board of Hair Restoration Surgery (ABHRS) and one of the original physicians who helped organize it in 1997. Learn why the ABHRS exam was created, how the specialty expanded beyond “just a procedure,” and what separates a hair restoration surgeon practicing comprehensive medicine from a high-volume “mill.” Dr. Puig explains how advances in hair cycling science, tissue culturing, and emerging biologics (like platelet-rich plasma and exosomes) reinforced the need for a true medical specialty, one that includes accurate diagnosis, long-term treatment planning, and complex repair/reconstruction cases. Timestamps 0:00 - Dr. Carlos Puig’s role at ABHRS + founding the board (1995–1997) 1:18 - Why the ABHRS exam became necessary: hair cycling science, tissue culturing, and new biologics 3:00 - Hair restoration as a medical specialty: scarring alopecias, systemic illness, reconstruction 4:30 - Why ABHRS became a “gold standard” and what diplomate-level training signals 6:15 - The credibility gap: marketing vs. conscientious surgery, and why certification matters 8:00 - Cross-specialty backgrounds (plastics, derm, ENT, ER) and why “a few cases” isn’t enough 9:30 - Real repair case example: correcting a hairline advancement with scarring and unnatural recession 10:05 - Why ABHRS diplomate status matters to peers and the public + invitation to pursue certification