Hair Transplantation – Page 106

September 12, 2008

Revising a Donor Scar with a Tight Scalp? – Hair Loss Information by Dr. William Rassman

I have hair transplant done 2 years ago about 2000 grafts, however I have a donor scar that runs from ear to ear and wider than 1 cm since the skin got constantly pulled. My head skin is very tight,so i am wondering what can I do to fix this ? I want to cut my hair short in the back. Should I transplant hair from other part back to the donor area or any other solutions?

thanks.

You should start doing scalp exercises (see video) and then try to get a surgeon to perform a scar revision surgery with new techniques that are available today. These do not always work, because your body has a new baseline after you have a surgery. You can also try transplanting hair to the scar using the FUE technique, which will work if a revision of the scar does not work. None of these methods are perfect, but they can minimize the look of the scarring. You need to see a doctor to discuss these options for your specific needs and expectations.

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September 11, 2008

Norwood Class 6 Patient Just 10 Days After Surgery (with Photos) – Hair Loss Information – Balding Blog

Hi Doctors,
I’m schedule for surgery with Dr Pak and the last time I was there I forgot to ask to see an example of what I might look like a week or so after surgery. I’m taking a week off from work since I have a ton of vacation time saved up anyway so I’m not concerned about what my scalp will look like during that time. I just didn’t want to go back to work with a swollen head or something. Can you post some photos of a patient that Dr Pak has done? Thanks

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Here’s a recent patient of Dr. Pak‘s that has agreed to show his full face (and results) to the world. He’s very excited about the future of his hair, and although these photos are only 10 days out of surgery, you can see that he’s on the right track. There’s no redness, no scabbing, no swelling (nor did he have any swelling immediately after the procedure)… things are looking great. This is typical with follicular unit transplantation surgery in the hands of an experienced doctor and team, and of course with proper aftercare washing. The patient has a Norwood Class 6 hair loss pattern and had a single procedure of 2468 grafts. I’d like to point out that the grafts were kept at a 1/4″ length at the time of transplant.

Click the photos below to enlarge.

Before:

10 Days After:

September 11, 2008

My Temples Are Still Red and Cobblestoned 2 Weeks After My Transplant – Hair Loss Information by Dr. William Rassman

I am now two weeks post op from my forth HT. I have had great results the last three times with the same doctor. This time he did some temple work. It is now day 15 and both my temples are still red and I have a slight cobblestoning look. I know that cobblestoning in it’s true form was mainly due to large grafts, grafts too large for the incisions ect. I also understand that a this is what really sets aside a good transplant doctor from another. Is it normal for me to still have reddness and some slight elevation in the temple area after 2 weeks. I was told that while the graft area still should be red now the skin should have smoothed out to an even level by now and I should have no traces of elevation in the transplanted area. If this is true does this mean that I’m going to have a permanently detectable transplant in the temple area?

thanks

Cobblestoning, in my experience, does not occur in follicular unit transplantation. In some patients redness does last weeks or even months, but with those who have had prior transplants, the history of redness from previous transplants should tell you what you need to know. I am unwilling to give you treatment recommendations without examining you. Check with your doctor about your concerns as your recent experience seems different.

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September 9, 2008

The Drawn Hairline Is Different From What Was Transplanted a Week Ago! – Hair Loss Information by Dr. William Rassman

Hello. I recently got a hair transplant in Canada. I am a resident of the United States. I didn’t have severe loss, but my hairline has always bothered me. It was very unsymmetrical and missing temple points on an otherwise full head of hair. I had a procedure last week and the swelling has just subsided the last couple of days. Well, what the doctor drew in for my hairline is very different than what is now on my head. My temple points are extremely unsymmetrical now, more than before. When looking at me directly, one temple point can be seen and looks great, but the other one is further back the side of my face and can’t be seen from front view. One is lower than the other… The way it is now, is not what was drawn on my head prior to the surgery. The doctor took a picture of me before the transplant, but did not take a picture of me after the hairline was drawn or after the procedure.

My question is, how do I approach this situation.. Is it the doctors responsibility to fix this for me or am I bound to this agreement even though it was not what was discussed and agreed on prior to surgery? I have seen tons of pics on forums of people who have had temple work done, even from this doctor, and none of them look as unsymmetrical as mine. Should I have this fixed asap or wait till my results grow in and go have it fixed then… I mean, it is ridiculous how much I have paid and it was a fairly easy procedure from what I understand.

The good news is that you had a photograph taken before the surgery, hopefully outlining the hairline that was proposed. If the transplant was done in the last 5 days, it would be unlikely that you could undo the problem work. The best thing is to communicate with the doctor and address your concerns.

You trusted the doctor to perform your surgery after all. It is all about communication and having a trusting relationship. My answer may sound generic, but it is really as simple as that. Your doctor should be very concerned if the work is unbalanced. You can always get a second opinion. Keep taking good photos of your hairline and growth.

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September 5, 2008

Keloids from Hair Transplant? – Balding Blog

Is it possible to get keloid or hypertrophic scarring from a hair transplant? How likely is it to occur? Or would the new hair hide it in any event?

Thanks in advance

A keloid is a possibility with any cut on the skin. If you have had a cut on the skin you will likely know if you keloid these cuts or not. Keloids are more common in people with African, Asian, and Hispanic skin types, and less common in Caucasians. That being said, scalp keloids from a hair transplant are very, very rare in all races.

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September 3, 2008

Hair Cloning and Hair Transplant Failures? – Hair Loss Information – Balding Blog

Doctor,

Firstly, do you think we will see any radical new baldness tretments in the next five-ten years (such as hair cloning)? Do you think if hair cloning (or another procedure) becomes a reality it would be possible to have a full head of hair if a man was extensively bald (only hair at the back and sides of his head)? If this is possible would it be necessary to continue taking dugs such as propecia? I would imagine if the hair is DHT resistant it would not be required. Finally, how often is there failure in hair transplants? By that I mean when hair is taken from a donor area but fails to grow when transplanted (I’m assuming a competent doctor)?

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Hair cloning procedures available to the general public are still many years away. Maybe there will be medications required, maybe not. At this stage, no one knows. Any cloned hair would have to be DHT resistant or what is the point in cloning hair that is susceptible to falling out again?

Complete failure of a hair transplant is rare when the team that does it is very experienced. I just had one about a year ago and then repeated the surgery at my cost and everything worked the second time. I just saw the patient 8 months from the date of the second surgery and things look fine now. I was stumped about the earlier failure and still do not understand it. Most of the problems of failure to grow is the result of diseases like diffuse alopecia areata. Skin biopsies might help make that diagnosis.

September 2, 2008

Hair Loss InformationRemoving Small Plugs with FUE – Hair Loss Information – Balding Blog

Dues FUE removal of small plugs with a 1mm punch leave “rolling” athrophic scars or just a tiny white scar?

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A 1mm FUE (follicular unit extraction) punch has the potential to leave atrophic or tiny white scars, however it is rare. We routinely use a 1mm FUE punch to remove unsightly “plugs” from patients who have had old style hair transplants. Keep in mind that almost all patients with these type of repairs will additionally require a normal, modern hair transplant to fill in the area between the “plugs” to soften the pluggy look.

August 29, 2008

Hair Loss InformationI Met with a Doctor That Immediately Told Me I Needed Three FUE Procedures for $45,000 – Hair Loss Information – Balding Blog

Hi Doctor,

I am 26 and have been losing my hair at the centre, back and recently at the front.

I consulted this week with a doctor in Dubai and he classified my hair loss as pattern 4 class 5 (Hair characteristics are color:black, quality: wavy,thickness is average and density is average). He told me i would have to undergo the FUE procedure. His treatment recommendations were 2 sessions of 3000 hair follicular units at the center and back, another 3000 at the front. The total cost of it being 45,000 usd with a 3 month gap in between these surgeries.

What puzzled me the most is that he just had a look and told me that i would have to undergo this surgery. My concerns are that the price quoted is too expensive for me and i want to know if there are any good doctors out here in Dubai who could do this for a lesser cost. I would greatly appreciate your opinion on this. Thank you.

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More examples of nuts

This is nuts! By just looking at you, he knows your hair density? My opinion is that no doctor can do 9000 grafts total in 3 sessions over a period of 6 months without really examining you, knowing your density, scalp laxity (for strip surgery), etc. And to add insult to potential injury, recommending it blindly every three months on the schedule outlined above is either the work of God, or possibly a doctor who has a streak of larceny (small or large) in him. Maybe I am just overreacting, knowing that I have a human type of limitations.

In other words, I’d seriously think about what this doctor is trying to sell you, and whether it is even possible for him to do what he is suggesting with any consistent quality. You wouldn’t want to pay for something and only get a small percentage of hairs actually taking and growing, leaving the other grafts too damaged to be of any good. Maybe Dubai ~~does not have laws that protect consumers~~ (nevermind, they do), but I would be suspicious, at the very least.

August 29, 2008

Hair Loss InformationPimples a Couple of Days After Hair Transplant? – Hair Loss Information – Balding Blog

Good day,

When I had hair transplant, a couple days later I noticed there developed small (about size of pinhead) yellow “pimples” at base of transplanted hair. is this common ? could it be a dermatophyte infection or tinea and is it problematic ? Thank you !

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At two days after your hair transplant, these pinhead pimples you are talking about may be the tops of the hair transplants. The skin shows in some surgeons hands if they do not trim the grafts closely. At just two days, I would doubt an infection, but certainly go back and ask your doctor to take a look at what you’ve described to me.

August 28, 2008

Hair Loss InformationTaking Finasteride for a Year With Good Results – Is It Time for a Hair Transplant? – Hair Loss Information – Balding Blog

Hello Dr. Bill,

First, thank you again for your continued dedication to providing the most up to date information on the issues regarding MPB.

My question is this: I’m a 25 y.o male experiencing early stages of a balding pattern in the form of NW 3-4. I have been on finasteride for almost a year and am satisfied with the results thus far (no further loss, and from an initial glance, some reversal). However, I want to achieve a more aesthetic look. I’m wondering if its advisable to undergo a HT to fill in the thin areas even though theres no bald spot. Would i probably have some shock loss? Is it too early to begin the rearrangement process that is to come with HT?

Thank you for your advice!

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If you have a good response to Propecia and are still wanting more hair, considering a hair transplant is appropriate, but you want to make sure that your selection of a doctor is an informed one. You may consider reviewing the links on this page — Hair Transplant Doctor Credentials — to get a better idea of what to look for in a hair transplant surgeon.

I couldn’t say if you’ll probably have shock loss. If you’re sticking with the Propecia, I’d say your chances are quite slim that you’d experience shock loss of any great significance. I also couldn’t tell you if you’re even a candidate for transplantation without seeing you, but based on what you’ve described (mid 20s, Norwood 3-4, finasteride for a year), you’re not automatically disqualified. In other words, if you were 19 years old with a Norwood 2 and have never taken finasteride, it’d be pretty easy for me to tell you to not consider a transplant for at least a few years.