Category: Uncategorized

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Having hair is often an issue of self-confidence

I hear about the self-confidence issue all of the time. You would not believe how many wealthy, very successful people I have performed hair transplants on and the reason driving them is almost always the issue of “self confidence”. A few well known people in the world of tech, some CEOs of fortune 500 companies and some very famous actors, had hair transplants by me in the very early part of their career. We have become friends and the actors, as a good example, absolutely believe that the hair transplants transformed them in terms of their “self-confidence” giving them the freedom to be themselves and to do what they do best without worrying about hair loss. Issues of self-confidence is not something men talk about to just anybody, but to the man in the mirror, they tell it the way it is. Even Donald Trump has a hair problem and I am sure that is part of his insecurity. The post below from Reddit shows the importance of family and friends in opening up and talking about hair loss problems.

Received the first “OMG your hair comment” from tressless


2017-08-25 08:55:02Having hair is often an issue of self-confidence

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Twelve Cancers High In Smokers

 

JAMA Internal Medicine study estimates that the number of deaths attributable to cigarette smoking for 12 smoking-related cancers and found that continued progress in reducing cancer mortality requires more comprehensive tobacco control (in other words, best if you stop smoking). These cancers include cancers of the: Lung, Esophagus, larynx, kidneys, liver and bile ducts, leukemia, mouth and pharynx, stomach, bladder, and uterine cervix.

cancer

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Hair Sales Questions

I loved the question about the salesman and the consultation [see: Hair Salesman]. I am a professional salesman selling high end cars, and I fully understand this issue. When one is selling a car or a service, the businessman asks: how many people does one have to go through to get a sale? Now with that said, How many prospective candidates do you go through to make a sale?

We call this conversion rates. Taking 100 people coming through, how many will sooner or later (within 2 years) make the decision to have a surgery. I have found that the number for my practice is between 33-40% and for other doctors working for me it is about 25-30%. My ‘conversions’ are higher because most of the people who come to see me know about my reputation in advance and often have made up their mind in advance of the visit. I am often the last doctor that they will visit. Still, my conversion numbers are low because I turn down most women (they often can not be helped), young men (who are too young and therefore too early in the process), people with unrealistic expectation, etc.. A salesman would view that the right conversion rate should be the majority of people coming through the door-whether they truly needed the surgery or not. When I had worked for another medical group who had employed a full time sales force, the conversation rates ranged between 50-95%! They would have fired me for my low conversion rate if I was one of their salesmen. That tells me that those doctors who employ salesmen, insulate themselves from the patient. These doctors build more a money focused practice than a people focused practice. My style is to use the medical forums and meeting, my website, the internet and activities like this BaldingBlog to communicate and educate, then have the prospective patient come to see me after they are informed. I have built a boutique practice where I have Hollywood stars and heads of state or CEOs of large companies as often as blue collar workers.

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Should I Have an FUE Hair Transplant, I Am 30. (from Reddit)

Hair transplants work very well when you are balding. I had hair transplants for my crown, and no one knows unless I told them. I performed hair transplants on 6 relatives, including my wife and daughter-in-law, and they were all happy with them. There is a balance between your concerns about balding and your sense of need to do something about it. Hair transplants are not for everyone. Even though I invented the FUE, I still perform half of our hair transplants with strip surgery, often in older men or men who are going to develop an advanced balding pattern. The decision to do an FUE vs FUT is a personal decision for each patient.

Hair Transplant Should I Wait? from tressless

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Unhappy with SMP and FUE (from Reddit)

The pictures only show your over-harvested donor area. If I understand you correctly, you had the FUE with an over-harvested donor area to fix the SMP you had done. The only way to correct the over-harvested donor area is with SMP. Nothing is perfect, but our overall satisfaction for SMP is very high in our hands. You need SMP for your donor area because that is why people are looking at you.

I regret my micropigmentation + FUE transplant. (Pics) from tressless


2019-06-04 15:07:30Unhappy with SMP and FUE (from Reddit)

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Hair Transplant Doctors That Charge By the Session vs By the Graft

Can you please translate this.

I always thought that most hair loss surgeons charged by the graft. However, I noticed the following on a certain surgeon’s website. The surgeon is very well known and highly respected, so I don’t believe he is playing a pricing game, but I have no idea of what is meant by “charging by the session and NOT by the graft.”

Also, how could charging by the graft be misleading, like the wording claims? Please explain what he is trying to say and clarify how you charge.

From a certain surgeon’s website: “At (name removed), we try to keep hair surgery affordable. We charge by the session, not by the graft or hair, which can be misleading and overly expensive.“

Most hair transplant clinics do charge by the graft. I think the surgeon who made the above statement clearly believes session charges are less misleading and have a greater value than graft charges. At one time, I entertained the idea of doing a session charge rather than a per graft charge, but I ran into a problem working through the details of the charging mechanism. For example, if a person had a session charge for 400-800 grafts and then another charge for 801-1200 grafts, would the person who paid for 801 grafts feel cheated when he knew that someone else paid a lesser price for 799 grafts? I think that a patient would want to know just what they are getting and per graft charges really reflect, in my opinion, the amount of work done and the value in transplanted hair to the outcome. Iin this example, there is almost no difference between a charge by the graft for 799 vs 801 grafts, compared with a big step up in pricing for a session charge.

Charging by the graft is like a lawyer charging by the hour. If the lawyer is honest in his hourly billing, the client actually pays for what he gets; likewise, if the surgeon actually delivers the grafts that he says he transplanted, the same question of honesty is raised by the patient who should ask, “How do I know what I purchased in number of grafts were actually delivered?”. Here’s a few posts about ethics in graft counting that may interest you:

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Hair Transplant Patients Under 30 Years Old?

Hello Dr.Rassman

Really informative website, love it. I just have a couple questions.

1. Just wanted to know how come there is a lack of hair transplant photos on the NHI website of patients 30 and under?
2. How many patients under the age of 30 that you have done surgeries on, either in the front or crown of the scalp, have to come back for more additional procedures to make it look thicker and fill in areas or because they are losing hair behind their transplanted hair?

Thank you kindly.

There are many photos on our NHI website, and I’m sure there are some younger patients in there. If there is a lack of these younger patients, it isn’t on purpose — we post the photos that our patients allow us to post, and many of the younger patients don’t wish to appear on our site.

Our average age for transplant patients is around 30 to 40s, but we have done surgery in men as young as 20 (who was a bald NW 6) to as old as 80. This becomes a one-on-one assessment comparing the risks of too early transplants with waiting too long. It’s not something that I can easily convey here in this post.

Men with frontal hairline loss often come to surgery earlier, because they are bothered by the man in the mirror. Younger men who are rapidly losing hair will likely benefit from finasteride (Propecia) over surgery in certain cases. It is not unusual for a young man under 30 with fine hair to have two procedures with us.