Does smoking increase complications of hair transplants?
In a 2009 article written by Dr. David Perez-Meza reflecting upon Dr. Tony Mangubat’s two cases of problems following a hair transplant, the connection between smoking and complications from a hair transplant or any plastic surgery to the face, is significant (see attached article below).
Still a other article mirrors these claims: J Surg Res. 2009 Apr;152(2):224-30. doi: 10.1016/j.jss.2008.02.066. Epub 2008 Mar 31 concluding that: “Nicotine has a limited vasoactive effect in the skin and subcutis unlikely to be explained by smoking, which distinctly decreases tissue blood flow, oxygen tension, and aerobe metabolism independent of smoking status“.
This does not negate the effects of smoking just the direct connection between the causes seen and the presence of nicotine suggesting other causes in the cigarette smoke produce problems in wound healing.
2019-10-11 05:32:312019-10-11 13:15:08Does smoking increase complications of hair transplants?
Revising Non-Transplant Scars
Dr. Rassman,
This is a bit of a tangent. I had 3 surgeries with you folks between 97 and 2000, and I continue to be pleased with the results. It appears it will be quite some time before I need more work done. When I researched different groups, you folks stood head and shoulders above the rest in terms of professionalism and especially how much research you had done. It was clear you were at least as interested in advancing the art as being successful from the business end.
Thus I am interested in your opinion on scar revision. I have two 6-7 inch scars – one on my elbow from nerve transposition surgery, another one that is horseshoe shaped above my armpit from reattaching a torn pec from a snowboarding mishap. Both scars spread kind of badly, such that at spots they are about as thick as my index finger. Apparently both those spots tend to be high tension, which causes the spreading. Both incisions were sutured with plain stitches or staples, not any interior stitches.
I’ve been doing web research on and off for several years, but I haven’t been able to convince myself that there is any group or technique that has a good chance of making a big improvement. What are your thoughts about the state of the art of scar revision? Perhaps this is a new area of study to apply your innovation. 🙂
When a person has stretched scars on many parts of their body, I often think of diseases that produce this problem. You should first be sure that you do not have any of these diseases such as Ehlers-Danlos Syndrome which is a connective tissue disorder. You are correct that some scars that come from wounds which are located in areas where the skin is stressed, can stretch in any person, even those without a connective tissue disorder. Plastic surgeons are often good at dealing with changing the way forces are applied to these stretched areas. One common procedure for managing scars is a process called a Z-plasty, where a linear scar is change to a Z type scar so that the forces do not oppose each other to stretch the scar. In the scalp, there are other factors far too complex for me to cover in a blog response here.
2005-08-22 13:01:052005-08-19 15:59:09Revising Non-Transplant Scars
Does Toppik Work On My African Hair?
I am a African American woman and i was chemical burn by relaxer about 7 yeas ago. I do not know how and if you can help me with me living in the Caribbean. I was thinking of getting toppik but will that work on my African hair? please help
Yes. I know many African American men who came into our office to get a consult with us and when they are using Toppik, it seems to work well. I don’t see why it wouldn’t work in the same way for women. Give it a try!
Robbie Williams failed hair transplant wears wig
https://www.dailystar.co.uk/showbiz/robbie-williams-cover-balding-head-22996154.amp
This shows that even celebrities can’t always get it right!
2020-11-13 01:27:552020-11-12 06:29:43Robbie Williams failed hair transplant wears wig
Is My Donor Area Over-Harvested After 4500 Fue Grafts? (Photo)
Rogaine Regrew Part of My Hairline, So What Can I Do To Make The Other Side Grow?
Rogaine is growing old hair line back but only on one side. Other side is still receding and thinning more. Why is this? Been on rogaine consistantly for 5 1/2 months and propecia for a year. Should I continue rogaine or stop? Do not want to lose anymore hair on that one side. Thanks
How are you sure it was the Rogaine (minoxidil) and not the Propecia (finasteride) that caused the regrowth? If you stop either treatment, you will probably lose what you gained, even if the benefits were only visible on the one side. It’s up to you whether you’re willing to risk it.
If you end up using both medications for at least 12 months and still don’t see a similar regrowth on the other side of your hairline, then a hair transplant may be the only solution for you.
Don’t fall into this trap and do unnecessary hair transplant (photo)
This man had a hair transplant and had holes punched into the front, top and crown of his head. Some young men panic thinking that they are losing hair as their father may have lost it so they might not do their research and think that they need a hair transplant to keep their hair. This patient was probably such a man and I say this because there is hair on his head and it appears to be good quality hair. Maybe he tried to find an inexpensive hair transplant doctor and found a doctor or someone who claimed that they were a doctor who was able to persuade this man to have a hair transplant.
Using holes for recipient grafts (a technique that has been abandoned years ago), this man had a hair transplant and the person doing it was so proud of the work that these pictures were taken and given to the patient. But what is worse than the terrible work, is that this man appears to have a reasonable hair density so it is clear to me that he had an unnecessary surgery. Maybe he felt he was losing hair and some doctor or some non-doctor who maybe acted like a doctor must have talked him into have an this hair transplant surgery. Some young men are very impressionable and can be influenced especially if the person doing the ‘selling’ appears to be a doctor. Some day, this man may lose hair and what he will have left is plugs where all of these holes can now be seen. He will look freaky. Bad, Bad, Bad!!
2019-12-14 09:33:132019-12-14 09:59:00Don’t fall into this trap and do unnecessary hair transplant (photo)
Safe to Take Accutane and Propecia?
Please help! My doctor advised I take accutane for severe acne and Propecia for hair loss. Is it safe to take both of these medicines at the same time? Thank you!!
The use of these two medications will not interact with each other. Be aware that Accutane does have hair loss as one of its side effects.
2007-02-13 10:33:162007-02-12 09:43:01Safe to Take Accutane and Propecia?
Dr Farjo Warns About Media Inaccuracies
Snippet from the article:
One of the UK’s leading hair transplant surgeons – Dr Bessam Farjo – has conveyed his concerns surrounding the recent criticism of celebrity hair transplant surgery.
A number of tabloid publications have deemed Wayne’s surgery a ‘failure’ and pictures have been released showing the area where the surgery was performed.
Dr Farjo comments: “What the press are showing is images of the period of rest for the transplanted follicles, which may have broken off or fallen out. What’s important is that the roots stay inside the skin and will be working on brand new hairs that will start to sprout around four months after his surgery. A proper result can take as long as 10-14 months to fully mature.”
Read the rest — Leading hair transplant surgeon warns against media inaccuracies
Dr. Farjo is a contributor to BaldingBlog, but this article caught my attention because what he’s saying is absolutely true. As a population addicted to reality TV and dramas, we are becoming critical of things that we often do not understand. Media inaccuracies regarding hair loss or hair restoration are nothing new, but they’re making tabloid headlines in the UK lately since a number of celebrities have gone public with their surgeries (like this one).
As Dr. Farjo states, transplanted hair needs time to take to root and if you catch it in the various stages of growth, it may look incomplete as one area starts to grow before another. I always tell my patients that they must have patience and wait 6-7 months to see the hair go through its initial growth cycle. By 8 months, the average patient will have hair that is 1-2 inches in length.