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A Hair System or SMP, what should I do?

22 y/o here with rapid mpb. i’m already too far gone for a hair transplant to look halfway decent so am looking into some alternatives. i rocked a buzzcut last year and thought it was ok but for my wildly receeded temples so smp has caught my eye but there are also some incredibly good hair systems out here. ideally, i want to not have my hair bother me anymore and have a frame to my face for my 20s! what do you reckon?

There is a huge difference between a hair system which requires annual maintenance, daily maintenance and social adjustments to get what looks like a full head of hair. With good hair systems, the look is a good as if you never lost hair, just like with a good hair transplant. With SMP, however, you have to determine if you want the look of a shaved head of hair with no actual hair. It has the advantage of minimal maintenance once it is done, but it is not hair. The good news is that if you have SMP done, you can always switch to a Hair System or a Hair Transplant. It is a personal choice.


2020-11-05 16:36:39A Hair System or SMP, what should I do?

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A Hair Breakthrough May Not Be The Breakthrough That it Seems To Be

https://www.pressreleaserocket.net/the-aesthetic-surgery-journal-publishes-groundbreaking-study-on-nape-hair-for-fue-hair-transplantation/328237/

 

Use of Nape and Peri-Auricular Hair by Follicular Unit Extraction to Create Soft Hairlines and Temples: My Experience With 128 Patients
Sanusi Umar

Background Hairlines and temples can look unnatural due to coarseness of the safe donor area of transplanted scalp hair. Although the thinner caliber of nape and peri-auricular (NPA) hair would be ideal to create softer hairlines, they have not been used mainly because of concerns that they are nonpermanent.

Objective We assessed the outcome of NPA hair transplanted to hairlines and temples in selected patients.

Methods During November 2006 to November 2011, follicular unit extraction (FUE) transplantation using NPA hair was conducted in 128 patients following a shave test involving the visual evaluation of hair density and caliber of shaved head donor areas. The test was used to determine permanent versus nonpermanent donor areas. A questionnaire was sent to patients to assess satisfaction with their restored hairlines, with a follow-up questionnaire sent to those who initially responded.

Results Three-quarters of patients are good candidates for use of NPA hair to the hairlines and temples based on the shave test. Of 128 patients transplanted, 71% responded and reported a mean overall satisfaction of 8.3 (scale, 1-10). Patients saw full hair coverage at the recipient area at a mean of 9.6 months after surgery. Nineteen patients reported lost grafts. Thirty-three patients responded to a second survey and reported a mean overall satisfaction of 8.5 at an average of 4.6 years after surgery; only 5 (15%) new instances of graft loss were reported.

Conclusions Soft, natural-looking hairlines can be created in select patients using NPA hair as a donor source by FUE hair transplantation.

These are just my (Dr. Rassmans’s) opinions (regarding the Press release which may be more exaggerated than he original publication as one reader rightfully points out):

Taking neck hair, which is often finer than scalp hair, has problems with it. These problems include:

(1) more prominent scarring occurs in the neck and the neck area is very visible so such scars will be detectable as punctate scars

(2) neck hair is often not permanent hair as scalp hair is, so if one transplants the frontal hairline with these finer hairs, they may disappear with age.

This is a warning to those who see this press release. They must know the risks associated with a neck hair donor area.

Actual article is posted here: https://asj.oxfordjournals.org/content/early/2015/09/22/asj.sjv137.full?ijkey=X8GZ55Qz4zRGY4J&keytype=ref

 

 

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A Good Hair Transplant Made Great (with Photos)

Once you have a follicular unit transplant (FUT), if the procedure was done with care, there is no question that the results can’t be detected in any casual encounter, or even on close inspection in most circumstances. Yet with that said, there is still a difference between patient results that go beyond the characteristics of (1) hair shaft thickness, (2) hair character, and (3) hair color.

Let’s take a look at a patient who had two hair transplant procedures. The patient is Dr. Jon Perlman, the well-known Beverly Hills plastic surgeon that has been featured on ABC’s television show, Extreme Makeover. After his first session, he had good results that nicely framed his face when his hair was groomed. But on close examination, his hair was somewhat see-through. Dr. Perlman has very fine hair, so the bulk of each hair shaft was lower than average. By undergoing a second procedure, the bulk was doubled and the results shown in the pictures below say a great deal about the change he experienced. He was more-than-satisfied after the first procedure and thrilled after the second one. A good transplant became a great transplant.

Sometimes patients will tell me something like, “I don’t want it too thick and I am afraid if I put too much hair there, it will look unnaturally thick.” In all of the years of doing this surgery, I have never, ever had a patient who told me that I had made the hair too thick in a single session. We have seen many of our patients (initially satisfied, but wanting more hair) receive another transplant and become transformed back in time to their youthful look. By performing NHI’s pioneering dense packing procedure, we can increase the density of hair in a single procedure, often reducing the number of procedures needed to obtain results like the one shown here, but when the hair is super fine (like the example below) then two sessions may be needed. For many people, hair is like money — the more you have, the better it is.

Click the photos to enlarge.

Before and After 2 procedures (2890 grafts total):

 

For more photos, click “read more” —

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Before (left) and immediately after surgery (right):

 

After 1st procedure (1529 grafts):

 

After 2nd procedure (1361 grafts):

 


2011-02-03 13:24:30A Good Hair Transplant Made Great (with Photos)

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A Free Hair Transplant Would Solve My Depression

Dear Dr. Rassman,
I started losing my hair after using hair gel at the age of 15 and now i am 19 years old. i lose hair from the top of my head and from the sides, is there anything that i can do to stop the hairloss. also could you tell me please if i could get a hair transplant from the NHS in england for free, because the hair loss has caused me to become very depressed and a hair transplant would solve my depression.

Hair loss is not from hair gel. If your loss started around the time you started using gel, it’s a coincidence. I doubt England’s National Health Service (NHS) would just hand out hair transplants because you wanted one. Genetic hair loss is found in roughly 50% of all men, so your case is not unusual. To halt the hair loss, you should talk with your doctor about the genetic process and a prescription for Propecia if your doctor believes it is genetic in origin.


2009-06-16 12:11:22A Free Hair Transplant Would Solve My Depression

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A former patient of mine came in to see me today (photo)

He asked me if I knew how he selected me as his surgeon some 20 years ago, so when I said no, he went on to tell me the answer. The day he came to my office, he recognized two of the most famous producers in Hollywood sitting in my lobby. He knew that I would then be his surgeon, a decision he never forgot. He had two surgeries with me totally 4025 grafts. He send on his four best friends to see me as well. The hair they got from me makes them happy today, 20 years later. I tell my patients that you don’t want to take chances with results, because when happens to you everyone will see for the rest of your life. You don’t want to (1) have it failed to have it redone, (2) to have it done poorly so that others can tell you had a hair transplant, (3) have it done without a future plan so that as the genetic hair loss progresses, you don’t have enough hair left to follow the loss as you get older. His before and surgical pictures are show here as well

 


2019-10-26 11:20:23A former patient of mine came in to see me today (photo)