Coalition Surgeons

Beefy · #21 **Top** 10-03-2006, 11:25 AM

I guess everyone has a right to look like a freak even with tat's and a hairline as low as the wolfman.

Jotronic · #22 **Top** 10-03-2006, 11:56 AM

Some may think that it's good when doctors give the patient what they want, others believe in doing otherwise. There are ups and downs to both approaches.

Jotronic · #23 **Top** 10-03-2006, 11:58 AM

I'll let you figure out which patient was informed and which was not.

the B spot · #24 **Top** 10-03-2006, 11:59 AM

I understand those of you who are for the doctor giving the patient what they want. However, ANY patient who was truly informed would not make this decision, nor allow any doctor to perform this type of surgery.
The reason for this is simple: From 20 to 30, on a NW 1, 2, maybe even a 3, it is virtually impossible to forecast future hairloss. It is also almost impossible to forecast donor availability as well. A 22 year old may look as if he has 10000 grafts available, but by 35 that number is reduced to 7500. (just theoretical numbers) The point is, aggressively depleting donor in a patients ages 20 to 30, in order to "close" the temple region and lower hairlines is setting up potential disaster.
Another point we are missing is that the doctor should be able to perform these surgeries, whether the patient wants it or not.

I have never viewed a person either by photo or seen on person who had 10, 11,000 grafts transplanted. Given the where we are at in the industry, just 4 years ago it would have taken 4 or 5 sessions to reach that number. With today's sessions, 10,000 could be reached in as little as 2 sessions, realistically and safely in 3. Would like to see it though

NikkiJ · #25 **Top** 10-03-2006, 12:16 PM

It is the doctor's responsibility to always have the best interest of the patient in mind, regardless of the type of procedure being performed. With that said, if a young kid wants a procedure that does not need it, the physician should refuse, period. If they do not they are not living up to their Hippocratic oath.

I just don't see how doctors can live with themselves at the end of the day knowing that in 10-20 years their patient will probably look completely ridiculous. A physician should always consider the long-term effects of cosmetic surgery before deciding to move forward when you are dealing with such a young client.

Lon · #26 **Top** 10-03-2006, 01:07 PM

Yes..especially older patients that want a hair line thats doesn't look receding..I think if they want a normal hair line and would like it thin in the back..and use consealers..that is their perogative...as long as the dr has informed them of what to expect..is my opinion..(anyone not working for a doctor agree with me?)

Quote:

Originally posted by Beefy:
I guess everyone has a right to look like a freak even with tat's and a hairline as low as the wolfman.

JakeVig · #27 **Top** 10-03-2006, 02:11 PM

Quote:

Originally posted by Lon:
Yes..especially older patients that want a hair line thats doesn't look receding..I think if they want a normal hair line and would like it thin in the back..and use consealers..that is their perogative...as long as the dr has informed them of what to expect..is my opinion..(anyone not working for a doctor agree with me?)

Lon, I dont agree at all. Your (doctor and patients) objectives should be to provide a natural appearance. Dense packing a 21-22 yo to restore a teenage hairline without knowing the full extent of his hairloss is negligent. Young men suffering hairloss are the most vunerable patients who would do anything to try and restore their teenage appearance.

After they have depleted their donor there is a chance that some of them might look like Bobman after his first HT:
http://www.hairlossweblogs.com/photos/DSCN0134Large.jpg
http://www.hairlossweblogs.com/photos/DSCN0135Large.jpg

This does not look natural and I think everyone would agree is not the best long term interests of the patient.

Luckily Bobman's hairline was not placed low and he had enough grafts for full coverage.

I can't think of anyone who looks natural with a densly packed teenage hairline and a bald crown. I would think that would be a recipe for a life condemned under hair pieces or hats.

nikkop23 · #28 **Top** 10-03-2006, 02:25 PM

yeah, Lon, we're not talking about what older patients might want, so you're confusing the issue. this thread is about the aggressive transplantation of very young patients, who if they're already losing appreciable hair by their early 20s could be in for long-term disaster. the situation you lay out doesn't apply. obviously an older patient with more stabilized loss and ample donor is taking fewer risks, has more latitude in selecting a hairline, and is mature enough not to be sold a simplistic gameplan of "well, we'll just put less in the back" if the future looks bleak.

UGLY MAN 4 LIFE · #29 **Top** 10-03-2006, 02:28 PM

Quote:

Originally posted by nikkop23:
Yes, I tried to make it clear that I was simply stating opinions, but apparently objecting to the dense packing of 5000 grafts into the frontal third of a 23 year old was too much for them. Their threshold of hysteria is very low, as Shane's brief and ultimately doomed foray onto this site some months back demonstrated. Something about that thread I posted this morning about the 21 year old being recommended 2700 grafts really set me off, though. If you look at his pictures, all you really see is that someone needs to buy the kid a bottle of dandruff shampoo. But it's wearying trying to engage in discussion with several rational and literate posters, the Armani online gestapo, and dozens of cheerleading early 20somethings who've seen pictures and can't understand why they can't do the very same thing right away. Examine the threads at any length and it becomes clear that some of them don't even grasp the concept of finite donor hair yet. I think I'll take a break over there for a while....

Unfortunately, that concept won't be grasped that well until they see the first outlines of a NW5. Most of them don't believe it could get that bad.

nikkop23 · #30 **Top** 10-03-2006, 03:01 PM

you're right. i've been thinking a lot lately of garageland, who's hair was still very strong in his early 20s and then went downhill very quickly. if he had started down an Armani-like path, he'd be in a lot of trouble. luckily, Hasson has done a wonderful job on him.

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