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Everything posted by Dr. Glenn Charles
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Help Needed.
Dr. Glenn Charles replied to Mike1212321312's topic in Hair Restoration Questions and Answers
You will have almost 2 months between surgery and travelling . Skin will be healed and follicles intact below the surface. No problem being out in the sun. Of course it is never a good idea to get sunburned because of long term damage it can cause. If your wearing a hat most of the time you results should not be effected. -
PRP? Mesotherapy?
Dr. Glenn Charles replied to HarryHonolulu's topic in Hair Restoration Questions and Answers
In my experience with PRP and mesotherapy I do not think either one of those treatments will give you more hair. If your current hair is very unhealthy, those treatments might make hair a little healthier. Also very good chance you will see no change at all. -
Time out of body is the most critical factor when it comes to graft survival rates. Temperature and hydration are also important. there are several things the doctor can do including having adequate number of staff, being present so surgical staff doesn't need to be waiting and proper sequencing of the procedure. For example, with FUE the recipient sites can be made before the extraction of the grafts so once the harvesting is performed the grafts can immediately be placed.
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Recovery from HT
Dr. Glenn Charles replied to chrisu's topic in Hair Restoration Questions and Answers
I am hoping that you you got enough results from your first procedure to help camouflage things the second time around. In most cases after 7-14 the patient should appear similar to before the procedure. Unless FUE was done and then you have to wait for hair to grow back in the donor area. Patients that are very fair skinned can have some prolonged redness but not a year. -
Anesthetic side effects?
Dr. Glenn Charles replied to Hair4Days's topic in Hair Restoration Questions and Answers
It is always important to have a detailed patient history before performing surgery. History of any cardiac disease or allergies are of primary concern. There are different types of anesthetics that are available for patients with certain pre-existing conditions. In most cases the HT procedure can be performed safely. Although there are some rare circumstances where we suggest the patient not have the surgery. -
There are plenty of exercises that you can start doing 2-3 weeks after surgery. The important thing I tell my patients to avoid for 3 months after a hair transplant procedure is not to hyperflex the neck. In other words do not try to touch your chin to your chest. I think that mild flexion like using your phone or typing on a computer is ok . Over flexion of the neck causes contraction of the trapezius muscle( shoulder ) which can pull downwards and possible stretch the scar out.
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Brush transplanted area
Dr. Glenn Charles replied to TonTon's topic in Hair Restoration Questions and Answers
Generally the transplanted hairs are very short and do not require brushing. Unless you have a long hair transplant and those hairs will probably shed in the first 1-2 months. -
Clinics/Surgeons that use body hair
Dr. Glenn Charles replied to Jay95's topic in Hair Restoration Questions and Answers
Body hair transplants are very difficult and very unpredictable. They are generally very expensive as well. Of all areas from body that hairs can be taken from and transplanted to scalp the beard is the most successful. If you are considering this definitely go to clicic that specializes in this procedure. As the success rate has a lot to do with the experience of the the surgeon. -
Oral minoxidil after HT
Dr. Glenn Charles replied to anoniem's topic in Hair Restoration Questions and Answers
Yes you can start oral MInoxidil right away. -
Traction Alopecia Female
Dr. Glenn Charles replied to LondonGirl2024's topic in Hair Restoration Questions and Answers
Most females choose FUT because they do not want to shave entire head to do the surgery which they always do in Turkey. Definitely go to clinic that performed many surgeries on females that have traction alopecia. the hairline is critical and your case is hairline and probably temporal area. -
HT without Medication
Dr. Glenn Charles replied to Moses121's topic in Hair Restoration Questions and Answers
Not that uncommon. However, most comprehensive hair restoration clinics will off their patients some of the non surgical preventative measures in an attempt to slow down the progression of the hair loss. I have had several patients over the years tell me they refuse to take any medications and that if they have more hair loss in the future they will come back for more procedures. I also warn them that they could run out of donor hair at some point and that we should create a game plan for them that keeps the worst case scenario in mind. -
The reality is you have a large area of hair loss and appears the you have relatively fine hair. You already have 3800 grafts removed from donor area ( who knows how many where successful). It is debatable whether you were even a good candidate for FUE in the first place.Therefore you might want to consider FUT which generally can produce more grafts in a single session and does not thin out the donor area like FUE does. Keep in mind I offer both FUT and FUE so I am just telling you the way I see it. That doesn't mean that if other doctors see it differently they are wrong.
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Beard Hair - opinion
Dr. Glenn Charles replied to Approach's topic in Hair Restoration Questions and Answers
I think that adding as many beard hairs as possible to the frontal area already transplanted could make an improvement but do not think it would be dramatic. Would recommend you not even consider having any of the grafts placed in the mid scalp or crown areas. -
At just under 3 months it is hard to tell. I am hoping that there was a lot of shock in your donor area and that area is just delayed with the growing phase of the shocked hair follicles. I does appear that you have above average density and relatively coarse hair in the donor area and 1600 extractions would normally not cause that appearence.
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Once the scalp has completely healed after a hair transplant there is not a lot the patient can do to effect the growth that is going to start 3-5 months after procedure. I tell patients that after 2 week a blow dryer can be used but safer to use at lower temperature or at farther distance from scalp. Hair products can be used 3-4 weeks post-op.
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Most supplements help with hair quality not quantity but are also good for general health. However, healthier hair can look like more hair. If you are going to consider laser therapy(LLLT) I recommend units that are comprised of all true lasers. Some units are all or partially LED lights not lasers.
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Amount of grafts for temples?
Dr. Glenn Charles replied to Alias's topic in Hair Restoration Questions and Answers
I think that 1600-1800 follicular units would do the job. Remember you only have a limited amount of donor follicles in you your donor bank and you can only make withdraws no deposits in this donor bank account . You want to save as much for later in case you have further hair loss in the future. -
It appears that you have some miniaturized hairs but also some healthy multi hair follicular units. It would help if you showed a few photos of your hair from a distance also.How old are you? Is your hair thinning compared to before? What color is your hair or do you color it? These are just a few of the questions that given the answers might help to answer your question more accurately.