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Dr. Glenn Charles

Elite Coalition Physician
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Everything posted by Dr. Glenn Charles

  1. Dr. Glenn Charles
    There are several ways to control the depth of the recipient incisions during hair transplantation. Certain blade handles have a depth gauge. Sometimes the blade itself can be made to control the depth. I would find it hard to believe that any hair restoration physician would not agree that the depth of the incisions was not very important.
  2. Dr. Glenn Charles
    It is true that some patients are lucky and experience very little shock. Some have tried to use Rogaine or laser treatments post operatively in an attempt to prevent shock. This also seems to work for some and not others. Unfortunetly, there is no way to determine who will experience shock loss.
  3. Dr. Glenn Charles
    Patient in his early thirties was looking to restore his hairline and add some density to the entire frontal region.
  4. Dr. Glenn Charles
    Waiting 2 weeks after your procedure should be sufficient. After that amount of time it would be difficult to cause any harm to the grafts which will be comletely healed as well as the donor area. The helmet will also give you additional protection. Don't give up the sports. It is what keeps us young.
  5. Dr. Glenn Charles
    Hasson and Wong do excellent work. There are several other clinics within the US that do very fine detailed work. Do your due diligence andsome on line consultations. This will help you to start narrowing down the options. At some point you will need to follow your instincts, because your final choices will consist of all great hair restoration physicians.
  6. Dr. Glenn Charles
    The most important thing to avoid is flexion of the neck. This means you should not do anything that puts additional strain on your neck and back of your head. Definitely do not try to touch your chin to your chest or test to see how far you can flex your neck without having pain.
  7. Dr. Glenn Charles
    It depends where you are planning to have the grafts placed in the second procedure. If you are grafting a completely new area than you could have another procedure in 6 months. If you are planning on placing additional grafts in the same recipient area as the first procedure than I recommend waiting 1 year.
  8. Dr. Glenn Charles
    How long has it been since you had your procedure? Some dryness and flaking shorly after the surgery is relatively common. What are you using to wash your hair and scalp? Certain products can worsen the situation.
  9. Dr. Glenn Charles
    I agree that it generally take more grafting to get good coverage in the crown area. One of the main reasons is that the hairs tend to splay out or spread out away from each other. So you do not get the layering effect that other areas of the scalp benefit from. The crown area often seems to be larger than anticipated and needs to have grafts placed into the periphery of the thinning area as well which takes additional grafts.
  10. Dr. Glenn Charles
    As expected Dr Shapiro's work looks really nice and clean. He creates those hairlines like an artist. There is a thought process with every graft. I am sure your results will be impressive. Good luck and be patient for the hair to grow in.
  11. Dr. Glenn Charles
    There are always exceptions to the rule. Any doctor should listen to the patient and their reasons for wanting hair restoration. It also depends on where the hairline is being requested. If it is in a reasonable location that will continue to look appropriate with aging than making it much denser might be acceptable.
  12. Dr. Glenn Charles
    I think that more important than tricho vs non-tricho is how much tension there is to close the donor wound. If there is to much tension than even with a trichophytic closure there will be additional scar tissue formation. Using a two layer closure technique is the surest way to minimize tension at the donor wound edge.
  13. Dr. Glenn Charles
    You are correct that the half life of Propecia is relatively short. That is why it is recommended to be taken daily. However, one must always weight the positives and negatives to determine the best course of action. If side effects can be avoided with every other day dosage, that may be more important than the length of the half life of a particular medication.
  14. Dr. Glenn Charles
    One of the other two techniques is a strip type Follicular Unit transplant or FUT. The third technique is another method of performing FUE. There are several different instruments used to perform the various types of hair transplant procedures.
  15. Dr. Glenn Charles
    Even with medications to prevent hair loss there will probably still be some normal daily shedding. Hopefully, more hairs will grow each day than fall out.
  16. Dr. Glenn Charles
    You can be sure that 3 weeks after the procedure you can do any harm to the transplanted follicles with working out. I allow my patients to begin light workouts after 1 week and resume full workoutsw at 2 weeks. I admit that I have not missed more than 2 days in a week at the gym in 15 years. It would definetly be the hardest part of the post op recovery for me.
  17. Dr. Glenn Charles
    Very well stated. This is an excellent and very thorough description of the common non surgical options in hair restoration
  18. Dr. Glenn Charles
    Your photo looks great. Dr. farjo does some really nice work. I hope you get the results you are looking for. Good luck.
  19. Dr. Glenn Charles
    You definetly have had some shock loss. This is relatively common. Hang in there a little longer. Some of the shocked hairs and the newly transplanted follicles will start to grow soon. The hair follicles that were shocked and lost permanantly would most likely not have been on your head more than another year or so. Remember that you are replacing those lost thinner hairs with thicker healthier hairs.
  20. Dr. Glenn Charles
    With FUT or FUE there is some transection of sensory nreve fibers. Although it is not as common with FUE as it is with FUT, some prolonged pain and numbness is possible. In time you should regain normal sensation to your scalp. However, I do recommend keeping in close contact with your doctor to provide updates of your situation.
  21. Dr. Glenn Charles
    It is always wise to be somewhat gentle with all transplanted hairs as well as native hairs. I recommend a brush that has wide spaced bristles. Use common sense and do not worry to much about it.
  22. Dr. Glenn Charles
    If you continue to pluck the same hairs over and over, there is a possibility that permanant damage could be caused. There are some simple dying products that take just a few minutes to apply and work really good. Keep the hair you have. They may come in handy later.
  23. Dr. Glenn Charles
    The doctor performing your surgery should take into account that you may have further hair loss in the side/temporal area and plan the procedure accordingly. I do agree that it is probably wise to have the first procedure concentrate on the front 1/2 of the thinning/balding area. It will have a greater impact on your appearence and the back 1/2 can be done at a later time. Throwing 500 grafts in a large empty crown area is often like throwing a bunch of rocks in the ocean. They get lost and do not make much of a difference.
  24. Dr. Glenn Charles
    Remember there is no such thing as scarless surgery. With one FUE procedure you most likely will not be able to see any visible scars because they will be very small and spread out over the entire donor area. However, if you have plans to have multiple large FUE procedures over time there could be a thinning appearence to the entire donor area because those tiny liitle scars may start to connect and form slightly larger scars that cover a large area. Under worst case scenario this potential problem could be more difficult to cover up than a linear scar formed from a strip procedure.
  25. Dr. Glenn Charles
    The hairs that do not fall out right away can grow, but often fall out in a delayed fashion. There is a small percentage (less than 5%) that may not fall out due to shock and just continue growing from the day of the procedure. You can have growht this early, but it is very rare. The growth you are seeing might also be original hairs that were accidentally cut during the surgery.
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