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Dr. Glenn Charles

Elite Coalition Physician
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Everything posted by Dr. Glenn Charles

  1. Dr. Glenn Charles
    One of the reasons you do not see alot of HT's on the deep crown area is that work done in the frontal crown area often provides coverage for the back crown area. Doing grafting in the very back of a crown recession really commits the patient to more transplants if the patient has additional hair loss with aging. I prefer to graft the crown with a reverse arc so that if patient does lose more hair the crown will still have a normal round or oval shape versus a moon shaped spot that could occur if the entire crown area is grafted.
  2. Dr. Glenn Charles
    At this point 14 days post op you can definetly get more aggressive with the hair washing. There is no reason to still have scabs 2 weeks after surgery. If you live close enough to the doctor you should go back and make them clean it. Someone should have contacted you from the clinic to follow up and make sure everything was going well. I recommend showering twice a day and gently rub the recipient area with shampoo. Good luck.
  3. Dr. Glenn Charles
    The periodic stretching and applied pressure to the scalp used during normal scalp exercises should not be the cause of any noticeable hair loss.
  4. Dr. Glenn Charles
    The combination of having darker hair and light skin can make a larger colic seem more like a balding spot in the crown area. The reason for this is in that area all the hairs are going in different directions away from the center point. When the light hits that area of your scalp it appears larger and more visible.
  5. Dr. Glenn Charles
    You cam also try T-gel shampoo made by Neutrogena. This type of problem does not mean that you are not a candidate for hair transplantation. I have performed many successful hair restoration procedures on patients who suffered from chronic Seborrheic Dermatitis.
  6. Dr. Glenn Charles
    It is more likely to occur in areas adjacent to the donor or recipient areas. Shock loss is usually temporary unless those hairs were genetically programmed to fall out in the near future. Anything is possible, but it would be very uncommon to have permanent hair loss in the crown from a transplant performed in the frontal zone.
  7. Dr. Glenn Charles
    Most of the time the Gynocomastia is related to elevated Estrogen levels. You could consider taking a mild Estrogen blocker to prevent this negetive side effect.
  8. Dr. Glenn Charles
    The grafts are secured in place after just a few days. Of coarse if you bumped your head hard enough you could disslodge a graft, but gentle washing starting 36-48 hrs after the procedure is what I recommend. The daily washing really helps to speed up the healing process and makes the scabs fall off sooner. I also recommend using a bowl to get head wet (do not stand directly under jet stream), gently tab the shampoo over grafts, and wash donor area in a side to side direction.
  9. Dr. Glenn Charles
    I am not sure if Dermatch now comes with a new applicator, but in the past it came witha brush that the patient just rubbed on the scalp. I usually do not have patients complaining that the product is clumping and that they cannot brush their hair after using it.
  10. Dr. Glenn Charles
    There are several other oral sedatives that are used in hair restoration surgery. Many clinics choose not to use versed. You may want to speak with the doctor at the clinic you are considering and express your concerns and desire to have a different type of anesthesia used in your case.
  11. Dr. Glenn Charles
    You need to decide what method FUE vs FUT you would prefer. If you intend on continuing with the very short hair in the back than maybe you should have FUE. If you are planning to grow the hair longer after the transplant, than it is possible to have a very thin donor scar even though you may have a slighly unusual shaped scalp.
  12. Dr. Glenn Charles
    All the doctors mentioned above are excellent. You are lucky to live in a area that has several good options for hair restoration surgery. It is always wise to get many opinions before making your decision.
  13. Dr. Glenn Charles
    There are a few different ways you can approach your case. At age 27 you need to be careful with having transplants in the crown area. Are you taking Propecia? From the photos it does appear that you have really nice donor hair. You may want to consider doing 2500-3000 follicular unit grafts to just the hairline, frontal, and mid scalp areas. It is alway smart to preserve as much donor hair in case it is needed later. This hair loss did not occur in one day and sometimes it is not the best plan to try and fix it all in one day.
  14. Dr. Glenn Charles
    I know you are saying that you are sure all the recent thinning is with the transplanted hair. Would it be possible to post some before pictures of the hairline. The photos you have posted above really do not look that bad. It may help to have all the photos to compare.
  15. Dr. Glenn Charles
    At 2 1/2 months it is still to early to tell if the new hairs are shocked original hairs or the transplanted hairs. I agree it is a positive sign that you are already getting some early growth. Wait at least a few months before you start comparing the right and left sides. Hair loss is often assymetrical and hair regrowth can also follow this pattern.
  16. Dr. Glenn Charles
    A patients expectations are a major contributor to the opinions of the final results of any cosmetic procedure. Two patiets can have a very similar result, but only one patient is satisfied while the other feels that the surgery was unsuccessful. Make sure you have a realistic idea of the possible results in your case before you decide to have a hair restoration procedure.
  17. Dr. Glenn Charles
    My patients rarely complain of any pain in the recipient area. There is usually 2-3 days of discomfort in the donor area. Pain relievers such as Vicodin or Tylenol#3 does wonders for most patients. A small percentage of patients have pain in the donor area that may last up to 1-2 weeks post-op. Using soft pillows also helps.
  18. Dr. Glenn Charles
    Unfortunately, there is no test we can perform to determine who will get hair loss due to shock and who will not. I have had several patients over the years with similar stories to yours. They had multiple procedures but only had donor shock loss after one of the procedures. I am happy to say that in all those cases the patients eventually had full recovery in the donor area.
  19. Dr. Glenn Charles
    It would really help to have more information. How old are you? What is your family history of hair loss? Are you still losing hair or has the hair loss been stable? A few posted photos would also be valuable in giving you a recommendation as to if you should have a hair transplant and if so what areas should be worked on first. I agree that in most patients the frontal and mid scalp areas should be transplanted prior to the crown.
  20. Dr. Glenn Charles
    After choosing the physician to perform your hair transplant you need to express your concerns about not wanting the transplant to be visible by co-workers. They should explain to you what your options are and create a game plan that you feel comfortable with. Just ask as many questions as necessary to make you feel confident with your choices.
  21. Dr. Glenn Charles
    Nothing is mandatory. However, most doctors including myself think that the combination of Rogaine and Finasteride is more effective than Rogaine alone. You may want to consider using an estrogen blocker if you start using the Finasteride. In many cases it is the elevated levels of estrogen that leads to the gynecomastia.
  22. Dr. Glenn Charles
    38 year old patient who just wanted to fill in and strengthen hairline. Expectations seemed very realistic. Agreed that if he lost more hair in the future he would return for another procedure.
  23. Dr. Glenn Charles
    I am glad I read this post. I use Nizoral 2% shampoo on occation when I geot a flair up of my Seborrheic Dermatitis. I am going to try and get this Extina right away. I am hoping that with the new Vresafoam delivery system I will not need to use it as often. If it is similar to the newer foam Rogaine products they may have something.
  24. Dr. Glenn Charles
    To start off you may want to consider a few on- line consultations. This will get you started and give you some valuable information to build upon. There happens to be few very good hair restoration physicians in Florida, but I agree that you should not limit yourself by location. Good work leading to great result is worth traveling for.
  25. Dr. Glenn Charles
    Automation is great when its results can be proven and reproduced on a consistant basis. Unfortunetly, new technology is often used as a marketing tool, and offered to patients before there is evidence of its success. I am not saying that all new medical/surgical devices are a scam. I am only saying be careful and do your research.
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