Dr. Glenn Charles

Thanks, there is a lot of ingredients in the Revita that are recommended for healthy hair. Not familiar with the Apple polyphenol or Rooibos. I will have to do a little research on that.

That was very nice of you to share your story. Dr. Alexander is a really good doctor and a really nice guy. I am glad you found what you where looking for and wish you good luck with your second procedure.

This looks like pretty good quality work. There appears to be plenty of technicians using microscopes for the dissection. They are doing a combination of strip FUT and FUE which is becoming more and more common. I sometimes wonder in a patient who already has a scar from previous HT surgery, does it make sense to thin out the remaining donor area with FUE. However, the combination surgery allows for more grafting in a single procedure without having to take to large of a donor strip.

I agree with Dr. Lindsey that T-Gel often helps with the itchy scalp problem. When this does not do the job I ofter recommend Nizoral 1% or 2% shampoo. One of these two shampoos should give you some relief.Are you using the 5% foam or the 5% solution?

Dr. Wong is an extremely good doctor. However, I would prepare yourself for a delayed fall out of the transplanted hairs. That way if it does happen you will not be surprised and if it doesn't you will get a bonus. In my experience 99% of the patients have significant shock of the transplanted hairs. Maybe you will be in that lucky 1%. Good luck.

I am certainly not an expert on hair weaving. However, I have seen people who tried this process with their already existing thinning/weak hair and the problems got worse. I have also seen some hair weaving that looked very good and natural. Like any other treatment or procedure you should do your research before making any quick decisions.

Not sure of what percentage of Ketoconazole is in Rivita, but I am interested in what other ingredients are in it. I tell my patients to wait 3-4 weeks post-op before using any products that are medicated. At this time there should be no harmful effects that could change the outcome.

How long has it been since the radiation treatments? You would need to give it at least 9-12 months post treatment to determine if the hair thinning/loss is permanent. If an adaquate time period has passed and the hair does not return then you would probably be a good candidate for hair transplantation.

Here a couple of recommendations. Try going back to .5 mg Finasteride and see if it clears up. I doubt the increase to 1 mg has anything to do with your situation, but anything is possible.Make sure you use antibacterial soap before doing your scalp exercises. You could try using Nizoral shampoo and/or some triple antibiotic ointment in the effected area for a few days. I have never heard of a hair transplant surgeon canceling a hair transplant procedure because of a few pimples. Now if there is an entire area that is totaly infected tht would be a different story. In that case an oral antibiotic would be required. If you are really worried about it go see your doctor and ask if they would prescribe an antibiotic for 1 week to make sure everything is cleared up before you make your long trip. Good luck.

This does not look like any DUPA cases I have ever seen. In fact from the photos seen here on this forum your hair looks great. I can tell you that in my opinion 99 out of 100 people would describe your hair as full.

We have not heard anything for a while. I hope that means things are returning towards normal. Every time I log onto this site I think about how your daughters health and the health of any sick child is so much more important than anything discussed here. I will continue to pray for you and your family. Glenn Charles.

Temporal restoration is a very important part of hair transplantation. This is especially true if the case involves a hairline. Many hairlines will not look natural if temporal restoration is not performed at the same time. On the other hand it is probably the most difficult part of a hair restoration procedure. It must be done properly or a really negative outcome may occur. If you send me a message I will try to forward you some B&A's of temporal restoration.

I have had hundreds of patients over the years that used Dermmatch post-op without problems. In my instructions I tell patients to wait until all the scabs have fallen off before used camouflage agents. If they want to be extra safe I tell them to wait an extra week or two. For a one time TV appearance there should be no problem,

I agree that the technicians are crutial in all hair transplantation procedures. I also think it is a great idea to let patients see what kind of staff the doctor has. As I am also in the process of updating the websites, now would probably be a good time to consider adding some more information about my staff members that I am very proud of.

The temporal humps are also known as the lateral humps. They are very important when trying to establish a natural looking hairline. The densities in this area depend on several factors including: the densities of the surrounding areas, the patients hair characteristics, and the amount and quality of the donor hair.

I have performed hair transplantation on many African Americans. There are some specific techniques that should be used in such cases to improve the results. If you would like to see some before and after photos I would be glad to provide them.

I generally try to stay under 1.4 cm in width. If at all possible I would prefer to take a little longer strip versus wider. Keep in mind that scarring is based heavily on tension at the edges of the wound. Wider wounds usually lead to greater tension and most likely bigger scars.

I have heard that patients with a history of asthma should not be getting the live vaccine which is the one that is placed into the nasal cavity. If you are considering this you should only be getting the vaccine that is a injection.

You guys are right. After all, this is medical-art and needs to be approached in a manner that the patient should look presentable from as many angles as possible. Also, the result should stand the test of time. This means that the worst case scenario has to be thought about during the planning process.

The goal is supposed to be to take as identical before and after photos as possible. We all know this often is not the case. I think it makes the doctor look worse, because patients are not stupid and are usually can tell if the photos are different or "doctored up". However, sometimes the doctor cannot control certain things. For example, if a patient returns 9 months post-op for a follow up and after photos with much shorter hair than the before shots there is not much the doctor can do. It would be really helpful if there was more honesty and integrity displayed within this field.

All good points. Hair restoration physicians should discuss these issues with all patients. Hair loss is unpredictable and there should always be a worst case scenario thrown into the equation. Like most things in life there are some positives and some negatives. When you get something, you usually have to give up something in return.

You should not have any problem if you are 3 months post-op. To be on the safe side wear a bandanna over the grafted area. Remember it is the burning that has the long term negative effects. Getting a little color without burning is usually safe. Nobody wants to be too white in wedding photos.

The stretch you get from closing a donor wound really comes from the back of the neck upward, not from the forehead back. Even if there wes a small amount of stretch from the forehead, I doubt it would be measurable. It may appear larger, but this may be due to the characteristics of the new hairs. Usually brittle "tight" hairs do soften over time.

I actually had a 17 year old male patient who was already a stage 6. He came to me with his father and grandfather who were both stage 7-8. They felt really bad because they knew how hard it was for them at that age, and he was getting ready to go away to college. We worked together to create a reasonable game plan. He spent a lot of time working on how to be more comfortable with himself despite the hair loss. Eventually he gained self confidence and elevated his self esteem and concentrated on other issues that he realized were more important.

I agree that the answer really depends on what clinic/doctor you go to. Some doctors have the capabilities of placing higher numbers of grafts in smaller spaces and still obtaining a high yield percentage. There have been a few recent studies showing very high success in the range of 90-100 FU's/cm. Here is an example of a common delema/question . Would you rather have 60 FU's/cm and get 50 FU's grow or have 45 FU's/cm and get 43 FU's grow. Most would choose the latter based on the percentages of successful yield. The bottom line is that there are countless variables that go into the equation, and it will always be a hard decision.