Dr. Carlos Wesley
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Everything posted by Dr. Carlos Wesley
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From the album: CARLOS K. Wesley, M.D. (NYC)
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From the album: CARLOS K. Wesley, M.D. (NYC)
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From the album: CARLOS K. Wesley, M.D. (NYC)
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From the album: CARLOS K. Wesley, M.D. (NYC)
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From the album: CARLOS K. Wesley, M.D. (NYC)
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From the album: CARLOS K. Wesley, M.D. (NYC)
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From the album: CARLOS K. Wesley, M.D. (NYC)
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From the album: CARLOS K. Wesley, M.D. (NYC)
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From the album: CARLOS K. Wesley, M.D. (NYC)
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From the album: CARLOS K. Wesley, M.D. (NYC)
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From the album: CARLOS K. Wesley, M.D. (NYC)
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From the album: CARLOS K. Wesley, M.D. (NYC)
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Thanks for the comments, all. @mav23100gunther, I'm never really sure how to answer that question because the pattern is designed with a density gradient in mind. As the finest-caliber is placed in the front, the density is higher (45-65/cm2) than the graft density in an area full of thick-caliber 3's and FFs (20-35/cm2). This variation is based as much on blood supply as it is on aesthetic outcome. -
One positive about the ISHRS is the Annual Scientific Meeting. It's well attended by hair restorations physicians form all throughout the world and really is the best platform in our field for sharing of ideas and advancement of techniques.
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Which is True?
Dr. Carlos Wesley replied to Dr. Carlos Wesley's topic in Hair Restoration Questions and Answers
There seems to be a delicate balance with exercise: on the extreme end of the spectrum, cortisol levels may be elevated. Cortisol is a "stress hormone" that is often associated with hair loss. I'm not sure if the archives still exist, but we tried to hash out the facts regarding exercise and hair a bit more a few months ago on Sirius' "Doctor Radio" broadcast. -
Hi, Stig. I agree that sessions continue to grow (for better or for worse). Definitions, however, don't always evolve at the same rate. Surprisingly, the International Society of Hair Restoration Surgery (ISHRS) still defines a mega session on their site as over 2000 grafts! 7 Innovative Techniques in Hair Transplantation | International Society of Hair Restoration Surgery
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There are so many hair loss myths. This forum is helpful in sifting through them to help get us closer to the facts. We've started a series of fun hair-related findings (and never been founds!) on Instagram and Twitter. Here's the first in the series. Can you guess which is true?
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Thanks for your comments, guys. Here's how the decision was made during our initial consultation together. Below, are magnified images of his recipient, scalp donor, and beard hairs, respectively... RECIPIENT SCALP DONOR BEARD
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Glad to see there is interest in this thread. It's an important topic. @Dutchie, I'd say that for about 30-35% of my consults I discourage undergoing hair restoration surgery. That doesn't mean, however, that there is no alternative. Between the various topical meds that exist and platelet-rich plasma (PRP) therapy (something I know that remains understandably controversial on this forum), there are numerous methods to improve a man's or woman's hair status.
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Thanks, David! He was also an instance of a patient being able to return to work and/or social activities a week to 10 days after his procedure.
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Here's a one-year update of this patient after a 2331 follicular unit extraction (FUE) session with us.
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Caffeine and Hair Growth
Dr. Carlos Wesley replied to Dr. Carlos Wesley's topic in Hair Restoration Questions and Answers
Formulations are quite popular with patients and, in many cases, they make sense. So, we certainly make them available. Topical finasteride, for example, was shown to reduce scalp DHT levels 40% more that the pill form. When they performed serum draws on that patient population, finasteride was detected in the serum of those taking the pill form, but not in those using the topical version. -
Reportedly, genes contribute less than 14% of explained variation in androgenetic alopecia (AGA) [Richards, et. al]. Since dietary changes may be the simplest starting point to preventing hair loss, this investigative study might be of interest to many of you. Studying 354 men (ages 35-65), researchers found that frequent soy bean drink consumption proved slightly protective against moderate to severe male pattern baldness (MPB). Rich in isoflavones (leading to increased antioxidant levels) soy consumption demonstrated some protection against AGA.
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For the curious folks, here is an interesting article that describes the mechanism by which caffeine can help slow hair loss. It's inhibition of the enzyme that converts testosterone to dihydrotestosterone (DHT, or the enemy of scalp hair) is caffeine's primary benefit. Now, this doesn't mean that drinking copious amounts of espresso will stimulate hair growth. Rather it is caffeine in its topical form that can have this beneficial effect.
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Here's an image of the patient's donor area. Hair is parted along the virgin scalp on the left and directly over the donor scar on the right.
