michaeljames

M Hello Still Got My Youth, What a great handle mate. The search feature on this site allows you find HTN recommended doctors by area. So this is a good source for you. to take advantage of. There a surgeons who have under gone vigorous scrutiny from the HTN forum advocates. The US has many good surgeons. Research their clinic sites and portfolios that they have hear. All the Best, Michael

Hello Augustya, Take a look at some unatural hairlines from HT David Borenaz (Bones) and Matthew McConnehy (Mud) where the hairline is super thick and looks unnatural. Men's mature hairline without any hair loss are naturally irregular. Also the follicles in that part of the scalp usually only produce one hair shaft or perhaps two. A surgeon with great skill and artistry will produce a natural hairline by placing singles and twos in a staggered effect so that the thickness across the hairline is not dense giving a wig like appearance. I hope this helps, All the Best, Michael

Hello gallabacca;, I completely understand your concern here. The results indicated here in you pics show a poor HT in my opinion. Also a very pricey procedure for such a small amount of grafts. Could you share what type of extraction method was used. The industry and the consumer needs more information on comparing results with FUE to the final outcome.of FUE in regards to method of extraction. On the plus side this is very correctable. HTN surgeons are some of the best in the world. Moving forward in your hair restoration use this forum and review more results in choose a surgeon with more skill. All the Best, Michael

Hello Dyski; Do you have any updates for us on how you made out. Seeing your doctor and the suggestion of a second opinion are all good ideas. What is your status at this point and what was your action?

Glad, we can be of help mate. Let us know how you make out with the dermatologist. As a parent very familiar with cradle cap in new born babies. A mild bacterial infection and dehydration can contribute to it. Also the baby's sensitivity to a cosmetic being used in it's care can be at the root of destroying the natural acid mantle of the scalp making it susceptible to forms of dermatitis. All the Best and keep us in the loop. Michael

Hi ecco007, Sorry, for your complications. I do not have personal experience but am aware of some issues regarding TE. We are all so unique and the explanation you have been given is a reasonable one. The body constantly seeks homeostasis when its natural rhythms are interrupted (ie. surgery). It seems very reasonable to give your body more time if required to reset its normal growth cycle. You are taking the right steps having it monitored by your doctor. I recommend you continue with those efforts and seek a second qualified opinion if you have yet to do so.

Hello Everyone, This thread certainly has sparked some controversy. There are actually techs who may have more experience then a physician. I have encountered this. At some level greater tech involvement could actually lower the cost of surgery. However, this is still a medical procedure and like other medical applications the balance between the doctor performed tasks and tech performed task need be critically examined. Much like that between a doctor and a nurse in other areas. Clearly, the experience and level of training is an issue here. Perhaps, training for techs needs levels akin to nursing and a physician's assistant. As this field grows I see this as a primary concern, the more formalized and approved certification of technicians. As it is today, my thoughts are to err on the side of exceptional concept and that texts should not perform duties currently exclusive to HT surgeons. I will revisit these thoughts in reference to how training becomes standardized in this medical specialty. All the Best, Michael

Hello IrishSailor; It is unfortunate that people take such strong opinions sometimes. The whole focus of HTN is a consumer base group and the Forum admins in recommending surgeons. They do not do this lightly. So all the surgeons listed here have undergone a good deal of scrutiny. Optimally, you will have to consult and choose who you are comfortable with. Use this forum and the physicians sites to review results and select possible candidates for your hair restoration. Some posters, like myself are affiliated with HT clinics. As a patient advocate i do so because of the skill, artistry and sincere commitment to the patients. All the Best, Michael.

Hello RahulReddy, The normal human hair growth cycle has a pretty wide range to actual hair shafts shedding daily. Research has shone that to range from 50 to 100 years per day. Shedding beyound that should be brought to the attention of a medical professional. All the Best, Michael

Hello ecco007, The others are advising you well. TE is a condition where the normal hair growth cycle do to some stressor has a large number of hair in the Teflogen stage. The body needs time to return homeostasis on it's own. This condition should be monitored by your doctor. Not what you probably wanted to hear, remain patient. All the Best, Michael

Hello 1962vi; You appear to be between NW2 advances towards NW 2A...but your pattern is not the classic usually observed. Be sure that your miniaturization study does not indicate diffused hair loss. This cannot be seen by just viewing your images here. Listen to the opinions of the various surgeons you are consulting with and make your most informed decision. All the Best, Michael

Hello Sharan, The pictures are a bit obscured but it appears that this could be a case of folliculitis though I would have anticipated it sooner after the procedure. However, that does not rule it out. Give your surgeon a call; folliculitis easily treatable. You can try an over-the-counter antibacterial or get a prescription form your doctor. All the Best, Mkchael

Hello Pup, What a thought provoking thread. Spanker's point of the best trained and skilled has merit. Yet, I think that person should be a medical doctor or at minimum a physicians assistance. As any professional field there are already enough challenges in HT. Opening the door for non medical people now matter how skilled brings with it more inherent risk literally and perceptually. Future developments may change my thoughts on this. More exacting and precise robotics, the evolution of certified training programs like in the dental field and others, could cause me to revisit these thoughts. In present state I would also be concerned that less reputable clinics would leap at the opportunity to increase profit margin by utilizing less skilled techs. I concur with Blake on this for the time being. All the Best, Michael

Hello SkinEd; The 5% solution works best for most people. Liquid or foam is sometimes just a personal preference. If one or the other seems to work better for you; keep to it. All the Best, Michael

Hello TommyFerdi, The Psoraisis should not negatively effect your hair growth as it is an epidermal condition and not one toe directly effect the transplanted FUs. Of course if the concern is great and you are noting a negative reaction do not just rely on our responses in the forum but see your surgeon and follow his or hers instruction. All the Best, Michael

Hello Bonaparts, Yes, conflicting information can be so frustrating. Sometimes anecdotal reports spawn a rash of pseudo-science. Worldwide, 25 million small coffee producers in third world countries supplies and estimated 2.5 billion cups of coffee globally per day. I assert if any perceptible blocking of DHT or stimulus to hair growth it would be well known. Or at minimum this highly available resource would be exploited through research without limit for the tremendous market potential. The medications that doctors use during your hair transplant surgery contain epinephrine. It is used so that bleeding can be minimized and the anesthesia can last longer. Epinephrine is a very potent blood vessel constrictor (more so than caffeine in your coffee). In the end, use your good judgment and follow your doctors instructions. I generally tell my patients not to have coffee the day of the transplant to keep them calm more than anything else. All the Best, Michael

Hi Mickey, About two years ago Dr. Mohebi directed and conducted a study regarding FUE, At this time the manual method is the preferred in our centers prior and post the study. There are several premises discussed prior to the study: Hair Restoration Blog » Blog Archive » FUE Transplant – Automated vs. Manual All the Best, Michael

Hi Mickey, About two years ago Dr. Mohebi directed and conducted a study regarding FUE, At this time the manual method is the preferred in our centers prior and post the study. There are several premises discussed prior to the study: Hair Restoration Blog » Blog Archive » FUE Transplant – Automated vs. Manual All the Best, Michael

Hello Socrates, Yes the relative newness in this procedure makes data scarce for the moment. It's practice is growing among some centers. Ours is one. This article may provide some insight:Hair Restoration Blog » Blog Archive » FUE and SMP Can Resolve Hair Loss I will check our image gallery to see if more result images are available. All the Best, Michael

Hell Aaron, I empathize with your concerns. It is good you are receiving the professional consul for BDD; it is a challenging path but stay with it mate. Minoxidil (Rogaine) sometimes is not effective. Finesteride (Propecia) might be an alternative for you. This is a prescribed medication so you would be best served seeing and HTN recommended doctor. You might find a smaller HT procedure could be of benefit. Most importantly is that you continue working with your doctor to help with your BDD and share with him how you think improving your self image may help you. All the Best, Michael

Hi Fuepower, You have certainly chosen two good HTN recommended surgeons. I may also suggest you consider another HTN recommended surgeon Dr. Parsa Mohebi. As you can see from my signature line I work in his centers and familiar with his work. I trust that whomever you choose from the surgeons listed here it is in your favor. All the Best, Michael

Hello apgomez85, I deeply empathize with you mate; but we are always more then the sum of our physical appearance. That being said I took a look at your photos. Since you have olive skin and dark hair you could go with the look very similar to Tony Parker, of the Chicago Bulls in the NBA. Not saying you have the same face or appearance but Tony has been sporting that look since early in his career.with some enhancements. Perhaps you have enough donor hair to have a redesigned FUE hairline & augment with SMP. I think you will find yourself happy with that solution. Wishing you all the Best, Michael

Hello Dyski, Shock Loss is not unusual; but one does want to be certain that is what it is. Hair Loss from shock loss nearly always returns to what is your 'normal growth cycle.' You might want to learn more about shock loss and then consult with your surgeon in a better informed manner. What you don't want to do is make this assumption without the guidance of the person you trusted and invested your HT hair restoration with. All the Best, Michael

Great to hear Boomer that it is all resolved. Look forward to seeing your photo updates if you post them. It will be helpful for others here. All the Best, Michael.

Hello Everyone, In this thread several people mentioned that they were looking for updates on SMP here is some info. All the Best Michael.