Birdness

Yes. A strip of almost 35 sq cm was excised.

If one obtained 3000 grafts on a first strip, what would be expected on a second strip on average after waiting 1 year?? This is assuming going with the original scar. Thanks

I see some individuals that use supplements. What exactly is MSM???? What is the right dose for both MSM and Biotin???

Thanks

birdness,

 

Well here we go. Yes I have sleep napea and went through four separate HT procedures. Although I had no idea that I had it for the first three procedures.

 

There is an alternative harness available that sleep napea patients can now wear. It actually delivers pressure through the nostrils only. The head gear has two straps. There is one that fits over the midscalp and the other rests below the occipital zone where most donor grafts are harvested. So the bottom strap should not interfere with the sutures or even the extraction sites if you have FUE. It is adjustable to fit.

 

There is also a chin strap that looks similar to one that is worn on football helmets. This helps greatly in holding the nostril ports in place.

 

You are probably use to using a full nose/mouth mask right? The problem with that is that the back strap is not adjustable to location. It is primarily used for adjusting tension.

 

Contact your pulmonologist and they should be able to supply you with the new harness and if you have medical insurance, it should be covered. Also try to go in and try one on before you purchase it.

 

It's going to seem a little weird at first until you get used to it. But at least you have your dilemma solved for the procedure and post-op period.

 

Best wishes to you on your upcoming procedure and sweet dreams to you!

Thanks. Any idea of the model or brand?????

Anyone with sleep apnea have a hair transplant??Any issues?

How long post op before using the mask with the head gear??

I'll dig up some pre-op photos real quick but first, an update:

 

gave it my best and did 30/day for about a month. No regrets here though.

 

Was that 30 minutes per day or 30 repetitions??

Thanks. That is what I have observed.

Is there anyone that has issues with the scar on the side of the head versus the back?. In my case the hair density is greater in the back than the side ( don't know if this normally is the case, info on this would be appreciated). I have seen some photos where donor area really comes anteriorly. Opinions from surgeons also appreciated. In other words, is the scar on the side visible in some cases?

top 5 what? FUT or FUE? cause there are quite a few great doctors that perform one or the other but not the other.

Both. Leaning towards FUT since high NW case.

I'm assuming he is when he states NA.

 

While there technically isn't anything wrong in staying within that continent (far from it - there are many great clinics), I just feel you aren't doing yourself justice by doing so. You should do extensive research on a global scale, and then make your decision. You could very well end up going the NA route after that anyway. I just find it a little odd that you started off by saying that geography and money were a non-issue, when it seems that botgh could very well be an issue for you.

After reflecting a little, it is the post-op issues and any follow ups that make me want to stay within North America ( includes Canada). I run a large business and time away is really a factor. I need to minimize any away time. Within NA I can probably fly in and out the same day and that is important. I am willing to go anywhere within North America without hesitation.

Thanks for all the input so far.

Mickey, I couldn't agree more! It seems we all have been doing our homework. :-)

 

Birdness, with the list Mickey provided you I am quite confident you can't go wrong! Good luck!

I'm not sure about travelling to Europe. How about within North America?

Thanks for all the input so far.

Birdness,

 

I feel it would be very hard to measure this statement, and hence why it is important you do a lot of research.:cool:

I know it is hard to measure but I have my opinion and would like to see it validated by the community. I don't want to bias any responses so I will post my opinion at the end. I would appreciate the community responding.

If price and location are not an issue, who are the top 5 HT clinics in the world? Would be useful to know if they perform FUE/FUT or both. Thanks

Interestingly, a soldier we worked with a few years ago had a great result with a smallish frontal case. He emailed me about 2 weeks ago saying he'd started on accutane for back and chest acne about 3 months before and he felt he'd lost a lot of hair on top and in the crown. Now I don't know that accutane is to blame, or if its coincidental, or if he just noticed more loss but accuatane can affect your hair.

 

Bottom line is that my main worry with accuatane is scarring. MOST of our hair patients do not take accutane for ongoing acne..as they've gotten older, but its worth a serious discussion with your dermatologist before starting it.

 

Dr. Lindsey McLean VA

Dr Lindsey

Any associated problems with topical Retin A?? I have used it on my scalp in the past since it was supposed to aid in absorption of minoxidil. I am still using it on my face but stopped using on my scalp approx 6 months ago. I would like to get a HT in approx 3 months. Any issues ???

I am a NW 6 and considering a HT. I will be going to one of the top coalition surgeons. My question is how natural will it look? He will be performing 3500 in the frontal area. I have fine hair and average density. Does fine hair help or hinder the naturalness of the procedure? Would like to hear from fellow members in terms of how natural they feel their HT looks. Thanks

Bird,

 

Altogether, I think it is safe to say that it's fairly uncommon to suffer necrosis in hair transplant surgery. However, I say that with some hesitation because it's a situation where it is rare, but devastating to the small minority who suffer necrosis.

 

Like Ej stated, necrosis simply refers to tissue death secondary to a lack of blood supply. In hair transplant surgery, this can occur in a few ways:

 

1. When follicular unit grafts are packed too densely into an area of the recipient scalp, which overwhelms the blood supply and causes scalp necrosis.

2. When improper and overly tight Follicular Unit Transplantation (FUT) closures "pinch" skin in the donor region and suffocate the tissue (don't know if I've ever seen or heard of a case of this outside of a textbook).

3. When grafts are removed - via Follicular Unit Extraction (FUE) - in too great a quantity around a certain area and the now compromised blood supply to this region leads to necrosis (again, I think I've only seen this in a text book).

 

If you are concerned about necrosis, I'd definitely take some time to discuss the issue with your hair transplant surgeon and make sure you're confident moving forward.

 

I hope this helps!

Does anyone have an idea of the incidence ???? 1/100, 1/1000, 1/10000, etc

 

 

My experience as a repair patient was, and is to graft at a lower density to ensure an optimum yield and lessen any associated risks

 

 

ejj

What is considered lower density packing and what constitutes a mega session?

How common is necrosis following hair transplant surgery? What are the risk factors?I am 56 and in good health, non-smoker and no high blood pressure or diabetes.

Does my age put me at higher risk? Some info on the incidence in general as well as any other useful info would be appreciated.

I mean a visible area on the back of the head where the hair doesn't seem right and mimics the scar underneath. In other words, an area where the hair is misaligned and is visible compared to the rest of the back of the head.

Talking about seeing the area of donor harvesting in the back because the hairs are misaligned. In other words, is it cosmetically visible with normal length hair ?? Those of you that have trichophytic closure had it please chime in.

How often does a trichophytic closure cause misalignment of the neighbouring hairs so that it is apparent when looking at the back of someone's head? Would seem a reason maybe not to do it.

I am a NW 6 and been told that as a first procedure 3500 grafts at the front with 40 grafts per sq cm would give a good cosmetic result. Opinions?

If the surgeon concentrates on the front, how would 5000 grafts look and how far towards the crown would it extend??

I am of slightly olive Mediterranean complexion. My hair is fine. My barber thinks I have above average donor density but my HT surgeon thinks it is average. I have good scalp laxity. My HT surgeon thinks he can get 3500 grafts first round and 1500 second round. I can't be sure but he may be under promising and over delivering at the time of surgery. How accurate are the estimates in general ?? Would 5000 grafts give me a significant improvement???? Any Norwood 6's out there and how many grafts did you get and what as the level of satisfaction??Thanks

I am thinking of undergoing a HT and am a Norwood 6. I was wondering what is the minimum number of grafts required to have an acceptable cosmetic result. I have no illusions about having a thick head of hair, so my expectations are realistic. Thanks.