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sl

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    Risk of damaging transplanted follicles during a second hair transplant?

    in Hair Restoration Questions and Answers

    Posted

    For an experienced surgeon then to give a second pass over an already transplanted area is not a problem. Assuming the transplanted grafts already in are good and correct angels then placing more and matching angles as needed to add density is not an issue. The problem is when there are poorly placed grafts with bad angles and then the surgeon if he were to do correct angles can run the risk of transection etc...But for the most part then adding is not a problem and shock loss is more down to the injections and surgery trauma, use of epinephrine etc..A doctor with skill and magnification should not have an issue and we do it a lot also. Shaving can help for the field of vision etc and seeing the hair angles, although not popular for some, it is worth it and especially if the case is a repair case to also be aware of any skin irregularities etc..

     

    All the best!

     

     

     

    • Like 3

    What Happened To The Chest Hair?

    in Hair Restoration Questions and Answers

    Posted

    Thank you to Mel for organising this interview.

    One topic touched upon was the growth of chest hair once transplanted to the scalp and how it grows there. The debate is there on Donor Dominance and Recipient Dominance and what that implies. This topic will warrant a far longer post as will chest hair per se with many more factors to consider but nonetheless this is an interesting small clip ..watch this space for more information really on our approach to this.

     

     

    • Thanks 1

    Eye Brow Transplant

    in Hair Restoration Questions and Answers

    Posted · Edited by sl

    Hi Rahal 

     

    The recipient dominance is regarding anagen phase more than DHT susceptibility, although not limited to that. 

    This link may help also explain it and I believe references an example also of eyebrows.

    https://www.hairtx.com/eyebrow/understanding-recipient-dominance-in-hair-transplantation/

    As said it was also seen in person so not just theory in the case of the patient I mentioned and he certainly had not expected it but did send me the report as a by the way comment that also didn't suprise me. In fact i've seen it on several patients who have used scalp or body hair elsewhere and as in chest hair growing longer on the scalp than when on the chest also. 

    Hope helps.

     

     

     

     

     

     

     

    • Like 2

    Continued growth right after a transplant

    in Hair Restoration Questions and Answers

    Posted

    The hair shaft is being expelled and coming up more than growing as such, you are just seeing it exposed more..also you have probably been light fingered on washing and can really wash and massage now to encourage them to shed but nothing to worry about but your hair will still be in a dorment phase at this stage. As you wash more I would expect most to be gone by a month. Your clinic should be able to give you detail on what to expect etc over the coming period. Relax and keep washing and massaging. 

    Distant HT when having medical conditions

    in Hair Restoration Questions and Answers

    Posted

    Essentially send photos and answer a medical questionnaire and have at least a video consultation if you are a long distance from the respective clinic. Ask questions so you will not have any suprises upon arrival regarding the condition. Remember a video call is limited in terms of actual real data on your donor but the doctor should be able to assure you regarding any conditions and suitability for surgery with that regards.

    BHR - FUE - Maximise your Donor! Optimal Healing! Ability to Shave Short!

    in Hair Restoration Questions and Answers

    Posted

    5 STEPS TO..

    MAXIMISING YOUR DONOR!

    In the last decade or even longer, we have heard a lot about cloning hair follicles, splitting hair follicles or even regenerating hair follicles by dipping them in Acell..the list goes on. The motivation is good but the outcomes not so. For the patient, the donor, its density, the make up of 1s,2s,3s,4s, the safe zones, the coarseness etc are the cards we have been dealt with in life. We can't change the cards, what we can change however is how we play them.

    At BHR we are realists, we are not known for screaming for the new trend, the new injection or Robot or deliberate transection technique. What we are known for is trying to make sure we can maximise your donor with the tools, technology and techniques we have available, and have done since inception.

    It is not rocket science and if I as a layman can understand it then probably most on the planet will be able to follow me. What we do implement is a logical approach and as broken down in the video, for us it forms the benchmark for looking after a patient's donor, allowing them to wear their hair as short as possible, not producing over-harvested or moth eaten areas, spreading the extraction to allow both healing and also cherry-picking the right grafts for the right areas to treat. Utilising small punches that will safely encapsulate the follicular unit without damaging surrounding follicles. Having depth control and appreciating the graft depth, angles and even the level of attachment they have under the skin.

    Sadly with FUE the above for many are not considerations, it is about getting the number of grafts needed, regardless of where or how you get them, no thought for the future loss that may occur, or the areas taken from. Patterning is ignored and often the FUE holes will be co-joined to others to form blobs of scar tissue and with abrupt linear and very obvious boundaries that offer no blend at all back into the un-touched area, almost square grids of harvesting, like postage stamps.

    The result of such approaches is inevitably areas are one stop shopping, you cannot re-visit to get more from them, usually the richer parts are gone for hair-line work and the patient is left with the possibility of future loss and then having to use the finer area of the donor for the recipient areas that would really benefit from the chunkier grafts. The large punches used mean shaving down is impossible and also the collateral damage to surrounding tissue and neighbouring follicles is also evident. These scenarios at best mean no more hair can be taken from the richer areas, or at worse they need SMP or even re- stocking to make the patient look more acceptable. In essence they swapped a problem on the recipient for a problem in the donor, assuming the recipient even went well.

    Is FUE a good technique? Yes it is.. but it is really far more complex than many believe and really does take a solid appreciation and grounding to know how to do it well and to really maximise the donor for a patient who like all of us, will have only a finite number of grafts to use.

    Don't be a victim, make sure to research, realise hair loss is progressive and you will need to use your donor wisely. Look at the principles in this video and ask yourself, does my clinic of choice appreciate these issues.

    Take care and thanks for reading!

    • Like 2
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