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SBSinNYC

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Posts posted by SBSinNYC

    Fixing direction of hair grafts

    in Hair Restoration Questions and Answers

    Posted

    Personally, if a clinic screwed up on such a basic thing as insertion angles, I would never consider going back to them to repair the screw up.   They can’t be trusted to do it right.  There is a research paper on Bernstein’s website from over 20 years ago explaining insertion angles for all the different zones of the scalp.   This is a blunder.   Don’t risk magnifying it.  Think long term.  

    I know Turkey is cheaper,  but ht requires long term thinking for best results.  For me, short term savings is short term thinking if you are compromising on the doc in any way.  

     

     

    Why do norwood 7 transplants never look decent?

    in Hair Restoration Questions and Answers

    Posted

    2 hours ago, AnalogFeel said:

    Does that scare you knowing that if you get to a norwood 7 pattern, you're totally fucked?

    I think this could be the source of your problem.   You are confusing the amount of hair on someone's head with being totally fucked.   You need some perspective.  

    On the bright side, I can set my watch by when you will return to this site under a new name, so that I can re-live the train wreck of your psyche.  

     

     

    • Like 1

    I'm at start of month 5 after transplant and seeing very little to no growth

    in Hair Restoration Questions and Answers

    Posted

    Quote
    13 hours ago, AnalogFeel said:

    Is it time to panic?

     

    I went to a very well regarded doctor (who has never shown a bad result) and had almost 4500 grafts done. I'm seeing very little to no results. It's not like I have tons of tiny short hairs that are about to start growing. This is especially troubling considering the huge number of grafts that were transplanted (my doc told me I had around 12,000 hairs transplanted)

     

     

    What would you do if you were me?

    Yes.  Despite being told literally dozens of times that you need to wait 12 months, now is the time to panic.    Don’t delay.    Panic immediately.   

     

    • Like 1

    FUT Staples

    in Hair Restoration Questions and Answers

    Posted

    Quote

     

    From Bernstein’s website.  I had FUT with him in July.  Staples came out in two steps.  They were removed at his office, but said he could instruct someone to else how to do it  

     

    March 19th, 2007 
     

    Q: I recall that you wrote an article about Monocryl for the donor closure in hair transplants. Why are you now using staples? — R.S., Park Slope, NY

    A: I have been using staples in almost all of our follicular unit hair transplants since the beginning of 2006. When we published the Sutures vs. Staples study in 2001, some doctors were still not convinced. Because of this I continued to look at the issue, not in a bilaterally controlled experiment, but just looking at my cases done with the 5-0 Monocryl and those with staples that I continued to use from time to time. After doing hundreds of additional cases, I was still convinced that, overall, the suture line looked better with the 5-0 Monocryl sutures than with the staples.

    However, it occurred to me that perhaps we were looking at the wrong thing. I began to think that perhaps we should be looking at hair preservation, rather than cosmesis alone.

    The problem with the appearance of stapled closures is that it results in a very well demarcated, geometric line. Monocryl sutures, on the other hand, results in a much softer, more smudgy line – the characteristic that made it look better in the study.

    This effect is produced by two things. The first is that the very fine 5-0 Monocryl sutures placed very close to the wound edges allow perfect wound edge approximation. However, the running suture actually destroys some hair as it makes its spiral course through the skin, destroying some hair and producing this smudgy appearance. We had felt that suturing very close to the would edge, using fine suture caliber 5-0 Monocryl, advancing the running stitch on the surface rather than in the SC space, and the mechanism of action of Monocryl absorption (via hydrolysis rather than by an inflammatory reaction) would all mitigate against any hair loss – but there was still some. It seemed that although the overall look was better with sutures, it might be at the expense of some hair loss.

    To test this, I began to look at the hair yields in the donor strips of second hair transplant procedures where the new harvest completely encompassed the old scar. It seemed, at least anecdotally, that the strip containing an old incision that had been sutured closed contained slightly less hair than that from one that was stapled closed, even if the former looked better. Although I did not do a rigorous study, this was my “sense.”

    In addition, I realized that staples could be left in the scalp for 3 weeks after a hair transplant without causing excessive inflammation (patient discomfort not withstanding) and this gave me more flexibility in using staples in patients with slightly tight scalps without having to rely on subcutaneous sutures. I began to take out alternate staples at 7 to 10 days and the remaining staples at 18-21 days post-op.

    With the issue of hair preservation, rather than just the cosmetic benefit, as the main goal and with the added flexibility of being able to leave in alternate staples for up to 3 weeks, I started using staples routinely in almost all of our hair transplants.

    • Like 1

    Trying to Keep a Transplant a Secret

    in Hair Restoration Questions and Answers

    Posted

    Hi Martino,

    Styling your hair to minimize the visibility is your best bet.  Not sure what work you do, but maybe a hat would be acceptable for a brief stretch.  Depending on your bosses hair, he/she might be very understanding.   I am 3 months post FUT. After a couple weeks, it was no big deal.  The few people who have learned of my procedure have been universally supportive and mostly inquisitive.   Everyone wonders about these procedures, either for themselves or loved ones.   It’s much less of a big deal than you think. 

    Dr references

    in Hair Transplant Reviews

    Posted

    Thanks.  

    You don’t hear much discussion of Dr. Bernstein on this forum, but I wouldn’t let that dissuade you.   His practice just doesn’t fit the profile of many posters.  He has firm opinions about what will work best for his patients long-term and won’t sugarcoat his opinion just to get you in the door.  

    These forums have many non-US posters. Many are in their twenties.  Many have years to go until their conditions are stabilized.   Bernstein would likely tell them to go on meds and wait.   Many won’t want to wait.  

    Bernstein is in NYC.  Not a cheap town to travel to and stay in for several days.  Not a cheap town to put together a top notch office and staff in.   Compared to Turkey, he’s much more costly  

    I believe he’s the real deal, though, with a depth of knowledge and experience that is hard to match. 

    His website is an incredible resource, from FAQ’s to detailed discussion of procedures to original research.  

     

    Dr references

    in Hair Transplant Reviews

    Posted

    I am 8 weeks post FUT with Dr. Bernstein.  Unfortunately that puts me around the rock bottom stage, so I can’t give you much information about the final outcome.   The surgical experience itself was very professional.   If it helps, I am NW5, 55 years old, straight fine hair.   Started 1mg Finasteride three months ago.   Had a full head of hair at 40, but three kids can produce a lot of cortisol.  

    Rahal strip recovery

    in Hair Restoration Questions and Answers

    Posted · Edited by SBSinNYC
    Additional info

    You should ask him what, if anything, he has changed since last time.  Explain your previous experience and ask for his recommendation. 

    So, what has changed with YOU in the last ten years to cause you to go for round 2?  Curious what the future could hold. 

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