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buddyebsen

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Posts posted by buddyebsen

    Count Hairs or Only Count Grafts?

    in Open Hair Loss Topics

    Posted

    From Pat's visit to H&W:

     

    "Many of the other leading clinics I have visited keep detailed count sheets which enable a person to see not only the final graft count but the number of hairs in each graft. I find such detailed information useful, since the trimming of grafts is rather subjective and the average number of hairs per graft can vary from clinic to clinic.

     

    Upon closely examining the multi haired grafts I found that the vast majority contained two hairs each, while three hair grafts were very rare. I found no four hair grafts. However, the number of hairs in a typical follicular unit does vary from patient to patient. Perhaps this particular patient had a disproportionately high number of single and double hair follicular units than the average patient. According to a published study the typical distribution of hairs in follicular units is ??“ 14% one hair, 51% two hairs, 29% three hairs, 6% four hairs.

     

    When I asked two of the technicians about the lack of 3 and 4 hair grafts they told me that three hair grafts are the largest size they cut. Thus while the average number of hairs per graft does vary from patient to patient, the often quoted average number of hairs per follicular unit in the average patient is 2.3 hairs per follicular unit. Without a final hair count per graft I had no way of knowing if this patient's follicular units had more or less than the average 2.3 hairs per follicular unit or not.

     

    Comparing "Apples to Apples" by comparing total hairs transplanted

     

    Perhaps I'm splitting the proverbial hairs. But I believe that physicians and their patients should ideally provide not only their final graft count but also the amount of hairs moved so that patients and potential patients can compare "apples to apples". After all, ultimately it is the amount of hairs and how they are distributed in the recipient area that determines what a patient achieves.

     

    Some clinics cut grafts that contain "follicular unit families" (follicular units that are so close together that they are trimmed into one multi hair graft). Thus the amount of hairs such grafts transplant to the recipient area is high. Yet such multi haired grafts count as only one graft.

     

    Patients and physicians can debate the aesthetic, practical and economic merit of different graft sizes and excellent points can be made by advocates of both large and small grafts. But in my opinion detailed information about the hair composition of the various grafts should be available to all parties in the debate. Information about the size of size of the donor strip removed would also be useful.

     

    Personally I'm biased in favor of sessions that provide large numbers of refined follicular unit grafts rather than large multi haired grafts. But in fairness to all I think hair counts should be provided in addition to graft counts."

     

     

     

    Puzzling how there's a lot of smaller grafts and no 4 hair grafts. Good work but.....

    The Best of the Best???

    in Hair Transplant Reviews

    Posted

    Originally posted by NervousNelly:

    I am a Shapiro fan for hairlines but I also have to say that Dr. Keene has extraordinary talents also for her artistry of hairlines.

     

    I have heard good things about Dr. Keene as well and I am considering her for a procedure, but I have seen very few examples of her work. The pics on her website aren't the best. Where have you seen her hairlines besides Gorpy?

     

    Thanks.

    Shapiro and Armani...not looking for a fight

    in Hair Transplant Reviews

    Posted

    "My only concern is this. I would like (don't "need," but would like) a lower hairline that resembles what I used to have."

     

    So many times in my life there was something that I thought I wanted but when I got it, it was not what I really wanted after all. If you think you want a low hairline and then get it, you can't easily undo it. It's like when women get breast implants and they think they want to go really big when a smaller size would suit them beter and look more natural.

     

    When you get a HT, you will look different, no matter how conservative the hairline is and you may be surprised at how good you look. If you have the grafts and want to go lower later you can but I would never try to go back to a teenage hairline.

    New Sheriff

    in Hair Transplant Reviews

    Posted

    Pics would be great.

     

    I am considering Dr. Keene as well. I like her hands on approach. Does she use custom cut blades? What density do you feel you received? Does she use the new tricho (sp) method of closing the strip? Does she use lateral slits? I am concerned about shockloss as I have some natural hair left and would like to add thickness. Did she do any temple work (in front of the sideburns)?

     

    Thanks!

    Laser Comb after HT

    in Hair Restoration Questions and Answers

    Posted

    See this thread

    Also do a seach for laserbrush on the same site. Mine has(8) 650 nm 5mw Class 3A lasers than I bought on ebay for $4 each. A regulated transformer was about $5 and the brush was $1. Took me about an hour to drill the holes in the brush and glue in the lasers. It is well worth the time and the small amount of money it cost. I actually think it may be more effective than the lasercomb since it has 8 direct beams that are pointed at my scalp instead of one beam that is reflected. Don't take it in your carry-on luggage on an airplane, however. Security gets real suspicious.....

    Laser Comb after HT

    in Hair Restoration Questions and Answers

    Posted

    One VERY IMPORTANT thing that needs to be said is that these potential (very minor) benefits STOP immediately the day you cease to use these laser devices. And EACH of these laser helmet sessions costs a fortune. That is how Advanced Hair Studio and others make their money. Yes some patients can see a small improvement in the quality of their EXISTING hair AS LONG AS they continue the treatment. Does laser regrow hair? No. Does it prevent your hair from falling? No. Does it give you the same long term benefit as a HT? No. Can laser help the healing process? Maybe. Is it worth spending the time and money to find out? No.

     

     

    I have used a homemade lasercomb since Nov 1 and I can attest to Dr. Bauman's obervations that it has improved the quality of my hair and so far has reduced any shedding almost entirely. Hairworthy, you make it seem that if it does not produce results as good as a HT that it has no value whatsoever. I think it is a great adjunct to a hairloss treatment program; I also use minox, dut, and zix. Cost for me was $45 and nothing more ever. I use it 15 minutes 3-5 times per week while I'm watching television so it is easy to fit into my lifestyle. If I were paying hundreds of dollars per month, it might be a different story but I feel it IS worth the small amount it costs. It may be the combination of treatments or it coud be coincidence, but it has had the most immediate effect on reducing my hairloss of anything I have ever tried.

    graphs vs hairs

    in Hair Restoration Questions and Answers

    Posted

    hairworthy,

     

    Where are you getting your quotes of $3 per graft for top surgeons? H&W charge $4.50 (plus 7%tax)for the first 2000 grafts; even for 3000 they would be $4.10 including the tax. Shapiro charges $4.50 and others in his office charge $4.00. Epstein quoted me $4.23 ($7200 for 1700 grafts). Just curious.

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