Dr. Neil Verma

They can’t stop you from traveling but they can enforce public health measures to close businesses, stay at home orders, quarantine mandates, public gatherings etc. Ontario is in lockdown but medical clinics are open and surgeries are allowed to continue at a reduced capacity. Stay safe

Depth is variable individual to individual. Depth is variable on an individual patient as well ie. where the finer hairs are at the bottom of the donor region tend to be more shallow than the multiple follicle hairs at the top of the donor region. If you go too deep you can bury the graft. If you go to shallow you don’t get nice soft tissue surrounding the root. The size of punch also is a balance between minimum scar as well as sufficient tissue surrounding the graft to enhance graft survival rate. Size of punch varies in the 0.1mm range so it’s not anything that is noticeable as long as the hand holding the device is an experienced one.

Hard to say without seeing photos. Topical minoxidil and repeat transplant procedure would be options.

Sorry, I meant donor scalp FUT to recipient facial hair. Body hair donor is all FUE

Also if there is a lot of existing native hair its harder area to work in for the doctor to get to the scalp. Transplant thousands of hairs is tiring, tedious and time consuming so need to factor all these things into deciding if a no shave is reasonable and feasible.

When the hair is shaved down to the skin you can see the patterned direction of the hair. The length of the hair does help see the natural flow easier ie. how it parts, which way it moves etc. The reality is that no shave is a new technique so new doctors learn how to do it. The procedure type recommended is typically the one the Doctor is most comfortable performing and used to doing day in/day out.

lol...I'm new to the forum and think i clicked on the last page instead of next page and responded to a post

As a doctor we offer No Shave hair transplant often to patients because shaving the entire head can be very stressful. Yes it is more challenging for us but we want the patient to have a stress free experience. As long as the native hair is not too dense we can wet the hair to move it as needed to work on the recipient region. Having no shave helps us see the natural flow angle and direction of the hair as we proceed with transplantation. Doing a No Shave approach also means that patients are often happy with their hair immediately post op as they still have their hairstyle that they started with. A full shave procedure definitely is easier and takes less time to perform but ultimately we want happy patients so willing to put in the work to make that happen.

The photos don't appear to show any complication. It appears as normal process post op hair transplant. The bumps/discolouration in the anterior hairline would not be treated with any medications at this point and they should settle with time. If the discoloration bothers you applying derm fibers such as Toppik could safely help conceal them until the growth kicks in.

The reason the surgeon said not to use rogaine with alcohol in it is because it can irritate the skin. There are non alcohol based minoxidil that are lower concentration that can be applied as soon as 10 days post op

Sutures could damage the region if they are placed too deep into and through the muscle layer. The sutures should be closed in a beveled manner and kept superficial so they don’t damage the underlying tissue and minimize scarring. Definitely want a doctor experienced at closing skin to do the repair. Staples tend to leave track marks especially if they are left in too long.

Speaking to your pharmacist is a great idea about it. The research studies showed that side effects just like the benefits took months to happen. I inform patients of the side effects and as soon as they begin to experience them to stop the medication.

If you have a history of depression then it could be that taking finasteride could trigger a relapse as it may heighten anxiety and low mood. You would have to have an close relationship with your prescribing doctor to monitor for the earliest signs of anxiety or low mood and carefully evaluate the risks vs benefits. I can't provide you with medical advice via this forum just a bit of information.

I agree with above. Can expect excellent results if the patient selection is done well. Its important to only do hair transplant on those that are candidates. Its also important to explain to patients that even if they want a low hairline or full coverage neither may be options so expectations can be adequately met with an excellent result for density and hairline.

Topical finasteride does go systemic. I treat majority of my patients with medications. Probably 10% or so have experienced side effects so they stop the medication, reduce the dose or the frequency of use and then the situation improves. If you have a history of low libido or depression I would say stay away from it.

Scalp hair can be used for facial hair transplants. They don't have the same density but they do have better survival rates and less complication rate.

Loose fitting surgical cap can be worn upon discharge from the clinic.

The doctor is responsible for the case from start to finish. The team is critical to the procedure. Its important question to ask and understand what part of the procedure the Doctor performs and what part the technicians perform as well as what is their experience doing it.

Not shaving the recipient area is commonly requested and can be done as long as the hair can be adequately parted so that implantation can proceed to the desired density needed. They can be done for large sessions as well.

It's your hair and your right to choose your doctor. Some clinics have doctors that work independently within them. Other clinics have doctors that work as a team and each have their own focus and specialty. Its definitely nice to go to a clinic that has multiple doctors that can be involved in your care.

Botox is not a treatment used for hairloss.

There appears to be excellent donor region to work with as well. It seems like the main purpose of the restoration would be to restore density and reinforce the existing hairline. At the age of 28 its important to take a conservative approach. You may even want to hold off on surgery for a few more years and trial medications, topical minoxidil, shampoos, and PRP to restore thickness and density. I'm hoping that Toronto will not have a bad reputation anymore....

When starting finasteride it is best to start with as low a dose as possible and low a frequency of use as possible. This typically does a good job to minimize side effects.

After 2 months there hasn't been any growth yet so be patient. Best results are seen with before and afters at 1 year.

You may not need a biopsy at all but if you do it wouldn't impact your donor region as it would just be of 1 spot. Have the dermatologist or hair specialist look at your hair with a trichoscope to analyze the skin and hair follicles.