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NK,
My staff and I were quite surprised by your posting, considering the consistently good communication we've shared and the care we have provided over the course of more than five years and four procedures, including your most recent FUE procedure we performed for you within the past ninety days and the recent contact you've had with the office this month.
For your first procedure in 2005, we opted for a linear harvest as opposed to FUE due to the numbers of grafts we anticipated needing for the frontal and crown area. With each subsequent medium-sized procedure, we discussed the pros and cons of harvesting hair vs. removing previous scar tissue from your donor area and the FUE option. The choices we made together were a result of weighing the goals of achieving the hairline, frontal and crown coverage against the risk of additional scars.
Though not an easy decision, if you remember our discussions, in each case we agreed to harvest in a 'new' area because:
1. The removal of a previous scar would certainly decrease the number of follicles we'd be able to also harvest during that procedure. (Removal of scar plus transplantable follicles typically yields far fewer than 1000 grafts.)
2. From our discussions, your hairline/coverage goals always took precedence over additional scars or scar revisions.
3. Your hairstyle has always easily covered the scar tissue.
As we just recently discussed, while you were here in the office just recently, there is more than adequate donor hair available to camouflage the scars if that is a goal in the future as well as to touch-up areas of future thinning, if needed. Additionally, I'm confident that all of the hair we harvested was from healthy, permanent areas of donor.
In the meantime, as we discussed today, remember that areas of visible scar can be
1. Camouflaged in the short-term FUE recovery-phase by using products like Toppik or Derm-match
2. Possibly reduced using a scar-revision procedure to reduce their size in the future, or
3. Eventually camouflaged using FUE/NeoGraft.
My staff and I all understand that you are going through the cosmetically awkward 'in-between' time. Waiting for the growth of the recent transplants and the coverage of the donor scars to occur can be difficult, so patience is needed and we are here for assistance and support 24/7--as we always have been for you over the years. Please let me know any questions or concerns you have.
Sincerely,
Alan J. Bauman, M.D.
Medical Director
Bauman Medical Group
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