Jump to content

Dr. Bernardino Arocha

Elite Coalition Physician
  • Posts

    278
  • Joined

  • Last visited

Posts posted by Dr. Bernardino Arocha

  1. Bald36,

     

    Shaving the recipient area is never necessary, I have only done it twice on patient request. I like to work with high power surgical loupes to increase the density while restoring the hair with precision to create the most natural result. Agreed that the video shows the fine detail most since it is like sculpture, allowing us to examine it in multiple angles. It also permits a dynamic examination as the hair is combed through, we may see how it falls. http://www.hairrestorationnetwork.com/eve/184403-hd-video-dr-arocha-showing-2400-fut-case.html

    Thanks for taking the time to view and your comments!

  2. Thanks to you all,

    We appreciate your taking the time to view and comment on our videos and other posts!

    Mick from Farjo,

    Great to see you back. Putting a smile on someone's face is what life is all about. Hair loss is bad enough, but a bad transplant is even worst. Love to turn things around for these patients in need.

     

    home1212,

    Thank you, I am glad someone was able to help you.Really appreciate your kind kudos.

     

    David-moderator,

    Always appreciate your keen insight and kind words!

  3. We at Arocha Hair Restoration do not simply like our patients, we love them! And because of this, I am only replying as asked of me, somewhat reluctantly because I always prefer to keep things confidential.

     

    This patient’s outcome is what it is- a very nice improvement of a very thin hairline after a prior surgery elsewhere. I regret that we missed the mark for this patient’s goals. His lofty goal to wear his hair short and spike it up only became apparent after the donor harvest. I automatically increased the recommended estimate number of grafts from 500-1000 depending on hair caliber to increase the likelihood for those patients wanting to be able to spike. The technique employs FU family pairing in strategic areas in the forelock and in the define zone. However, I want the whole HTN community to know that I personally offered to work with him to do a second procedure to further enhance his hairline density instead of spending the time answering his questions online. Furthermore, I told him that he would need an additional 1000 grafts, only because he kept turning around while I was making sites to show me on his smartphone the jpegs of a patient on my website who had very coarse hair about 110 microns. The patient’s hair is medium/fine caliber.

     

    The other factor operant was the increased bleeding, this makes it a big challenge to dense pack, since I was literally racing against his heartbeat. Also during surgery, as the hair became very wet, the advancing thinning throughout his frontal half became apparent. Hence, the 2000 FU where employed to anchor the hair line into the thinning fringes as well as enhance his thin hairline. To have employed the grafts only in the hairline would have created a thicker hairline with subsequent erosion of the humps. That would soon require further transplantation to anchor the new hairline or the hairline would become free floating. That is, an anterior persistent fringe would have been created as the thinning continues behind that hairline. The insinuation that we perform surgery on him without anesthesia, is just not very likely. I instruct all patients to frequently give us feed back if they feel any discomfort at all. We teach them a pain scale so we can gauge the order of magnitude of the pain. We have a wide array of short and longer acting local anesthetics so discomfort is not necessary. It is true however, that patients that bleed alot, also metabolize their anesthesia faster and will need more frequent blocking.

     

    The allegation that we have been unresponsive is not quite accurate. No one has ignored any of his emails, as a matter of fact we agreed to see him on a Sunday at our Dallas office, because he could not take time off work during the week. But that is not all, we had to drive from our Houston office to see him in Dallas, that is 260 miles each way. Not exactly unresponsive or lacking caring. Sorry about this long post. Many thanks to all the supportive posters, especially those that tried to help the patient to see that his result is not bad, instead it is good. He should be primed for building the strong hair line that he so desires so much. I have no regrets, but one: wish I could have had the opportunity to finish my hair artwork masterpiece!

     

    Sincerely,

     

    Bernard Arocha, MD, Diplomate of ABHRS, Fellow ISHRS

×
×
  • Create New...