Dr. Ricardo Mejia
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Everything posted by Dr. Ricardo Mejia
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From the album: What happens when I keep losing hair after transpl
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From the album: What happens when I keep losing hair after transpl
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From the album: What happens when I keep losing hair after transpl
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From the album: What happens when I keep losing hair after transpl
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From the album: What happens when I keep losing hair after transpl
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From the album: What happens when I keep losing hair after transpl
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I generally remove sutures in two weeks. I have had some come back in three weeks with excellent healing. You should not be worried about the three weeks. Dr. Beener has summarised it well. -
donor scar placement: how high can you go?
Dr. Ricardo Mejia replied to Megatron's topic in Open Hair Loss Topics
As Bill mentioned, alot depends on the clinical exam of the patient. I do not like to go to low or close to the ear because tof the risk of visibility if you have thinning in this area. As a general rule, some state approx two finger breadths. You can go higher if a patient has better donor area and you do not feel they are at significan t risk of recession. Age plays a major role as well. In the end, it depends on the clinical circumstance. In some cases, there is more tissue laxity as you go higher which allows you to get a wider strip and more grafts. -
Dilemma: Should I go for #2?
Dr. Ricardo Mejia replied to kydd3's topic in Hair Restoration Questions and Answers
If in the opinion of your doctor,2000 grafts is nothing with minimal to no tension and he gives you good comfort with the donor scar, then many would consider this a reasonable risk to get what yhou want without sacrificing the donor area -
Dilemma: Should I go for #2?
Dr. Ricardo Mejia replied to kydd3's topic in Hair Restoration Questions and Answers
It all depends on your density and physical examination and tightness of scalp etc. You can get multiple different personal opinions. However, as a physician i can not tell you what to do without a proper consult and exam. For some cases it is conservative, in others it might be stretching it. -
Dilemma: Should I go for #2?
Dr. Ricardo Mejia replied to kydd3's topic in Hair Restoration Questions and Answers
I typically advise my patients it is a personal decision. If they are happy where they are at then they do not need to do anything. IF you are concerned about the scar on a second procedure and want to have something done, consult with your doctor, explain these concerns and be conservative. Do not give your Doctor an ultimatum I have heard before, this is my last procedure so take out the max you can do. This usually will lead to areas of potential increased donor tension. Accept that you want to be conservative to get the best acceptable donor scar irregardless of the number of grafts obtained. Make sure he or she understands that the donor scar appearance is your highest priority. -
Q: Lump on back of head
Dr. Ricardo Mejia replied to hair_me_out's topic in Hair Restoration Questions and Answers
Bumps on the head can be Lipomas or fat tumors, Pilar cysts, hematomas or abscess/infections, ingrown hair follicle. Best to see your doctor. Good luck -
Examples of trichophytic closures from different angles.
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Shockloss Question
Dr. Ricardo Mejia replied to windjc's topic in Hair Restoration Questions and Answers
Here is the link to the thread on understanding shock loss Understanding Shock Loss -
We do not require shaving. You still get quality excellent results. Most of my patients are professionals and do not want the downtime look.
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Shockloss Question
Dr. Ricardo Mejia replied to windjc's topic in Hair Restoration Questions and Answers
see my previous topic Understanding Shock Loss -
Alot of it depends on how much hair you have to cover, the density, the amount of grafts being placed, if you are lowering the hairline. Ther could be redness around the follicles from healing, stubble from the graft hairs. It will not be perfectly normal but manageable depending on the above factors. This is a case by case evaluation and can not be generalized. In many cases, hardly noticeable.
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I am typically a non shaver. However for cases over 3500 grafts with dense packing, it is easier to plant when the hairs are not there. This can save considerable time and knock off an hour or two from the surgery which is a considerable amount of time. Either way it depends on the patient and his desires. Patients are aware of the advantages and disadvantages and the results are equally good.
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Nice post Unfortuantely we are aware of too many places across the country that are still performing inferior work and practices that do not bother to keep up with the latest advances. In todays society this is a case of where people either do not do the proper research on their doctors or who are looking to get the cheapest deal. I am glad you were able to help him. Good job.
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customer is always right ?
Dr. Ricardo Mejia replied to jaun1988's topic in Hair Restoration Questions and Answers
Juan: There are many good reasons why doctors do not do hair transplants. It is not about money, it is about doing the best for your patient. IF doing a surgery is not in the best interest of the patient (despite a patient wanting it done), this is not good medical practice. A good ethical doctor should always take that into account. It is no different then the bar example you gave. There are many clubs that cut clients off after they have had too much to drink, They do not have to serve individuals even when they flop money on the countertop. It is the same with physicians, we are not obligated to do anything that we feel is not good medical practice. You have the right to a second opinion and maybe get the procedure done. It is no different than walking into another bar and getting a beer when you someone was just cut off. The establishment/bar and the doctor is ultimately responible. If there is a bad outcome or accident or unreasonable exdpectations, the physician is liable. This is not the answer you wish to here and I know that. Take at heart the many tips reasonable posters have commented on. Get a second opinion from a competent ethical doctor and if he tells you the same thing , try to understan dthe reasons behind it. -
About killing the grafts with laser.
Dr. Ricardo Mejia replied to aska's topic in Hair Restoration Questions and Answers
remember even with fue you can get hypopigmented scars. When you do a number so close together in the hairline, you risk visible scars. Laser hair removal can work. The closer you go to the existing hairline, there can be laser light scatter inthe dermis affecting the normal hairs. It is possible with it's risks and benefits. The picture I saw was not the most clear, but a personal consultation would certainly help dilineate things better. Fractiobnal co2 lasers like the deep FX have been used to minimize and treat different types of scars. Can't say I would recommend it without a clinical exam. Good luck. Keep us advised. -
Nice work. the highlights look good.
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57 year old male recovering from stroke desired coverage of over 150 cm squared of hair loss. 2878 total follicuar unit grafts achieved with an overall density less than 20 fu/cm squared. Patient advised on higher density and need for more grafts given larger surface area. Patient very pleased with results , objectives met and has no desire to augment density.
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57 year old male recovering from stroke desired coverage of over 150 cm squared of hair loss. 2878 total follicuar unit grafts achieved with an overall density less than 20 fu/cm squared. Patient advised on higher density and need for more grafts given larger surface area. Patient very pleased with results , objectives met and has no desire to augment density.
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agree 100%
