Jump to content
FORUM RECOMMENDED SURGEONS

mmhce

Senior Member
 View Profile  See their activity

  • Posts

    1,067

  • Joined

  • Last visited

 Content Type 

Posts posted by mmhce

    Is It Just Me That Thinks Like This????

    in Open Hair Loss Topics

    Posted

    also with my little over a year of researching these boards i got the impression that 75% ??“ 80% of unsatisfied patients whether it be drugs or HTs are people of east asian descent.

     

     

    Mr GQ,

     

    That's just it. You just *GOT* the impression. (Unless, the members of the forum, who were dissatisfied, confided in you their ethnicity). And unless you have any hard scientific evidence that East Indians have problems in responding to medication or successfulness of a hair transplant surgery, you just have a PERSONAL opinion, not a theory....which is a thought model.

     

     

    As I mentioned in another thread, proper scientific documentation is necessary by all (particularly on the side of the surgeons who have greater scientific training than the "average joe"). So if the ethnicities of each and every patient are not recorded,by the clinics, then that is a short coming on their part.

     

     

    BTW, I am partly of East Indian decent, had some initial minor success with medication, but my MPB has continued to advance (and will continue to advance) as it does in all other persons suffering from MPB (of differing ethnicities), and must now pursue more permanent solutions.

    Dr Epstein

    in Hair Restoration Questions and Answers

    Posted

    Do you mean donor area stretching (as a good thing for better scalp laxity) prior to surgery?

    Or as a bad thing in that the scalp is too lax and can be a detriment to the healing of the scar?

     

    It stands to reason that younger people have greater thickness of collagen beneath their skins compared with older persons.

    Minaturized hairs and HT

    in Hair Restoration Questions and Answers

    Posted

    This is a very good question and had often wondered what is the typical approach by surgeons to deal with the situation of *miniaturizing* hair (still there, but will go in a few years time)

     

    I had asked the question in another thread, I had posted, about the continuing advancing MPB causing the hair transplant appear patchy as the MPB advances.

     

    I have a few questions with respect to this:

     

    1.Is it that the patient is given the option about how to deal with this, or do surgeons practise standard dense packing throughout the native atrophic region?

     

    2. I was told by a surgeon that in checking the FU density for a transplanted area, the native atrophic hair is also counted in this. Thus 45 FU/cm2 may actually include some hair that is native and atrophic. Is this true?

     

     

    3. Following a hair transplant, with MPB continying to advance in remaining atrophic hair, what is the average length of time would pass, before a patient would require another hair transplant to maintain the illusion of density?

    Attention all doctors

    in Hair Restoration Questions and Answers

    Posted

    Perhaps there is great difficulty in getting patients to return to the clinics at specificied periods to record biometrics and photo-documentation. I am not excusing insufficient documentation on the part of the doctors, but would just like to point out that many of the patients come from great distances to receive surgery.

     

    Options may include the doctor/clinic giving discounts to the patient on subsequent surgeries if they (the doctors/clinics) are allowed to study and record the patients' progress, paid airfare and hotel accomodations.

     

    Additionally/alternately the clinic may inform the patient as to how to photo document the progress at least, bearing in mind that there are other measurable biometrics such as increase in hair shaft diameter and so on that must be measured with microscopes and other highly refined instruments.

     

    This is why it is important that the patients record for themselves progress, via photos and may/should choose to create a blog on this forum to share the progress and result,(relative to the attending surgeon).

     

    I believe incentives given to patients, by the doctors or clinics could be instrumental in promoting proper documentation.

     

    Please criticize my comments.

    Online Prescriptions

    in Hair Loss Drugs

    Posted

    repo-man,

     

    You can try these websites:

     

    http://genhair.com/

     

    http://www.unitedpharmacies.com/

     

    The only problem for me is that they use Global Express mail and not courier service like FedEx or DHL etc.

     

    Bill is right about spam posters who promote unsolicited business. You need to be careful.

     

    BTW, are you the guy that makes the liquid concoction with the Vitamin C tablet to put on your scalp, and how is the MSM working for you?

    Cobblestoning Photos.. Anyone Have Any?

    in Hair Restoration Questions and Answers

    Posted

    mprecio,

     

    The photo is blurry, but the question is good. Are there any photos available on this forum that depicts not just cobblestoning, but ridging, or pitting?

     

    To recap the definitions which I think is always important:

     

    Ridging is something that can happen in the recipient area. Here is my limited understanding of it, I may be off or missing some facts on this one... Larger grafts tend to disrupt the scalp more. This can cause scarring in the sub-layers (sorry I don't know the technical term). When you have a row of this scarring happen, it appears to be a ridge, when you see the combined result. The scalp juts up a little bit. Factors would be the size of the grafts (the main factor I believe), your own healing characteristics (if you tend to form larger scars than average) and possibly skill of the clinic in creating the sites and placing the grafts. Again, it's caused by scarring below the surface.

     

    Cobblestoning is when each individual graft looks like it is coming out of a small bump. The best transplants look like the hair is emerging from smooth beautiful scalp. When grafts are too big, it can look like the hair is emerging from an obvious graft. If the graft wasn't seated perfectly when it was placed (or you are an especially bad healer) you can have a cobblestone effect. Cobblestoning is not supposed to be an issue with real microscopically-trimmed FU grafts, because they have less excess tissue. I have heard maybe one guy say his FUs looked a little bumpy, but that is extremely rare, whereas with Minigrafts it can be fairly common.

     

    Pitting is similar to cobblestoning except rather than a bump, it's a depression or divot. It too is caused by not being properly seated, and seems to be more of an issue with larger grafts.

     

    http://hair-restoration-info.c...=831008765#831008765

    Where is shockloss more prevalent?

    in Hair Restoration Questions and Answers

    Posted

    Dr. Mejia,

     

    These factors that you have mentioned are somewhat worrying. I have added the definitions for the educational purposes.

     

    I have a couple of questions:

     

    1.What steps can a patient, as well as a surgeon, take to reduce the tendency to shockloss(with respect to all contributing factors)?

     

    2. Is wound dehiscence and haematoma formation common or rare?

     

     

    Thanks for the input Dr. Mejia!

     

     

    DEFINTIONS:

     

    Wound dehiscence is the premature "bursting" open of a wound along surgical suture. It is a surgical complication that results from poor wound healing. Risk factors are age, diabetes, obesity, poor knotting/grabbing of stitches and trauma to the wound after surgery.[1][2] Sometimes a pink (serosanguinous) fluid may leak out.

     

     

    A pseudomonas infection is caused by a bacterium, Pseudomonas aeruginosa, and may affect any part of the body. In most cases, however, pseudomonas infections strike only persons who are very ill, usually hospitalized.

     

     

    A hematoma, or haematoma, is a collection of blood outside the blood vessels,[1] generally the result of hemorrhage, or more specifically, internal bleeding. It is not to be confused with hemangioma which is an abnormal build up of blood vessels in the skin or internal organs.

     

    Definitions by kind acknowledgment of the following:

     

    http://legionella.info.ca/pseudomonas.asp

     

    http://www.healthatoz.com/heal...monas_infections.jsp

     

    http://en.wikipedia.org/wiki/Wound_dehiscence

     

    http://en.wikipedia.org/wiki/Hematoma

×
×
  • Create New...