mmhce

NYS,

I am like you (same classification on the NW scale) and was advised on the same amount of grafts. I believe generally speaking you will need 1000 grafts per degree on the NW scale. You will probably be advised to delay any work on the crown and just treat it with medication, the surgical focus being the front and top, initially.

Congratulations!!!

ninjathen,

I don't know if you've tried minoxidil in front, but it does work. I have experienced this and the higher strengths such as 15% minoxidil, work even better, but as I said in your previous post, the hair follicles are genetically pre-disposed to miniaturize, and chemical action can only do so much.

MPB continues to advance, though at a retarded rate on finasteride. It is not that the pharmological action of the drug diminishes, it is that the genetic pre-determination of the hair follicles must take its course.

I recall that the swirl at the crown of a person's head can be re-constructed, however, I would like to find out if there is any particular method used by surgeons to deliberately construct a curl on someones hairline.

Since a curl originates in the shape of someone's hair follicle, and this is genetically pre-determined, is it possible to construct a curl in someone who does not naturally have curly hair?

I recall that the swirl at the crown of a person's head can be re-constructed, however, I would like to find out if there is any particular method used by surgeons to deliberately construct a curl on someones hairline.

Since a curl originates in the shape of someone's hair follicle, and this is genetically pre-determined, is it possible to construct a curl in someone who does not naturally have curly hair?

I remember when I hair used to get knotty...a long time ago....when I was a teenager!

Beach blondie17, I started to loose my hair when I was 17. Are you sure you're on the right forum?!

I think doctor recommended 30-45 min walk per day (as a minimum amount of exercise) should suffice, until you feel up to doing some more aggressive exercising.

Jim Third HT,

Congratulations with your hair transplant!

Here is a basic time line of your hair regrowth:

1. HT graft shed, first few weeks,

2. Shock loss shed, within first month after HT

3. 4 months, 30% restoration,

4. 6 months about 50%,

5. 8-12 months 80% restoration,

6. 15-18 months 100% restoration.

If I am wrong, I hope to be corrected by the better educated members of this forum.

P.S. Pictures at 6-8-10-12-14 months are important to give objective visualisation of development.

Old Baldy,

Have you read the scientific publication found here:

http://www.bernsteinmedical.co.../Epinephrine2000.php ?

If not, try that, and we can go from there....

I should think most reputable professional HT surgeons would have medical reference texts including "Hair Transplantation", edited by Walter Unger and Ron Shapiro, 2004, which I referred to in this thread I intiated,"Why is Dr. Unger not on the Coalition list?" found here:

http://hair-restoration-info.c...321015304#4321015304.

and which Bill says he is in the middle of reading.

P.S. Please refrain from Religious and Political references in this and any thread.

redkun9,

Bill and Maxxy are both right!

This is an excellent post! and I have followed such threads with interest, and will follow this one with similar keen interest!

I had read the threads you had quoted previously, and initiated my own thread, Keys causes on non-growth of transplanted grafts

found here:

http://hair-restoration-info.c...321027304#3321027304

where I solicited such responses, but at that time didn't know the survival rate of grafts were 90% at best and below, nor had I thought about the quoted 45 FU/cm2 to provide the illusion of density should take into consideration the survival rates of the transplanted grafts, when I initiated the thread, Guaranteed Density by Surgeons, which is found here: http://hair-restoration-info.c...04?r=4351088#4351088

Good Post and good question!

I hope some of the illustrious doctors respond to this post.

take care,...

Raphael84,

Here are some few basic instructions prior to HT:

1) Do not take medications that contain Acetylsalicylic Acid, like aspirin, before the procedure

2) Do not take for at least 1 week before the procedure anti-inflammatory medications or steroids (Voltaren, Cataflan, Ibuprofen, Walcofen, ect??¦) and do not take any ???Nature products??? (Gingobiloba, Ginseng)

3) Do not drink alcohol at least 5 days before the procedure

4) (MEN) Do not use Minoxidil (Rogaine) one week before the procedure

5) (WOMEN) Use Minoxidil (Rogaine) one week before the procedure

6) Do not take Vitamin E or other vitamins for 3 weeks before the surgery

7) Suspend GYM activities for at least 5 days before the procedure

8) DO NOT SMOKE for at least 5 days before the procedure

To All,

Feel free to add any more to list.

glajo,

So did you guess this(that the doctor used epinephrine) or did he tell you he used it?

Why would he use epinephrine, if he knew it is undesirable (to say the least)?

a 50% threshold involved in donor strip that I guess was crossed

What is this 50% threshold about? Please elaborate if you can?

Oh sorry.. if you meant the location of the scientific journal file.

here it is:

http://www.bernsteinmedical.co.../Epinephrine2000.php

Sure Dr. Gabel,

Take a look and please give us a recommendation, if you can, about the use or epinephrine in anaestheticizing tissue.

Here is the thread:

http://hair-restoration-info.c...&r=93010542#93010542

glajo,

I would like to refer you to this thread:

http://hair-restoration-info.c...&r=47810752#47810752

where this document:

http://www.bernsteinmedical.co.../Epinephrine2000.php

was referred to, and see if you agree with my (personal) comments at the end:

"Conclusion

The use of large amounts of epinephrine for the purpose of establishing hemostasis in large hair transplant sessions is neither necessary, nor desirable. Because intra-operative bleeding in the recipient during site creation and graft placement can be controlled by simple methods, that are easy to administer and free from adverse affects, the reliance upon epinephrine in these phases of the procedure should be reconsidered."

So from the conclusion it would seem that epinephrine is not indicated as a component in anaestheticizing the donor or receipient area?

Correct me if I am wrong.

Additionally if why would a coalition doctor use epinephrine if it is undesirable?

Thanks Maxxy,

"Conclusion

The use of large amounts of epinephrine for the purpose of establishing hemostasis in large hair transplant sessions is neither necessary, nor desirable. Because intra-operative bleeding in the recipient during site creation and graft placement can be controlled by simple methods, that are easy to administer and free from adverse affects, the reliance upon epinephrine in these phases of the procedure should be reconsidered."

So from the conclusion it would seem that epinephrine is not indicated as a component in anaestheticizing the donor or receipient area?

I would like to invite responses to some issues that I have read recently from a member of the forum:

It has been suggested that the anaesthetic epinephrine can cause permanent hairloss.

I always assumed that anaesthetics were meant to disrupt the transmission of chemical signals between nerve transmitters and receptors and not deprive the hair follicles of blood or oxygen? Correct me if I am wrong, please.

1. If epinephrine can cause permanent hairloss, why is it used, and can some other anaesthetic be used in its place?

2. What is the science behind anaesthetic causing permanent hairloss?

3. What is the toxicity of anaesthetics such as epinephrine and others on the human body?

Thanks for responses.

I would like to invite responses to some issues that I have read recently from a member of the forum:

It has been suggested that the anaesthetic epinephrine can cause permanent hairloss.

I always assumed that anaesthetics were meant to disrupt the transmission of chemical signals between nerve transmitters and receptors and not deprive the hair follicles of blood or oxygen? Correct me if I am wrong, please.

1. If epinephrine can cause permanent hairloss, why is it used, and can some other anaesthetic be used in its place?

2. What is the science behind anaesthetic causing permanent hairloss?

3. What is the toxicity of anaesthetics such as epinephrine and others on the human body?

Thanks for responses.

anaesthetic used can absolutely cause permanent hair loss

If epinephrine can cause permanent hairloss:

1. Why is it used, and can some other anaesthetic be used in its place?

2. What is the science behind anaesthetic causing permanent hairloss?

I always assumed that anaesthetics were meant to disrupt the transmission of chemical signals between nerve transmitters and receptors and not deprive the hair follicles of blood or oxygen?

This anaesthetic epinephrine sounds toxic.

Which brings me to another question.

3. What is the toxicity of anaesthetics such as epinephrine and others on the human body?

Sometimes if the donor wound has been closed under high tension, there can be circulation issues that cause the surrounding tissue to become infertile for hair follicles. This may not be the case for you, but it's certainly a possibility.

Is this (circulation issues due to high tension closure) more prevalent with staples or sutures?

What can cause such a high tension?

Clint69,

Oh yeah...cutting the pills does not change the chemical composition of the drug, so the pharmacological effect should be the same...however the physiological manifestation varies from person to person..

take care..

Clint69,

You can try these websites:

http://www.unitedpharmacies.com/

http://www.genhair.com/

take care...

If someone has low donor laxity, how many times can he harvest hair from the donor region?

ok.

I found some comments here by Dr. Beehner:

http://hair-restoration-info.c...441048601#5441048601

on the survivalability of grafts.