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mmhce

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Posts posted by mmhce

    Alopecia after Surgical Intervention

    in Hair Restoration Questions and Answers

    Posted

    It occurs to me that the issues of direct post-operative outcomes are dealt with on the forum, but the advancement of alopecia even after surgical intervention is not dealt with as much.

    (If I did not find a the thread that deals with such issues, please refer me.)

     

    After the hair transplant surgery, and there has been renewed growth in the scalp, the native hair does continue to miniaturize even with medication and at a retarded rate.

     

    My question is:

     

    1. What does a well done hair transplant, done by the best surgeon look like if no continued surgical intervention is done to maintain the illusion of density ?

     

    2. If the patient does decide, not to pursue further surgical interventions, does the hair transplant stand the test of time? Does the scalp look patchy after the native hair has miniaturized to point of pre-vellus diameter?

     

    3.Can the transplanted hair age naturally along side the native hair,to give a blended overall natural thinning look and not a patchy appearance?

     

    4. Generally how is placement of the transplanted hair done in relation the native hair within the atrophic zone?

     

    5. Does the patient grow wary of having to do follow-up surgeries to always maintain the illusion of density?

     

    6. At what point may the patient accept that the time has come to "call it quits" and stop chasing the illusion of density?

     

    7. Does this come when chronic physiological diseases such as diabetes, heart disease, arthritis begin to occur, or perhaps other life threatening diseases?

     

    Perhaps this might be a totally personal decision on the part of the patient as to "how young they feel" and how young they want to look?

     

    Thanks.

    Hairline Reconstruction/Re-shaping

    in Hair Restoration Questions and Answers

    Posted

    How is the reconstruction/shape of a hairline determined by a surgeon?

     

    There a rule of thirds that exists in artistry where the face can be divided into thirds;

    the distance of the chin to the tip nose being one third, the distance of the tip of the nose to the brow being second third, and the distance from the brow to the edge of the hairline being the final third.

     

    Is this rule used as a basis for the reconstruction/re-shaping of the hairline?

     

    And how is the reconstructed/re-shaped hairline done in relation to the shape of the face of the patient?

     

    I.e. a patient with a round face, or one with a long face etc.?

     

    Isn't it true that the natural hairline is imperfect/slightly asymetrical and re-construction must mimic this imperfection?

     

    I.e. reconstructing a too perfect hairline seems un-natural?

     

    Thanks

    Typical long-term goals/time frame

    in Hair Restoration Questions and Answers

    Posted

    Given that rate and time event of hair loss is arbitrary and attributal to each person's idiosyncrastic genetic make-up, what might be a time frame in establishing long-term goals for hair restoration?

     

    Example:

     

    Age 30: Reconstruction of hair line and increased density in top 2/3

    Age 35: Increased density of crown

    Age 40: Increased density throughout scalp

     

    Is it even possible to establish a time frame given the arbitrary nature of hairloss?

     

    Perhaps a good starting point maybe to examine the evolution of hairloss in close male relatives in your direct family before establishing strategic goals?

    Typical long-term goals/time frame

    in Hair Restoration Questions and Answers

    Posted

    Given that rate and time event of hair loss is arbitrary and attributal to each person's idiosyncrastic genetic make-up, what might be a time frame in establishing long-term goals for hair restoration?

     

    Example:

     

    Age 30: Reconstruction of hair line and increased density in top 2/3

    Age 35: Increased density of crown

    Age 40: Increased density throughout scalp

     

    Is it even possible to establish a time frame given the arbitrary nature of hairloss?

     

    Perhaps a good starting point maybe to examine the evolution of hairloss in close male relatives in your direct family before establishing strategic goals?

    Personal consultaion and same day surgery

    in Open Hair Loss Topics

    Posted

    Dewayne,

     

    "I emailed my pics, did a phone consult the week before, and then an in-person consult at 7 a.m. By 7:30 he was taking out the donor."

     

    So half an hour was all you needed to iron out whether "to dense pack the front 1/3, or spread it over my whole head."?

     

    "I'm not aware of any lab tests."

     

    What about your cardiogram if you are over 35 yrs.?

     

    And blood tests?

     

    Didn't you have both or just the blood test?

     

     

    Thanks.

    Personal consultaion and same day surgery

    in Open Hair Loss Topics

    Personal consultaion and same day surgery

    in Open Hair Loss Topics

    Posted

    I will have FUT strip. I am looking to recreate my hair line and add density to the top and front 2/3 of my scalp. I have been advised that the crown can be maintained with finasteride and minoxidil which I have been already applying since late 2004. I had initial increase in volume/density, but that had waned since the ending of 2007/beginning of 2008 and I decided to have surgical intervention. I started losing hair at age 16, but I believe that my hairloss has stabilised for the past few years. I am 29 years.

     

    I have been also advised that 2000-3000 grafts (6000-7000) hairs should give me a satisfactory result.

     

    I plan to go to Dr. Alba Reyes Sagiv in Dominican Republic, as Thinman123 had done.

    Personal consultaion and same day surgery

    in Open Hair Loss Topics

    Posted

    So you did not have surgery the same day as the consultation.

     

    Don't you need some time for the surgeon to examine your scalp and hair, for donor hair and follicular density, scalp laxity, etc, and do some tests before doing the surgery?

     

    Doesn't this take up time and thus making it difficult to do the surgery right after consultation, because the doctor is still waiting on results from the lab?

     

    What might be the most imperative questions to ask the doctor during the personal consultation, having asked almost all the questions one could think of before?

    Recommended medication/procedures to aid healing process

    in Hair Restoration Questions and Answers

    Posted

    Thanks for the advice.

     

    But what about right after I remove the metal staples? What should I put on it immediately afterwards?

     

    For Mederma:

     

    http://www.skinstore.com/p-106-mederma-50-gram-tube.aspx

     

    "This is the large tube and it should last approx. 3 months on an 8 to 10 inch scar."

     

    So is 3 months sufficient time for application, or do I need to apply it for 6 months?

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