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  1. Propecia and Cancer Somebody asked me under a different thread for any medical study linking Propecia with more aggressive prostate cancer. Here you go: http://www.cnn.com/2003/HEALTH/conditions/06/24/prostat...ncer.drug/index.html Baldness drug may reduce prostate cancer risk But it could trigger more aggressive form in other cases Wednesday, June 25, 2003 Posted: 9:21 AM EDT (1321 GMT) (CNN) -- A study released Tuesday indicates that a drug used to treat male pattern baldness reduces the odds of getting prostate cancer by about 25 percent. But there's some bad news: The same study seems to show that if a man taking finasteride does get the disease, the drug appears to increase his chance of getting a more aggressive form. "Finasteride is the first drug found to reduce the risk of prostate cancer," said Dr. Ian Thompson of the University of Texas Health Science Center at San Antonio, the study's lead author. "The drug worked for men at low risk for prostate cancer, as well as those at high risk." The National Cancer Institute estimates that if 1,000 63-year-old men are tracked, after seven years, 60 of them would develop prostate cancer, with 18 of those men suffering with high-grade tumors, which spread quickly. If the same men took finasteride for seven years, only 45 would get the cancer, but 22 would have the more aggressive tumors. A low-dose version of finasteride used to treat hair loss is marketed under the trade name Propecia, while under the name Proscar it's sold as a treatment for enlarged prostates. In the study, which was funded by the National Cancer Institute and published in the online version of the New England Journal of Medicine, researchers at 221 sites nationwide followed nearly 19,000 men older than 55 for seven years. About half of them were assigned at random to take either finasteride, a drug that lowers male hormone levels, or a placebo. By the end of the trial, those taking the drug reduced their risk of prostate cancer by nearly 25 percent over those on placebos. Mortality in both groups was the same: Five in each group died of prostate cancer. Promoter of mean types of cancer? But researchers were not convinced that men should take the drug to prevent the disease, which, after skin cancer, is the most common form of cancer among men. While the men who took finasteride were diagnosed with fewer cases of the disease, they had more high-grade prostate cancers, which typically are more aggressive than other forms. In all, 6.4 percent of the men on finasteride had high-grade tumors, versus 5.1 percent of men on placebos. The reason for that disparity was not clear. Thompson said finasteride may result in the development of more aggressive tumors either by preventing only low-grade tumors or by making the prostate gland more favorable to aggressive tumors. What really is finasteride doing here? Is it a promoter of mean types of cancer, or a suppresser of meaningless types? -- Dr. John Wasson Dr. John Wasson, director of the Center for Aging at Dartmouth Medical School in Hanover, New Hampshire, and who served on the study's safety monitoring committee, said the tumor findings raised a number of questions: "What really is finasteride doing here? Is it a promoter of mean types of cancer, or a suppresser of meaningless types?" The study was stopped a year earlier than planned because it was determined that the extra time was unlikely to yield new information. In addition, Wasson cited concerns over the apparent increased risk of more aggressive tumors. Though the study is a major step forward, men should carefully weigh their options before opting to take the drug as a preventive measure, Dr. Harmon J. Eyre, chief medical officer of the American Cancer Society, said in a statement. "There are still some important unanswered questions, especially regarding side effects, whether it can benefit men at increased risk, especially African Americans, who are twice as likely as white men to die of prostate cancer, and the mechanism by which men taking the drug develop higher grade tumors." Other side effects Despite the concerns, Dr. Nabil Khawand, a physician at Washington Hospital Center, said he would leave the decision to his patients. "I will tell him the result of the study and I will give him the option, whether he wants to be on it or he doesn't want to be on it." Apparent side effects went beyond tumor aggressiveness. Men taking finasteride were more likely than men on placebo to experience sexual side effects such as impotence. But men taking the placebos were more likely to be diagnosed with enlarged prostate and urinary problems. This year, prostate cancer is expected to be diagnosed in more than 200,000 men and kill about 29,000 in the United States. It is typically a slow-growing cancer and most of the men who are diagnosed with it go on to die of something unrelated, even if they undergo no treatment for it. For young men using the drug to promote hair growth, "I certainly wouldn't want to be taking a drug that potentially promotes cancer of the mean types," Dartmouth's Wasson said. "First, do no harm, that's the bottom line with any drug or treatment ... if you're a young guy, you should really be concerned about finasteride." He predicted the study results would lead the Food and Drug Administration to take a fresh look at the safety data on the drug, which is made by Merck and requires a prescription. No one from the agency was immediately available to comment, and a call to the drug maker was not immediately returned.
  2. Propecia and Cancer Somebody asked me under a different thread for any medical study linking Propecia with more aggressive prostate cancer. Here you go: http://www.cnn.com/2003/HEALTH/conditions/06/24/prostat...ncer.drug/index.html Baldness drug may reduce prostate cancer risk But it could trigger more aggressive form in other cases Wednesday, June 25, 2003 Posted: 9:21 AM EDT (1321 GMT) (CNN) -- A study released Tuesday indicates that a drug used to treat male pattern baldness reduces the odds of getting prostate cancer by about 25 percent. But there's some bad news: The same study seems to show that if a man taking finasteride does get the disease, the drug appears to increase his chance of getting a more aggressive form. "Finasteride is the first drug found to reduce the risk of prostate cancer," said Dr. Ian Thompson of the University of Texas Health Science Center at San Antonio, the study's lead author. "The drug worked for men at low risk for prostate cancer, as well as those at high risk." The National Cancer Institute estimates that if 1,000 63-year-old men are tracked, after seven years, 60 of them would develop prostate cancer, with 18 of those men suffering with high-grade tumors, which spread quickly. If the same men took finasteride for seven years, only 45 would get the cancer, but 22 would have the more aggressive tumors. A low-dose version of finasteride used to treat hair loss is marketed under the trade name Propecia, while under the name Proscar it's sold as a treatment for enlarged prostates. In the study, which was funded by the National Cancer Institute and published in the online version of the New England Journal of Medicine, researchers at 221 sites nationwide followed nearly 19,000 men older than 55 for seven years. About half of them were assigned at random to take either finasteride, a drug that lowers male hormone levels, or a placebo. By the end of the trial, those taking the drug reduced their risk of prostate cancer by nearly 25 percent over those on placebos. Mortality in both groups was the same: Five in each group died of prostate cancer. Promoter of mean types of cancer? But researchers were not convinced that men should take the drug to prevent the disease, which, after skin cancer, is the most common form of cancer among men. While the men who took finasteride were diagnosed with fewer cases of the disease, they had more high-grade prostate cancers, which typically are more aggressive than other forms. In all, 6.4 percent of the men on finasteride had high-grade tumors, versus 5.1 percent of men on placebos. The reason for that disparity was not clear. Thompson said finasteride may result in the development of more aggressive tumors either by preventing only low-grade tumors or by making the prostate gland more favorable to aggressive tumors. What really is finasteride doing here? Is it a promoter of mean types of cancer, or a suppresser of meaningless types? -- Dr. John Wasson Dr. John Wasson, director of the Center for Aging at Dartmouth Medical School in Hanover, New Hampshire, and who served on the study's safety monitoring committee, said the tumor findings raised a number of questions: "What really is finasteride doing here? Is it a promoter of mean types of cancer, or a suppresser of meaningless types?" The study was stopped a year earlier than planned because it was determined that the extra time was unlikely to yield new information. In addition, Wasson cited concerns over the apparent increased risk of more aggressive tumors. Though the study is a major step forward, men should carefully weigh their options before opting to take the drug as a preventive measure, Dr. Harmon J. Eyre, chief medical officer of the American Cancer Society, said in a statement. "There are still some important unanswered questions, especially regarding side effects, whether it can benefit men at increased risk, especially African Americans, who are twice as likely as white men to die of prostate cancer, and the mechanism by which men taking the drug develop higher grade tumors." Other side effects Despite the concerns, Dr. Nabil Khawand, a physician at Washington Hospital Center, said he would leave the decision to his patients. "I will tell him the result of the study and I will give him the option, whether he wants to be on it or he doesn't want to be on it." Apparent side effects went beyond tumor aggressiveness. Men taking finasteride were more likely than men on placebo to experience sexual side effects such as impotence. But men taking the placebos were more likely to be diagnosed with enlarged prostate and urinary problems. This year, prostate cancer is expected to be diagnosed in more than 200,000 men and kill about 29,000 in the United States. It is typically a slow-growing cancer and most of the men who are diagnosed with it go on to die of something unrelated, even if they undergo no treatment for it. For young men using the drug to promote hair growth, "I certainly wouldn't want to be taking a drug that potentially promotes cancer of the mean types," Dartmouth's Wasson said. "First, do no harm, that's the bottom line with any drug or treatment ... if you're a young guy, you should really be concerned about finasteride." He predicted the study results would lead the Food and Drug Administration to take a fresh look at the safety data on the drug, which is made by Merck and requires a prescription. No one from the agency was immediately available to comment, and a call to the drug maker was not immediately returned.
  3. Don't neglect to take a look at Dr. Bobby Limmer and Dr. Bradley Limmer; both are located in San Antonio, Texas. Dr. Bobby Limmer is known as the "Godfather of the Follicular Unit Grafting" in the hair restoration industry. Both physicians are highly respected in the field of hair restoration. Welcome to the Hair Restoration Research Forums and good luck in your research. -Robert
  4. A New Era of Patient/Physician Collaboration As a hair transplant patient I know how life changing surgery can be. And as the publisher of this web community I know that hair transplant surgery can either give a patient a new lease on life or shatter their confidence and appearance for a life time. Seven years ago I began my first of three hair transplant surgeries. At that time I was extremely lucky to have selected one of the few surgeons who at that time was successfully doing large sessions of follicular unit grafts. Dr. Ron Shapiro was exceptionally gifted and dedicated to his patients and I achieved outstanding results that dramatically changed my life for the better. I then began to share my positive experience online and in time, with the generous support and encouragement of Dr. Ron Shapiro, I expanded my efforts to help others find outstanding surgeons in their area with the Hair Transplant Network. Only those physicians who were carefully prescreened and found to be successfully performing state of the art hair transplantation were presented on this online community. These physicians then contributed a monthly sponsorship fee to support our community and its resources. Hair loss sufferers found great physicians and a place where they could openly share opinions and experiences, while outstanding physicians got the positive recognition and promotion they deserved. It was and continues to be a positive resource for hair loss sufferers and leading physicians. The birth of the New Coalition of Independent Hair Restoration Physicians Hair restoration surgery continues to evolve. The bar for true excellence has moved higher in the past couple of years and now enables the use of very tiny instruments to create very small incisions that are carefully angled and directed. This new ultra refined follicular unit grafting is even harder and more demanding to perform successfully than the standard follicular unit procedure of the past few years. Only a minority of hair restoration physicians have risen successfully to this challenge. Those few who have risen to this new and higher standard of excellence were recently invited to join the Coalition. As of March 1st the Coalition is now made up only of physicians who have successfully risen to this new challenge with proven success. Part of the member review process now involves reviewing their immediate post op results. To see photo examples of the quality of ultra refined follicular unit transplantation results that are now required of all Coalition members, click here. These physicians believe in pushing to constantly advance their surgical techniques in order to provide their patients with truly optimal results. With these physicians the patient's long term best interests are truly ahead of gross revenue and assembly line surgeries. They have chosen the high road that makes surgery even more demanding, tedious and slow for them and their staff ??“ yet optimal for their patients. In my opinion, having attended over a dozen hair restoration conferences and workshops and privately viewed dozens of surgeries first hand over the past seven years, they are the best of the best. And while not all outstanding hair restoration physicians are members of the Coalition, every member is an outstanding physician. These Coalition members are committed to not only providing excellent results but excellent patient education. And why shouldn't they ??“ as the more people know the better they and their procedures look. These physicians believe in empowering patients to openly share their experiences and photos by supporting this forum, the Hair Mentor program, Live Online Help and soon Patient Weblogs. They've also supported the development of educational videos and animations and hundreds of pages of in-depth and credible web content at the Hair Loss Learning Center and the new Hair Restoration Network. They believe that an educated patient is an ideal patient. I'm honored to introduce the outstanding members of the newly revamped Coalition of Independent Hair Restoration Physicians: Dr. Ron Shapiro is extremely well liked and respected by both his patients and colleagues. His patients appreciate his empathy and outstanding results, while his colleagues appreciate his generosity in openly sharing his techniques and insights to advance the entire profession. I much appreciate the long time support and guidance he has lent to me in my efforts to grow this community. He was outstanding when I first met him over seven years ago and he has continued to stay at the forefront of all advances to this day. Dr. Sharon Keene has a well earned reputation for being extremely conscientious, honest, and hands-on in the surgery suite (often placing many of the grafts personally). Those who are regulars on this forum know that she is well regarded by her patients for producing excellent results. Dr. Keene is also respected internationally for her contributions to follicular unit hair transplantation. She also worked closely with Dr. Ron Shapiro for several years as this procedure was evolving. She regularly conducts lectures, live surgery workshops, and is committed to educating physicians as well as patients. She also has created several inventions designed to improve the quality of hair restoration surgery. Dr. Bobby Limmer is affectionately referred to by his colleagues as the "Godfather of Follicular Unit grafting". During the late 1980's he pioneered the use of the binocular microscope in preparing very refined follicular unit grafts. He has quietly and modestly been doing outstanding work for years and has been doing "lateral slits" using very tiny incisions before the term was popularized and promoted online. He has been guest lecturer at over 50 presentations and written 36 medical journal articles regarding hair restoration. He is a true pioneer who was not only way ahead of his time, but who has consistently stayed at the cutting edge of hair restoration ever since. Dr. Brad Limmer has been actively involved with Follicular Unit Hair Transplantation virtually since this important procedure was first pioneered by his father, Bobby L. Limmer, in the late 1980's. He studied and mentored under his renowned father and learned what would later become the "Gold Standard" in hair transplantation. He also learned his father's emphasis upon honest and upfront education with all patients. Dr. Brad Limmer is also board certified in dermatology and trains plastic surgery residents as a clinical assistant professor in the division of dermatology at the University of Texas Health Science Center, San Antonio. He currently performs ultra refined follicular unit grafting using lateral slits with excellent results. Dr. Jerry Cooley is a rising star in the hair restoration profession and he headed up the scientific committee for the annual ISHRS meeting in New York City. Jerry and his staff were early adopters and innovators in advancing the new ultra refined follicular unit grafting using tiny cut to size blades and lateral/coronal slits. He and his staff have chosen to limit their attention to only one patient a day in order to enable them to take the time to do the very best work. His clinic has a family feel and provides very personable service and care. Dr. Glenn Charles was fortunate to meet and work for Dr. Shapiro early on when follicular unit grafting was coming of age. Glenn perfected his own techniques and artistry and now does superb ultra refined follicular unit grafting exclusively in his clinic beautiful clinic in Boca Raton, Florida. I recently saw Dr. Charles performing his lateral slit technique using tiny custom cut blades and I was very impressed by how very refined and clean his incisions were and how natural and irregular his hairline design was. He and his staff are A+. Dr. James DeYarman was an early pioneer in adopting all follicular unit grafting. When I visited his clinic in La Jolla, California he sat me down at his computer and let me view dozens of patient photos at random. They were consistently amazing. Jim quietlDr. Robert True y remains on the cutting edge and was a very early adapter of the ultra refined follicular unit procedure and he enthusiastically began using the cut to size micro blades and lateral slits about two years ago. Those living in California have absolutely no reason to leave the state for surgery with Dr. DeYarman in their backyard. Dr. Robert True has the maturity and good judgment that only comes from years of experience. He is masterful in recreating hairlines and the whorl patterns in the crown. He has continually evolved his procedure to the newest ultra refined level and takes pride in doing work that is second to none. Our forum moderator, Robert, recently spent a day in surgery with Dr. True in his new state of the art facility and came away very impressed by his care and technical skill and his depth of knowledge and attention to detail. I've been impressed with his excellent aesthetic judgment and his very sharp mind. Dr. Robert Dorin was carefully chosen from a large field of physicians to be his prot???©g???©. Having worked with and trained many physicians over the years, Dr. True found Dr. Dorin to be a natural at hair transplantation. Dr. Dorin has since excelled and is now doing ultra refined work that is on pare with Dr. True in his opinion. Based on his confidence in him, Dr. True invited Dr. Dorin to be a full partner in their New York practice of True and Dorin Medical Group. Dr. Dorin also knows first hand what hair loss is like as he was a hair transplant patient of Dr. True. Dr. Edmund Griffin is very patient focused and has taken virtually every measure possible to make patients comfortable and assure optimal results. When I visited his very state of the art surgical facility in Atlanta I was impressed by he and his staff's attention to detail from the moment the patient walks in to their clinic and well past surgery. As Dr. Griffin's gracious southern charm permeates how his patients are treated as when they arrive they are the one "patient the day". Every aspect of his surgery from using the pain free wand for anesthesia to complete microscopic dissection of grafts and micro instrumentation for creating tiny ultra refined graft incisions is first rate. Dr. Bob Haber although not well known online, has been quietly performing excellent hair restoration surgery in Ohio for years. He is very well known and well regarded by his hair restoration colleagues and in 1995 was given the "Award of Excellence" by the ISHRS in recognition for his innovative techniques. He and his staff have continued to evolve and now provide patients with ultra refined follicular unit grafting. Dr. Haber is very bright and articulate and has emerged as a leading hair restoration physician. Dr. Raymond Konior is a perfectionist who is quietly dedicated to making his procedure better every single day. He prides himself in personally placing the majority of the grafts and not leaving the surgical room until the procedure is completed. His strong background in plastic surgery has given him an artistic edge in creating a visual harmony between the hairline and the rest of the face. He also uses his cosmetic surgery training to minimize any resulting scar tissue. His current procedure is ultra refined and utilizes extremely tiny incisions and careful orientation of grafts and hair direction to produce results that are second to none. Dr. Scott Alexander medical practice is devoted exclusively to doing hair restoration in his new state of the art facility. He and his staff perform the newest ultra refined follicular unit transplantation using microscopically prepared follicular unit grafts that are placed in very tiny lateral slit incisions. He has always been very interested in art with great ability in that area. His extreme attention to detail and artistic talent are visible in his natural and refined surgical results. Being very meticulous, with a drive for perfection, he has sought out the best techniques and mastered them. Dr. Paul Rose performs ultra refined follicular unit transplantation and was one of the first physicians in the early 1990's to develop and implement the follicular unit procedure. During this time he has worked closely with his colleague Dr. Ron Shapiro in perfecting and refining the follicular unit procedure with outstanding results. Dr. Rose is internationally recognized for his ideas for achieving a natural hairline and has lectured widely and written numerous articles on hair restoration. Dr. Rose is recognized for developing the concept of backlighting and some of the devices used for this purpose. He is also the chairman of the ISHRS Pro Bono Committee, which is dedicated to helping indigent individuals who sufferer from hair loss due to trauma or disease to restore their hair. Dr. Joseph Williams' medical practice is devoted exclusively to doing hair restoration with outstanding results. He and his staff perform the newest ultra refined follicular unit transplantation using microscopically prepared follicular unit grafts that are placed in very tiny lateral slit incisions. He is very hands on in his approach and creates all surgical incisions and places many of the grafts personally. He is extremely personable and enthusiastic about what he can do for patients and he does all consultations personally. He is also a hair transplant patient. His passion for providing his patients with the very best results, service and value is obvious to any hair loss sufferer who contacts him. He is a real gem in the rough among the many commercially driven clinics on the West Coast. Dr. Arthur Tykocinski's rare combination of advanced technical skill and artistry attracts patients from around the world. He was one of the early adopters of follicular unit grafting and introduced it to Latin America in 1996. Since then he has continued to evolve and has emerged as a world renowned expert on the new ultra refined follicular unit hair transplantation procedure. I recently observed his surgery in Sao Paulo, Brazil and found his ultra refined lateral slit surgical technique to be extremely refined and artistic. He speaks both English and Portuguese and enjoys hosting patients from around the world during their stay in Sao Paulo, Brazil.
  5. thank you robert - i am still looking for some kind of reference of dr. bazan here in mexico but it seems it is rather difficult to obtain any information about him or his clinic- i will look into dr. limmer in san antonio and thank you for your advice - quark
  6. quark22203, I have read a lot of controversy on Dr. Bazan, but I have not seen any results of his work that I could actually say was, "conclusive." My opinion is still way out on this physician. Welcome to the Hair Restoration Forums. If you would like to view recommended physicians nearest you, check out the Hair Transplant Network's "World Map." Simply click on the areas nearest you to narrow down your search. While there are presently no recommended physicians in Mexico, The Limmer Clinic is located in San Antonio, Texas and is highly reputable and performs the latest in ultra-refined follicular-unit procedures. Dr. Bobby Limmer and Dr. Bradley Limmer are well worth looking into. -Robert
  7. Luis, I strongly recommend that you speak directly to Dr. Bradley Limmer about your concerns that have been raised in this thread. While the posters may certainly be looking out for your benefit, I dont believe that everything said in this thread is true. Dr. Bradley Limmer is the son of Dr. Bobby Limmer, a.k.a. the "Godfather of Follicular-Unit Grafting." Dr. Bobby Limmer is called this because in the late 1980's he pioneered the use of the binocular microscope in preparing very refined follicular unit grafts. Dr. Bobby and Dr. Bradley Limmer share their clinic in San Antonio, Texas. They are both highly reverred in the field of surgical hair restoration and are both highly recommended by the Hair Transplant Network.com as Coalition physicians. While I certainly advocate you making the most informed decision you can make, taking statements like this: Dr Limmer supposedly relies heavily on his staff to do the procedure, this keeps costs down however I personally would want more hands on attention from the doctor himself. as fact can be incredibly misleading. Arfy has presented no evidence to back this up. Arfy, if you have had a personal experience with Dr. Limmer where you witnessed this, I would like to hear about it, but I highly doubt that you did. It sounds like you are passing off anectodal accounts as fact. -Robert
  8. I am a 23yo who has made up my mind that I gotta do something and this seems to be the best way to go. Anybody know any good doctor's?? Through the research I have found, Dr. Limmer in San Antonio seems to be a really good choice. The only problem is I am in Dallas and the consultation would be on the phone using pictures I email him. This bothers me as I would rather him be able to look at my head physically. Any thoughts on if this would be a bad idea or okay to do?? I am limited on time out of Dallas due to the work I do and could not leave for both a consultation and the surgery.
  9. I am a 23yo who has made up my mind that I gotta do something and this seems to be the best way to go. Anybody know any good doctor's?? Through the research I have found, Dr. Limmer in San Antonio seems to be a really good choice. The only problem is I am in Dallas and the consultation would be on the phone using pictures I email him. This bothers me as I would rather him be able to look at my head physically. Any thoughts on if this would be a bad idea or okay to do?? I am limited on time out of Dallas due to the work I do and could not leave for both a consultation and the surgery.
  10. TP, Hey, welcome to this community forum! Is the donor scar wide or raised or just dark in color against your fair complexion tones? If you are seeking a scar revision and possibly more coverage with it, talk to Drs. Bobby and Brad Limmer in San Antonio, TX. BTW, Brad is the younger son. Have not heard of docs reputations in your state, nor Alabama, Mississippi, and it's nothing personal, just not aware of any. Also consider Dr. Scott Alexander in Phoenix who is worth traveling for as well. He's been involved in medicine as a surgeon for several decades before he started in hair restoration and he really knows the dynamics of cosmetic and plastic surgery. He's very meticulous in every aspect, always looking for ways to improve the procedure. He's also spent alot time training in FUE with Dr. Feller. Those are some good docs somewhat in your geographical area. Best wishes!
  11. Waittosee, First of all, welcome to the forums. To help you educate yourself on and to research solutions for your hair loss is what they are here for. Your pattern of hair loss is eerily similar to mine other than the fact that I had slightly more temporal recession and slightly less thinning at the crown. You can take a look at my thread to see what 2,300 grafts did for me at the hairline and forelock here. Are you on any medications for hairloss currently? By medications, I mean Finasteride (Propecia, Proscar), Minoxidil (Rogaine), etc? If not, you definitely want to look into those as options and as an addition to your plans for surgery. We have put together our Hair Loss Learning Center to answer many questions regarding hair loss issues, treatments, and surgical options. You can find these and other interactive educational tools at www.regrowhair.com. Additionally, we just launched our newest addition to our line-up of educational content at www.hairrestorationnetwork.com. Of particular interest to you may be our interactive graft calculator. While it will not take the place of a live consultation with a hair transplant physician, it is very accurate in determining how many grafts you would possibly need to accomodate your level of thinning at a particular density. This tool is located on the home page of www.hairrestorationnetwork.com at the bottom of the "blue box" that features hair loss educational videos. In your search for a hair transplant physician, take a look at Dr. Bobby Limmer and Dr. Bradley Limmer; both are located in San Antonio, Texas. Dr. Bobby Limmer is known as the "Godfather of the Follicular Unit Grafting" in the hair restoration industry. Both physicians are highly respected in this field. I wish you the best of luck in your search and, once again, welcome to the forums! -Robert
  12. A New Era of Patient/Physician Collaboration As a hair transplant patient I know how life changing surgery can be. And as the publisher of this web community I know that hair transplant surgery can either give a patient a new lease on life or shatter their confidence and appearance for a life time. Seven years ago I began my first of three hair transplant surgeries. At that time I was extremely lucky to have selected one of the few surgeons who at that time was successfully doing large sessions of follicular unit grafts. Dr. Ron Shapiro was exceptionally gifted and dedicated to his patients and I achieved outstanding results that dramatically changed my life for the better. I then began to share my positive experience online and in time, with the generous support and encouragement of Dr. Ron Shapiro, I expanded my efforts to help others find outstanding surgeons in their area with the Hair Transplant Network. Only those physicians who were carefully prescreened and found to be successfully performing state of the art hair transplantation were presented on this online community. These physicians then contributed a monthly sponsorship fee to support our community and its resources. Hair loss sufferers found great physicians and a place where they could openly share opinions and experiences, while outstanding physicians got the positive recognition and promotion they deserved. It was and continues to be a positive resource for hair loss sufferers and leading physicians. The birth of the New Coalition of Independent Hair Restoration Physicians Hair restoration surgery continues to evolve. The bar for true excellence has moved higher in the past couple of years and now enables the use of very tiny instruments to create very small incisions that are carefully angled and directed. This new ultra refined follicular unit grafting is even harder and more demanding to perform successfully than the standard follicular unit procedure of the past few years. Only a minority of hair restoration physicians have risen successfully to this challenge. Those few who have risen to this new and higher standard of excellence were recently invited to join the Coalition. As of March 1st the Coalition is now made up only of physicians who have successfully risen to this new challenge with proven success. Part of the member review process now involves reviewing their immediate post op results. To see photo examples of the quality of ultra refined follicular unit transplantation results that are now required of all Coalition members, click here. These physicians believe in pushing to constantly advance their surgical techniques in order to provide their patients with truly optimal results. With these physicians the patient's long term best interests are truly ahead of gross revenue and assembly line surgeries. They have chosen the high road that makes surgery even more demanding, tedious and slow for them and their staff ??“ yet optimal for their patients. In my opinion, having attended over a dozen hair restoration conferences and workshops and privately viewed dozens of surgeries first hand over the past seven years, they are the best of the best. And while not all outstanding hair restoration physicians are members of the Coalition, every member is an outstanding physician. These Coalition members are committed to not only providing excellent results but excellent patient education. And why shouldn't they ??“ as the more people know the better they and their procedures look. These physicians believe in empowering patients to openly share their experiences and photos by supporting this forum, the Hair Mentor program, Live Online Help and soon Patient Weblogs. They've also supported the development of educational videos and animations and hundreds of pages of in-depth and credible web content at the Hair Loss Learning Center and the new Hair Restoration Network. They believe that an educated patient is an ideal patient. I'm honored to introduce the outstanding members of the newly revamped Coalition of Independent Hair Restoration Physicians: Dr. Ron Shapiro is extremely well liked and respected by both his patients and colleagues. His patients appreciate his empathy and outstanding results, while his colleagues appreciate his generosity in openly sharing his techniques and insights to advance the entire profession. I much appreciate the long time support and guidance he has lent to me in my efforts to grow this community. He was outstanding when I first met him over seven years ago and he has continued to stay at the forefront of all advances to this day. Dr. Sharon Keene has a well earned reputation for being extremely conscientious, honest, and hands-on in the surgery suite (often placing many of the grafts personally). Those who are regulars on this forum know that she is well regarded by her patients for producing excellent results. Dr. Keene is also respected internationally for her contributions to follicular unit hair transplantation. She also worked closely with Dr. Ron Shapiro for several years as this procedure was evolving. She regularly conducts lectures, live surgery workshops, and is committed to educating physicians as well as patients. She also has created several inventions designed to improve the quality of hair restoration surgery. Dr. Bobby Limmer is affectionately referred to by his colleagues as the "Godfather of Follicular Unit grafting". During the late 1980's he pioneered the use of the binocular microscope in preparing very refined follicular unit grafts. He has quietly and modestly been doing outstanding work for years and has been doing "lateral slits" using very tiny incisions before the term was popularized and promoted online. He has been guest lecturer at over 50 presentations and written 36 medical journal articles regarding hair restoration. He is a true pioneer who was not only way ahead of his time, but who has consistently stayed at the cutting edge of hair restoration ever since. Dr. Brad Limmer has been actively involved with Follicular Unit Hair Transplantation virtually since this important procedure was first pioneered by his father, Bobby L. Limmer, in the late 1980's. He studied and mentored under his renowned father and learned what would later become the "Gold Standard" in hair transplantation. He also learned his father's emphasis upon honest and upfront education with all patients. Dr. Brad Limmer is also board certified in dermatology and trains plastic surgery residents as a clinical assistant professor in the division of dermatology at the University of Texas Health Science Center, San Antonio. He currently performs ultra refined follicular unit grafting using lateral slits with excellent results. Dr. Jerry Cooley is a rising star in the hair restoration profession and he headed up the scientific committee for the annual ISHRS meeting in New York City. Jerry and his staff were early adopters and innovators in advancing the new ultra refined follicular unit grafting using tiny cut to size blades and lateral/coronal slits. He and his staff have chosen to limit their attention to only one patient a day in order to enable them to take the time to do the very best work. His clinic has a family feel and provides very personable service and care. Dr. Glenn Charles was fortunate to meet and work for Dr. Shapiro early on when follicular unit grafting was coming of age. Glenn perfected his own techniques and artistry and now does superb ultra refined follicular unit grafting exclusively in his clinic beautiful clinic in Boca Raton, Florida. I recently saw Dr. Charles performing his lateral slit technique using tiny custom cut blades and I was very impressed by how very refined and clean his incisions were and how natural and irregular his hairline design was. He and his staff are A+. Dr. James DeYarman was an early pioneer in adopting all follicular unit grafting. When I visited his clinic in La Jolla, California he sat me down at his computer and let me view dozens of patient photos at random. They were consistently amazing. Jim quietlDr. Robert True y remains on the cutting edge and was a very early adapter of the ultra refined follicular unit procedure and he enthusiastically began using the cut to size micro blades and lateral slits about two years ago. Those living in California have absolutely no reason to leave the state for surgery with Dr. DeYarman in their backyard. Dr. Robert True has the maturity and good judgment that only comes from years of experience. He is masterful in recreating hairlines and the whorl patterns in the crown. He has continually evolved his procedure to the newest ultra refined level and takes pride in doing work that is second to none. Our forum moderator, Robert, recently spent a day in surgery with Dr. True in his new state of the art facility and came away very impressed by his care and technical skill and his depth of knowledge and attention to detail. I've been impressed with his excellent aesthetic judgment and his very sharp mind. Dr. Robert Dorin was carefully chosen from a large field of physicians to be his prot???©g???©. Having worked with and trained many physicians over the years, Dr. True found Dr. Dorin to be a natural at hair transplantation. Dr. Dorin has since excelled and is now doing ultra refined work that is on pare with Dr. True in his opinion. Based on his confidence in him, Dr. True invited Dr. Dorin to be a full partner in their New York practice of True and Dorin Medical Group. Dr. Dorin also knows first hand what hair loss is like as he was a hair transplant patient of Dr. True. Dr. Edmund Griffin is very patient focused and has taken virtually every measure possible to make patients comfortable and assure optimal results. When I visited his very state of the art surgical facility in Atlanta I was impressed by he and his staff's attention to detail from the moment the patient walks in to their clinic and well past surgery. As Dr. Griffin's gracious southern charm permeates how his patients are treated as when they arrive they are the one "patient the day". Every aspect of his surgery from using the pain free wand for anesthesia to complete microscopic dissection of grafts and micro instrumentation for creating tiny ultra refined graft incisions is first rate. Dr. Bob Haber although not well known online, has been quietly performing excellent hair restoration surgery in Ohio for years. He is very well known and well regarded by his hair restoration colleagues and in 1995 was given the "Award of Excellence" by the ISHRS in recognition for his innovative techniques. He and his staff have continued to evolve and now provide patients with ultra refined follicular unit grafting. Dr. Haber is very bright and articulate and has emerged as a leading hair restoration physician. Dr. Raymond Konior is a perfectionist who is quietly dedicated to making his procedure better every single day. He prides himself in personally placing the majority of the grafts and not leaving the surgical room until the procedure is completed. His strong background in plastic surgery has given him an artistic edge in creating a visual harmony between the hairline and the rest of the face. He also uses his cosmetic surgery training to minimize any resulting scar tissue. His current procedure is ultra refined and utilizes extremely tiny incisions and careful orientation of grafts and hair direction to produce results that are second to none. Dr. Scott Alexander medical practice is devoted exclusively to doing hair restoration in his new state of the art facility. He and his staff perform the newest ultra refined follicular unit transplantation using microscopically prepared follicular unit grafts that are placed in very tiny lateral slit incisions. He has always been very interested in art with great ability in that area. His extreme attention to detail and artistic talent are visible in his natural and refined surgical results. Being very meticulous, with a drive for perfection, he has sought out the best techniques and mastered them. Dr. Paul Rose performs ultra refined follicular unit transplantation and was one of the first physicians in the early 1990's to develop and implement the follicular unit procedure. During this time he has worked closely with his colleague Dr. Ron Shapiro in perfecting and refining the follicular unit procedure with outstanding results. Dr. Rose is internationally recognized for his ideas for achieving a natural hairline and has lectured widely and written numerous articles on hair restoration. Dr. Rose is recognized for developing the concept of backlighting and some of the devices used for this purpose. He is also the chairman of the ISHRS Pro Bono Committee, which is dedicated to helping indigent individuals who sufferer from hair loss due to trauma or disease to restore their hair. Dr. Joseph Williams' medical practice is devoted exclusively to doing hair restoration with outstanding results. He and his staff perform the newest ultra refined follicular unit transplantation using microscopically prepared follicular unit grafts that are placed in very tiny lateral slit incisions. He is very hands on in his approach and creates all surgical incisions and places many of the grafts personally. He is extremely personable and enthusiastic about what he can do for patients and he does all consultations personally. He is also a hair transplant patient. His passion for providing his patients with the very best results, service and value is obvious to any hair loss sufferer who contacts him. He is a real gem in the rough among the many commercially driven clinics on the West Coast. Dr. Arthur Tykocinski's rare combination of advanced technical skill and artistry attracts patients from around the world. He was one of the early adopters of follicular unit grafting and introduced it to Latin America in 1996. Since then he has continued to evolve and has emerged as a world renowned expert on the new ultra refined follicular unit hair transplantation procedure. I recently observed his surgery in Sao Paulo, Brazil and found his ultra refined lateral slit surgical technique to be extremely refined and artistic. He speaks both English and Portuguese and enjoys hosting patients from around the world during their stay in Sao Paulo, Brazil.
  13. I am always happy to find articles that bring the evolutiuon of hair transplants into the public eye. A couple of things to look for in the article: Notice they almost always refer to Bosley in any major publication. Also notice the price per graft that Bosley quotes them. $10 per graft??? Sigh. Hair loss solutions sprout Plugs are out; drugs add options; future might offer cloning December 21, 2004 BY JEAN PATTESON ORLANDO SENTINEL No more rugs, no more plugs. That's the new mantra of the hair-replacement industry, which has undergone huge changes during the past few years -- and anticipates even more momentous change in the next decade. Hairpieces are virtually a thing of the past. Much ridiculed hair plugs, which sprout from bald pates like tufts of sawgrass on desert dunes, are being replaced with transplanted hair follicles, for a more natural look. At least one new hair-growth drug is being tested. And within a decade, scientists predict, hair cloning will be a reality. For Bernie Cylc, a 36-year-old computer programmer from Orlando, Fla., these advances are most welcome. "I was about 27 when I started losing hair at a rapid rate," says Cylc. "I looked in the mirror, and I looked a lot older than 27. It just wasn't me." Three years later, balding from his forehead to his crown, he had his first hair transplant. A second followed four years later. Total cost: $14,000. "I'd do it all over again," says Cylc. "You can't put a price on the confidence I feel now." In the United States, about 35 million men younger than 50 have discernible hair loss -- and 90 percent of those men say losing their hair bothers them, says Ken Washenik, a dermatologist and medical director at the Bosley Medical Institute, a national hair-restoration company with a consulting office in Orlando. "You know how they say a woman can never be too rich or too thin? Well, a man can never be too rich or have too much hair on his scalp," says Washenik. At the local Bosley office, men considering hair transplants range in age from 18 to 84, says Shiba Winston, a senior counselor who explains the procedure to prospective clients. "They tell me they hate the way they look," she says. "At family gatherings, their relatives tease them. In the boardroom they're distracted because they're sure everyone is staring at their balding heads. They say they're not getting dates because they're losing their hair. If they have young kids, people say, 'Are these your grandkids?' It's devastating for them," says Winston. As a result, hair restoration has become a big business. Last year, almost 32,000 hair transplants, about 90 percent on men, were performed in the United States, at a cost of almost one-third of a billion dollars, according to the American Society of Plastic Surgeons. That's up from 29,000 in 2002. And U.S. sales of Propecia, one of the most popular hair-growth medications, totaled $111 million in 2003, up 13 percent from 2002. Medications such as Propecia and Rogaine, which slow or halt hair loss, are generally effective but only while they're being used, says Washenik. They're also expensive. A year's prescription of Propecia costs about $600, he says. A new drug called dutasteride, which is expected to be more effective than Propecia, is being tested, he adds, but it probably won't be available for a few more years. Hair transplantation isn't cheap either. The typical transplant uses 1,000 follicles, at a cost of about $10 per follicle--or $10,000 per transplant. Though some people may consider hair restoration frivolous or vain, for the man who elects to have the procedure, it's a great confidence booster, says Bob Keating, director of counselors at Bosley. Of course, if men's expectations are unrealistic, they risk being disappointed, he cautions. "We can't give them back the hair they had at 16. We explain the benefits and realities. After that, it's up to the patient to decide if it's worth it," he says. Transplants evolve The root cause of baldness in men is dihydrotestosterone, or DHT, a byproduct of the male hormone testosterone. DHT speeds up the growth cycle of hair at the temple and crown. As a result, new hair never gets a chance to mature before falling out, and the follicles that produce the hair weaken and die. However, the hair on the back of the head continues to grow because it is genetically programmed to resist the ravages of DHT. This prompted scientists to wonder whether hair from the back of the head would survive if transplanted to the front. The breakthrough came in 1952, when Norman Orentreich, a dermatologist at New York University, transplanted circular plugs of hair-bearing skin from the back of the scalp to the front. The result wasn't pretty, but it was a start. Through the years, surgeons transplanted smaller and smaller plugs in more natural, scattershot patterns -- until 1988, when Dr. Bobby Limmer , a dermatologist in San Antonio, Texas, showed that individual follicles could be transplanted and grow hairs. The process is virtually painless, and the risk of serious complications is rare, doctors say. In some cases, there may be minor problems, such as swelling of the forehead for a day or two and numbness of the scalp for about six months. Antibiotics eliminate the minimal risk of infection. During the procedure, the scalp is numbed using a topical anesthetic such as Novocain. The surgeon removes a strip of follicle-rich skin from the back of the head. Assistants cut the strip into smaller sections, then into individual follicles, each sprouting one to three hairs. The surgeon implants each follicle into a tiny incision in the scalp. "It felt like someone taking a Bic pen and poking me lightly on the head," recalls Cylc, the Orlando computer programmer. "It took about six hours. Basically, I was awake the whole time and watching movies. It got a little unpleasant toward the end when I started to feel sick" -- a reaction to the anesthesia, he says. "But they used a different medication the second time, and I was fine." It took almost a year for his new hair to grow in. "People who hadn't seen me since before" the transplant "didn't recognize me," Cylc says. "My family was really impressed, especially my father, who pitched in a little money for it. Every time I see him, he still remarks on it." Cloning hair The next big step in hair restoration is cloning, says Washenik. "Right now, there's a limit to the amount of hair a man has left to use for a transplant," he explains. "But if we can take scalp tissue, isolate the follicular stem cells, grow the cells in a matrix, and then inject them back into the scalp of the donor, we'll be able to grow new follicles." Earlier this year, George Cotsarelis, director of the University of Pennsylvania's hair-and-scalp clinic, reported in the Journal of Biotechnology that the cloning of follicular cells has been successful in mice. The process could be used to generate follicle growth in humans within the next decade, Cotsarelis said. For now, though, follicular transplants are considered state-of-the-art. And that's good enough for Ricardo Rodriguez, a Web-content producer who plans to undergo hair restoration later this month at Bosley's clinic in Boca Raton, Fla. "I'm getting thin on top and in the front," says Rodriguez, 33. "I've consulted my wife, and she doesn't have a problem with the way my hair looks. But it bothers me." -Robert
  14. I think this bears pointing out: <BLOCKQUOTE class="ip-ubbcode-quote"><font size="-1">quote:</font><HR>The breakthrough came in 1952, when Norman Orentreich, a dermatologist at New York University, transplanted circular plugs of hair-bearing skin from the back of the scalp to the front. The result wasn't pretty, but it was a start. Through the years, surgeons transplanted smaller and smaller plugs in more natural, scattershot patterns -- until 1988, when Dr. Bobby Limmer , a dermatologist in San Antonio, Texas, showed that individual follicles could be transplanted and grow hairs. Got that? It took 36 YEARS before the doctors on the field figured out BASIC PHYSIOLOGY of the hair and scalp. Kudos to Dr. Limmer but it also speaks volumes about the lack of ethics and talent in most of the other doctors working in the field, up until he came along. Sorry if this is ranting, but 36 years to make that kind of basic progress is absolutely disgraceful.
  15. I am always happy to find articles that bring the evolutiuon of hair transplants into the public eye. A couple of things to look for in the article: Notice they almost always refer to Bosley in any major publication. Also notice the price per graft that Bosley quotes them. $10 per graft??? Sigh. Hair loss solutions sprout Plugs are out; drugs add options; future might offer cloning December 21, 2004 BY JEAN PATTESON ORLANDO SENTINEL No more rugs, no more plugs. That's the new mantra of the hair-replacement industry, which has undergone huge changes during the past few years -- and anticipates even more momentous change in the next decade. Hairpieces are virtually a thing of the past. Much ridiculed hair plugs, which sprout from bald pates like tufts of sawgrass on desert dunes, are being replaced with transplanted hair follicles, for a more natural look. At least one new hair-growth drug is being tested. And within a decade, scientists predict, hair cloning will be a reality. For Bernie Cylc, a 36-year-old computer programmer from Orlando, Fla., these advances are most welcome. "I was about 27 when I started losing hair at a rapid rate," says Cylc. "I looked in the mirror, and I looked a lot older than 27. It just wasn't me." Three years later, balding from his forehead to his crown, he had his first hair transplant. A second followed four years later. Total cost: $14,000. "I'd do it all over again," says Cylc. "You can't put a price on the confidence I feel now." In the United States, about 35 million men younger than 50 have discernible hair loss -- and 90 percent of those men say losing their hair bothers them, says Ken Washenik, a dermatologist and medical director at the Bosley Medical Institute, a national hair-restoration company with a consulting office in Orlando. "You know how they say a woman can never be too rich or too thin? Well, a man can never be too rich or have too much hair on his scalp," says Washenik. At the local Bosley office, men considering hair transplants range in age from 18 to 84, says Shiba Winston, a senior counselor who explains the procedure to prospective clients. "They tell me they hate the way they look," she says. "At family gatherings, their relatives tease them. In the boardroom they're distracted because they're sure everyone is staring at their balding heads. They say they're not getting dates because they're losing their hair. If they have young kids, people say, 'Are these your grandkids?' It's devastating for them," says Winston. As a result, hair restoration has become a big business. Last year, almost 32,000 hair transplants, about 90 percent on men, were performed in the United States, at a cost of almost one-third of a billion dollars, according to the American Society of Plastic Surgeons. That's up from 29,000 in 2002. And U.S. sales of Propecia, one of the most popular hair-growth medications, totaled $111 million in 2003, up 13 percent from 2002. Medications such as Propecia and Rogaine, which slow or halt hair loss, are generally effective but only while they're being used, says Washenik. They're also expensive. A year's prescription of Propecia costs about $600, he says. A new drug called dutasteride, which is expected to be more effective than Propecia, is being tested, he adds, but it probably won't be available for a few more years. Hair transplantation isn't cheap either. The typical transplant uses 1,000 follicles, at a cost of about $10 per follicle--or $10,000 per transplant. Though some people may consider hair restoration frivolous or vain, for the man who elects to have the procedure, it's a great confidence booster, says Bob Keating, director of counselors at Bosley. Of course, if men's expectations are unrealistic, they risk being disappointed, he cautions. "We can't give them back the hair they had at 16. We explain the benefits and realities. After that, it's up to the patient to decide if it's worth it," he says. Transplants evolve The root cause of baldness in men is dihydrotestosterone, or DHT, a byproduct of the male hormone testosterone. DHT speeds up the growth cycle of hair at the temple and crown. As a result, new hair never gets a chance to mature before falling out, and the follicles that produce the hair weaken and die. However, the hair on the back of the head continues to grow because it is genetically programmed to resist the ravages of DHT. This prompted scientists to wonder whether hair from the back of the head would survive if transplanted to the front. The breakthrough came in 1952, when Norman Orentreich, a dermatologist at New York University, transplanted circular plugs of hair-bearing skin from the back of the scalp to the front. The result wasn't pretty, but it was a start. Through the years, surgeons transplanted smaller and smaller plugs in more natural, scattershot patterns -- until 1988, when Dr. Bobby Limmer , a dermatologist in San Antonio, Texas, showed that individual follicles could be transplanted and grow hairs. The process is virtually painless, and the risk of serious complications is rare, doctors say. In some cases, there may be minor problems, such as swelling of the forehead for a day or two and numbness of the scalp for about six months. Antibiotics eliminate the minimal risk of infection. During the procedure, the scalp is numbed using a topical anesthetic such as Novocain. The surgeon removes a strip of follicle-rich skin from the back of the head. Assistants cut the strip into smaller sections, then into individual follicles, each sprouting one to three hairs. The surgeon implants each follicle into a tiny incision in the scalp. "It felt like someone taking a Bic pen and poking me lightly on the head," recalls Cylc, the Orlando computer programmer. "It took about six hours. Basically, I was awake the whole time and watching movies. It got a little unpleasant toward the end when I started to feel sick" -- a reaction to the anesthesia, he says. "But they used a different medication the second time, and I was fine." It took almost a year for his new hair to grow in. "People who hadn't seen me since before" the transplant "didn't recognize me," Cylc says. "My family was really impressed, especially my father, who pitched in a little money for it. Every time I see him, he still remarks on it." Cloning hair The next big step in hair restoration is cloning, says Washenik. "Right now, there's a limit to the amount of hair a man has left to use for a transplant," he explains. "But if we can take scalp tissue, isolate the follicular stem cells, grow the cells in a matrix, and then inject them back into the scalp of the donor, we'll be able to grow new follicles." Earlier this year, George Cotsarelis, director of the University of Pennsylvania's hair-and-scalp clinic, reported in the Journal of Biotechnology that the cloning of follicular cells has been successful in mice. The process could be used to generate follicle growth in humans within the next decade, Cotsarelis said. For now, though, follicular transplants are considered state-of-the-art. And that's good enough for Ricardo Rodriguez, a Web-content producer who plans to undergo hair restoration later this month at Bosley's clinic in Boca Raton, Fla. "I'm getting thin on top and in the front," says Rodriguez, 33. "I've consulted my wife, and she doesn't have a problem with the way my hair looks. But it bothers me." -Robert
  16. My procedure preformed by Dr. Brad Limmer in San Antonio, Texas. I will have new pictures this week of my 3 month post opt anniversary. I have also created a website to show my progress and will post the link to this site.
  17. Dr. Brad Limmer San Antonio, Texas..3000 grafts 9300 USD
  18. Thanks for the reply. I guess just be reassured is the best medicine. To answer you questions I was careful when scratching. I was not sure if I should use the rogaine on the HT grafted area but will start to apply from now on, thanks. Right now I do not have any more dead skin or flaking of the scalp area. Dr. Brad Limmer from San Antonio was my doctor. He was very nice and I would recommend anyone using him. My donar area was the worst part of the operation. Hurt like hell for 4 or 5 days after. Now is just alittle tender but for the most part almost back to normal and scar is hardly visable when I pull the hair back to view. Doc did great job in that area. Very pleased.
  19. I am approaching my 4 week Post Op and have noticed signficant hair loss in the HT area. My procedure consisted of 2 session back to back 3000 grafts, by Dr. Brad Limmer in San Antonio. I too have been using Proscar and Rogaine. Rogaine after about 2 weeks post op. I use mostly on the crown area. My biggest concern are the HT that I have lost. I know it is expected but you still wonder if you had a bad HT. After the HT it looked like I had a full head of hair (small of course) but still looked very promising. I have to wait it out and hope for the best.
  20. OK, that was one of two articles. Here's the other: With New Science, Hair Restoration Improves By DAN HURLEY Published: June 15, 2004 "How you doing, Tom?" asked Dr. Anthony DiBiase, a Manhattan surgeon, in the midst of jabbing a lancet 1,130 times into the balding head of Tom Raybek. "You O.K.?" "Yep," said Mr. Raybek, as mellow and relaxed on a mild tranquilizer and topical anesthetic as if he were getting a haircut, which was pretty much the opposite of what he was getting. At the age of 58, Mr. Raybek, a ski lodge owner from Killington, Vt., had agreed to undergo hair transplantation at no charge in exchange for allowing his image to be used by Dr. DiBiase's employer, Bosley Inc., in "before" and "after" photographs. This, however, was "during," and it was not pretty. Tiny beads of blood welled up as Dr. DiBiase's hand jabbed up and down as rhythmically as a sewing machine, making three or four minuscule punctures every second. Two medical assistants standing nearby counted off every puncture, so that they would add up precisely to the number of follicles that had already been "harvested" from the back of Mr. Raybek's head earlier in the morning. In the afternoon, the medical assistants would spend nearly three hours using tweezers to plant the individual follicles into the holes. "Pretty amazing, isn't it?" Dr. DiBiase said, standing back to admire his handiwork, like a farmer gazing out on a newly planted field of wheat. With little fanfare, the science of hair restoration has in the last few years undergone vast changes. Hair plugs, infamous for their artificial appearance, are becoming a thing of the past, as scientists refine techniques of transplanting individual hair follicles rather than circular scoops of skin, giving the hair a more natural look. At least one new hair-growth drug is in the pipeline. The cloning of individual hair cells is only a decade away, experts say - an advance that, by providing an unlimited source of replacement hair, could give even the baldest head a luxuriant thatch, while at the same time making hair transplantation surgery safer. The market for such developments is sizeable. The Food and Drug Administration estimates that some 40 million men and 20 million women experience hair loss. Sales of Propecia, one of the most popular hair-growth potions, totaled $111 million in the United States in 2003 alone, up 13 percent from 2002. Close to 32,000 hair transplants, 88 percent of them in men, were performed in this country last year, according to the American Society of Plastic Surgeons, up from 29,000 in 2002. With the typical transplant running upward of $10 per follicle, and the average procedure involving about 1,000 follicles, that translates into nearly a third of a billion dollars. The field's advances have not done away with bad hair jokes: A running gag in the recent film "Hellboy" revolved around the doll's hair look of a character's hair plugs. "The big problem we've had to overcome is 30 years of plugs," conceded Dr. Bobby Limmer, a dermatologist in San Antonio and the developer of individual follicle transplants. "You mention hair transplantation to the guy on the street, and the first image that's going to come to him is the plug." But the evolving medical science has come a long way since 1981, when a Boston lawyer named John Kerry, not yet a political figure, represented 16 men whose heads had been surgically implanted with carpet fibers. "They were badly, badly infected, and in most cases large parts of their scalps had to be excised," recalled Roanne Sragow, then Mr. Kerry's law partner and now the first justice of the Cambridge District Court. "It was pretty gruesome." Hair transplantation has been possible since 1952, when Norman Orentreich, a dermatologist at New York University, figured out how to transplant circular scoops of follicle-rich skin stolen from the back of the head. The result was tiny tufts rising up like so many islands of hair amidst a barren sea of baldness. This effect was especially unfortunate at the hairline, where the hair plugs were plainly visible. Even five years ago, experts say, plugs remained the hair replacement technique of choice; they are still used by some, particularly on the crown, where the doll's hair effect is not as visible.
  21. You're not far from Dr. Limmer in San Antonio.
  22. Does anyone know Dr. Bob Limmer in San Antonio? He is listed on this site. I had a consult here in Austin with MHR and was not impressed. The sales guy had a bad HT. Dr. Limmer in San Antonio answered my email the same day with a phone call. He said I could observe a surgery. He does the FU that you folks speak of. I'm just starting my research.
  23. Does anyone know Dr. Bob Limmer in San Antonio? He is listed on this site. I had a consult here in Austin with MHR and was not impressed. The sales guy had a bad HT. Dr. Limmer in San Antonio answered my email the same day with a phone call. He said I could observe a surgery. He does the FU that you folks speak of. I'm just starting my research.
  24. Since you are in Texas, check out Dr. Limmer. He is in San Antonio. I don't know how far that is from Dallas but it could be worth the drive. Dr. Limmer's per graft prices are very reasonable.
  25. Dr. Hasson has just asked me to post this on the boards as it is the latest study regarding Proscar and Prostate cancer. Prevention of Prostate Cancer with Finasteride: US/European Perspective. Thompson IM, Klein EA, Lippman SM, Coltman CA, Djavan B. University of Texas Health Science Center, Division of Urology, 7703 Floyd Curl Drive, 78229, San Antonio, TX, USA PURPOSE: Prostate cancer is the most common male cancer, affecting one man in six. Prevention of this disease, even in a subset of patients would have a significant impact on public health. The results of the National Cancer Institute-sponsored Prostate Cancer Prevention Trial demonstrate that finasteride causes a substantial risk reduction across all known risk groups. We herein amplify on the results of this trial to assist patients and physicians in reaching individualized decisions.MATERIALS AND METHODS: The results of the Prostate Cancer Prevention Trial were reviewed.RESULTS: The PCPT demonstrated a 24.8% reduction in prostate cancer risk with the administration of finasteride. High-grade cancers were noted in 6.4% of finasteride patients compared to 5.1% of men receiving placebo. The increase in high-grade tumors was seen within one year of finasteride exposure and did not increase over time. This observation, combined with previous evidence demonstrating an alteration in cytologic and architectural features of prostate cancer with hormonal therapy suggests that the differences in high-grade disease may be an artifact and that application of Gleason grading to these tumors may not be appropriate.DISCUSSION: Men should be presented the benefits and risks of taking finasteride and be assisted in integrating their sexual and urinary symptoms into their decision-making process. Blanket statements for or against the use of this medication ignore patient preferences and differential risk-benefit profiles from finasteride. PMID: 14644115 [PubMed - in process] -------------------------------------------------------------------------------- Peace, Joe Tillman aka, Jotronic Hasson & Wong Carpe Capillus!! www.HassonandWong.com www.Jotowen.com 1.800.859.2266 All statements and opinions that I share are my own and are not necessarily shared by H&W. I am not a doctor so if your head falls off it's not my fault. Go VOLS!!
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