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Found 300 results

  1. A 66 year old male patient with a history of plug hair transplants 30 years ago. The patient was told by several hair doctors that there was no donor area left. A total of 1697 grafts was transplanted. The patient was thrilled with the results and "didn't believe we could do it."
  2. 40 year old male 9 months post-op. Patient is pleased with result at 9 months with more growth to come.
  3. A 57 year old woman desiring cosmetic improvement to her hairline and temporal areas with a total of 1896 follicular units. This patient is pleased with the outcome.
  4. 40 year old man desiring additional density over the frontal region primarily to fill in existing hairline. Total grafts: 2013 After 4 years the patient is still pleased with his results and has no further desire to add additional density.
  5. This was a 33 year old patient desiring an increase in density in the temporal triangle areas. The goal was to concentrate grafts in these areas. The total number of grafts was 1894. This patient is very pleased with the result and density. He has no further desire for additional grafts/density. The objective has been met.
  6. 49 year old white male 1 month post-op 1900 grafts in "before" photo. "After" photo was taken 7 months after procedure. Patient is very pleased with the outcome at 7 months still with more density to come.
  7. This is a 58 year old male patient that had a total of 5265 grafts over two separate procedures. He is pleased with the outcome.
  8. This is a 53 year old male desiring increased density from front to back. The goal is to transplant hair between existing hairs minimizing trauma to existing follicles. Patient will not shave hair. Total # of grafts: 1946 This patient is pleased with the outcome of his surgery.
  9. 38 year old male patient with a prior history of plugs several years ago. Patient desired improvement in crown and frontal scalp areas. The objective was to soften the hairline by bringing the temporal angle down and reducing the appearance of plugs. Total grafts #: 1931 This patient is very pleased with the results and has no desire for added density or coverage.
  10. Excellent improvement for this young man. Well done Dr. Mejia!
  11. 46 year old male desiring added coverage over 200 cm squared. Patient is very pleased with the results. Total grafts:2163 spread over large surface area per patients desires.
  12. 58 year old female desiring increased hairline density. Total 2710 follicular unit grafts
  13. I made an appointment with Dr. Ricardo Mejia. Has anyone on the forum used him. I know he is recommended by this forum but I am looking for anyone with personal knowledge. What are your opinions of him. Thanks
  14. 63 year old male-"I want a little more fullness" Patient was not interested in maximum density. Procedure: 2604 follicular unit grafts/ trichophytic closure 1's:504 2's:1343 3's:624 4's:133 Total Hairs:5594 Average hair/graft=2.43 Patient is very pleased with his result. His objective has been met and he has no further need for additional surgery.
  15. 60 year old man with a total of 4890 grafts who desired increased density.
  16. This is a continuation of a thread on diffuse thinners that is more appropriately moved to shock loss. It is ok to disagree about defintions. More importantly it is important to be factual and define things clearly. This is what is very good about this forum and the interaction with individuals and doctors. You are very correct, people can have a different understanding and definition about "shock loss" or use the term loosely and thus arrive at the wrong conclusions. Shock Loss can be as a result of the following: 1. Telogen Effluvium: this is a physiologic process which is multifactorial and can affect "weak" minituarized hairs as well as good terminal hairs as well. Telogen effluvium is a reactive process caused by a metabolic or hormonal stress or by medications. Readers need to understand the hair growth cycle in order to understand telogen effluvium. All hair has a growth phase, termed anagen, and a resting phase, telogen. Catagen is an intermediate stage between the two which lasts only a couple of weeks. On the scalp, anagen lasts approximately 3 years, while telogen lasts approx. 3 months. There can be wide variation in time with patients. During telogen, the resting hair remains in the follicle until it is pushed out by growth of a new anagen hair. This process occurs independent of hair transplant surgery. It may also occur as a result of surgical trauma. What is concerning to patients is looking thinner or losing hair after a hair transplant. This is temporary and the hairs will regrow. This type of shock loss is not permanent except for the minituarized hair on its last cycle. 2. Iatrogenic or Doctor induced during hair transplant surgery via transection of the hair shaft during creation of the recipient sites. This is surgical trauma. In this case the hair shaft will fall out immediately in some cases or as early as a month after surgery. It is possible if the hair shaft is cut, the hair follicle will continue to grow in anagen phase without being shifted into a telogen stage. Consequently not all hairs that are surgically traumatized go into telogen. However, patients will lose hair and can look thinner after surgery. Obviously this is of most concern in men and women who have hair and we are transplanting around existing native hairs or repeat transplant procedures. This type of shock loss is not permanent. 3. Shock loss due to apparent loss of hair. In general, during most consultations with patients with existing native hair and in women especially, they are concerned about the apparent loss of hair or thinness after surgery. Doctors explain the above possible risks. If you had your 4th procedure and left your hair intact and not shaven and subsequently in the next 1-3 months lost everything in the recipient site, I would assume you would say you experienced 100% shock loss either due to telogen effluvium and or Iatrogenic. Fortunately, I have never heard of this case happening, but the hairs will regrow. If you shave your head in anticipation of a surgery, you have a 100% sudden hair loss. You will not see any apparent loss of hair in the next 1-3 months of surgery because you have altered the equation and removed the visible factor to evaluate shock loss or not. You may still experience the same telogen or iatrogenic shock loss but there will be nothing to show. For many patients, having to shave their head completely is a big shock and if you shave 100% of the recipient site, it is 100% hair loss to the patient whether or not any follicles truly experienced iatrogenic and or telogen following the transplant. 4. Permanent Shock Loss as a result of invivo follicle surgical trauma. I have not experienced this in my practice and do not believe it is a big factor based on the studies that have been performed previously. If you cut a hair follicle with any instrument ultra refined or not, you are still transecting the hair follicle. IF this was a real problem, I would expect clinics that are doing 4000-6000 grafts with high dense packing in native hairs to experience more problems. As of yet, we have been getting very good growth and results. Keep in mind the worse case scenario is taking a hair follicle out of the body, crushing the bulb and cutting the bulb directly and reimplanting it into the scalp. In some of the studies that have been done, the hairs still grow although perhaps not as good quality. The probability of permanent shock loss in the right hands is extremely rare. Perhaps some of the consultants or other physicians will comment whether they have experienced many cases of permanent shock loss . 5. Vascular Blood supply. The use of ultra refined tools and other techniques that have helped minimize trauma to the vascular supply can minimize permanent hair loss. This is a separate factor that is independent of transection of hair follicles. There have been cases of poor growth due to the underlying damage to the vascular blood supply. This is a more critical issue than transection of the hair follicle itself. In this case, patients can experience hair loss and possibly permanent if the underlying blood supply has been badly compromised by poor technique. This is a whole separate issue of poor growth rather than shock loss due to direct damage of the hair bulb itself. Ricardo Mejia MD Hair Transplant Network Physician The area below was copied from "calling all docs Diffuse thinners" quote: Keep in mind that the risk of permanent shock loss only exists for native hair that is currently in a weakened state due to hair miniaturization (or if the native hair follicles are transected, but this is rare in the hands of a qualified surgeon). This means that this hair would have eventually fallen out and leave you bald anyway. Temporary shock may occur due to scalp trauma but will return. A few points I would like to clarify. I do not believe there is "permanent" hair loss form transection of hair follicles in the scalp. There is Iatgrogenic or doctor induced hair loss when the hair shaft is cut below the scalp, and falls out, but it will regrow. This is not strictly due to poor placement. There are other factors involved. I am not aware of any studies that have proven permanent hair loss. You may recall our previous thread discussing this very issue. I would recommend readers review this carefully. Transection risk with megasessions and shock loss "shock loss" can have many definitions as I have explained in the thread above. Most patients view it as the apparent loss of hair density after a procedure in existing native hairs that results in a thinner look usually within three months after a transplant. In general, the hairs will regrow as I have explained in my other thread. For all hair transplant practices that shave the recipient site, you are getting 100% immediate shock loss. The hairs are gone visually! For all practical purposes, can not tell whether you really experienced true "shock loss" or not because the hairs are no longer there. Therefore it is a moot point in practices that shave the recipient site. MOst of my professional patients do not want that type experience, which is why I do not always do it, and work around the native hairs. "shock loss" is a lay term for telogen effluvium which can be multifactorial and a result of the stress from surgery, antibiotics, postoperative illnesses, medications, weight loss diet etc. Therefore it is not strictly due to trauma or poor placement. This type of shock loss and Itrogenic shock loss can affect miniaturized and terminal hairs equally. I am not aware of any study that states Shock loss ONLY preferentially affects only the weak minituarized hair. It is probale and perhaps Dr. Beener has added insight from his years of research activity in this field. However, I see lots of patients with telogen effluvium and they are loosing good terminal hairs not just minituarized weak ones. I agree with Dr. Beener, It is true if a weak minituarized hair was on its last leg and was "shocked" out, it will not regrow. WHen transplanting at higher densities within existing hairs and with shaven recipient sites, there is a higher risk of transection of the hair follicles, especially if you are using a multibladed handle which makes several recipient incisions sites at the same time and you are doing it fast. It is alot harder to try to align all the blades to be perfectly parallel to the hairs of varying densities, and the exit angle of the hair is not always the same under the epidermis. If you shave the recipient site very close with no superficial hair, you can not tell very well what the exit angle is and thus even harder or impossible to avoid native hairs with multibladed recipient site handles, especially in native hairs with pretty good density such as early diffuse thinners. I use a single bladed recipient handle to manuever within existing hairs to minimize the possibility of Iatrogenic trauma. Spex is right, it is unpredictable. The good news, dakota is "permanent" shock loss is a term that is used too loosely. Review the previous thread. We need to understand and define the multitude of factors involved and the defintions and type of shock loss one is referring to. In summary, the hairs will regrow even if doctor tansected without a permanent loss and even hairs lost due to the myriad of factors with telogen effluvium, with the exception of the minituarized hair on its last leg. There is a higher risk of transection in native hairs with higher density recipient sites and high dense packing sessions, yet they are not permanently damaged. Patients will get 100% shock loss when they shave the recipient site. Dr. Ricardo Mejia Bill Associate Publisher and Forum Co-Moderator Follicular Grand Wizard Posted May 21, 2008 08:54 PM Hide Post Dr. Mejia, Thank you for your professional input on this thread. I'm not quite sure however, that I agree on a few points. Firstly, I don't like your definition of shock loss. I see shock loss as a type of telogen effluvium that has been caused directly as a result of surgical trauma, hence the term "shock". Shaving of the head is not "shock" loss because no trauma was involved. These hairs will start to grow immediately as opposed to those hairs that are shocked. From what I understand, these shocked hairs are forced into catagen (resting) and will begin to regrow around the same time as the transplanted hair starts to resurface. There is a difference in appearance of these hairs when they regrow, as transplanted hair typically starts to grow as thin and colorless while shocked hair grows normally once its back in anagen. Therefore to suggest that there is 100% shock on recipient sites that have been shaved is based solely on your definition of shock loss - which seems to go against the way it's typically used. I am also not convinced that "permanent" shock loss can't occur from transection of the hair follicle. I think if any follicle is damaged enough, it will not grow back. On the flip side, it is probably pretty tough to kill the follicle with ultra refined tools and would require a "direct hit" in a particular location that would prevent it from regrowing. I'd be interested to hear other physician input on the above. I think this topic makes for great discussion. Thanks for adding your professional input. Best wishes, Bill I have also heard many physii
  17. 51 year old white male with 2084 follicular unit grafts. Patient is very pleased with the results and has no desire for additional surgery at this point.
  18. 60 year old white male with history of plugs. Patient had hairline excision of plugs. 480 plugs were dissected into follicular unit grafts and recycled into scalp. One year later the patient had additional 2019 follicular unit grafts.
  19. Hi Im a 20 year old female with hair loss due to genetic reasons. I currently live in Florida and have been trying to do research about different hair transplant surgeons in Florida before going to a consultation. So far as most renowned I've come across these doctors : Dr. Glenn Charles of Boca Raton, Dr. Bernard Nausbaum of Coral Gables, Dr. Paul Rose of Coral gables, Dr. Ricardo Mejia of Jupiter, and Ive also read alot of good stuff about Dr. Alan Bauman of Boca Raton but have also read alot of bad reviews Please if anyone is familiar with these doctors and has had procedures from them please let me know how they turned out and post pictures of the results Im only 20 years old still in college and I don't want to fuck my hair up for the rest of my life thank you (Im looking for FUE hair transplant)
  20. Hi Alice, I'm famliar with Dr. Charles, Dr. Nausbaum, Dr. Rose, and Dr. Mejia's work, and they are all excellent. As far as FUE is concerned, I know Dr. Charles offers FUE with the ARTAS device. I think a few consultations with these physicians would help you give an idea of where you stand and the best way to move forward. Good luck!
  21. Hi Im a 20 year old female with hair loss due to genetic reasons. I currently live in Florida and have been trying to do research about different hair transplant surgeons in Florida before going to a consultation. So far as most renowned I've come across these doctors : Dr. Glenn Charles of Boca Raton, Dr. Bernard Nausbaum of Coral Gables, Dr. Paul Rose of Coral gables, Dr. Ricardo Mejia of Jupiter, and Ive also read alot of good stuff about Dr. Alan Bauman of Boca Raton but have also read alot of bad reviews Please if anyone is familiar with these doctors and has had procedures from them please let me know how they turned out and post pictures of the results Im only 20 years old still in college and I don't want to fuck my hair up for the rest of my life thank you (Im looking for FUE hair transplant)
  22. 3100 grafts after One procedure Goals: Provide coverage and a soft transitional hairline appropriate for age.
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