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woman, recommending dr beehner, saratoga springs, ny...


sandra

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Hello!

 

I'm Sandra, a 30-year old woman with hair loss issues. I recently (on May 29, 2007) travelled to Saratoga Springs, NY where I had a hair transplant procedure performed by Dr. Michael Beehner.

 

Though it is clearly far too early for me to make any definitive judgement as to the hair growth I will achieve from this procedure, I wanted to post here to commend Dr. Beehner and his staff for their skill, professionalism, and incredibly personable nature, which made the whole process, from consultation to the procedure, to aftercare, as pleasant and complication-free as I could have hoped.

 

I am quite confident that I will be posting exceedingly favorable reviews of my progress in the coming months, but for now, I would like to share the positive experience I have had thus far.

 

I had first become interested in choosing Dr Beehner as my surgeon on the basis of his website, which impressed me very much with not only its demonstration of his practice's excellent skill, but also its significant emphasis of womens' hair transplantation as a distinctly different science and art.

 

Furthermore, his site had a section focusing on transgender hair transplantation. This was of further appeal to me, as a woman who has suffered moderate male-pattern hair recession at the temples, but desired the reconstruction of a typically female hairline. I was born male, and did not begin the process of medically transitioning to living as a woman through hormones, etc, until three years ago.

 

Dr. Beehner's point was of the utmost importance to me: in my daily life as a professional woman (lawyer to be precise) in DC, absolutely no one would presume that I was born male unless they were told this. However, my hair loss (despite my generally successful efforts to minimize its appearance, and the fact that it had been halted by the gender transition process) has always been a significant source of sadness and anxiety to me.

 

Dr. Beehner and I began an email correspondence in April, where we had an excellent discussion of goals, logistics, costs, and mutual expectations. He analyzed images I had sent to him and made very detailed assessments, showing an extensive attention to detail. This was followed up by several phone calls, as we came closer to agreeing on a transplantion strategy and surgical date. These remote consultations were very helpful to me, as the demands of my job involve significant international travel and irregular hours, so I was exceedingly grateful for his flexibility.

 

A month before the surgery, I received a detailed packet of pre-operative information from Betsy, who runs Dr Beehner's office. This set me very much at ease in terms of the details of preparation for surgery and aftercare.

 

On May 29, having arrived in Saratoga Springs the previous day, I went to Dr Beehner's office at approximately 7am for my procedure. He re-verified the assessment of my hair loss with me, as well as the specific transplantion trategy for this procedure. I was candidly told that in all likelihood, a second procedure would be required to achieve the fullness I desired at my hairline. However, he was confident that our plans for this procedure would result in a very favorable outcome that would get my hairline much closer to that desired fullness.

 

At approximately 9am, I was seated in a chair in the midst of the surgical suite. The nurses who would assist in the construction of the FUs did an excellent job at reassuring and calming me, as did Dr. Beehner (a confession, I am an utter coward when it comes to needles, let alone having over a thousand punctures made in my head!).

 

After the novacaine was administered and the IV of sedatives began, I remembered exceedingly little of the next six hours. There was a break where I drank a bit of orange juice, another one where I used the ladies' room, but other than that, it flew by.

 

Incidentially, my surgery consisted of 1005 FU grafts of 1-3 hairs each, and 106 small mini grafts of 4-6 hairs each, those being placed further back, away from the hairline.

 

Coming out of the procedure, Dr. Beehner and the staff took great pains to make sure I was ready to make my way out of the office. A compression bandage and bandanna were put on me, I was given all of their contact info (again), and assurances that they were on call at any time for any issues that I might have.

 

The rest of the afternoon was slightly uncomfortable at times, basically due to the unfamiliar pressure of the bandanna, not really due to any pain. That night, I even managed a very little bit of light walking around pleasant downtown Saratoga Springs, including a nice dinner.

 

The next morning, I was given a very thorough hair shampooing, followed by a re-iteration of the aftercare instructions, including reassurance and suggestions about concealment of the surgery. I had taken the rest of the week and the beginning of the following week off from work, but considered it extremely important that there be no visible signs of the procedure when I returned to the office.

 

Fortunately, my healing went very smoothly. icon_smile.gif Though I had some dull throbbing pain from the donor scar, that was easily controlled with pain medication, and by the simple practice of not lying down on it directly (fortunately, I tend to sleep on my side). The scabbing was rather ugly looking for the first several days-- I wore a bandanna or a scarf whenever I left my apartment. When I was in, I engaged in very frequent (at first, hourly, then less so) use of Tricomin Follicle Therapy Spray, as well as vitamin E cream before bed, both suggested and provided by Dr Beehner and his staff.

 

I did have some slight swelling on day 3 and day 4 after the surgery, but it dissipated quickly. Dr. Beehner had warned me about the significant possiblity of this, given that the more extensive work on the sides of my forehead (as with many women transplant patients) does increase a risk of post-operative swelling of the forehead. I was given prednisol (an anti-inflammatory) on the day of the surgery as well as a daily dose of it to take for the following 5-6 days. I credit the preemptive anti-inflammatory medication for my very quick recovery from the swelling, which started to fade less than a day after it started.

 

From day 3 on, I was losing scabs through my own gentle (but thorough) hair shampooing/soaking, with the vast majority gone by day 5. Day 5 was the first day I felt secure enough about the healing to forego the bandannas or scarves-- though I used a little bit of concealer to bring down a bit of the pinkness in the transplantation site, along the hairline. Upon returning to work two days later, I had absolutely no issues in concealing the recipient area.

 

In the following weeks, I have noted the (as is typical) loss of most of my transplanted hair. However, I have had no shock hair loss (or so little as to escape my notice, which is unlikely). Also, some (no more than 5-10%, but noticable) of my transplanted hair seems to have thrived in place, though the associated scabs have come off. In still other cases, I am noticing some new, very fine hairs just starting to come in parts of the recipient area which were previously completely bare. That is an exciting development!

 

Anyway, that is my experience with Dr. Beehner's office to date-- a highly skilled team of compassionate, friendly, attentive, and skilled professionals, who have left me exceedingly pleased with my decision to utilize their services. Please feel free to ask me any other questions about my experience with them that you wish. Meanwhile, as I stated earlier, I will try to update this forum with my progress in the coming months, as well as if I do have a followup procedure with Dr Beehner, possibly next year.

 

-Sandra

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Hello!

 

I'm Sandra, a 30-year old woman with hair loss issues. I recently (on May 29, 2007) travelled to Saratoga Springs, NY where I had a hair transplant procedure performed by Dr. Michael Beehner.

 

Though it is clearly far too early for me to make any definitive judgement as to the hair growth I will achieve from this procedure, I wanted to post here to commend Dr. Beehner and his staff for their skill, professionalism, and incredibly personable nature, which made the whole process, from consultation to the procedure, to aftercare, as pleasant and complication-free as I could have hoped.

 

I am quite confident that I will be posting exceedingly favorable reviews of my progress in the coming months, but for now, I would like to share the positive experience I have had thus far.

 

I had first become interested in choosing Dr Beehner as my surgeon on the basis of his website, which impressed me very much with not only its demonstration of his practice's excellent skill, but also its significant emphasis of womens' hair transplantation as a distinctly different science and art.

 

Furthermore, his site had a section focusing on transgender hair transplantation. This was of further appeal to me, as a woman who has suffered moderate male-pattern hair recession at the temples, but desired the reconstruction of a typically female hairline. I was born male, and did not begin the process of medically transitioning to living as a woman through hormones, etc, until three years ago.

 

Dr. Beehner's point was of the utmost importance to me: in my daily life as a professional woman (lawyer to be precise) in DC, absolutely no one would presume that I was born male unless they were told this. However, my hair loss (despite my generally successful efforts to minimize its appearance, and the fact that it had been halted by the gender transition process) has always been a significant source of sadness and anxiety to me.

 

Dr. Beehner and I began an email correspondence in April, where we had an excellent discussion of goals, logistics, costs, and mutual expectations. He analyzed images I had sent to him and made very detailed assessments, showing an extensive attention to detail. This was followed up by several phone calls, as we came closer to agreeing on a transplantion strategy and surgical date. These remote consultations were very helpful to me, as the demands of my job involve significant international travel and irregular hours, so I was exceedingly grateful for his flexibility.

 

A month before the surgery, I received a detailed packet of pre-operative information from Betsy, who runs Dr Beehner's office. This set me very much at ease in terms of the details of preparation for surgery and aftercare.

 

On May 29, having arrived in Saratoga Springs the previous day, I went to Dr Beehner's office at approximately 7am for my procedure. He re-verified the assessment of my hair loss with me, as well as the specific transplantion trategy for this procedure. I was candidly told that in all likelihood, a second procedure would be required to achieve the fullness I desired at my hairline. However, he was confident that our plans for this procedure would result in a very favorable outcome that would get my hairline much closer to that desired fullness.

 

At approximately 9am, I was seated in a chair in the midst of the surgical suite. The nurses who would assist in the construction of the FUs did an excellent job at reassuring and calming me, as did Dr. Beehner (a confession, I am an utter coward when it comes to needles, let alone having over a thousand punctures made in my head!).

 

After the novacaine was administered and the IV of sedatives began, I remembered exceedingly little of the next six hours. There was a break where I drank a bit of orange juice, another one where I used the ladies' room, but other than that, it flew by.

 

Incidentially, my surgery consisted of 1005 FU grafts of 1-3 hairs each, and 106 small mini grafts of 4-6 hairs each, those being placed further back, away from the hairline.

 

Coming out of the procedure, Dr. Beehner and the staff took great pains to make sure I was ready to make my way out of the office. A compression bandage and bandanna were put on me, I was given all of their contact info (again), and assurances that they were on call at any time for any issues that I might have.

 

The rest of the afternoon was slightly uncomfortable at times, basically due to the unfamiliar pressure of the bandanna, not really due to any pain. That night, I even managed a very little bit of light walking around pleasant downtown Saratoga Springs, including a nice dinner.

 

The next morning, I was given a very thorough hair shampooing, followed by a re-iteration of the aftercare instructions, including reassurance and suggestions about concealment of the surgery. I had taken the rest of the week and the beginning of the following week off from work, but considered it extremely important that there be no visible signs of the procedure when I returned to the office.

 

Fortunately, my healing went very smoothly. icon_smile.gif Though I had some dull throbbing pain from the donor scar, that was easily controlled with pain medication, and by the simple practice of not lying down on it directly (fortunately, I tend to sleep on my side). The scabbing was rather ugly looking for the first several days-- I wore a bandanna or a scarf whenever I left my apartment. When I was in, I engaged in very frequent (at first, hourly, then less so) use of Tricomin Follicle Therapy Spray, as well as vitamin E cream before bed, both suggested and provided by Dr Beehner and his staff.

 

I did have some slight swelling on day 3 and day 4 after the surgery, but it dissipated quickly. Dr. Beehner had warned me about the significant possiblity of this, given that the more extensive work on the sides of my forehead (as with many women transplant patients) does increase a risk of post-operative swelling of the forehead. I was given prednisol (an anti-inflammatory) on the day of the surgery as well as a daily dose of it to take for the following 5-6 days. I credit the preemptive anti-inflammatory medication for my very quick recovery from the swelling, which started to fade less than a day after it started.

 

From day 3 on, I was losing scabs through my own gentle (but thorough) hair shampooing/soaking, with the vast majority gone by day 5. Day 5 was the first day I felt secure enough about the healing to forego the bandannas or scarves-- though I used a little bit of concealer to bring down a bit of the pinkness in the transplantation site, along the hairline. Upon returning to work two days later, I had absolutely no issues in concealing the recipient area.

 

In the following weeks, I have noted the (as is typical) loss of most of my transplanted hair. However, I have had no shock hair loss (or so little as to escape my notice, which is unlikely). Also, some (no more than 5-10%, but noticable) of my transplanted hair seems to have thrived in place, though the associated scabs have come off. In still other cases, I am noticing some new, very fine hairs just starting to come in parts of the recipient area which were previously completely bare. That is an exciting development!

 

Anyway, that is my experience with Dr. Beehner's office to date-- a highly skilled team of compassionate, friendly, attentive, and skilled professionals, who have left me exceedingly pleased with my decision to utilize their services. Please feel free to ask me any other questions about my experience with them that you wish. Meanwhile, as I stated earlier, I will try to update this forum with my progress in the coming months, as well as if I do have a followup procedure with Dr Beehner, possibly next year.

 

-Sandra

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  • Senior Member
Originally posted by sandra:

 

Incidentially, my surgery consisted of 1005 FU grafts of 1-3 hairs each, and 106 small mini grafts of 4-6 hairs each, those being placed further back, away from the hairline.

 

 

 

Sandra,

 

Thanks for the detailed journey so far in you HT experience, I wish you well for a great result. I am a little concerned that mini-grafts were used since this is considered outdated technology. They may provide higher density and should work as long as they are blended in with native hair. Can you give us the DR's reason for the use of mini grafts?

 

Thanks and heal well,

NoBuzz

 

 

 

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Sandra,

 

Is there any chance that you could provide photos as this is the best way that we can assess his work. I appreciate the fact that you had a great experience with him, but lets face it, the results are what truly matters.

 

Thanks,

 

NN

NN

 

Dr.Cole,1989. ??graftcount

Dr. Ron Shapiro. Aug., 2007

Total graft count 2862

Total hairs 5495

1hairs--916

2hairs--1349

3hairs--507

4hairs--90

 

 

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NoBuzz,

 

Thank you for the well wishes. icon_smile.gif

 

As you wrote, the mini grafts were utilized so as to provide enhanced density where I already had considerable amounts of existing hair, only in areas considerably far back from the hairline, the idea being that they would blend in well there. The entire hairline area was done with 1-3 hair FU grafts.

 

-S

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NervousNelly (and the B spot),

 

Regarding photos: as I posted above, I only had the procedure last month, so there is not much really to document right now. Basically, I was just writing to say that the initial experience has been favorable, and that I will follow up with more when the results become more apparent, in the coming months.

 

I will see if I am comfortable with the idea of photos or not as the time comes-- I did take some "before" photos as part of the consultation process with Dr. Beehner, so they provide a good idea of the baseline. I will see how I feel in a few months, when I (in all probability) start to see results. Though, I imagine a few photos which detail the before-and-after of my hairline but are cropped so as to provide me some privacy (and vanity) protection will probably be OK.

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Sandra,

 

Thank you for sharing your detailed experience with Dr. Beehner.

 

I know you have commented on pictures, but you'd be surprised just how much immediately POST OP pictures can reveal about the hair transplantation surgery.

 

The good news is, Dr. Beehner IS recommended on this site.

 

I do have strong reservations about ANY use of mini-grafts, however, and am a little concerned about that since it is a very outdated approach to hair transplantation.

 

The standard now is to use Follicular Unit Transplantation, extracting hair follicles in bundles of ones, twos, threes, and fours, as they grow naturally, rather than combining FUs to make larger pluggy grafts that can easily result in an unnatural looking transplant.

 

To see an example of what I am talking about, see the pictures posted by Customs on the latter part of this thread:

 

http://hair-restoration-info.com/eve/forums/a/tpc/f/346...861/m/2031076772/p/1

 

Another concern of mine, is 1100 grafts is not a lot. Depending on your level of loss, this may or may not do much for your appearance.

 

If you have any pre-op and immediately post op pictures, I'm sure we'll get a more clear picture as to what is going on.

 

Cheers,

 

Bill

 

P.S. Feel free to crop the pictures so your face is blotted out. If you need any help with this, feel free to PM me and I'll be happy to crop the photos for you.

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Bill,

 

You're most welcome!

 

As for immediately post-op photos-- I know that some were taken at Dr. Beehner's office by his staff, but I do not have any myself. Honestly, the last thing I wanted in the world in the 2-3 days right after my transplant was to have a camera even remotely pointed at my head. icon_smile.gif

 

However, I do have the pre-op photos that I mentioned, which I can crop (thank you for the offer, though!) and post in conjunction with some "after" photos over the coming months.

 

On the subject of mini grafts, I had the same concerns prior to surgery, insofar as they do appear to be a bit dated as a technique. But it was made very clear to me by Dr Beehner (both by use of testimonial photos and explanation), that their use as a component of the overall strategy could be done in an effective way in my case. The goal being to get a realistic+dense result in those areas that still have 80-90% of my original hair, while using dense packing of the 1-3 hair FU grafts in areas of less "native" coverage.

 

Thank you for your concern regarding the number of grafts, as well-- I do understand that 1,100 grafts is not a large number. Fortunately, I do have only a slight amount of recession at the temples, with the thinning I have described. My hair loss is only at a point where I notice it (and have been bothered by it), whereas it is pretty much concealed to the outside observer by a variety of factors (my hair is dark brown, tends to be quite thick, varies from wavy to curly, and I style it in a way that conceals the loss well)

 

Overall, I basically intended this procedure to be a moderate step, reasonable for my budget, and incremental progress to a very modest goal.

 

Also, the 1005 1-3 hair grafts are concentrated in the small zones of my frontal loss, leaving me confident that will eventually produce a result I am happy with from this procedure alone. Though a second procedure will probably still be called for, to get me all the way to where I want to be in terms of fullness-- which I understand is almost universal, particularly for female HT patients.

 

Thanks again,

Sandra

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What concerns me is that you were doing thorough but gentle shampooing as soon as day 3 and that pretty much all the scabs were gone by day 5.

 

Is it me, or does that seem a little soon? I thought you were supposed to be very, very careful and gentle with the grafts throughout the first week. They're not really "seated" until about day 5-7 out, I thought.

 

Sandra, did you ever notice any bleeding from any of the scabs when they were coming off? If so, the graft may have popped out. Not trying to scare you, I just hope you didn't lose grafts.

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Angel,

 

It is ok to do light shampooing on day 3 with finger tips (no nails). Post op instructions vary from clinic to clinic, however, as long as no grafts fell out and there was no bleeding, it is fine.

 

I know by day 6, most of my scabs were gone, even from 3700 grafts on surgery 3.

 

Bill

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