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the Wong way


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  • Regular Member

Hey there, I have been researching HT now for a while and have had numerous online consultations with numerous coalition doctors in the U.S and Canada.

The number of grafts I have been suggested to get range from 2,500 - 4,500

 

What I wanted to know is, that Hasson & Wong say this:

 

" Be advised that the doctor will need to shave the area of your scalp that will receive grafts on the morning of the procedure. He needs to do this for two reasons:

 

1.) In order to achieve the most natural result the growth of the new hair must match that of the native hair as much as possible. The incisions into the recipient scalp must be made parallel to the direction of native hair growth. Only when the hair is shaved to roughly 2mm is the true direction and angle of hair growth revealed. Parallel incisions means parallel growth making the growth angles of the new hair indistinguishable from that of the native hair.

 

2.) When the native hair in the recipient area is not shaved then the doctor must physically move the hair to the sides in order to make incisions. When this is done the visible angles are distorted and it becomes virtually impossible to match those angles correctly. When this becomes an issue then it is guaranteed that the incisions will cut across the roots of native hairs and cause transection. The transected hairs subsequently die. This effectively reduces the overall net gain from the procedure."

 

 

I have been considering Dr. True in New York

I plan traveling for 9 months.for sure. I could stop off in NY for 2 weeks, get the HT done, not worry about the post surgery appearance and fuck off to South America with shaved head and wait for the results while partying on the beach for half a year

 

I am willing to shave my head to get the best results.

This really makes sense and I wonder if other coalition doctors take this parallel incision into consideration?

 

Thanks all for help so far!

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  • Regular Member

Hey there, I have been researching HT now for a while and have had numerous online consultations with numerous coalition doctors in the U.S and Canada.

The number of grafts I have been suggested to get range from 2,500 - 4,500

 

What I wanted to know is, that Hasson & Wong say this:

 

" Be advised that the doctor will need to shave the area of your scalp that will receive grafts on the morning of the procedure. He needs to do this for two reasons:

 

1.) In order to achieve the most natural result the growth of the new hair must match that of the native hair as much as possible. The incisions into the recipient scalp must be made parallel to the direction of native hair growth. Only when the hair is shaved to roughly 2mm is the true direction and angle of hair growth revealed. Parallel incisions means parallel growth making the growth angles of the new hair indistinguishable from that of the native hair.

 

2.) When the native hair in the recipient area is not shaved then the doctor must physically move the hair to the sides in order to make incisions. When this is done the visible angles are distorted and it becomes virtually impossible to match those angles correctly. When this becomes an issue then it is guaranteed that the incisions will cut across the roots of native hairs and cause transection. The transected hairs subsequently die. This effectively reduces the overall net gain from the procedure."

 

 

I have been considering Dr. True in New York

I plan traveling for 9 months.for sure. I could stop off in NY for 2 weeks, get the HT done, not worry about the post surgery appearance and fuck off to South America with shaved head and wait for the results while partying on the beach for half a year

 

I am willing to shave my head to get the best results.

This really makes sense and I wonder if other coalition doctors take this parallel incision into consideration?

 

Thanks all for help so far!

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  • Senior Member

HungryHoss, I also read sometime ago about being shaved down on top because of the benefit in the long run, and it mskes total sense to me, but even as important is how much attention to detail H&W demonstrate and seem to care!! I could have gone to probably anyone, anywhere and I'm going to Canada tomorrow to see Dr. Hasson for 3500 FUs. I've heard also that Dr. True is an excellent doctor, but I know who I'm seeing. Good luck also!

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  • Senior Member

The "Wong" way is indeed the right way in many cases icon_razz.gif Patients can, and in many cases do, go forward with a large session of follicular unit transplantation without shaving the recipient area. While this approach can be hugely successful, there are advantages to allowing your physician to trim the recipient area.

 

Many hair restoration patients wish to go forward with their surgeries with longer hair. Indeed it makes sense to keep the remaining natural hair in the recipient area long, as this hair can be combed over to conceal the scabs immediately after the operation. It would also stand to reason, if an individual is seeking hair restoration to address their baldness, they will not be inclined to buzz the precious few remaining follicles in their recipient area.

 

In some cases it is beneficial to partially or entirely trim the thinning hair in the recipient zone, as Dr. Wong suggests. A crucial factor in recipient site cutting and graft placement is visualization. The better the doctor can see the recipient area, the easier it is to design the site and place the grafts.

 

While it should be no problem for a qualified physician and staff to work in and around longer and uncut recipient hairs, the process is tedious and takes more time. This should not present a problem for a moderate-sized session over a large area of scalp. Assuming a skilled staff is handling your surgery, you should not be concerned with a decline in the quality of the result. On the other hand, there are circumstances during which the doctor and patient should consider trimming the recipient area. For dense packing and for surgical sessions with a large number of grafts, it can be a good idea to shave. When cutting many tiny slits within extremely close proximity, increased visualization may help with accuracy as well as minimize the potential for shock loss. Although studies indicate that well-stored grafts can remain out of body for many hours without comprising growth rate, it is advisable to place grafts quickly and accurately. Moreover, grafts will need to be placed rapidly during mega sessions just to finish the surgery within a reasonable period of time (for the staff and the patient).

 

Patients should discuss the pros and cons of different recipient area preparation with their physician prior to surgery to get a sense of the best approach for their particular circumstances. While shaving the recipient area helps the techs and the doctor the vast majority of patients do not wish to have the hair cut short. Obviously some professions prohibit patients from cutting the hair. These patients would prefer to hide the work.

Notice: I am an employee of Dr. Paul Rose who is recommended on this community. I am not a doctor. My opinions are not necessarily those of Dr. Rose. My advice is not medical advice.

 

Dr. Rose is a member of the Coalition of Independent Hair Restoration Physicians.

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