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  • Regular Member
there is much less chance of permanent shock loss if you shave

 

There are no studies to back this up. I've checked thoroughly. And no cases support this either. I was told by 1 doctor this same thing and his explanation made no sense and when I asked other doctors and qouted his explanation they did not support it. S there you go. Sounds like a myth created to try and get more patients to shave...

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Norwood Class 4 (I think)

Propecia (since '95 or so)

Rogaine (since '93 or so)

One HT

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  • Senior Member

The shaving topic has been discussed many many times on here. Both Dr. Shapiro and Dr. Alexander perform HT's without requiring shaving and they both achieve some of the best results you'll find anywhere. Shaving does make their job easier and for mega sessions (3000 +) they pretty much all require it. As I've stated before, Shapiro and Alexander would not put their reputations at risk if they thought transplanting without shaving would not achieve their typical superiour results.

 

Hat's off (or should I say on icon_smile.gif) to those who are cool with shaving down but for my situation it wasn't even an option and at 5+ months out I'm completely happy in my decision.

 

Everyone's different but I had absolutely no shock loss at all and I had a pretty decent amount of native hair. I was back to work without a hat an my existing hair hid recipient area and the donar are superbly.

 

This pic is 5 days after and if I had shaved there's no way I could have pulled off going back to work a week later without anyone noticing.

Day5Collage.jpg

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  • Senior Member

I'm sure every patients situation is unique but Dr. Shaprio definitely does. Here's a quote from Janna on another thread regarding this same topic that was posted in 3/08

 

"We generally don't require shaving unless the session sizes are going to be more than 2500 grafts. We try to work with each patient's ht goals. Like any doctor who does not require shaving, the session size may be a little smaller to accommodate the challenges associated with long hairs as it's somewhat like working with the lights dimmed. Our doctors eliminate as much of the negatives by utilizing very high magnification loopes to make incisions and have polarized/unpolarized lighting with magnification to avoid the glare on the scalp from the overhead surgery lights. We've been performing procedures without shaving since the beginning of my time with Dr. Shapiro so we have plenty of experience."

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  • Regular Member

Thanks for the pics.

 

Just to clarify. I'm not saying the good "coalition" doctors are creating the myth and I'm also not saying it isn't neccessary to shave when doing the mega mega sessions. I'm just saying I've seen nothing to support the statement that shaving somehow saves you from any kind of permanent (or other) shockloss.

 

In fact the coalition doctors I've spoken to all say that the mega mega sessions (3000

+) where they require shaving often cause MORE shockloss (not permanent but still) due to the density in which they pack the grafts and the trauma this causes the scalp and surrounding hair.

 

Please feel free to correct me if I'm misquoting any good doctors. (that's for the doctors)

 

Cheers, J

Check out My Hair Loss WebLog

Norwood Class 4 (I think)

Propecia (since '95 or so)

Rogaine (since '93 or so)

One HT

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  • Senior Member

Sorry that the quality of the pics aren't that great, but they were taken with a camera phone at the office. I was a pretty fast healer with very little redness and no swelling, obviously everyone's not the same. All of my interactions at the office are typical casual encounters and it's not like people were standing above me under a bright light closely inspecting my melon. Both Shapiro and Alexander do super clean refined work with custom cut blades so the trauma is kept to a minimum.

 

Your assesment about shock loss due to large mega sessions is very good. I'm sure Hasson & Wong experience less trauma than other less experienced Dr's doing mega sessions but it's still more trauma.

 

HT55. In a perfect world I think most of the top Coalition doctors would probably rather have the patient shave down if their situation would alow for it. If I was a student, had a job where I could wear a hat or could take 2-3 months off and not worry about it then shaving may have but an option for me. But the fact of my situation was that I run my own business with employees and customers and taking more that a week off or wearing a hat just wasn't an option. Showing up to work with a shaved head and a nice donar scar also wasn't an option especially since I have chosen to keep my HT private.

 

As with anything there's always differing opinions and I think what is important is that each doctor follow what they feel works best for them and that they are most comfortable with. I totally respect a doctor choosing not to do an HT without the patient shaving if that's what they're most comfortable with.

 

Just saw your pic HT55. They probably wanted you to shave down because your hairs already pretty damn thick icon_smile.gif. Propecia's done wonder for you. Nice work. Every patients characteristics are different any maybe with yours they felt it was something they needed to do.

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I went to SMG for 1662 grafts in the hairline and while I was glad to not have to shave down fully, they definitely trimmed the hair down quite a bit to make it easier to transplant and also, I think, to avoid shockloss. It was a pretty fair trade off in my opinion. I suffered through a bit of an 'awkward' hairline for a while (by having to style it forward a bit), but otherwise, I was back to work in 10 days.

___________________________

1662 with Dr. Ron Shapiro - Spring 2006

1105 with Dr. Ron Shapiro - Fall 2009

M&M Weblog

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If I had to estimate, I'd say it was about 50 - 67% (1/2 to 2/3) in front of my existing hairline as it was required to thicken and camouflage the existing Bosley work.

___________________________

1662 with Dr. Ron Shapiro - Spring 2006

1105 with Dr. Ron Shapiro - Fall 2009

M&M Weblog

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Honestly, I think I need about another 1,000 in the hairline to get the density I desire and truly hide the mini and micro grafts. Plus, I'd like a little into my temples to get my 'triangle points' above my side burns. In all, I'd say another 1,500 plus a bit of a scar revision is what I desire for my next procedure. The truly difficult part is fitting it into the schedule - 10 days+ off work, 4+ months of awkwardness and minimal working out. Just brutal.

 

If I didn't have to lower the hairline to hide/mask the prior work, considerably less grafts would be required.

___________________________

1662 with Dr. Ron Shapiro - Spring 2006

1105 with Dr. Ron Shapiro - Fall 2009

M&M Weblog

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Thanks! I hope I can get away with only 700 or so, but I want to try for 'one final HT' once and for all. You know, more than just the "illusion of density" but some actual density. But no lowering of my hairline, unless necessary to better hide the prior Bosley work.

___________________________

1662 with Dr. Ron Shapiro - Spring 2006

1105 with Dr. Ron Shapiro - Fall 2009

M&M Weblog

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I could definitely style my hair to hide the pluggy grafts but as soon as the wind picked up or I wanted to be a bit more 'stylish' with my hairstyle, I had to reveal a very unnatural hairline.

 

It was thin, pluggy and not natural looking. But it was good work as far as Bosley goes icon_smile.gif

___________________________

1662 with Dr. Ron Shapiro - Spring 2006

1105 with Dr. Ron Shapiro - Fall 2009

M&M Weblog

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