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Shaving head B4 Surgery and generic propecia


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  • Regular Member

Hi all,

Had my first consult with Dr. Bernstein a few weeks back. Couldn't get to see Dr. Feller because of a schedule mix up. Was a lil pissed since I was in east coast from a pretty distant place. Will try next time. Anyway, Dr. Bernstein hadn't mentioned anything about the receiving area becoming more optimal if the area is shaved like a crew cut. Isn't it sometimes better to see the hair at length so they can see the way the curls or waves go as they get longer?..My hair loss[mostly receding a bit in front and temple area] has seemed to have stabalized for the past 15 years and now at age 49. Dr. Berstein wanted me to go on the generic propecia, a quarter pill a day until i have surgery and perhaps continue it. Any of you have any experience with it as far as re-growth,stabalizing loss, etc.? Any help or thoughts would be helpful. Im still going to go ahead with surgery, but want to first see Dr. Feller for a second opinion

thanx all

shmutzydawg

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  • Regular Member

Hi all,

Had my first consult with Dr. Bernstein a few weeks back. Couldn't get to see Dr. Feller because of a schedule mix up. Was a lil pissed since I was in east coast from a pretty distant place. Will try next time. Anyway, Dr. Bernstein hadn't mentioned anything about the receiving area becoming more optimal if the area is shaved like a crew cut. Isn't it sometimes better to see the hair at length so they can see the way the curls or waves go as they get longer?..My hair loss[mostly receding a bit in front and temple area] has seemed to have stabalized for the past 15 years and now at age 49. Dr. Berstein wanted me to go on the generic propecia, a quarter pill a day until i have surgery and perhaps continue it. Any of you have any experience with it as far as re-growth,stabalizing loss, etc.? Any help or thoughts would be helpful. Im still going to go ahead with surgery, but want to first see Dr. Feller for a second opinion

thanx all

shmutzydawg

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  • Senior Member

How the hair curls at length is not important. What is important is the exact angle and direction it leaves the scalp and those things are more easily determined with the hair buzzed down. Do a search on here and read some previous statements by doctors about it.

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  • Senior Member

(a prior post of mine)

A patient inquiry that emerges time and again involves the shaving of the recipient area for hair restoration surgery. 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. A crucial factor in recipient site cutting and grafts 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 in order 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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