
This
is to bring you up to date on exciting new procedures in hair replacement
surgery. At a recent hair replacement conference I attended in Dallas,
the attention was focused on the extensive hair loss patient. As you can
see the photograph on the next page depicts a very remarkable transformation
on a young gentlemen who began with an advanced hair loss pattern. He
is now enjoying a full head of his own living hair. Patients who suffer
from this level of hair loss must undergo a series of treatments with
mini- and micrografting and frontal hair softening with invisigrafts.
The feather zone type approach places small grafts into the frontal hairline
and moderate size grafts in the middle zone. Two to three procedures add
near total coverage. These procedures need to be spaced out over a period
of four to six months.
We are now able to offer patients an even larger transplant session,
up to 1000 grafts. Our average number of grafts per sessions, at the present
time, ranges from 350 to 700. Our recommended treatments would be approximately
two to three graft sessions.
After 16 years of surgical hair replacement experience and hundreds of
transplants performed each year with a near 100% success rate, I feel
certain we can provide an optimum result for anyone seeking hair replacement
or refinement of previous surgical procedures.
Using
the operating microscope and performing a micro-follicular hair dissection
technique for graft harvesting, the patient is assured of the maximum
number of hairs translocated per square millimeter in the recipient bed.
The consultation fee is applied to the cost of any procedure. We now
offer a transplant procedure of over 1000 grafts! Using strand by strand
hair replacement and the most innovative hair replacement techniques including
micro-, mini- and invisigrafts, one may enjoy a full head of his own living
hair within a few months after surgery.
Prior to your surgery, discussions will be performed with photographs
of the patient and a fill discussion of medications. It is very important
to refrain from taking aspirin or aspirin-like products including gingko
bulloba, Advil or any form of non-steroidal anti-inflammatory, monosodium
glutamate, alcohol and any form of St. John’s Wart for approximately
three weeks prior to the surgery. This is to ensure the maximum result
of graft translocation and minimal amount of bleeding at the time of surgery.
The procedure is performed under local anesthetic with sedation in the
office setting. It is safe and patients are very comfortable during the
operation.
Q&A
Using the micrograft techniques and invisigrafts, the frontal hairline
is nearly undetectable.
The hair on the back of the scalp is not genetically programmed to fall
out and when translocated to the frontal hairline, it also carries the
same genetic predisposition which is to continue to grow despite the fact
the previous hair in this region has fallen out. The reason hair in the
frontal portion of the scalp on men who have male pattern baldness is
lost is due to a genetic predisposition to incorporate an active metabolite
of testosterone, dihydrotestosterone choking off the bulb at the base
of the hair follicle thereby depleting its blood supply and causing it
to fall out.
There are new drugs on the market, primarily Propecia at this time, which
helps to reduce hair loss in the frontal hairline and actually will grow
approximately 50-60% of new hair in the crown and vertex region of the
scalp. In the frontal hairline are, there is a much lower percentage of
new hair growth but some has been reported up to even a three year follow-up.
We recommend taking Propecia before, during and after the surgical procedure,
not only to strengthen the hair that is present but to preserve the hair
and promote the health of the new graft.
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