Surgeries against balding

Posted on February 27, 2008
"Surgeries against balding"

Surgeries against balding

My Doctor told me that other techniques could be used: the scalp reduction and the rags. I thought that these techniques were obsolete and disused.

Indeed, both techniques are less and less used. The scalp reduction consists of surgically removing the tonsure or the bald area. The scalp is then stretched to cover the bald spot. The surgery lasts about one hour and gives immediate results. It calls up hair from lateral areas. Moreover, it is quite painful and this surgery leaves a central scar which is visible and the scar can widen in the long term. The orientation of the displaced hair often looks artificial. For more details, you can have a look on this web page.
Rags. This is another obsolete technique. It consists of displacing large areas of the scalp. The orientation of the hair transplanted does not give a natural effect. This technique could be useful during reconstructive surgery, for example after an accident.
These technique cannot be qualified as surgeries against balding, even more when they are used to redefine the front line as the final result is not natural.

Share
Posted in Techniques | Tagged , , , | Leave a comment

What kind of incisions for a hair transplant?

Posted on February 25, 2008
"hair transplant replacement restoration incision size"

hair transplant replacement restoration incision size

I have read that the doctors use different kind of tools to make the recepient sites for the grafts. How does it work? How can it have an influence on the results of the hair transplant?

These tools can be classified in two categories: sharp medical instruments, or needles. As far as I am concerned, I decided to adopt Dr Hasson and Dr Wong”s system of little pieces of custom-made rasor blades cutted using a mini-shear. The advantage are that you can adjust them and they are very sharp. Moreover, they can be cutted on beveled edge and this helps to limit at lot the agression of the deep parts of the skin. I usually use three different sizes in order to make a very precise work throught the existant hair. I do not use needles because they cannot give me the opportunity to limit the depth of the recepient sites. Furthermore, they lacerate the skin tissues particularly when they are used to make hundreds of recepient sites (they can be used once). I believe that the quality of the tools can influence the result of the transplant: for the quality of the regrow and to make the surgery undetectable.

Share
Posted in High Density Hair | Tagged , , , | Leave a comment

Minoxidil 2% (regaine) and pregnancy.

Posted on January 31, 2008
"Minoxidil Regaine Rogaine pregnant pregnancy"

Minoxidil Regaine Rogaine pregnant pregnancy

I am on minoxidil 2% (regaine) for two years and I am two months pregnant. My gynaecologist asked me to stop minoxidil but I am afraid to lose my hair again…

There are no studies on women about the effect of minoxidil on the foetus during the pregnancy, on the animals there isn”t any teratogenic effect. Nevertheless, it is beacuse a little part of Minoxidil can go through the cutaneous barrier when it is used on the skin that we recommend to stop the treatment during the pregnancy. Finally, until the childbirth, hormonal changes will compensate the eventual hair loss due to minoxidil cease.

Share
Posted in Minoxidil Regaine Rogaine 2 % 4 % 5 % | Tagged , , , , , | Leave a comment

Do you think that Minoxidil could have accelerated my hair loss?

Posted on January 17, 2008
"Minoxidil acceleration hair loss"

Minoxidil acceleration hair loss

I am quiet worried. For over two months, I am using Minoxidil twice a day as my Doctor recommended me to do. I have the clear impression that I am losing more hair than in the past. Is it normal?

Sometimes, and in a few cases only (around 5% of the patients using the treatment), a hair loss may occur in the part treated with Minoxidil. Usually, it is just a transitional loss which often starts between two weeks and two months after the beginning of the treatment. It may be due to the acceleration of the loss process of those hair which where going to fall soon. I advice you to wait for two more months and then the beneficial effects of the Minoxidil should be visible. If this does not happen, you will have to stop it and possibly start to use Propecia.

Share
Posted in Minoxidil Regaine Rogaine 2 % 4 % 5 % | Tagged , , , , , | Leave a comment

Shock loss and second hair transplant.

Posted on January 11, 2008
"Shock loss second hair transplant"

Shock loss second hair transplant

Doctor, in August, I have had an hair transplant (not with you but with another serious surgeon, who is registered at the National medical association too) on my back area and I think I am feeling the hair coming out of my head. I already had a hair transplant with this Doctor, about 3 years ago, and I was really happy about the final result. At the beginning of August I asked him to perfect the previous surgery because a little line was hairless…but what worries me is the fall of the grafts implanted three years ago. In fact, although grafts existed on the left side of my front area, now I have this hairless strip. A few days ago this Doctor told me, once more, that the older grafts are going to grow back. If I am still worried, and I needed to ask to another specialist his advice, it is because after 4 months those grafts did not grow back (they fall 2 weeks after the second surgery). That is why I would like to know if the grafts that I lost (because of the anaesthesia? of the shock due to the new grafts placed next to them? …) will grow back for sure, and never fall again like the former ones?

Considering this hair loss process, it seems that you had a shock loss. Even if usually the shock loss occurs on the third month. Shock loss concerns, very often, already existent hair especially if there is a high degree of miniaturisation and it is linked to the degree of aggressiveness of the procedure. Personally, I am always extremely careful when there is a risk of shock loss. I never use adrenaline, and I reduce the number of incisions. I always ask my patients to take propecia and to use minoxidil during the weeks preceding the surgery. A shock loss of former grafts is very rare, really unusual. In spite of the fact that when you lose hair because of a hair transplant it can be permanent, with former grafts it is very exceptional ifthey do not grow back. That is why I recommend you to wait a couple of months before to consider a correction..

Share
Posted in Post Operative Consequences | Tagged , , , , | Leave a comment

Eyelashes Transplant

Posted on January 11, 2008
"Eyelashes Transplant"

Eyelashes Transplant

I have read once on an American web site that it is possible to make an eyelashes transplant. Could you give me more details about it?

Eyelashes Transplant is a fascinating topic. This technique has been redescovered recently. You will find all the details on my web site. We could use hair, or body hair which is even better, as donour area…

Share
Posted in Eyelashes Transplant | Tagged , , , | 1 Comment

Correction of a bad hair transplant.

Posted on December 16, 2007
"hair transplant repair"

hair transplant repair

I have had a bad hair transplant, three times! My front line is too straight, the grafts are too big and I have the impression that people only look at my forehead when they meet me…

Unfortunately, although nowadays hair transplant techniques prooved to be ready, some doctors still do not take enough care nor enough time in making the surgeries. There are two techniques to correct a bad hair transplant on the front part. You can either take off most of, or all, the bad grafts thanks to the use of micro punches, like the one used for the FUE technique, or you have to implants new grafts between the huge ones in order to hide the non natural aspect.

Share
Posted in Hair Transplant Repair, Correction, Reparation, Scars | Tagged , , , | Leave a comment

Grafts implanted and microscope.

Posted on December 14, 2007
"hair transplant replacement restoration microscope"

hair transplant replacement restoration microscope

Good morning Doctor, is it true that the use of the microscope can improve the hair transplant, and the quality of the grafts? I am reading many dissimilar opinions on the internet and I do not see which are the advantages…

In my opinion, the use of the microscope is essential for the cutting of the grafts. Thanks to it, it is possible to avoid the transections (bad cutting of the hair which stops the regrow of the hair). It allows to cut and to sculpt the grafts making the thin ring of skin on the top as little as possible. It permits also to protect the telogen hair (the resting phase of the fu) which are shorter and transparents. For white hair, the microscope is incontrovertible. With the use of the microscope the transection rate is around 1%, while 10 to 40% of the hair are destryed during the naked eye cutting.

Share
Posted in Techniques | Tagged , , , , , | Leave a comment