Friday, October 1, 2010

Does Hair Color Affect Hair Transplant Results?

This question, asked by a member of the Hair Loss Discussion Forums, was answered by Coalition physician Dr. Bernardino Arocha

I am sure all hair colors are suitable for hair transplantation but would you say darker hair would get a potentially better result? This raises another question: The lighter the skin color the more noticeable the recipient area would be right after the procedure and a couple days after than for a person who has darker skin?

Hair color does have a significant impact on hair restoration outcomes. It is the amount of contrast between the skin color or complexion and the hair color that is important. That is, on a balding scalp, dark hair with pale complexion will appear thinner, while dark hair with a dark complexion will camouflage better hence appear thicker. For more information on hair characteristics and their impact on hair transplant results, please see: How Hair Characteristics Impact Hair Transplant Results | Hair Loss Q & A

Dr. Bernard Arocha, M.D., ABHRS

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David – aka TakingThePlunge
Assistant Publisher and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum
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Technorati Tags: hair transplantation, hair restoration, balding, hair transplant, Hair Loss


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Are Lasers Good for Treating Hair Loss?

This hair loss question was answered by Dr. Glenn Charles of Florida who is a member of the Coalition of Independent Hair Restoration Physicians. His professional answer is below.

I understand that current lasers used for hair growth have not been proven to work but I have known several people to undergo laser hair removal and, instead of a reduction, they experienced growth of thicker, fuller hair in the treated area. I doubt any new hairs grew; I think that the extremely fine hairs just became much thicker and more noticeable. Does this mean that if lasers are perfected or used properly, they can potentially induce hair growth?

I have heard that a few new companies are coming out with stronger lasers for treating hair loss. We will have to wait to see if this really happens. I still tell patients that lasers probably help more patients with quality of hair rather than quantity of hair. However, I have had many patients over the years who are very happy and feel they have more healthy hair than before the treatments. I have also had patients who did not see any real, noticeable improvement in the appearance of their balding areas. Like many other medical treatments the success varies from patient to patient.

Dr. Glenn Charles

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David – aka TakingThePlunge
Assistant Publisher and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum
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Technorati Tags: hair growth, hair loss, balding


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What if I Disagree with My Hair Transplant Physician?

This question, from a member of the Hair Restoration Social Community and Discussion Forums, was answered by recommended hair restoration physician Dr. William Lindsey:

Do you find that a lot of people have same concerns about hair transplant surgery? If you have a difference of opinion with your doctor, should you bring that up? At what point do we have to trust them?

You should absolutely bring up a discrepancy in planning to your hair restoration doctor pre-op! To not discuss this may result in you being less satisfied, feeling swindled (even if no swindling occurred) and possibly with the wrong treatment plan to deal with your hair loss. On occasion, patients ask for something that is not right for them but most can be educated (not brainwashed) with a fairly simple conversation.

If something doesn’t make sense to you that the doctor is telling you pre-op, consider an opinion from a different doctor. Note that I am saying, if you don’t get it explained well, see someone else. I sometimes tell prospective patients something they don’t like or what I won’t do, but I try to make it very clear as to why. For example, if someone wants to sprinkle hair into a mildly balding area or a young fellow wants a low hairline which may look goofy when he’s 50 years old, I’ll refuse as I don’t think it’s in their best  interest.

Dr. William Lindsey – McLean, VA

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David – aka TakingThePlunge
Assistant Publisher and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum
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Technorati Tags: hair transplant, hair restoration, hair loss, balding


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Why Do Hair Transplant Graft Estimates Sometimes Vary?

This question, from a member of the Hair Restoration Social Community and Discussion Forums, was answered by recommended hair restoration physician Dr. William Lindsey:

I went in person to several hair transplant doctors here in NYC and then I emailed three other doctors nationally and abroad with detailed descriptions and photos. Each doctor gave me a different estimate of grafts based on my degree of hair loss. The estimates ranged from 1,000 grafts to 2,700. Most of the estimates were around the 1,600 mark. So why all the different estimates?

Well, it varies from patient need to patient need, and from physician to physician. For example, a young African-American man came to my office today for a consultation. He’d been to 3 other hair transplant surgeons and had a list of questions.

First off, I thought he needed maybe 1500 grafts to the front only. That way he’d save hair for the future and limit the width of his donor scar. Plus, with that curly black hair, he needs way less hair to cover an inch of balding scalp than a thin-haired Asian or Caucasian. I told the fellow that 2200+ grafts and dense packing would be pushing it. I find that, not only do black men and curly haired Middle-Eastern men not need as much density (due to the caliber of the hair shafts and the waviness of the hair), but when we try to pack it too tight, there is just too much popping out of the grafts when placing nearby grafts.

So there are many factors in determining what is best for each individual and then different hair restoration physicians have their own philosophies. In general though, for thin or straight haired men, I suggest lots of follicular unit grafts packed tightly in that first 3/8 inch of singles, then followed by doubles and triples a bit more spread out. In the hairline area in particular, hair can be like money with more being preferential to less for most patients.

Dr. William Lindsey – McLean VA

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David – aka TakingThePlunge
Assistant Publisher and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum
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Technorati Tags: hair loss, hair transplant, balding, hair restoration, follicular unit grafts


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Measuring Dihydrotestosterone (DHT) Levels in the Body?

This question, from a member of our Hair Restoration Social Community and Discussion Forums, was answered by Coalition hair transplant surgeon Dr. Glenn Charles:

I’ve recently become worried about my hair loss and I’m wondering if there is a way to measure dihydrotestosterone (DHT) levels in the blood? I know these types of tests are possible for measuring regular testosterone, but I didn’t know if it would work for DHT?

Yes, you can measure a hair loss patient‘s DHT (the hormone directly responsible for genetic balding) levels. The two most common methods of measuring DHT , as well as many other hormone levels, is through a blood draw or a saliva panal. In my experience, saliva panals are more accurate in determining a patient’s available hormone levels (including DHT and Testosterone).

Glenn M. Charles, D.O.

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Blake Bloxham – aka Future_HT_Doc

Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

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Technorati Tags: Hair Restoration, hair transplant surgeon, hair loss, dihydrotestosterone, DHT, hair loss patient, balding


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What Type of Pillow Should I Sleep with After Hair Transplant Surgery?

This question comes from a member of our Hair Restoration Social Community and Discussion Forums:

After a recent follicular unit transplantation (FUT) procedure, I’ve decided to sleep with a pillow that elevates the back of my head and minimizes pressure or tension on the sutured donor area. I think I may investigate travel or neck pillows. Any suggestions?

Although minimizing friction and tension on the sutured donor area is a wise decision, you can probably do this with limited time and money spent shopping for a new pillow. According to hair transplantation experts, it’s ideal to keep your head elevated around 15 – 20 degrees to avoid excessive contact with the sutured region and minimize potential post-operative swelling in the forehead. Certain hair transplant patients report success using travel-like, “neck” pillows filled with air, beans (like in a bean bag), or foam. These types of pillows should be reasonably inexpensive and available just about anywhere. Additionally, other hair loss experts, such as Coalition surgeon Dr. Glenn Charles, say that simply putting a towel over a regular pillow should be sufficient if the patient doesn’t want to buy or utilize a neck pillow. Regardless, it’s probably best to ask your hair transplant surgeon for a list of post-operative instructions and follow the suggestions for sleeping post-hair transplant operation.

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Blake Bloxham – aka Future_HT_Doc

Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

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Technorati Tags: Hair Restoration, follicular unit transplantation, FUT, hair transplantation, hair transplant, hair loss, hair transplant surgeon, hair transplant operation


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Hair Transplant Advice for 25 Year Old with Advanced Hair Loss

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

I am 25 years old and have been experiencing hair loss for about 4 years. Currently I am between a IV and V on the Norwood Scale. I am open to both FUE or Strip but prefer FUE. My goals are to fill in the crown but I am not sure how many grafts are needed to cover my balding area and any info about that would really help. I am thinking about 2,500 grafts. Will this be enough?

As you are just 25 years old, you could develop a full Norwood VI pattern later and could even go on to develop a Norwood VII pattern. If you are not already using medical stabilization, you should consider using Propecia (finasteride) and Rogaine (minoxidil). Whether you choose follicular unit transplantation (FUT) or follicular unit extraction (FUE) there is a limit to how much scalp hair you will be able to transplant. You may not have enough scalp donor hair to cover your whole eventual balding area well.

If you did transplant 2,500 grafts over your whole thinning area it would probably look quite sparse. There can be a role for hair transplantation for you but you need to have a good long-term plan with clear expectations and should understand your commitment to more surgical hair restoration later.

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David – aka TakingThePlunge
Assistant Publisher and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum
Follow our community on Twitter
Watch hair transplant videos on YouTube

Technorati Tags: hair loss, balding, Propecia, finasteride, Rogaine, minoxidil, follicular unit transplantation, FUT, follicular unit extraction, FUE, hair transplantation, hair restoration


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