The Patient's Guide to Hair Restoration - New Hair Institute

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undergo such a procedure is too often made under pressure, and reality is often glossed over by unscrupulous entrepreneurs or naive physicians who practice an art form they do not really understand. For the hair transplant patients who had their work before the introduction of the smaller graft, the actual number of dissatisfied patients may be higher. With the introduction of the smaller graft and a significant reduction of the pluggy look, the number of dissatisfied patients has decreased substantially. In these smaller graft patients, the main cause of dissatisfaction usually results from an inadequate amount of work, or the setting of unrealistic expectations, not necessarily an abnormal appearing result. Lack of adequate, informed consent runs rampant in this field. As a result, a language has developed with a special jargon to describe the outcome with metaphors such as “the toothbrush look,” “doll’s head look,” and the “pluggy look.” These are all terms, used to describe the problems faced by many of the patients who had extensive hair restoration procedures before the widespread use of the smaller graft. The damage of a poor hair transplant procedure goes far beyond what is visible. Psychological damage can be extensive and social problems are all too frequent. Some patients become reclusive; they live in restricted worlds, refusing to go into public or do so only under controlled conditions. For a person sensitive to his appearance, meeting new people or going to a social function can become an ordeal. If social visibility is necessary in the person’s occupation, his career can be destroyed. Personal relationships are often affected. Self-consciousness and insecurity can lead to depression. Many victims of substandard hair restoration surgical procedures find solace in hairpieces and toupees; the very thing they tried to avoid in the first place. The decision to acquire a toupee may be the only way to achieve some degree of normalcy. Some victims go from doctor to doctor undergoing more surgical procedures. Each new doctor is seen as another messiah, but the chance of finding miracles diminishes as each new procedure is added.
Chapter 21 When to be Suspicious Some dishonest doctors suggest that you try a few hair transplant grafts to see if you like them. They may suggest that a few grafts do not commit you to a complete course. This is not true. Like it or not, as you progress in your hair loss process, a small number of grafts are likely to create a medical oddity at some point in the future. The following is a list of rules to follow when looking for a hair transplant physician: • Avoid doctors who use salesmen or non-medical people with no experience or formal training. • Avoid doctors who use promotions or pressure you into making a decision. • Avoid doctors who do not spend enough time to listen to your needs and understand your goals. • Avoid doctors who quote you unrealistically low or high amounts of work, time, or money. • Avoid doctors who tell you that their patients will not show off their results. • Avoid doctors or salesman who tell you only good stories. Are they trying to hide something? Do they have the rapport with their patients that they claim? There are always down sides to any surgical procedure and these must be part of the information relayed to you. Are your doctor and his staff honest and forthright about the potential downside? Proper informed consent is required by law. • Avoid doctors who specialize in minigrafts and recommend performing monthly sessions. If subsequent transplants are performed before the previously trans-planted hair grows, the previous grafts may not be identified and could be damaged. Until recently, anyone trying to find accurate information about hair replacement has faced a confusing and difficult task. Much of the literature about various hair restoration options aimed to sell you something. Deliberately confusing advertising from wig salesmen, surgeons experimenting with new techniques, and charlatans who scrub clogged pores to cure balding, were some of the obstacles one had to deal with. There is often a fine line between ignorance and incompetence in the hair restoration field, so the buyer of these services must exercise careful judgment when reviewing the material. Doctors or scientists usually announce advances in medicine to their peers in medical or scientific journals. The public finds out about them later via mass media. This has not always been the case with hair restoration advances, as promotions by physicians often create false impressions of what is possible in terms of treatment.
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The Patient’s Guide to Hair Resto
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egan this practice and may have ado
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vellus hair to the dense, thick hai
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the hair follicle is able to regene
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visible in a particular individual,
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Clogged Pores This claim usually ac
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Chapter 4 How Bald Will I Be? For m
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Chapter 5 Drugs to Prevent Hair Los
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In January 1998, the FDA approved f
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Finasteride has now been in clinica
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of these physicians were published
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cells. If the graft is too large, t
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The donor grafts obtained by the pu
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In addition to the variation of siz
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Chapter 7 What is Follicular Unit T
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of the scalp is extensive, the dama
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Cost per procedure More Less Total
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short-term loss, but rarely affects
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of hair is less noticeable than goi
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lose 70% of the hair on the top of
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unit grafts into very small recipie
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egarding whether to add additional
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Hair bulk, or hair shaft diameter,
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5A 2000-2400+ --- 6 2000-2400+ 2400
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emainder of the procedure. If you d
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The night of the surgery and for a
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The results of this study, recently
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5-10 Months Some or all of the orig
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Disadvantages: Necrosis The worst p
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entire strip (or portions of it) is
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Scalp Expansion and Scalp Extension
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Page 65 and 66: Chapter 13 Hair Systems In this cha
Page 67 and 68: Metal clips or snaps can be sewn to
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Page 77 and 78: Chapter 16 The Psychology of Hair R
Page 79 and 80: Chapter 17 Determining Quality and
Page 81 and 82: more common than anyone is willing
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Page 85 and 86: Chapter 19 Repairing Bad Hair Trans
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Page 89 and 90: damage is done to surrounding tissu
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Page 93 and 94: There are two basic repair strategi
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Page 105 and 106: • Suturing with large bites • N
Page 107 and 108: A Final Word on Repair The physicia
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Page 111 and 112: hairs in the larger grafts that sur
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Page 117 and 118: Chapter 22 Common Fallacies in Hair
Page 119 and 120: the patient’s needs, as the hair
Page 121: • Hair transplantation is moderat
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The Patient's Guide to Hair Restoration - New Hair Institute

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