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

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Explanation: While this statement is literally true, it represents a misunderstanding of the true aim of a hair transplant. The goal should not be to establish a dense, abrupt hairline, but rather to create a natural-looking hairline. A very dense hairline is not appropriate for most people as they age, just as a very flat hairline is not appropriate. This is especially true for someone who has less hair due to thinning or balding. It is up to the surgeon to balance density and naturalness to give his patient the best possible appearance. A dense frontal hairline made with larger grafts will never look as natural as a properly designed hairline using fine delicate grafts. The density of the transplanted area should always be appropriate for the long-term goals of the individual. Fallacy #4 “Try a few grafts and see if hair transplantation is for you.” Explanation: This statement is one of the most disturbing comments made by a doctor. The "try a few" mentality is, in our opinion, tantamount to medical malpractice, as it does not fully inform the patient of the potential problems of starting a process that he or she may not wish to complete. Fallacy #5 With a young balding man, the doctor rubs the hair in the back and sides of his head and announces: "You have plenty of hair for a transplant." Explanation: Each one of us is born with a different, but finite, quantity of hair. New hair cannot be created. Scientific measurements (of hair density), such as densitometry, provide the surgeon with much greater accuracy than subjective assessments when estimating the total supply of permanent hair. The importance of accurately estimating the total donor reserves for proper long-term planning cannot be over emphasized. Beware of any doctor who says that you are a great candidate for a transplant before he spends the time to carefully examine you. Fallacy #6 By cutting out some of the bald area in the back, scalp reductions save hair for future loss in the front. Explanation: Such statements reflect an unacceptable lack of knowledge. Hair is a limited resource that is depleted regardless of how it is moved. A scalp reduction is not a magical process (as it is often portrayed). It moves hair to the front of the scalp at the expense of the back. With a scalp reduction, the hair in the donor area is thinned considerably, and the scalp’s laxity (looseness) is decreased as the scalp is stretched to cover new area. This means that when the frontal hair is lost, the surgeon may not be able to harvest the quantity of hair needed to meet
the patient’s needs, as the hair supply might run out before the completion of surgery. As most people want to frame their faces, the frontal restoration usually takes precedence over the crown for hair redistribution purposes. If the crown is treated first, the surgeon must be certain from the very start that the way the hair is distributed leaves enough hair in reserve to cover the remainder of the balding scalp. Scalp reductions, by addressing the crown first, significantly compromise this principle. In addition, scalp reductions can cause problems such as scarring, a thinned scalp, altered hair direction, and a host of other unwanted effects, that become more and more difficult to deal with as the patient’s baldness progresses. Fallacy #7 Removing large amounts of donor hair is unsafe. Explanation: The judgment of an experienced surgeon will insure that the amount of hair that is harvested from the donor area is safe and appropriate. If follicular dissection is performed carefully using microscopes, the amount of hair needed for the average large session is well within the safe limits of transplantation. The amount of moveable donor hair reflects the size of the donor area, the scalp’s looseness, the number of hairs per square inch, and the amount of scarring (if any) from previous surgeries. These factors must be considered before the surgical procedure, ideally during the patient’s initial evaluation. Fallacy #8 With new laser technology, recipient sites can be made without injury to the transplanted area. Explanation: Lasers were introduced to hair transplantation to produce slits that were supposed to look better than punch holes, and to remove tissue to accommodate large grafts. The exclusive use of follicular units eliminates the need for lasers since the small grafts fit into very tiny micro-slits that can be created without removing tissue. Regardless of how precise the laser beam, or how small the zone of thermal burn around the wound that the laser produces, the laser still makes a hole or slit by destroying and removing tissue. This is essentially the same type of wound produced by the cold steel punches of the early days of hair transplantation. Lasers will always produce more injury to the recipient area than a micro-slit that does not remove tissue.
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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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them, simple, direct pressure will
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Chapter 13 Hair Systems In this cha
Page 67 and 68: Metal clips or snaps can be sewn to
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Page 71 and 72: NHI often uses actual patients to e
Page 73 and 74: patient’s hair density is below a
Page 75 and 76: estoration process to this point wi
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
Page 83 and 84: estrogen and progesterone. A portio
Page 85 and 86: Chapter 19 Repairing Bad Hair Trans
Page 87 and 88: left with the dilemma of choosing b
Page 89 and 90: damage is done to surrounding tissu
Page 91 and 92: attention to measuring hair density
Page 93 and 94: There are two basic repair strategi
Page 95 and 96: eserves and centrally placed grafts
Page 97 and 98: the visible stubble may direct the
Page 99 and 100: searching in other parts of the sca
Page 101 and 102: scalp while utilizing a minimal amo
Page 103 and 104: have had a chance to mature, the sc
Page 105 and 106: • Suturing with large bites • N
Page 107 and 108: A Final Word on Repair The physicia
Page 109 and 110: specialty certifications available,
Page 111 and 112: hairs in the larger grafts that sur
Page 113 and 114: as part of the informed consent pro
Page 115 and 116: Chapter 21 When to be Suspicious So
Page 117: Chapter 22 Common Fallacies in 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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