Tuesday, 7 December 2010

How You Can Avoid Dishonest Hair Transplant Doctors

It is easy to assume that any doctor will do everything in his power to do right by you.  However, it would be naïve to think that there are no hair transplant doctors that are dishonestly trying to use you to make money and nothing more.  There are a few things to take into consideration. 

1.  Watch out for high pressure tactics.  One example is when a promotion is run guaranteeing a special price if you schedule your procedure by a certain date.  Most reputable doctors charge a fair price for the hair transplant surgery and so do not need to discount it.  Another example is when you go in and the doctor or other people in his office will not take no for an answer.  Any good doctor knows the decision is yours to make. 

2.  Try not to use a doctor who starts you off with a salesman or other person who has nothing to do with the health occupations.  You need a person with good training to show you all you need to make your mind up about the surgery.  You do not need a person whose only agenda is to sell you on getting hair transplant procedures done. 

3.  You should start to get concerned if your doctor has no specific good stories to tell about hair transplant surgery they have done.  You need to see before and after photos.  You need a way to contact former patients. If at all possible, you need to be able to visit with patients the doctor has treated so they can show you the results in person.  You are not asking too much - it is a major commitment you are making. 

4.  If your doctor says to try a few hair transplant grafts and then decide, run.  This is never a good idea.  Once you start having the grafts done, you are committing to a full set of procedures.  Otherwise, your hair will end up looking out of balance. 

5.  Do not get involved with a doctor who does not listen.  A good doctor knows how important the hair transplant is to you.  He will listen to your questions about hair transplant and provide intelligent answers.  He will also try to find out what your goals are to see if they are realistic. 

6.  Keep it realistic.  If the doctor says the hair transplant will cost an exorbitant amount of time or money, be wary.  You should have a basic idea of the going rates before you make this decision.  On the other hand, if the doctor talks about how little it will cost and how quick and easy it will be, be suspicious of that too.  The answer should lie somewhere in the middle. 

7.  Not all hair transplant stories are good ones.  If the doctor you consult with claims that his are, you cannot trust what he says.  Virtually every doctor has some procedure that has gone wrong to some degree.  A good doctor will admit this and provide a plan to avoid it.

There are hair transplant stories that would make most people think twice about having the surgery.  However, it is not a good representation of the fine work that most hair restoration surgeons are doing.  Just make sure you find one of those good surgeons. 

How Surgeons Hide Donor Scars during Hair Transplant Surgery

Hair transplant procedures leave scars.  It is just a fact of life.  However, if the surgeries are handled in the proper manner, the scars are barely noticeable.  They are thin to the point that they can barely be seen in most cases.  Skilled doctors have ways of making the scars practically disappear. 

First of all, the surgeon must be very skilled in choosing the site of the path where he harvests the donor tissue for the hair transplant.  Its width should be no more than one centimeter in most instances.  This allows the scalp to close completely when sutured back into place. 

If the hair transplant procedure is done well, the scar will not be noticeable even if the patient likes to wear his hair in a short style.  The scar will only become unsightly if the patient is genetically predisposed to keloid scarring.  People who have this kind of problem need special treatment. 

If a patient is known to suffer from keloid scarring, the first thing a reputable doctor will do before hair transplant surgery is to explain the possibility of unsightly scars.  This requires a very honest surgeon, since the patient may decide the procedure is not worth the scarring it will cause. 

The next step with such a patient would be to discuss ways the keloid could be covered.  It could be camouflaged by wearing the hair just a little longer.  Other patients have rubbery skin that stretches too much and so causes wide donor scars.  These two groups add up to about 5% of the patients who have hair transplant surgery. 

The other 95% of patients have no problems with their tiny scars at all.  The hair transplant doctors are able to keep the donor strips very thin.  They also use a double layer closure method to help the skin heal properly.  As long as the surgeon knows what she is doing, the scars are a minor consideration. 

Another aspect of scarring is when doctors go in for multiple hair transplant surgeries.  A new strip of donor tissue has to be taken each time to supply the grafts for the new transplant.  It would seem that this would lead to a large number of scars on the back and sides of the head. 

Actually, there is a hair transplant procedure that keeps the scarring to one thin line.  It consists of cutting the new thin donor strip immediately above the original scar.  In most cases, the old scar is removed at the same time.  When the wound is stitched up, the entire area of both the old scar and the new cut are sewn into one line.  If multiple surgeries are done, this procedure is used every time. 

Hair transplant surgery leaves scars.  That much is certain.  If you are one of the unlucky few who scar easily, you might have scars big enough that you have to hide them.  Yet, if you are like most people, you will not have scars that anyone will notice at all. 

How Are Eyebrow Hair Transplant Procedures Different?

It is not unusual for men to have hair transplant surgery for male pattern baldness.  Even female baldness is discussed on commercials for hair transplant clinics.  A less common use of hair transplant surgery is to replace eyebrow hair.  However, this procedure is quite different from other hair transplant surgeries. 

It is important to replace eyebrow hair that has fallen out because it is such an integral part of the human face.  People realize that men have receding hair lines and balding on the tops of their heads.  It is not out of the ordinary to see a woman with thinning hair.  Yet, look at a person without eyebrows and the effect will be disturbing.  Eyebrows are just expected. 

Some people have hair transplant surgery to their eyebrows because the hair has simply fallen out over time.  Others have thyroid disease or other diseases that affect their hair.  A certain type of alopecia results in eyebrow loss.  Excessive plucking can be a problem, too.  Burns, tattoos, and infections can cause the eyebrow hair to fall out, and some people just are not able to grow eyebrows at all. 

Hair transplant surgery for eyebrows is different because eyebrows are different from scalp hair.  For one thing, the hair has a distinct growth pattern with each section of the eyebrow pointing in a different direction.  The hair forms a sharp angle so that it grows out and then flat to the face.  Scalp hair has a much gentler angle. 

Eyebrow hairs do not grow in the same type of follicular units as scalp hair.  Rather than growing in groups of one to four hairs, they are simply single strands of hair.  You can see this if you look carefully in the mirror at your eyebrows.  Hair transplant methods have to take this fact into account. 

When doctors do hair transplant surgery to replace eyebrows, they have to make sure that they put the hairs in so that they will point in the natural hair direction.  For this, the surgeons use very fine gauge needles.  They must also use this to help the hair to lie flat. 

Because the eyebrow hair is made of individual hairs, hair transplant surgery must involve creating those single units of hair.  To do this, hair is taken from the scalp, just as in other hair transplant procedures.  Then, the follicular units are divided into individual hair grafts.  This is done with a stereomicroscope. 

Inserting these micro-grafts is a very tricky business.  Creating the correct angles is difficult.  If the patient does not have straight hair, her curly hair must be inserted by rotating it so that it lies even with the curve of the brow that is being made. 

One drawback to eyebrow hair transplant surgery is that eyebrow hair, which usually does not grow, will grow and need to be cut because it is actually scalp hair.  Also, when the wounds heal, the lay of the eyebrows may change and not be so natural. 

However, if you need hair transplant surgery to replace your eyebrows, it is usually a much better alternative than other choices you have.  Eyebrows drawn in with eyebrow pencil do not look natural at all, and the option of going without eyebrows is unthinkable to many people.  Hair transplant surgery may just be your best bet. 

How Hair Is Inserted in Hair Transplant Surgery

Hair transplant surgery begins, after anesthesia is applied, with removing donor tissue.  Follicular units are then extracted from the tissue using a stereomicroscope.  This is all done by skilled nurses and technicians.  The insertion of the hair into the receptor sites comes later. 

Once the follicular units for the hair transplant are dissected out of the donor tissue, technicians set them aside in a saline solution.  The temperature must be ideal or the small grafts will not survive the procedure.  This is done very carefully in order to ensure a good result. 

The surgeon will make tiny incisions into the scalp where the hair transplant grafts are to go.  These are called the receptor sites.  They are made with a very thin surgical needle.  The surgeon must have an eye for detail to properly set the receptor sites.  He must also be very artistic to achieve a natural look, especially at the hairline. 

The direction the hair grows, both on the front of the head and at the crown, are very important, too.  The doctor must make the condition of the newly placed hair look like the patient's own natural scalp hair.  The angle that the hair is put in determines how much it will stand up from the head. 

Once the surgeon has made all the hair transplant incisions that lay out the design he has created, the specially trained surgical team steps in.  They use his plan to accomplish his goals, and in turn the goals of the patient.  The groundwork is done for them by the surgeon when he does his incisions. 

The surgical team takes care to get every hair transplant graft into the receptor sites as they have been laid out.  They waste no time, though, because the small grafts are vulnerable when their follicles are outside of the skin.  The goal is to get the grafts in as quickly as possible while staying true to the design. 

Next, the doctor looks over the hair transplant for quality control.  He may take a good deal of time tweaking the placement of grafts before he is satisfied that they are all set properly into their receptor sites in a pleasing fashion.  When he gives the ok, the surgical technicians again take over the patient's care. 

The grafts will be more permanently set into place when the technicians dry them by blowing a cool blow dryer across them.  This makes them adhere in their place so that no bandages are necessary.  The patient will be asked to bring, or will be given, a baseball cap for the ride home from the hair transplant procedure. 

The doctor will want to see how the grafts are doing the day following the hair transplant.  The patient will go in for a check-up so that any problems can be corrected quickly.  If that is not possible, at least plans can be made to correct them at a future time. 

The doctor will have done his job with the hair transplant procedure at this point.  All that remains is periodic checkups.  If the hair loss is extensive, there may be more procedures, but all the hair transplant surgeries will be done with the same amount of care.