Ask the Doctor: Hair Restoration

Can my crown area be covered after hair transplant?

I am in 30 suffering from baldness starting @ age of 26.Nw i have lvl 5-6 baldness.I have consulted online with lot of HT surgeon but getting conflicting suggestions. I have heard that i”ll get less hair /graft since i am hair is thick n hard n i dont have beard.Is it really true that its hard in asian type of hair to transplant where baldness has reached level 5-6. And last question, can HT surgeon find out weather i have 1,2,3 hair per graft if i meet him face2face before surgery?

Hair transplant of frontal and crown

Hi and thanks for your questions. I’m sorry to hear of your hair loss. Our San Diego practice cares for many Asian patients who have undergone successful hair transplantation. I would recommend a Skype consult to more fully evaluate your hair loss. The area(s) to be grafted depend most upon your donor size and density. I usually recommend transplanting the frontal area initially to obtain the greatest density versus transplanting the frontal and crown areas simultaneously where the result will be compromised. If your donor area is adequate then it’s often possible to transplant the crown area 9-12 months after the frontal area. While there are many techniques to evaluate the follicular unit hair density these are only an estimate and the most accurate method is at transplantation. Please see our website for more information. Good luck!

I’m 38 and I’m really considering hair transplants?

Hi and thanks for your question. Based on your photos you do appear to be an excellent candidate for hair restoration. If your donor area is adequate then you could consider either a strip procedure or FUE like Neograft. Most of my patients prefer the Neograft technique as it’s less invasive, avoids a linear scar, and is a shorter recovery than the typical strip method. You may need 1500-2000 grafts to correct the hair loss to the frontal region. It appears you night also be thinning in the crown so long term medical therapy will help to stabilize your existing loss. We frequently see patients from across the USA and do virtual consults for out of town patients. Please see our website below for further information. Good luck!

Can hair from different body parts be implanted on my head?

Hi and thanks for your question. Hair restoration is usually performed by transplanting hair from more dense areas of the scalp ( occipital area) to those areas which are thinner like the frontal and crown regions. Hair transplantation using body hair isn’t as successful due to the decreased density and survival rates for body hair versus scalp hair. Make sure you see a physician who is very experienced in hair transplant surgery to discuss all your options.

Richard Chaffoo, MD, FACS, FIC

How long does it take to see results?

Hi and thanks for your question. It will take approximately one year from the date of transplantation to see the final result from hair restoration surgery. On occasion the hair shaft will fall out of the transplanted grafts 1 to 3 months following surgery which is a normal response to transplantation. I often recommend the patients begin Rogaine to the scalp approximate six weeks following Hair Restoration surgery. This seems to reduce the likelihood of shock loss. Make sure that you follow up with your hair restoration team.

Richard Chaffoo, MD, FACS, FIC

I was told that I’m not a good candidate for hair transplant?

I consulted a hair transplant surgeon and was told not I’m not a candidate – I have gaps of thinning hair rather than bald spots and the incisions would risk damaging the existing follicles. I’m currently taking finasteride for 2 months now. When will I be a suitable candidate for the procedure? Is it possible to transplant hair to the thinning areas? Should I consult another surgeon? I do not have any hair loss at the temples or front.

Ryan SA

Hi and thanks for your question. No one can really give you sound medical advice based upon photos and a brief medical history. There are multiple medical causes for hair loss which should be evaluated prior to considering hair transplants. However, if you see a qualified hair surgeon in consultation and are medically cleared, then you would be an excellent candidate for an FUE technique like Neograft. It avoids a surgical scar and results in a natural result to the thinning areas without an additional scar in the donor area.

Richard Chaffoo, MD, FACS, FIC

 Can I Receive Someone Else’s Hair for Hair Transplant?

Hi there, and thanks for your intriguing question. This would certainly be an interesting procedure, but unfortunately the risk of rejection is too high to justify undergoing the procedure. Rejection occurs when the body’s immune system identifies a foreign body and attempts to protect the body from harm. Although the recipients of lifesaving transplanted organs are prescribed immunosuppressive drugs to prevent rejection, the side effects and lifelong commitment are not appropriate for cosmetic surgery. For now, the best hair transplant results come from using the patient’s own hair from a similar area of the body.

Richard Chaffoo, MD, FACS, FIC

How Long Until I Can Work out After Hair Transplant Surgery?</h2 > You should have no problems resuming your regular workout routine after a month. I usually tell my San Diego-area hair restoration patients to take between 10 and 14 days off from the gym, although these guidelines may vary from patient to patient. A month is plenty of time to allow the grafts to heal properly

Richard Chaffoo, MD, FACS, FIC

Did I Pull out Grafts One Week After a Hair Transplant?</h2 > I had a hair transplant of 3000 grafts 7 days ago. Tonight I washed my hair and gently rubbed it with my fingers because that’s how my doctor advised me. What really scared me is that I could see some scabs in my hand that looked like grafts. They were the same size and they had hair in it. Is it possible that I pulled out some? And also, is it normal that my head is still full of scabs after 7 days? Shouldn’t it heal faster?
Peter, San Diego

Hi there, and thanks for your question. What you’re describing is a common occurrence. It’s normal for the follicles to shed following hair transplant, especially when agitated by an activity such as washing your hair. This will not harm your results, and it doesn’t mean that your procedure was ineffective.
If you notice continued follicular loss, or if you feel that your loss is excessive, contact your doctor for a follow-up evaluation.

Dr Chaffoo, MD, FACS

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