Hair Transplant Surgery - Choosing the Rigth
Surgeon
The current
technique of hair transplant surgery, combined
with a large, qualified team and skilled hands,
offers absolutely natural results, in addition
to returning self esteem and the pleasure
of living to many patients. Unfortunately,
however, well into the 21st century, we still
come across innumerous unsatisfactory cases,
resulting from poorly conducted surgeries
and/or a lack of surgical skills.
Just to give you an idea, in 2006, 45% of
the surgeries performed by the Ruston Clinic
were repair cases due to unaesthetic design,
plugs, low density, damage or scars in the
donor area, etc.
This concerns us because, in addition to the
aesthetic and sometimes psychological harm
done to the patient, it only takes one poorly
performed case to discourage hundreds of other
candidates from seeking hair transplant surgery.
Why does this still happen today?
We can state, without hesitation, that there
is no surgery as complex as hair transplant
surgery. That’s right, complex, this
is the word that best defines this surgery
and we will explain why.
First, we need a large surgical team, as megasessions
are impossible with less than 6 trained persons
(there are 8 on our team). No other surgery
requires a team like this one.
The next factor is the frequency. If one does
not have a frequent number of surgeries, it
becomes impossible to train and maintain such
a cohesive team.
In order to have frequency, one must achieve
good results, as no marketing can make up
for bad or unacceptable results.
In order to obtain good results, that are
absolutely natural, a surgeon and his/her
team must be passionate about this surgery,
patient, maintain oneself and one’s
team up to date, as well as pay attention
to every detail.
Finally: what other surgery aligns highly
sophisticated and microscopic technology with
art and an aesthetic sense?
| What is the best
hairline design for each case? Which region
of the scalp will next experience hair
loss so that we avoid the risk of transplanting
hairs that are genetically coded for the
balding process (covering an donor area
today that goes bald again tomorrow) or
overly concentrate transplanted hairs
to one area, leaving another area vulnerable
in the future to hair loss and a reduced
donor supply? Where may we find and remove
the finest hairs to create the first lines
of the hairline, providing a natural,
feathery aspect? What is the ideal angle
at which the hair must be transplanted?
How should the grafts be distributed to
optimize the result, as well as give the
impression that medicine is being taken
for hair growth and not that surgery was
performed? How can the donor area best
be marked and removed in each case? How
does one calculate the correct donor area
x recipient area ratio in each case? How
does one calculate the correct donor area
x recipient area ratio in young adults
who are at the beginning of the hair loss
process? |
That’s
right, in addition to training and maintaining
a large and highly qualified team, traveling
frequently to constantly update oneself on
new techniques and materials (which evolve
at an unbelievably fast rate), the surgeon
who sets out to work in this area must think
seriously about these, the most common, factors
mentioned here as well many others necessary
for the success of this surgery.
Today, after twelve years in this field, we
understand why only one surgeon in one hundred
who begins to work in this field actually
continues.
Therefore, see
the following tips to minimize your chances
in making a bad choice for your hair transplant
surgeon:
Basically, in order to perform hair transplant
surgery joining naturalness and density, there
are 6 things necessary:
1- Manual ability and aesthetic
sense
2- Experience and frequency
3- Large, qualified team
4- Appropriate microscope
and accompanying material
5- Scientific knowledge
6- Seriousness
Manual dexterity and
aesthetic sense
This is not measurable, so the only means
is to see the surgeon’s results, personally,
or in photos. Request photos that are similar
to your case. Make sure that the lighting
is the same intensity and originating from
the same direction in both the before and
after photos, as well as the angle at which
the patient is photographed.
Experience and frequency
Ask how long the surgeon has been performing
the surgery, how many cases he or she has
treated, and how many surgeries are performed
per week. Those who perform this surgery every
day have more ability than those who perform
this surgery once a month, however, performing
4 surgeries per day and having done more than
10,000 in total does not mean anything. Quality
is not directly related to quantity.
Large, qualified team
Ask the surgeon how many people make up the
surgical team, how long the surgical procedure
will take, and hold your surgeon to these
responses provided on the day of surgery.
To say that the team is composed of 8 and
only have 3 show up is not a good sign.
Appropriate microscope
and accompanying material
Ask the surgeon if microscopes are used to
separate the follicular units. Today, it is
unacceptable to use magnifying glasses or
even the naked eye. Make certain you see this
equipment on the day of surgery.
Scientific knowledge
Ask the surgeon if he or she is a member of
some entity or society that studies hair loss
and hair transplant surgery. The largest and
most active is the International Society of
Hair Restoration Surgery www.ishrs.org. However,
being a member and not participating in the
congresses does not make for an up-to-date
professional, because the techniques and equipment
evolve quickly. Click
here to see if your doctor belongs to
ISHRS and how active he (she) is.
Insert his last name and click on “doctor
details” and check how many meetings
he (she) attended.
ISHRS Annual Meetings:
X of Y total meetings attended
Then you will know if the surgeon is an acting
member or not. This does not guarantee good
results, but at least you will know that you
are dealing with an up-to-date professional
who should not commit serious errors.
Seriousness
We must understand that if the degree of expectation
from the patient meets that which we can offer,
the patient will be satisfied. However, if
the expectation is greater than that which
can be offered, the patient will be unsatisfied
or frustrated, causing a serious and committed
surgeon to also feel frustrated, with both
the result and the satisfaction of his or
her patient. Therefore, we never promise more
than what we may offer our patients.
Doubt promises that are unfounded, the surgeon
who says exactly how many FUs will be transplanted
(this is impossible), the surgeon who tells
you that everything is possible, the surgeon
who does not dedicate and clarify all aspects
about the technique and about the true expectations
you must have as a patient.
CONCLUSION
Our wish is that this site may serve to educate
potential patients, as a source of information
about hair loss and hair transplant surgery,
because this way it will be quite difficult
for such patients to be fooled by false or
bad professionals. The better patients are
informed and oriented, the less likely they
will be deceived.
It is sad to say, but for every good professional
in this area there are at least 100 reckless
or inexperienced professionals who are not
prepared to perform this surgery and therefore
may only offer results far inferior to those
possible today. Such poor results from these
professionals, unfortunately, only perpetuate
the stigma that this surgery only provides
artificial and unaesthetic results.
As good results are so natural and imperceptible
that they become unidentifiable, only the
bad results get noticed, perpetuating the
“anti-marketing” of the technique.
Only one artificial result is enough to discourage
hundreds of potential patients.
It is necessary to end, once and for all,
the false notion that hair transplant surgery
only provides artificial and unaesthetic results.
We are living in a new millennium, and today,
with the advance of microscopic techniques
combined with surgical art, it is fully possible,
so long as the patient chooses the correct
professional, to obtain absolutely natural
and imperceptible results. These results return
self-esteem and the pleasure of living not
only to patients who are balding, but especially
to those who experienced surgeries with old
or inadequate techniques or who obtained unsatisfactory
results.
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