Q. How many days would it take to heal to the point that scarring is not visible (I can be seen without a hat). One week? Fourteen days?
A. Scabs in recipient typically resolve in 7-14 days. Donor area on back and side of head would typically resolve within 7-10 days
Q. If wanted to split the surgery into 2 parts, eg. do 2000 grafts in May and 2000 in December would this allow for quicker healing and shorter recovery due to less trauma to the scalp, or is it all the same?
A. You can certainly do so. Probably better for the patients peace of mind. I sometimes recommend this for patients who have had poor experiences from previous surgeries and patients who are tentative about the procedure all together. But in terms of healing and outcome, I have not found an advantage to this approach.
Regarding financing, what are my options? Do you have any programs where you have no payments for x number of months?
A. M-Lending has provided some of our patients with loans. But they do not offer X months with no payments. You can also take a personal loan from your bank or other finacial institutions of your choice.
Q. I would like to ask you if you do a hair transplant with hair from the back. I have a lot of hair in my back and I prefer to have these hairs in my head. I know you are a specialist in BHT, but I have never seen a case with hair form the back.
A. I have used hair from the back and shoulders in the past with success. However, apart from the location there are other qualities that come into play in deciding on the best donor hair for you. I would advise you send pictures depicting your level of hair loss and all potential donor areas. You can simply do so by going to the free on line consultation section of my website.
Q. Location: California I had a hair transplant about 8 months ago and feel that the hair is not growing as fast as I’d like. Should I think about getting another transplant? I am 54 and an African American female.
A. While it is possible for you to experience some growth after 8 months, the bulk of the growth should have manifested by the 8 th month. Reasons for poor growth could range from poor surgical technique to a cause for your hair loss that was not addressed in the first place. Female hair loss can often be a result of other diseased conditions or states which if treated properly may alleviate the hair loss or even reverse it. A hair specialist (preferably a dermatologist) should be seen for a good history taking and examination as well as a comprehensive blood test or even a biopsy to rule out any of several causes of hair loss in women which includes for example: Thyroid diseases, Iron deficiency, polycyclic ovaries and other androgenic states, etc. If these conditions are causing the hair loss and are not addressed properly, a hair transplant procedure would likely fail. I would advise you revisit the surgeon that performed your transplantation 8 months ago to discuss these points and if necessary visit a dermatologist to do a complete work up before contemplating further surgery. Remember you have a finite donor supply and doing another wasteful surgery would not help your donor pool.
Q: I’m from UK.i want hair transplant by using body hair .do u have any branch in UK London.. if u have any information about it plz reply me thanks
A: I do not have an office in the UK. However, I routinely treat patients from the UK and other parts of the world. My clinic is located within 20 minutes drive of Los Angeles international airport and there are several hotels within 1 block of my clinic for the convenience of my patients. Most of my international patients have been quite impressed by the ease of the whole process. Out of town patients have found this page on my website to be useful https://dermhairclinic.com/accomodations-and-travel-dermhair-clinic/
Q.I do not like my transplanted hairline and I want it reversed by FUE. You can remove hair from any part of the body Dr Umar, so I expect you can do this easily.
Most transplanted hairlines can be improved by camouflaging them with better quality and properly placed grafts. There may or may not be a need to remove some vexing plugs or grafts to make this work best. This is a far more practical and easily attainable goal than trying to completely reverse a densely transplanted hairline. Reversing a densely transplanted hairline by and FUE method is not an unattainable goal and in fact it can be done. However, the patient needs to be aware of the caveats involved and take into consideration these caveats in making a decision on the best repair route.
1. Whereas I can take hair from your neck for example, there is no attempt to remove all the hair in your neck in doing so. Normally a substantial amount of hair is left behind. Attempts to remove hair completely from a scalp area is fraught with problems:
i. You would require several sessions (number unknown) of extraction with enough time given between sessions for each extraction wound to heal completely
ii. The reason several sessions is required is because if we attempt to extract every visible hair, you would have extraction wounds that merge with each other to create a large unsightly wound and scar.
iii. Even after several sessions you must reconcile to the possibility that not all the hair would be gone when all is done.
iv. You already touched upon the certainty of scarring and irregularity in the area in the wake of these sessions. While this can be improved by resurfacing laser, there would always be tell tale signs of the procedure, which may or may not be acceptable to some.
v. Also anytime such a procedure is performed in an area, the same area will not be grafted with hairs at the same time. It would be given time to heal before any grafting is contemplated since the yield is not as good if not done this way and the result would be patchy courtesy of the extraction spots.
vi. The cost of this procedure is different from your “per graft” costing of the surgery you have already been assessed for. Depending on the duration of each procedure, there would be an additional cost of $5000-10,000 for each session of transplant reversal, which would be added to your already assessed cost.
Q. I would like to use a concealer to camouflage evidence of my transplant in the first few months following my surgery. I am considering the use of Toppik and or Dermatch. Do you advise this?
I strongly advise against the use of concealers including Toppik and Dermatch following the procedure. I am of the opinion they could have deleterious effects on the yet to grow follicles. They can cause inflammation and even an infection in a newly transplanted area, and foreign body granulomas in later periods.
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