Ask a Surgeon

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• How long does propecia prevent hair loss in its target areas? Do the effects wear off after a certain time period?
  
  2 answers
  • 
    Response from Dr. Robert Jones of Hair Transplant Center
    I have patients that have been on Propecia for over 10 years and still have maintained their hair without further hair loss. I personally have been on it for 5 years and after an initial regrowth period over the first three years, my hair...
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    Response from of Foundation for Hair Restoration
    Propecia typically starts to work within 3 months, but I have seen a slowing down of shedding in as soon as 4 weeks in some patients.  It seems to continue to work for at least 5 years, but patients have reported good results after...
• Why is shaving required for megasessions?
  
  2 answers
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    Response from Dr. Victor Hasson of Hasson & Wong
    There are multiple technical factors that come into play during the creation of recipient sites and the subsequent graft placement. These include: When thinning areas are shaved down the "thinning process" takes on a different meaning....
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    Response from of Foundation for Hair Restoration
    It is, in my extensive experience, NOT necessary -  nor even desirable- to shave the head for a "megasession" procedure.  Personally, I prefer to be able to see the direction of the existing hairs, to achieve the most natural...
• How long do I need to wait after surgery before I can exercise?
  
  2 answers  •  post-surgery
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    Response from Dr. Robert Jones of Hair Transplant Center
    I usually suggest to patients to wait at least 7 to 10 days before resuming aerobic activity. Heavier weight lifting patients should wait 3 to 4 weeks. After 3 or 4 days, patients can get out for easy walk/runs. After my transplant a few...
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    Response from of Foundation for Hair Restoration
    I permit most patients to begin light exercise at 5 days after a procedure, and full resumption of exercise at 2 weeks....
• How long do I need to keep my staples or stitches in with strip surgery?
  
  2 answers  •  post-surgery
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    Response from Dr. Robert Jones of Hair Transplant Center
    I usually recommend leaving sutures in for 10 to 14 days. Shorter than this and the patient risks opening of the wound, and longer the sutures or staples start to create an inflammatory reaction....
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    Response from of Foundation for Hair Restoration
    Personally I utilize sutures, which for local patients get removed at 10 days.  However, for the large number of my out of town patients, dissolvable sutures are utilized, which do not need to be removed....
• How many surgeries are required?
  
  2 answers  •  general
  • 
    Response from Dr. Robert Jones of Hair Transplant Center
    The number of surgeries required depends on the size of the area that needs to be covered, the size, laxity and density of the donor site and the expectations of the patient. Usually the number varies from one to 4 surgeries....
  • 
    Response from of Foundation for Hair Restoration
    For most patients, a single hair transplant procedure of 2500 or more grafts can provide significant filling in of the areas of hair loss.  However, if further hair loss occurs, then a second procedure would be indicated....
• How long does it take for the scar to heal?
  
  2 answers  •  post-surgery
  • 
    Response from Dr. Robert Jones of Hair Transplant Center
    Complete healing of the scar varies from patient to patient, but can take up to one year...
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    Response from of Foundation for Hair Restoration
     By 4 weeks, the scar has regained 80% of its final strength, and continues to get better and better in terms of appearance and sensation....
• When does the hair start growing?
  
  2 answers  •  post-surgery
  • 
    Response from Dr. Robert Jones of Hair Transplant Center
    This varies from patient to patient. I have seen some patients whose hair does not shed, and starts growing immediately, and others with delayed growth where the hair doesn't start growing until 4 or 5 months after surgery. The average is...
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    Response from of Foundation for Hair Restoration
    For most patients, hair regrowth starts at 4 months....
• What is shock loss?
  
  2 answers  •  post-surgery
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    Response from Dr. Robert Jones of Hair Transplant Center
    Shock loss or telogen effluvium is temporary loss of existing hair after any shock such as a hair transplant. What is essentially happening is the hair is pushed into a resting phase and starts to grow again almost immediately. One way of...
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    Response from of Foundation for Hair Restoration
    While not occurring in the great majority of patients, at least to any cosmetically noticeable degree, shock loss represents the sudden loss of the original scalp hairs within several weeks of a transplant.  Typically it can last...
• Will I still have to use Avodart/Propecia after my surgery?
  
  2 answers  •  post-surgery, medicines
  • 
    Response from Dr. Robert Jones of Hair Transplant Center
    Since Avodart/ Propecia have the affect of reducing or stopping hair loss after surgery, I strongly suggest continuing this medication after surgery. It has the added benefit of reducing shock loss. Consider these medications "vitamins"...
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    Response from of Foundation for Hair Restoration
    That is something that needs to be discussed with your surgeon.  If these medication are helping to slow down or prevent the further progression of hair loss, I will recommend that patients continue with them....
• Are pimples on the scalp normal after surgery?
  
  2 answers  •  post-surgery
  • 
    Response from Dr. Robert Jones of Hair Transplant Center
    Pimples after surgery are common but not seen in all patients. They are caused by cells from the skin in the donor site under the skin in the recipient site being expelled. If there are more than a few, your doctor should see you and open...
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    Response from of Foundation for Hair Restoration
    Typically, a patient will have anywhere from 3 to 8 or so pimples that develop at around 3 to 4 months as the transplanted hairs start to regrow....

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