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Archive for 2010

Hair Loss Success Stories After Hair Transplant

Tuesday, December 28th, 2010

Following popular demand, we have now decided to post all of our patients success stories on this blog.  I love having the opportunity to see my patient’s post operative results and personally witnessing their life transformations. Here is one example of a patient who’s life was changed following his hair transplant procedure:

 

We will be sure to keep you posted with all future video testimonials at US Hair Restoration.

Best,

Parsa Mohebi, MD

Folliculitis After Hair Transplantation

Tuesday, December 21st, 2010

folliculitis after hair transpalntFolliculitis following hair transplantation are skin lesions that appear pimple-like and are seen when (for any reason) hair follicles become inflamed.  Folliculitis can be seen anywhere throughout the skin.  The follicle and its surrounding tissues may become infected with different bacterias called Streptococcus aureus.

There are also certain variations of folliculitis which are known as “hot tub folliculitis” and “barber’s itch”. Permanent damage to the hair follicles and local hair loss on the area of infection can occur in severe cases of folliculitis.

After Hair Transplant Folliculitis

One of the most common complications of hair transplant surgery is folliculitis. Folliculitis occurs when there is blockage of hair or its corresponding sebaceous gland when newly transplanted hair is growing.  Folliculitis typically appears as small, red or white-headed pimples around one or more follicular units following hair transplantation.  It may present with itching, mild pain and discharge in addition to the typical redness and swelling of pimples. Most cases of folliculitis (especially those occurring after hair restoration surgery) clear spontaneously within a few days, however more extensive types of folliculitis may need medical or surgical treatment by your physician.

Folliculitis is typically seen a few days or even months after hair transplant surgery. They are generally difficult to be differentiated from common pimples or acne and are recommended to be left alone to clear naturally. Presence of simple folliculitis usually does not affect the growth of transplanted hair. Those instances of folliculitis that do not clear naturally within a few days of forming are considered to be more aggressive and patients are recommended to contact their hair transplant physician at that point.

Treatment

Simple folliculitis generally does not need any treatment and lesions tend to clear up on their own within a few days. Occasionally, when small instances of folliculitis become infected and are seen with spreading of redness and inflammation around the originally inflamed follicles, your physician should be notified.  A physician’s evaluation is the best way to determine whether or not you need antibiotics for the treatment of your folliculitis. Occasionally, as a way to avoid use of medication or continuing infection, your doctor may alternatively decide to drain them. Draining the folliculitis is a simple procedure and can be easily done in your doctors’ office.

Hair Transplant Donor Scar Revisions

Tuesday, December 14th, 2010

Q:

I am a previous hair transplant patient who has class VI hair loss. I had previous procedures done to get some thin hair in the front and top.  I am keeping my hair very short on the back and my primary goal was to camouflage the scar in the back of my head from previous hair transplants. So far, I have achieved this by simply growing my hair longer, and covered the rest of my scalp with Toppik-like products.

Cosmetically, the hair restoration was successful, but constant usage of this kind of product is a bit messy and annoying. Because of this, I have completely shaved my head and decided to try a different route. With the help of tattooing, I was going to go for a shaved head look. Unfortunately though, the scar is a show-stopper and I need to consider all of my options.

What I would consider to be a successful result is: short hair completely covering my head (even if only relatively light density) combined with tattooing and a self-tanner to reduce contrast. I am not “greedy” about the sides at the front, and will accept a 3 or 3A pattern. Is this possible in my case, though?

A:

It is good to hear that you are not striving for high density and that you are realistic about the final appearance of your hair.  Being a class VI with limited donor hair, should leave options open to create light density in your large balding area, but obtaining more density would be extremely difficult if not impossible due to your insufficient donor hair. You should know your priorities and how many surgeries you are committed to have in order to achieve your desired look.

  • If you only need to revise the scar and have trichophytic closure done to minimize the visibility of your scar, one surgery is adequate.  Double edged trichophytic closure is a new technique that can improve the appearance of the scar tremendosly.
  • If you are attempting to achieve higher density as well as scar revision, you may need several hair transplant procedures (depending on your donor amount available).

Your donor hair can be easily evaluated and options can be given to you for about what to be expected through attending a consultation with an experienced hair transplant doctor.

Using Double Edged Trichophytic Closure

Friday, December 10th, 2010

Hair Restoration surgery is evolving rapidly and we are consistently refining our approach on a regular basis to improve the quality of transplanted hair while at the same time minimizing the possibility of complications. Double edged trichophytic closure is a new approach to donor wound closure that has been put into practice by Dr. Mohebi and US Hair Restoration.

Double edged or two sided trichotomy can help to minimize complications of trichophytic closure (based on the width of epithelium that is being removed and inability of some the hair follicles or oil glands to find their way out to the skin surface). This practice of double edged closure helps us to minimize the width of the top skin layer (epithelium) that is removed from each edge of the donor wound. By making these changes, double edged trichophytic closure allows hair to grow into the wound from both edges and thus minimize the contrast between a patient’s scar (with no hair) and surrounding scalp (with 100% hair density).

By employing the double edged trichophytic closure in our pratice, we constantly have results of less detectable donor scars. In addition to less detectable scarring, we are also able to minimize the risk of folliculitis or ingrown hairs in the donor area, which are the two of the most common complications of traditional trichotomy.

San Diego and San Francisco Hair Restoration Offices Open

Friday, December 10th, 2010

Hair Restoration Offices in San Diego and San Francisco, California are now open!

Newly opened consultation clinics in San Diego, California and San Francisco, California will now afford Dr. Mohebi the extraordinary opportunity to serve an even larger portion of California with the same great quality that he is known for world-wide.

Along with the already well-established hair restoration centers in Encino, Beverly Hills, and Orange County, US Hair is now able to provide its self-image enhancing services to countless residents of America’s Finest Cities.

By establishing these two new offices in the both northern and the southern most part of California, both prospective and current patients of US Hair Restoration will reap the benefits. These new locations will be much more convenient for those hair loss patients in the surrounding cities of San Diego and San Francisco areas seeking treatment close to home, while also offering closer resources for the follow up appointments of our current clientele. We hope that these new office locations will make visiting Dr. Mohebi for hair restoration more convenient and afford more opportunities to hair loss sufferers throughout California. The convenience and accessibility of high quality at an affordable price is what we strive for and will always come first.

Body Building and Hair Loss with Anavar

Tuesday, November 30th, 2010

Q:

Good Afternoon Dr. Mohebi,

I recently was recommended to go on a medication for body building purposes by my trainer. The medication that I am planning on starting is called ANAVAR (an anabolic steroid). Because I am currently taking Propecia, as prescribed by you, I just wanted run ANAVAR by you to make sure it would be OK to take in conjuction with Propecia.

I appreciate all of your help, Thanks!

A:

Anavar (oxandrolone) is a weak androgen and is considered an anabolic steroid.  It is indicated as adjunctive therapy to enhance weight gain after weight loss due to an extensive surgery, infectious disease, trauma and so on.  Anavar has also been prescribed to some patients who for no reason fail to gain weight despite of anavar, propecia, anabolic steriods and hair loss, hair loss medicationproper nutrition and work out schedules.  It may also be used to maintain normal weight or to prevent the catabolism due to prolonged administration of corticosteroids.

There have been some online reports of hair loss with Anavar’s use and some exagerated hair loss reports in patients who take both Propecia (finasteride) and Anavar (oxandrolone) in conjunction. Although my personal searches in medical publications have never revealed any studies supporting this information, reports can be found online by its claimed users.

Overall, my general recommendation is: unless there is a strong medical indication for its use, people with any evidence of male patterned baldness should stay away from anabolic steroids.  Although you may find some anabolic steroids over the counter, your family doctor should always be involved and aware of any anabolic steroids that you take as part of your body enhancing plan.

Hair Transplant Side Effects – Hiccups

Tuesday, November 30th, 2010

Following a hair transplant surgery, hiccups may develop due to several factors. Some of the main factors to cause this are: the medication that patient takes, possible local irritation of some nerve endings in the donor area (especially in strip technique hair transplant) and lastly, a patient’s diet.

These three possible causes are each explained in depth below.

Medication: Some medications that are given to the patient after a hair transplant surgery (i.e. – steroids) may increase the chance of developing temporary hiccups.

Diet: In the case that a patient develops hiccups due to his/her eating or drinking habits, his/her diet needs to be controlled. Alcoholic beverages, carbonated beverages or taking in large volumes of food may also increase the chance of developing hiccups.

Local nerve irritation: The local irritation of some nerve endings, such as the posterior auricular nerve or other branches of the cervical plexus may stimulate the phrenic nerve thus also causing hiccups.

If hiccups persist severely or beyond a few hours you are urged to contact your hair transplant surgeon for medical evaluation and treatment.  Your doctor may prescribe you chlorpromazine (Thorazine) and advise you to continue taking these pills for a few days to avoid re-occurance of the hiccups.

Holiday Special on Hair Transplants with Standby Option

Thursday, November 18th, 2010

Hello blog readers,

I have some great news about US Hair Restoration’s current hair transplant costs!!

As the result of a recent meeting between my staff members and I, there will now be a Holiday Special beginning on December 1, 2010 at US Hair Restoration. This special will be offered for an extremely limited time and is one of the lowest prices for quality hair restoration yet.

We realize that holidays are quite busy for some people and that certain patients will need to book their procedure on a specific date in order to keep their schedules in tact. To accommodate this need of many of our patients, a rare discount of 40% off regular hair transplant costs will be offered to all of our valued clientele who have flexible schedules and are willing to book their procedures within 7-10 days of the procedure itself. By offering this discount to our patients with flexible schedules, we hope to accommodate the needs of all of our valued patients while not sacrificing the high quality that US hair Restoration stands by and is known for worldwide.

With this limited time discount, hair transplant costs at US Hair Restoration will be:

Offer only valid until January 31, 2011. Call 888-302-8747 to schedule your free consultation today. For additional information on the procedures we offer here at US Hair Restoration, feel free to check out our detailed webpages on Follicular Unit Transplants and Follicular Unit Extractions. We look forward to meeting you all in office soon!

Hair Care Beverly Hills Interview with Dr. Parsa Mohebi

Tuesday, November 2nd, 2010

Dr. Mohebi is the medical director of US Hair Restoration’s hair transplant centers in Southern California. With offices centrally located amongst the major cities of Encino, Beverly Hills, Orange County, San Diego, and San Francisco, CA, Dr. Mohebi has made himself available to almost every major part of the California’s population. In addition, Dr. Mohebi is the author of Hair Restoration Blog where he responds to the questions/concerns of many aspects of hair loss and hair restoration.  In addition to his blog where Dr. Mohebi answers basic questions regarding hair loss and hair restoration, the doctor has also been interviewed (for the second time) by Hair Care Beverly Hills of Buzymoms.com

Below you can see some of Dr. Mohebi’s main responses to questions posed by the interviewer.

In response to the question of whether or not clients are eligible whom have already had hair restoration and are unhappy with the results, the doctor responded: Yes, hair transplant repairs are possible and are a good portion of the hair transplant surgeries performed in our Southern California offices (mainly located in Beverly Hills, Encino,Orange County, and San Diego hair transplant consultation). Many people may have unnatural results from previous hair transplants due to the older techniques (such as plug surgery), but some may even have problems with recent hair restoration procedures due to technical issues or lack of proper judgment on the part of the hair transplant surgeon. In most situations, the repair is easy and can be done in one to two sessions.

In regards to the question of whether or not there is a minimum age requirement for hair restoration, Dr. Mohebi stated: It is not unusual for a hair transplant surgeon to discourage a person younger than 24 from pursuing a hair restoration surgery.  However, nowadays microscopic techniques being used to evaluate the miniaturization of susceptible hair can assist surgeons in predicting the final pattern of hair loss. By being able to predict each patient’s final balding stages, we are able to see where the pattern of baldness is heading and based on that, we can now recommend hair transplant surgery at an earlier age.

When asked about the donor scar following a hair transplant and whether or not it will be visible, Dr. Mohebi responded: If you do not plan on shaving your hair after your hair transplant surgery, your donor wound will never be visible. However, if you plan on shaving your head for any reason, you may choose to have a FUE or Follicular Unit Extraction procedure done rather than the general FUT procedure through removing a strip from the donor area. FUE transplant eliminates the visibility of a linear scar on the back of your head and is the best option for patients who plan on shaving their head or keeping their hair very short in the future.

To determine recommended options or graft numbers for your personal case, Dr. Mohebi suggests attending an in person consultation in any of his five California regional offices. In addition, he stated: Yes, the initial consultation with me (Dr. Parsa Mohebi) is complimentary in any of our California hair transplant offices in Beverly Hills, Encino, Orange County, San Diego, and San Francisco.

Lastly, the interviewer inquired as to what clients should bring with them to their free consultations and the doctor replied: Anything related to your hair loss and hair restoration, including family history of hair loss, other medical conditions that may have been attributed to ones hair loss, medical, surgical or even cosmetic changes that you like and may help you have a better result after a hair restoration procedure.

General Hair Transplant Inquiry

Friday, October 22nd, 2010

Q:

Dr. Mohebi,

I live outside of California and am interested in seeing you for my hair restoration procedure. I have attached my pictures to this email along with a few quick questions that I have in regards to hair restoration. Could you please check them out whenever you have a free moment and let me know what your personal recommendations are?

- What is the approximate number of grafts required to achieve sufficient density (if not a lot) and the approximate cost of the whole process?
- How long will it take me to get back to my work and how soon I will see the results?
- Lastly, please do let me know any other important information that is relevent to the his whole procedure.

Thanks!

A:

Dear Inquirer,

First off, I just want to thank you for your interest in our hair restoration services and let you know that I have forwarded your information and pictures to be included in our patient information system for further review. I also wanted to take a quick moment to look over your photos and respond personally to your inquiries.

Here are my responses to your questions in the order they were received:

- What is the approximate number of grafts required to achieve sufficient density (if not a lot) and the approximate cost of the whole process?

You are a class VI hair loss patient and would require the maximum number of grafts possible in one session to acheive the density you are striving for. The number is generally above 2500 grafts for people who have never had a surgery, but may fluctuate through the range of 2500 to 4000 grafts based on your own scalp laxity and density of hair (to be determined when you are here in our office).

The cost for hair transplants at US Hair Restoration are based on the number of grafts transplanted and the standard charges are as follows for Follicular Unit Transplants:

  • $4 per graft for the first 2500 grafts; all additional grafts are charged at half price ($2 per graft).

In addition, your travel expenses will be reimbursed towards 10% of the cost of surgery (up to $500).

In addition to reimbursement on travel, we will book a hotel near our office for you for 2 nights with free transportation between the hotel and our office for your visits.

Lastly, we also have a standby program available for anyone which a flexible schedule and willingness to book their surgery date within 7-10 days of the procedure itself (visit us at www.ushairrestoration.com for more information on that offer).

- How long will it take me to get back to my work and how soon I will see the results?

The procedure for a strip hair transplant takes one whole day (from approximately 7am to 5pm) and you are required to return the day after for your procedure for a hair wash. With these basic requirements, you have the capability to fly back home as early as the day after your surgery and continue all routines as before (aside from hair washing which you will do as instructed for the first 4 days following the procedure). You will be fully functional the first day after surgery, but you may have some swelling for 3-4 days following.

Visible results of your hair transplantation will be seen approximately 6-10 months following the procedure itself and may continue to develope into the year and a half mark.

- Do let me know any other important information that is relevent to the his whole procedure.

You can find more great information about hair transplant methods with US Hair Restoration on our website: www.ushairrestoration.com or our blog: www.ushairrestoration.com/blog