knudsen

Level 2 / 45a Bay Street, Double Bay 2028 nsw, AUSTRALIA
Phone: 02 9327 0300

Hair Transplant Blog - The Knudsen Clinic

Category: Surgical Hair Transplant

Who Is Performing Your Hair Transplant?

Posted on 07 Mar, 2017

In recent years there has been an explosion of “low cost” hair transplant clinics offering large procedures at very low cost. This is partly the result of “cosmetic medical tourism” in low-cost countries but also due to unscrupulous business people entering the field and minimising, if not eliminating, the role of the doctor.

Stories abound of people travelling overseas and only briefly seeing the doctor for the administration of the local anaesthetic prior to the procedure. The doctor is then never seen again!

What this means is that the whole procedure is carried out by “surgical assistants” whose training or qualifications are never stated. Indeed, most of these assistants have no nursing background and may be performing illegal actions by cutting the patient’s skin. In addition, to save cost, there are clinics that have multiple patients being operated on in the same room! This is highly unsafe as cross contamination is highly likely. As well, some of the results coming from these clinics are very poor in both design and execution.

The International Society of Hair Restoration Surgery (www.ishrs.org) has taken the lead role in publicising the dangers posed by this non-medical model of rogue clinics and the authorities are starting to act in some jurisdictions with criminal charges being brought against clinic owners allowing illegal performance of hair transplantation by non-medical personnel in their clinics.

The ideal model, which is practised in the Knudsen Clinics, is to have both the consultation and the surgical procedure performed by the doctor. Only the doctor is allowed to cut the skin. Only the doctor is allowed to make the surgical plan. The assistants are there to assist the doctor. Even the ARTAS robot is controlled by the doctor in our Sydney Clinic.

One of the reasons the cosmetic tourist model exists is because patients confuse the difference between a product (the hair transplant) and the service (the performance of the hair transplant). The result is going to depend upon the skill of the doctor (and his assistants). Make sure a doctor is going to be the person performing the hair transplant.

Most common Hair loss consultation questions

Posted on 07 Jun, 2013

The six most common asked questions in a hair loss consultation

1. Do hair transplants work?
YES, YOU CANNOT REJECT YOUR OWN HAIR. THEY GROW NORMALLY AND REMAIN HEALTHY IF PROPERLY SELECTED.

2. What supplements do I need to take to stop my hair falling?
NONE. NONE ARE PROVEN TO WORK.

3. Are there any side-effects with the medication?
SIDE EFFFECTS ARE DOSE DEPENDENT SO, USUALLY, THERE ARE NOT ANY.

4. Will my hair completely regrow back from medication alone?
USUALLY NO BUT IT MAY IMPROVE.

5. How long do I have to take the medication for?
AS LONG AS YOU WANT TO KEEP YOUR HAIR.

6. Have you had anything done yourself?
NO BUT I DO NOT SUFFER FROM HAIR LOSS BUT I AM TRYING LOW POWER LASER THERAPY TO IMPROVE DENSITY

If you have more questions you would like answered about hair loss and how we could help with a solution to your hair loss, please book a hair loss consultation.

FUE does it change donor planning?

Posted on 23 Jan, 2013

Strip harvesting’s rationale is to harvest all the donor hair is the area selected.  If we choose hairs from the safest donor area, then we can be more confident that the hair transplant surgery results will last. This makes it a proficient harvest of the safest area.

 

Now consider FUE’s (follicular unit extraction) harvesting rationale, where the technique only uses partial removal of hair from the donor area.   Only 25-35% of the available hairs are harvested, as over-harvesting leads to a variation in the density of the donor area compared to the rest of the hair. In extensively balding areas this becomes a concern but is unlikely to be a problem in small cases.

 

How do we deal with this potential issue? In my opinion, considerably bald, young patients should be urged to sustain long-term medication to limit future possible hair loss.

 

I do not believe that choice of strip harvesting or FUE changes any contra-indications to transplantation, but it may impact relative contra-indications to surgery. Consider a young man, developing extensive balding, who also has thinning from the nape of the neck. The restriction of existing donor area will reduce the number of ‘safe’ donor grafts that could be extracted by FUE whereas; a greater number of grafts could be taken from the safe donor area by strip harvesting (FUT). In this instance, more grafts could be achieved by strip harvesting than FUE.

Latest hair loss information

Posted on 18 May, 2012

I just recently came back from the Asian Association of Hair Restoration Surgery Annual Meeting in Seoul – Korea. The meeting was well attended with 250 surgeons there to find out the most up to date information concerning hair loss treatments.

 

Of particular interest to me were the talks referencing the influence of the recipient site on the growth rate of the transplanted hair. Original research was performed in Korea more than 10 years ago and showed the surprising result that, contrary to our initial belief, the body site where the transplanted hair is placed influences and changes the future growth rate of the hair.

 

The relevance of this result is that hairs in different areas of the body grow at different rates. When using scalp hair to reconstruct eyebrows the transplanted hairs initially grow at the scalp hair rate (three times faster than the eyebrow rate of growth). This means that the new transplanted eyebrow hairs need to be trimmed regularly because they grow much longer and quicker.

 

Over time the surrounding eyebrow skin influences the transplanted hairs and they slow down a lot to more match the growth of normal eyebrow hairs. More interestingly, if the transplanted hairs are removed from the eyebrow and then re-transplanted in to the scalp again, they begin to speed up their growth rate again! Simply amazing!

 

Another benefit from this research is that it proves that certain body hair can successfully be used to replace lost hair in the scalp and over time these body hairs will resemble natural scalp hairs in their appearance and the hair regrowth rate. Despite these compelling results, body hairs should only be considered as a last resort when there aren’t any more usable scalp hairs available to use as donor hairs.

Wearing short hair after hair transplant surgery

Posted on 15 Aug, 2011

A recent trend for male patients is the desire to wear short hair after surgery. With this we have received many enquiries at our Sydney Hair Loss Treatment Clinic about whether this is possible. The good news is that this can be achieved because the modern donor technique overlaps the donor area skin edges while stitching allows hair to grow back through the scar. This is called the trichophytic technique and almost always creates an excellent result that is almost undetectable, even with a very short number 2 cut!

Some patients request the ability to shave their head after the hair transplant surgery. This is a bit unrealistic however no matter which technique is used for the hair transplant. All surgery creates scarring to a certain degree but the modern techniques that we use minimise the visibility in both the recipient hair area (the balding area) and the donor hair area. Our website has more information about Hair Loss Treatments and Hair Transplant Surgery. If you have any questions about this or would like to chat to us, please feel free to visit our Sydney Hair Loss Clinic or call us on 02 9363 9308.

Follicular Unit Extraction (FUE) over Strip Harvesting

Posted on 10 Feb, 2011

Many patients are reading about the supposed superiority of Follicular Unit Extraction (FUE) over Strip Harvesting during hair transplant surgery. Please be aware that it is very important to separate the marketing from the science. Both techniques involve cutting the of the skin. There is no such thing as a scarless technique.

Both techniques produce the same size graft. Both techniques leave scars which may, or may not, be visible to the naked eye. The difference is that FUE produces circular, small, dot scars that may also have a white appearance. Strips produce linear scars that may have hair growing through them and be very difficult to see. Short haircuts are usually possible with either technique but shaving the head will probably demonstrate scars with either technique.