This hair restoration article was written by recommended hair loss physician Dr. Carlos Wesley, who is recommended on the Hair Transplant Network.

Factors Influencing Postoperative Hyperesthesia (Discomfort)
in Hair Restoration Surgery

Summary

Background While esthetic outcomes in hair restoration surgery (HRS) have improved markedly since the advent of follicular unit transplantation (FUT), various undesirable sequelae persist. We investigated the technical and demographic variables that may contribute to the frequency of postoperative hyperesthesia.

Methods A multicenter retrospective chart review involving 552 patients undergoing HRS from 1999 to 2009.

Results A total of 19 patients (3.4%) reported postoperative hyperesthesia in either the donor or recipient area of their scalp. Although many trends emerged, one variable significantly influenced the rate of this neurosensory symptom. While no patient who had all previous and current HRS sessions performed entirely within the same investigated surgical practice (n = 42) experienced postoperative hyperesthesia, 14% of our patients who underwent prior HRS by a physician outside of the investigated surgical group (n = 35) developed this complication (P = 0.0404). The amount of intraoperative electrocautery to maintain hemostasis (P = 0.0897), degree of tension upon donor wound closure (P = 0.3044), and extent of donor wound edge undermining (P = 0.4420) influenced the frequency of this sequela to a lesser degree.

Conclusion These results suggest that physicians planning repair sessions on patients who have undergone prior HRS by a physician at a different surgical center should include the specific caveat of increased incidences of postoperative hyperesthesia in their preoperative consultation.

Although chemotherapy is one of the most effective cancer treatments available today, it is frequently associated with a variety of physical and psychological side effects. Among the potential side effects is one condition notoriously dreaded by cancer patients: hair loss.

Because chemotherapy induced hair loss often makes cancer treatment more difficult and mentally damaging, scientists and physicians continually research ways to preserve native hair and prevent hair thinning during anti-cancer treatments.

Recently, two hospitals in the United Kingdom introduced a new invention that may prevent unfortunate chemotherapy induced hair loss and help cancer patients heal in a more comprehensive manner.

The invention, created by the daughter of a breast cancer victim, is tentatively called a “scalp cooler,” and works by literally lowering a patient’s scalp temperature and decreasing blood flow to the scalp. The reduced scalp blood flow helps minimize the interaction between the hair follicles and harmful chemotherapy drugs, which prevents damage and decreases the frequency of hair loss.

According to Julie Reed, a nurse at one of the trial hospitals:

They are a massive benefit to patients who will be able to use them during their cancer treatment because obviously it’s more evident to people that they are under going treatment when they have no hair.

Furthermore, Oncologist Larry Hayward agrees and states:

Obviously the most important thing is to control the cancer, get rid of it if we can, but allowing patients to get on with life is normal whilst they have what’s otherwise quite complicated treatment is going to be a huge advantage.

Although it’s been proven safe and effective for treating male pattern baldness in several research trials, many hair loss sufferers still insist that the hair restoration drug Propecia (finasteride) causes irreversible sexual dysfunction. Furthermore, these same individuals claim Merck Pharmaceuticals, the makers of Propecia, failed to adequately warn patients about the potential long-term sexual side effects associated with the drug.

As a result, over 51 different class action lawsuits have been filed against Merck Pharmaceuticals within the past several years. Although all cases focus on the allegedly permanent sexual side effects, each differs slightly and was scheduled for a unique day in court. However, Merck Pharmaceuticals recently altered the legal situation by deciding these individual complaints should be consolidated into one lawsuit and evaluated during a single proceeding.

Because 41 of the 53 complaints have been filed in New Jersey, Merck recommends the single trial take place in a New Jersey courtroom. A hearing, to determine whether the consolidation will occur, is scheduled to take place on March 29th, 2012 in San Diego, California.

Legal experts claim the consolidated proceeding would help prevent contradictory decisions and unnecessary pretrial rulings.

We will update as details unfold.
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Blake – aka Future_HT_Doc

Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

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Acclaimed hair restoration physician Dr. Alan Feller is a pioneer in the field of modern follicular unit hair transplantation and an esteemed member of the Coalition of Independent Hair Restoration Physicians. Dr. Feller is widely known as one of the world’s foremost experts in follicular unit extraction (FUE) and is the inventor of the “Feller Punch“, a tool that has been adopted by many leading hair transplant surgeons around the globe.

Recently, Feller Medical announced the launch of their new, state of the art multimedia website. The new site features a unique, interactive patient results gallery, a patient video gallery, testimonials and more. Balding men and women seeking a solution to hair loss are encouraged to visit their new and improved website at Feller Medical to learn more about their experience, technique and high standard of patient care.

To discuss Dr. Feller’s new website, visit the discussion forum topic, Feller Medical Debuts New and Improved Website.

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David (TakingThePlunge)
Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.

To share ideas with other hair loss sufferers visit the Hair Restoration Social Network and Enhanced Discussion Forum

Get Proven Treatments at the Best Prices by visiting our new Online Hair Loss Treatment Shop.

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According to the American Society for Aesthetic Plastic Surgery, the facelift, (rhytidectomy), is the sixth most popular elective procedure performed today.

Although the procedure is very common and usually offers significant cosmetic benefit, it is associated with one infrequently discussed side effect: the post-operative loss of “sideburns” and hairline distortion in female patients.  Females who undergo this procedure often consider surgical hair restoration to correct this.

During the facelift procedure, an incision is made in front of the ear (in the temple/sideburn region) and extended into both the hairline region and the area further behind the ear itself. Afterward, the skin is separated from the deeper tissues, tightened, and pulled until taut. Although this maneuver pulls the skin tight and creates a more “youthful” appearance, it also results in an excess of tissue that must be excised.

Unfortunately, because the initial incision is made in the sideburn and hairline area, the last step of the procedure involves the removal of the excess, hair-bearing tissue from this region. In various cases, this results in a total removal of the sideburn hair and an unnatural appearance of the hairline (which can be caused by scarring or a distortion of hairline shape or height).

Fortunately, although this side effect often discourages post-operative facelift patients, the damage can be reversed and reconstructed with modern hair transplant surgery.

I’ve read a lot on the Internet about the dangers of Sodium Lauryl Sulfate in shampoos and other products. Could this be what’s causing my hair loss or at least accelerating it?

Sodium Lauryl Sulfate (SLS) is a chemical foaming agent present in many hygiene products like shampoos, soaps and, toothpaste as well as in cleaning products such as detergents and degreasers. It has been rumored to cause everything from scalp irritation to hair loss and even cancer. However, according to Coalition hair restoration physician Dr. Bill Rassman, these warnings are overblown and it is nothing to be concerned about due to the very low levels of the chemical in these hygiene products.

Shampoos contain very small amounts of SLS (typically less than 15%). Combined with the fact that these products are normally diluted with water and remain in contact with the skin only briefly, there is very little opportunity for it to absorb into the skin and cause systemic damage. Thus, it is very unlikely that SLS has caused or has in any way exacerbated your hair loss. In the vast majority of cases, balding is the result of androgenic alopecia (genetic hair loss).

If you are a man with thinning hair, I recommend you discuss Rogaine (minoxidil) and Propecia (finasteride) with your doctor. These drugs are the only two clinically proven and FDA approved medical hair loss treatments currently available. Only Rogaine is approved for treating female hair loss. Women who are pregnant or may become pregnant should not take or handle broken finasteride tablets due to the risk of birth defects.

With her angelic face, unattainable physique and signature, flowing blonde locks, Mattel’s Barbie has epitomized the American standard of beauty and glamour since her “birth” in 1959. But, if one group has its way, at least one aspect of Barbie’s iconic look will receive a makeover this year. A grassroots movement born in the age of social media has created a Facebook page petitioning the toy maker to create a bald Barbie to “help young girls who suffer from hair loss due to cancer treatments, Alopecia and Trichotillomania” as well as for those who are having trouble coping with their mother’s hair loss from chemotherapy.

Balding men and women of all ages understand the psychological effects of hair loss. Those suffering from androgenic alopecia or one of the many non-genetic causes know the feelings of helplessness and loss of self-esteem that can accompany thinning hair. But, this pales when compared to a child who is not only balding but also suffering from an incurable and potentially life-threatening illness.

As a community by and for hair loss sufferers, the Hair Restoration Forum and Social Network is committed to educating balding men and women about effective and proven hair loss treatments and we support the creation of a Bald Barbie. Perhaps we can’t cure cancer but we have a unique opportunity to help alter society’s perception of hair loss and, most importantly, put smiles on the faces of little girls who have forgotten what it’s like to feel like a princess.

This below question was asked by a member of our Hair Loss Social Community and Discussion Forums and answered by Janna, the lead medical technician for Coalition hair restoration surgeons Dr. Ron Shapiro and Dr. Paul Shapiro.

I’m undergoing a hair transplant procedure in the near future, and I’m wondering if I should get a haircut before surgery? Is it best to “shave” my head? How short should it be cut?

Blake – aka Future_HT_Doc

Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

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Technorati Tags: Hair Loss, hair restoration, Dr. Ron Shapiro, Dr. Paul Shapiro, hair transplant, haircut, follicular unit transplantation, FUT

This article was submitted to us for publishing and was partially written by Dr. Carlos Wesley, who is recommended on the Hair Transplant Network. For a complete list of contributors to this article, scroll down to the bottom of this article.

Hair Transplantation Procedures

Overview

Background

Hair transplantation procedures are used to treat various forms and degrees of permanent alopecia in both men and women. Intact hair follicles may be harvested from within the safe donor area of a patient’s scalp by either strip method or follicular unit extraction (FUE); each harvesting method has unique advantages and disadvantages. The refinement of follicular unit transplanting over the last decade has led to markedly improved hair survival and natural-appearing results.

This article provides a broad overview of the techniques used by various hair transplant surgeons throughout the world. Founded on the principal of donor dominance (ie, hair follicles continue to grow in the new recipient area to which they are introduced as long as they would have in the donor area from which they are extracted), the field of hair restoration surgery (HRS) has evolved considerably since its inception in the 1950s. Natural-appearing results are consistently achievable and reflect a surgeon’s technical skill and artistic creativity.

Indications

Hair transplantation is a surgical procedure used for the correction of androgenic alopecia (AGA), cicatricial (scarring) alopecia, or any form of permanent hair loss in both men and women.^[1,2]

Each year, Baltimore Magazine publishes a list of top physicians in the region from more than 101 specialties. We are pleased to announce that, this year, Coalition member Dr. James Vogel was named by his peers as one of the city’s top General Plastic Surgeons of 2011.

Dr. Vogel is very involved in contributing to his profession and sharing hair restoration techniques with his peers. He is the past president of the International Society of Hair Restoration Surgery (ISHRS) and was the chairman of the scientific committee from 1993 to 1999. He remains actively involved in lecturing and writing with many surgical societies and professional organizations.

Adding to his list of accomplishments, Dr. Vogel has recently been asked by The Aesthetic Surgery Journal to serve as their international section editor on hair transplants. The Aesthetic Surgery Journal is the official journal of The International Society for Aesthetic Plastic Surgery.

Dr. James Vogel is a highly respected member of the Coalition of Independent Hair Restoration Physicians and recommended on the Hair Transplant Network. To learn more about Dr. Vogel and his ultra-refined follicular unit hair transplant procedure, click here to view his Coalition profile on the Hair Loss Learning Center.

Please join us in congratulating Dr. Vogel by clicking here and adding your comments to the discussion on our popular Hair Loss Forum.

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David (TakingThePlunge)
Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.