Hair loss & treatments

Myths & FAQs

Dr. Christopher Tzermias

Dermatologist | Contact
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Before & after treatment

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BEFORE HAIR TRANSPLANTATION

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At first it is important to have the patient’s medical history, as well as to conduct a physical examination and the appropriate tests so that to confirm the diagnosis, which is amenable to hair transplanting.

Both the medical history and physical examination should also focus on identifying quickly possible medical contraindications for hair transplantation (i.e severe bleeding disorders).

The next critical step is to assess the psychological impact of hair loss on the patient and the patient’s expectations from treatment. Alternative treatments should always be mentioned during the patient’s consultation.

If the patient decides to trust his/her treatment to the competent hands of our experienced and scientifically qualified team then the only reason for dissatisfaction would be the patient’s unrealistic expectations. These may arise from an unreasonable patient, but are frequently due to a lack of understanding of both the possible natural progression of hair loss and the limits of the procedure, if for example there are inherent limits on donor hair and other limiting factors.

The progression of hair loss is unpredictable in its extent and speed but is an unfortunate reality, confirmed well through scientific studies and surveys. Only older patients with very stable or advanced baldness can escape this prognosis.

All patients should understand that the results of hair transplantation will be evaluated in time within the context of this natural history. This understanding provides the rationale for planning the initial hair transplantation and allows the patient to see the need for a second hair transplantation in the future to complete his/her treatment rather than a bad outcome.

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To avoid unreasonable expectations by the patient, the following issues should be discussed during the consultation:

  • The final density that will be achieved by transplantation will not be the same as in their youth.
  • An additional hair transplantation may be necessary in the future, either as a result of the patient’s desire for more density or because of ongoing recipient area hair loss.
  • A period of 10-12 months in necessary to see the final result, while for women this period may be slightly longer.
  • It should be highlighted that hair transplantation does not replace the need for medical therapy of androgenetic alopecia. People with less advanced stage of hair loss should be advised to start or continue the use of minoxidil and/or finasteride (in men) before and after hair transplantation. The cosmetic benefit of the transplanted hair will be better and more durable if the native hair in the recipient area remains as long as possible to provide better density.
  • Representative photographs of other people who underwent hair transplantation can be presented so that to indicate the range of expected results.

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