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美絲 |
醫 學 植 髮 中 心 ( 香 港 )
Dr Bertram Hair Transplant< |
( 852 ) 3421-1138
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About Hair Loss
Q : What do men lose hair ?
95% of balding men suffers from "Androgenetic Alopecia". Hair loss is precipitated or accelerated by:
- Genes - you can inherit the hair loss gene from one or both parents;
- Hormones - that's why hair loss occurs after puberty, and not in those castrated;
- Age - you lose more hair after each birthday;
- Smoking
Obviously the onset, extent, and rate of hair loss vary from person to person. We now know that hair loss is not from
- wearing hat
- poor circulation
- clogged pores (Close )
Q : Why do women lose hair ?
65-75% of women with thinning hair suffers from "Andro- genetic Alopecia". Hair loss is accelerated by
- Genes - you can inherit the hair loss gene from one or both parents;
- Hormones - that's why hair loss occurs excessively after menopause;
- Age - you lose more hair after each birthday;
- Smoking
The remaining 35% can be from many different causes such as child birth, iron deficiency, thyroid diseases, stress, skin diseases...
As the situation is more complicated than men, blood tests are usually required to establish the causes. ( Closed )
Q : Would stopping Finasteride result in a sudden and rapid hair loss?
- Hair loss resumes on stopping Finasteride
- The loss is gradual and takes many months to be noticed
- Eventually you still retain more hair than those not been taking Finasteride. ( Closed )
Q : Would stopping Minoxidil result in a sudden and rapid hair loss?
- Yes! Hair loss is noticed 4-6 months after stopping Minoxidil
- The loss can be quite alarming and you end up having the same amount of hair as those not been using it
- Do not stop Minoxidl if it has been working for you. ( Closed )
Q : Should I stop Finasteride or Minoxidil on planning to have a baby?
- No known harmful effects of either medication on fathering a child when used as directed by your physician
- The amount of Finasteride in sperm and semen were not significant
- Ceasing treatment is not necessary. ( Closed )
Q : Is Finasteride less effective in Asian when compared to Caucasian?
No difference have been noted amongst ethnic groups. ( Closed )
Q : Is Finasteride less effective to grow hair in front than in the top?
- Yes, it is less effective in the frontal hairline and temple areas
- Finasteride is most effective in stablizing hair loss or even growing new hair in the crown / vertex area. ( Closed )
About Hair Transplant
Q : Does hair transplants really work?
- Yes, and for sure
- Hair are transferred from one part of the scalp (donor site) into another (recipient site)
- As it's your own hair follicle there is no rejection
- The migrated hair maintains their original color, curl, texture and growth after transplant
- This is the important concept of "Donor Dominance"
- Hair transplant has been used as a surgical hair loss treatment for over 70 years
- Over 260,000 cases were performed worldwide in 2008. ( Closed )
Q : Can hair be transplanted from one individual to another?
- Yes! Dr Orentreich in 1972 reported that the transplanted hair can survive for at least one year
- However to prevent graft rejection steroid must be injected into the grafts every 30 days
- Due to the side-effects of steroid on long term use, this is possible but not practical ( Closed )
Q : Is hair transplant a branch of Dermatology or Plastic Surgery?
- No! 10 to 20 years ago hair transplant was rather primitive. Physicians from many backgrounds (Plastic Surgerons, Dermatologists, General Surgeons, Family Practitioners, ENT Surgeons, etc) could perform hair transplant after visiting a colleague's office
- It is now a new speciality with own Societies and Medical Boards
- Even dermatologists or Plastic Surgeons need further training before offering such service ( Closed )
Q :
What should I expect after hair transplant?
- Take at least two days off work after surgery
- Wear the supplied headband for 2-3 days to avoid swelling around the eyes
- Putting on a cap or bandana is up to you
- We wash your hair the next day and then you can DIY at home
- Frequent hair wash should clear most scabs in a week
- Donor site sutures are easily covered by long hair, and removed after 5 days
- Some shedding is normal to make way for the new growth
- Do not expect to see any change until after 4-6 months. ( Closed )
Q : How would my head look like after the procedure?
- Small scabs are common after procedure
- They can be camouflaged by existing hair and cleared after a week by frequent hair wash
- They are too small to draw any attention anyway
- Some shedding along the donor incision is common in the first 3-4 weeks
- The hair usually regrows completely but need some hair to cover
- For this reason do not cut hair for the first month
- Here are some pictures of "What to Expect" ( Closed )
Q : Do I feel pain during hair transplant procedure?
- Our special protocol uses twilight local anesthesia and conscious sedation
- We first give you some sedating pills and then inject local anesthetic using the smallest needle
- Most patients sleep through the entire procedure without any discomfort
- On discharge some pain-killer and sleeping pills will be given to assure a good night sleep
- Any discomfort should subside after 24 hours. ( Closed )
Q : How many sessions do I need?
This will be discussed during the doctor consultation.
With dense packing and ultra-refined FUT, you should look good even after one session. Further procedures may be needed to:
- cover a larger area;
- add on the density;
- replace future loss of existing hair;
- touch up; ( Closed )
Q : When can I return to work after hair transplant?
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That will depend on whether you:
- sweat a lot at work;
- mind people knowing your hair transplant
- The wound heals well in a few days
- You can return even on day 2 to office work; and labouring job in a week
- If you cannot wear a cap or hat to work and don't want your co-workers to know, take a week off to let the scabs fall off
- Dr Ng will discuss this with you during the consultation. ( Closed )
About Our Service
Q : What is so special about the ISHRS Fellowship Accreditation?
- "Fellow" is a symbol of the highest standard
- Our doctor is the only ISHRS Fellow in Hong Kong, Taiwan and China
- 10 to 20 years ago physicians from many backgrounds simply picked up the skill by visiting and observing their colleagues
- Such training can rarely reach the required standard today
- Hair transplant is a new medical speciality. Doctors must be trained before they are competent to perform the latest follicular unit transplant
- The ISHRS (International Society Of Hair Restoration Surgery) is a non-profit medical organization that provides such training
- To be accrediated as Fellow the doctor must fulfil 4 requirements:
- One year full-time training in an appointed center;
- Apprenticeship with an authorized hair surgeon;
- Actively involved in meeting, research and publication;
- Competency assessed by ISHRS Committee. ( Closed )
Q : Should I have hair transplant in a hospital?
- The worse infection we have seen happened in hospital
- Hospital cares for all kinds of patient. Facilities and equipment are shared with a real risk of infection by cross contamination
- You may have heard of MRSA (Methicillin Resistant Staphylococcus Aureus), a multi-antibiotics resistant hospital acquired wound infection
- During hair transplant thousands of tiny holes are created on the scalp. A MRSA infected wound is a nightmare
- Our center only perform hair transplant for selected group of healthy patients
- With strict protocols your chance of infection is close to zero
- Also with local anesthesia you can return home straight after procedure and resume normal daily activities
- Hospital admission is therefore unnecessary. ( Closed )
Q :
Is your hair transplant procedure expensive?
- We have no intention to match the price in other countries such as India or Mainland China
- If you take into consideration doctor qualification and work quality, our package is the best value in Hong Kong
- Most agree hair transplant is a good life-long self investment
- Transplanted hair lasts a life time
- There is no maintenance cost and is much cheaper than hair pieces in a long run. No more wasting of time to attend regular treatment
- The question is whether you want to wear the best result on your head
- Quality comes with a price. ( Closed )
About Hair Science
Q : How many hair do I have?
- You are born with 1 million hair all over the body
- About 100,000 are located at the scalp
- The total number will decrease with age. ( Closed )
Q : Will I have any new hair formed after birth?
- No, all the hair follicles are formed by 28th week of gestation
- Our bodies will not form any new hair follicle after birth. ( Closed )
Q : How many types of human hair?
There are 3 types of human hair according to the diameter of hair shaft:
- Lanugo or baby hair -
- they are shed usually by the 4th month after birth
- Vellus hair -
- these are the body hair
- they have no pigmentation and with a diameter of less than 0.02mm
- you cannot see them except at a very very close distance
- Terminal hair -
- these are the pigmented scalp hair, pubic hair, axillary hair, eyelash, eyebrow, moustache and beard
- the diameter is usually above 0.06mm. ( Closed )
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