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Dr. Bertram Medical Hair Transplant
眉 髮 醫 學 移 植 中 心 ( 香 港 ) |
( 852 ) 3421-1138
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How We Prevent Complications
Hair transplant is a very safe procedure, most complications are uncommon and easily managed. After seeing thousands of cases, we are capable of prevent and manage all these problems. The earlier our doctor can attend to, the quicker your recovery. Make good use of our 12 months free follow-up and call us if in doubt. Here we list the possible complications.
Intraoperative Emergency
This is extremely rare in our level I office Procedure when only local anesthesia and conscious sedation are used.
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Our Solution
- All patients are personally examine by our doctor
- General health, allergy, medication are all noted
- Careful selection of patients
- Close monitoring during procedure
- Standby equipment & well trained staff
- Doctor is in office at all time
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Swelling Around the Eyes
During incision we inject tumescence to lift the scalp from the bone. After surgery when you resume the upright position this tumescence will drain down to your face and eyes, usually on the third day and lasts a week. This is harmless but unsightly and once happens, nothing really helps.
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Our Solution
- Our tumescence is specially formulated to prevent swelling
- Use head band for 3 days except at sleep
- Avoid bending and eating salty food
- Massage any forehead swelling sideways
- Cool pack placed over the forehead for 15 minutes
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Wound Infection
In our center the infection rate is close to 0%. Though routine use of antibiotic is still controversial, we found the incidence higher amongst those not taking it.
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Our Solution
- The routine use of antibiotic
- Antiseptic hair wash before surgery
- Operate under an aseptic environment
- Follow-up on day 1 and 5 after surgery
- Meticulous wound care
- Avoid sweating from strenuous exercise
- Frequent hair wash at home
- Prompt recognition and treatment
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Transplanted Area Numbness
Making incisions temporarily traumatize the very superficial nerves. This may lead to numbness or pins-and-needles sensation. In a sense it is good as you won't feel any pain in the transplanted area. The course varies amongst patients, lasting from weeks to months. It does not affect your daily activities, felt only when touched. Full recovery is the rule.
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Our Solution
- The generous use of tumescence
- Set a depth guard to the blades to avoid too deep penetration
- Keep the entry angle of the blade rather flat to the skin
- Avoid overdose of local anesthesia
- Reassurance of full recovery
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Pustules & Pimples
Small pimples or pustules are commonly found at 1 month and the 4 month after surgery. This is a benign condition and would not affect the final result. The old hair shaft detached from the graft and causes the problems :
- Irritating the skin (foreign body reaction)
- Blocking the new hair from coming out
- ;Ingrown hair.
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Our Solution
- Squeeze out the pus and cleaned with alcohol or betadine
- Remove any hair spicule if loosen
- Maintain good hygiene with daily hair washing
- Avoid tight cap, hat, helmet, or hairpiece
- Apply antibiotic ointment as prescribed
- On rare occasion oral antibiotic may be needed.
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Donor Area Hair Loss
Shedding of hair below and above the sutured line, usually occurs 2-4 weeks after surgery. This is extremely unpredictable though the risk is higher if the wound is undermined and closed under tension. Full recovery is the rule but may take 4 months to re- grow.
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 Our Solution
- Every patient is warned
- Keep at least 1 inch of hair at the donor area for cover-up
- Apply Minoxidil to the area before and after surgery may help
- Do not cut hair for a month after surgery.
- Reassurance of full recovery
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Transplanted Area Hair Loss
This is the well known Shock Loss with shedding of existing hair within and around the transplanted area. Usually affects women with weak miniaturized hairs.
Hair loss begins about 1 month and continue for 2-3 months. Re- growth may not be a 100%. Appearance improves when the transplanted hairs start to grow.
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Our Solution
- Warn every patient. Those unable to tolerate shock loss are refused surgery
- Select patients carefully, and exclude those with diffuse hair thinning
- Apply Minoxidil to the area before and after surgery
- In men shaving the transplanted area is the best prevention
- Avoid transecting pre-existing hair follicles during incision
- Avoid dense packing
- Women may wear a hair piece while waiting for hair re- growth.
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