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Setting your Expectations

Considering a hair transplant?

Chapter 1 - Defining a Hair Transplant Chapter 7 - Who gets Transplants?
Chapter 2 - Follicular Unit Transplants Chapter 8 - Expecting the Best
Chapter 3 - Suggestions for your Surgery Chapter 9 - Corrective Procedures
Chapter 4 - Post Surgery Experience Chapter 10 - Learn to be Cautious
Chapter 5 - Doing the Research Chapter 11 - Myths and Legends
Chapter 6 - Setting Expectations Chapter 12 - Credits

Quality

Quality in hair transplantation is priceless and although we often tie quality, value, and price together; quality should never be compromised. Small, delicate grafts are critical to high quality results in hair transplantation. Value must be judged by evaluating both quality and cost. When comparing the cost of procedures offered by different medical groups, it must be an apples-to-apples comparison. Ask:

•How many grafts will I receive in each session? What is the size of the grafts and how many hairs will each
graft contain? How many hairs will be moved in each session?

•Will I have sufficient donor hair after completion of this procedure for future hair restoration?

•How much will I pay for each graft in each session? How many sessions will I need? What can I expect to
pay for the entire hair restoration process?

Your goal should be to achieve the best quality work with the highest number of hairs moved in the smallest, most practical graft size. One hair at a time may produce inadequate density. Naturally appearing follicular unit grafts of 1-4 hairs may make more sense. When hairs are clumped together in unnatural groupings, there may be a lower initial cost, but these hair transplants will be detectable to the naked eye (toothbrush look) and an unnecessarily rapid depletion of your remaining donor hair as more hair is moved in this way. It is critically important to recognize that compromise may be necessary, and each patient must be in a position to understand the benefits and liabilities of each element in the decision process when planning the size and distribution of the transplants.

The larger the size of your grafts, the more hairs will be in each graft and the more unnatural you will look as these larger grafts produce a greater contrast to the surrounding skin. Larger grafts also tend to be more wasteful and deplete the donor supply faster than smaller grafts. Smaller grafts appear more natural, but they may have a smaller impact on the balding area if they are not done in substantial quantities.

Negative Value

Having an unnatural appearance, spending money out of proportion to the benefits you receive, losing valuable time in living a normal life, and accelerating the hair loss process, are all signs of negative value. Deciding whether to have hair restoration and what type of hair restoration to have is difficult, and your time investment must be part of the formula and multiple small surgeries take a high toll on the patient in many ways.

The worst outcome possible occurs in the patient who receives poor quality work that cannot be fully corrected. The negative value is incalculable, as the patient may have to live with the consequences of this error for the rest of his or her life. For a person who undertook the hair restoration process to avoid a wig, wearing one to cover a bad job is a daily reminder of his or her mistake. A toothbrush appearance often takes more work and more money to fix than it took to create, if surgical corrections are possible at all. In these situations, the cost may sharply increase in trying to correct what cannot truly be repaired. Camouflage is the only answer and is always imperfect.


  Recommended Resources
  • Ask questions and get information on Hair Transplants in our Men's Forums and Women's Forums!

  • Information provided courtesy of the New Hair Institute, taken from "The Patient's Guide to Hair Transplantation" William R. Rassman, MD and Robert M. Bernstein, MD




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