Showing posts with label extraction. Show all posts
Showing posts with label extraction. Show all posts

Follicle Five

Posted by Sarah Sweetz Akhza On 3:23 AM 0 comments
Check out the Dateline episode featuring The Follicle Five. Surgeonofnalts (Dr. Alan Bauman) makes an appearance, and you can see the difference it made for his patient.



Before & After FUE Hair Transplant

Posted by Sarah Sweetz Akhza On 5:42 AM 0 comments
During the live patient viewing at ISHRS's national meeting, a lot of people wanted to know how long it's been as they examined my new hairline and the donor areas.

Without moving around my hair and using a scope, nobody was able to notice any donor scars since FUE (follicular unit extraction) doesn't involve a surgical slice of the scalp- it's individual follicles and done while you're wide awake and numb.

My friend Joe Shields had taken the photo on the left before I had the transplant (late summer 2009) and we tried to replicate it last month (about 14 months post surgery). There are some variations in the lighting and smile, but I carefully chose the closest shot... some of the "before pictures" were way worse than this one. But I resent when people manipulate before and afters so I'm trying to avoid that here.

The photo on the very bottom shows why I wore a hat and avoided profile shots. The soldiers were not exactly in full force up there...




Why FUE is Like iPad Technology

Posted by Sarah Sweetz Akhza On 4:33 AM 0 comments
I read a comment on a blog from a jaded patient who claims FUEs have a lower "stick" rate than hair transplanted from a strip of hair (this guy must have a sad story because he occupies a lot of his time with negative comments on this blog, YouTube and forums).

I did expect a slightly lower success rate as one of the minor potential downsides of FUEs, and here's an article on the subject. Again- the traditional method of hair transplant is to remove a strip of "donor" hair via incision from the back of the head, then suture it together.

For a guy that doesn't like "surgery" or blood, FUE was far more attractive, and I was willing to accept the possibility that the hairs wouldn't stick as well.

For me, this was offset by a) the fact that I'm a good candidate for FUE (not everyone is), b) I like the variety of hairs in the new region (density/type) because it looks more realistic than the course ones from the back, c) I'm confident that we're advancing on FUE success rates.

What's important to realize is that most new technology advances aren't perfect from day one. Look at the first computer tablet or even the first iPhone. If you judge today's iPad or iPhone by those standards, you'll find great improvements.

I'd assume the same to be true with FUE (although I can't find data yet- it may or may not exist). As doctors get smarter about their extraction tools (Dr. Bauman used Neograft from me, which is quite different from using leeches or toothpicks to wedge the follicles out individually).

Unlike iPads, however, FUE-transplanted hair is not FUE-transplanted hair. There are many physician-specific variables, just like with traditional incision transplants... and I don't think there's a hair-transplant physician that has migrated entirely to FUE. It's also vital to have a good FUE extractor dude (whatever they're called) who knows which hairs, what circumference is ideal, and how to pluck and save 'em.

So it's worth asking your doctor about experience, and consider that "little things" mean a lot. The circumference around each follicle is maybe the biggest factor. Then there's how they're sucked, stored, etc.

The key point for me is this: accept that as an "early mover" in any new technology you're not going to get the benefits of the laggards. So you have to decide: do I want to wait until it's sorted itself out, or enjoy something new as soon as possible? It depends. For FUE, I thought Bauman had enough experience to comfort me. But at the same time, I'm not buying the first version of iPads. I'll wait until the second generation and let the kinks work themselves out.



Most-Viewed Live Hair Transplant Ever

Posted by Sarah Sweetz Akhza On 6:41 PM 0 comments
Greg Benson, the follicularly challenged brains behind MediocreFilms, has selected Earth's best hair-transplant doctor to update his Bosley transplant (see video). With more than 13,000 live viewers via the Internet, this would indeed make hair-transplant history.

Dr. Alan Bauman, who you may know as SurgeonOfNalts, did the work... and now it's a race to the finish. Will Nalts (me), the YouTube personality who once pitched Propecia, have the best hairline of 2010? Or will Greg? In a great moment of irony, Benson's sporting the old Propecia mirrors. Ah, the days that we pharmaceutical firms could give out tissue boxes, pens and mirrors. Those were the days.



Benson made me proud when he, like perhaps every male transplant candidate, made the obligatory joke when one of Bauman's peeps warned him about the loud, wet and cold cleansing-wash machine. It's funny because it's predictable, like his inclination to yell "bye MiniMi" before he runs over midgets.

Nearly 3500 new follicles (which represent a few hairs each) may be a record for a minimally invasive (no surgical slice) transplant. Dr. B uses a NeoGraft to do follicular unit extraction (FUE). Cutting edge that's so cutting edge, it doesn't require a cutting edge. Here's a photo of Benson, with wife Kim Evey (producer of TheGuild and star of Gorgeous Tiny Chicken Machine Show).



Go, Greg. As YouTube funnyman Mark Day exposed, there are some side effects as I well know. Here's some footage I just found that someone took of my live Internet broadcast during treatment, and here's my summary video called "Hair Transplant Fun."

Also worth watching are the educational videos we both did. Here's my conversation with Bauman (which summarizes the steps in 5 minutes), and here's Benson/Bauman talking about the entire procedure. Benson said he slept like a baby after his transplant, which is not what he experienced years before with the traditional surgery from Bosley. In a sequel to Alan's interview, the duo speak about how even a year ago this 3K plus process wouldn't have been possible, and about the recovery phase. After 6 months, you don't notice much, but by 10-12 months you'll see 90%.
Benson and I spoke recently, and are just gaga over this experience. In my Merck/Propecia capacity, I had lots of insights on the best hair-transplant surgeons. When I asked people who they'd chose, Bauman's name came up constantly. We both know why.

Benson did it for his acting career, and I did it because 3 years working on a medication that treats hairloss will make you somewhat self conscious.

With all of this buzz, one can only hope that hair-transplants don't need to be secrets. Some of the film and television actors and actresses you love have had these procedures, but you wouldn't know it. Why?

  1. They don't talk about it because they feel it would hurt their image.

  2. The doctors can't reference their celebrity patients... unless they're weblebrities who chose to take themselves a bit less seriously.


No Scars on Donor Area of Transplant

Posted by Sarah Sweetz Akhza On 7:38 AM 0 comments

When you get a normal hair transplant, you have a big ol' scar on the back of my head. Check out this photo of my head the next day. Pretty clean, thanks to FUE (follicular unit extraction) and we did nearly 2,000 grafts.

Hair-Transplant Fun: The Videos

Posted by Sarah Sweetz Akhza On 12:51 PM 0 comments
Here are the first two videos, documenting my hair transplant! Now let's see if we can get a real celebrity to "come out." Don't forget to join me on "The Bald Truth" on Sunday at 8 pm EST.




It's really hard to tell the difference in this photo, but it's one I just took from my laptop as an interim update (I'm editing the footage from the hair transplant currently). I ended up with nearly 2,000 grafts transplanted on Monday, but many follicles contained 2-4 hairs each (so we're talking about maybe 5,000 new hairs). In fact, the challenge was to find single-hair units for a tapered front line.

Here's more detail than you may want, but this describes the innovative new type of transplant I had (versus the traditional strip-harvest where they gotta take a chunk of your scalp off).

  • Notice how Dr. Alan Bauman gave me a circular recession, rather than a flat front (which looks abnormal). 
  • You'll see I volunteered to shave my head (optional) because I knew it would make things easier, and all of my camera hijinx and live web casts interfered with the otherwise efficient process of a hair transplant. Maybe half of people prefer not to shave the head, presumably because they don't want people knowing they had a transplant.
  • I had an FUE (follicular unit extraction), which means I had no surgical incision that's known as a "strip harvest." That means I'll have no visible scar on the back of the head, I experienced less pain, and benefited from a variety of different transplanted hairs (a range of densities) that aren't found in one strip. And nobody has to dissect the harvest strip into individual follicles. 
Hair transplants are basically moving "donor" hair to the forehead or crown from the back of the guy's head, where the hairs are higher density and not prone to harm by DHT, the nasty little substance that kills off hair. 

  • In an FUE, which is relatively new, they randomly grab follicles (containing 1-4 hairs each) with a tiny, sharp rotating knife tube (like a circular cookie-cutter). No pain. Then they quickly pluck 'em (or use suction) and place 'em in dishes until they're counted and sorted. Wanna see some photos of the FUE? It's not something I'd look at over breakfast, but trust me it's better than looking at a harvest (see gross picture).
  • Those little individual rice-sized hair follicles are later inserted into the tiny slits that Dr. Bauman carefully decorated on my forehead to resemble the natural pattern and angles of a normal hairline (in one of my videos, you'll learn this is the real art that separates the good transplant doctors from the ones that give you a Frankenstein or pencil-troll look).
  • Candidly, I'm glad I didn't do the normal "strip harvest" incision because it's an older and more invasive approach. Although strip harvest has advantages (you can do 3000-5000 follicles at one time, it's faster and less expensive), it's kinda freaky to think of a chunk of my scalp getting chopped off and dissected. FUE was once dismissed by transplant physicians because it's time consuming and (if they're not trained well) some of the hairs get chopped and don't grow. But if you're skilled at using an FUE tool, and have an auto rotating machine (Bauman used a "cutting edge" and expensive NeoGraft machine), then the process is quick and the success rate is high. 
  • My sense is that FUE will become the standard of care, especially for touch ups and folks that lack good donor hair along the back of the scalp. The trick is that surgeons need to be trained to do it quickly, but there's almost nothing but upside (besides cost) for the patient getting FUE. And FUE is easier to learn and do, so newer physicians and dermatologists are more likely to use them than fussing with incisions and strips (which have risks if you cut too deep, and fail if you cut too shallow).
  • I have a significantly lower hairline now, and it's going to be much more dense than before. I'll need to wait for the hair to grow out, and the maximum benefits won't be realized until 9-12 months or longer. Most of the new grafts will grow soon, then drop (maybe 30 percent will hang). Eventually, they'll get back into the normal hair growth pattern.
  • I can't wait to share the "behind the scenes" footage, because it's informative and really fun. I had a blast, and experienced very little discomfort (mild and short pain with the first anesthesia shots, and while some of the hairs being slid into the mini incisions toward the end of the day). Lots of post-operative treatments helped-- oxygen foam, bruise-reducing herbals, prednisone, pain medication, and even a pressurized oxygen tank -- where I watched a whole movie inside a 7-foot tube enjoying medical-grade pure oxygen (this heals, and has loads of other benefits). Harvest patients usually complain about the pain from the donor scar, but I can lay comfortably on a pillow because the only tender area is on my forehead.

More coming via the magic of video!


My Nalts Video Introducing This Blog

Posted by Sarah Sweetz Akhza On 2:37 PM 0 comments
This is my video announcing my hair transplant. See the transplant LIVE from Dr. Bauman's office (August 17, 12:30 EST). It will be in FallofAutumnDistro's Blogtv.com channel.

I'm sure it's not the world's first live surgery, but how cool!? You know you want to see follicular extraction and implantation for yourself. Yey!

The post below (previous) has an extended Q&A: Why are you doing this? What's involved? Are you vain or insecure?