FAQ (frequent asked questions)

FAQ (frequent asked questions) - frequent Doubts

FAQ - Summary: main topics
FAQ - Technique Lateral slit Follicular
FAQ - Daily pay and Post-transplant
FAQ - Hair Restoration in general
FAQ - Myths and Truths

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FAQ - Summary: main topics

01. Does the technique use 100% follicular units?
Yes, it does, 100%.

02. For how long have you been using the Follicular transplant?
For twelve years. (Since 1996)

03. Is the preparation of UFs grafts done with the help of microscopes?
Yes, everything is entirely carried through the use of 3-D microscopes.

04. How many follicular units are placed?
Between 2.000 and 5.000 UFs per session are placed.

05. How many hairs are placed with this amount of UFs?
Between 4.200 and 10.500 hairs, therefore each unit to Follicular contains
an average of 2.1 hairs.

06. How many people are directly involved in the transplant?
Between 8 to 10 people are directly involved.

07. How much time does it take the entire procedure?
Between 6 to 8 hours.

08. Is it necessary to use turbans or something similar in the post-surgery?
No, it’s not!

09. Is there any support from the clinic enclosed after the transplant?
Yes, we give accompaniment and clinical handling for one year, at the Clinic itself or through video-conference.

10. Does doctor Tykocinski attend to the International Society’s Annual Hair Restoration Surgery Congress (ISHRS)?
Yes, every year, since 1997. Not only that, but Dr. Tykocinski has given more than 35 lessons in these congresses and he’s been participated in the organization of the International Congresses of 2005 in Australia and 2007, in Las Vegas, U.S.A.

11. Have Dr. Tykocinski’s article or study on hair transplant ever been
published?
Yes. For two times his scientific articles deserved the cover of the magazine Hair Transplant International Forum (official publication of the ISHRS). The most recent one “Super Mega-session of 2,800 to 4,000 follicular units. Packed to 40/50 cm2. Are you prepared?", published in 2006, on the cosmetic density subject produced an invitation for him to co-ordinate the course "Advanced Review Course in Hair Restoration", an obligation without which one cannot get the title of North American specialist in hair transplant. He signs chapters written in published books, national and internationally.

12. Has he a specialist certification from a "Federal Counsel of Medicine"?
Yes, since 1993 he has the title of specialist from Brazilian Society of Dermatology.

13. Does the Clinic offer any guarantee on the technique used?
Yes, a widely explanatory and written one.

14. Is there any other hair transplant doctor that could give us more
information on the Tykocinski Medical group work?
We believe that any Brazilian colleague who is member of the Brazilian Society of Hair Restoration or a member of the ISHRS will be able to supply some information on us.

15. Is there any international doctor or Clinic that could indicate your work?
Among world-wide famous colleagues are Ron Shapiro, Jerry Wong, John He glue, Matt Leavitt, Paul Cotterill, Paul Rose, Glenn Charles, David Perez-Mesa, Patrick Fretchet, William Rassman, Bill Parsley and many others, we are also indicated by the greatest and more selective sites of hair transplant in the world such as:
http://www.hairtransplantnetwork.com
http://www.hairtransplantnetwork.com
http:// www.hairlosslearningcenter.org
http://www.hairlosslearningcenter.org
http:// www.hairsurgeons.com
http://www.hairsurgeons.com

Please check a commentary on our work in the following link:

http://www.regrowhair.com/hair-transplant-surgery/donor-issues/new-gold-standard

16. Can you give some references in Brazil?

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FAQ - Lateral slit Follicular Technique

1. How many grafts are transplanted in one session and how big are these sessions?
We usually transplant at least 2,300 follicular grafts per session. However, with the new "cosmetic density" concept to be gotten in only one session, the tendency is to increase the number of transplanted grafts each time. After all, if we intend recreate the dense and voluminous aspect of the natural hair, it will be necessary to get a density bigger then the ones done previously, through the placement of a superior number of follicular units per centimeter squared (UF/Cm2). As we are concentrating a bigger number of follicular units (UFs) per cm2, if we were to use the same amount of follicular units that before, we would cover a smaller area. For example, using 2,300 UFs it is possible to cover 115 cm2 of bald area, providing a density of 20 UF/cm2, as the formula shows: (2,300 ÷ 20 = 115). Once this density gives "a transparent" appearance, still bald, one second session, in the same area, will have to be carried through one year after the first one. So, in order to make this second intervention unnecessary, we place 40 UFs per cm2 grafts, providing the desired cosmetic density. However, if in a way we obtain the double of the density for cm2 (40 Ufs/cm2), in another, we will cover 57,5 cm2 of bald area only, in other words, half of what we had achieved before. Even being so, this procedure makes possible covering 3-4 degree of Norwood baldness with only one session, diminishing the secondary expenses such as hospital, hotel and the days off work. As a matter of fact, a single session will be carried through instead of two of regular densities or you will make two sessions instead of three or four. You will be anticipating the total cost of the Hair restoration, with the advantage to have a faster result wasting a lesser period of time. As we prefer bigger and denser sessions, (better reaching the expectation of the patients) we carry through, generally, sessions with 2.800 the 4,200 follicular units.

http://www.hairrestorationnetwork.com/partner_MM/introa.html

2. How many sessions do I need?
The number of sessions depends on many aspects: the size of the bald area, the expectation the patient might have, if the intention is to get a partial or total restoration; the density of the hair in the donor area (that is: the number of follicular units for cm2), etc. This last factor, for instance, is relevant because there’s a limit of how much hair it could be gotten, from the donor area in each session. And what defines it is the elasticity of the given region as well as its density. We can generally get securely widths of 1.35 to 2.00 cm, depending on the elasticity of the scalp. The size is generally around 26 to 32 cm, which means that we can get something between 5,400 to 2.500 UFs per session. Another important factor is the availability to invest in a bigger session. Without a doubt it is more gainful and comfortable to carry through a "double session" instead of two minor ones, but this is a personal decision, once the cost will be proportional to the size of the session. We carry through the 4,200 sessions of 2.800 generally UFs, thus covering, 70 to 100 cm2 of bald area, considering a density of 40 UFs/cm2. Thus, if you have a class 2-4 of Norwood baldness, one session should be enough, but if you have class 5-6 Norwood baldness, you will, likely, need two sessions. It’s worthy pointing out that for a finer hair we need higher densities, as 50 UFs/cm2, which implicates in covering a lesser area than when the patient has a thicker hair and therefore leading to an additional cost.

http://www.hairrestorationnetwork.com/partner_MM/introa.html

3. What is the density of the restored hair? Do you do the "dense packing" (high density)? What is it, exactly?
For many years, the surgeons that used the "follicular units" technique only, used densities of 20 to 25 Follicular units for centimeter squared (UFs/cm2). As the resultant density it was not enough to get a full aspect and dense of hair, it was necessary to go back in the same area and to place more Follicular units to be able to get something around 40 UFs/cm2. This final density was enough to create the appearance and volume of natural hair. It is what we call "cosmetic density": a density that even though is not the natural one (of 70 the 100 UFs/cm2), is sufficient to give the impression of the natural hair density. Today, using smaller orifices (0.6 – 0.7mm), it’s possible to get this "cosmetic density" with only one session. To accomplishment a procedure like in which the cosmetic density is achieved in one session, the time and the size of the team had to increase. But everything is worthwhile as it’s a great advantage to the patient! For smaller baldness or the average size ones, it’s possible to restore the hair in only one stage, preventing that the patient pass for all the process that generates expectation, anxiety and demand a period, that although short (some days), many times need some work days off. In case you do need another session, it will be carried through in another hair area, with an unbroken circulation, thus diminishing the risk of a poor growth of the transplanted hair.

4. What is the maximum number of follicular units transplantable in one session?
The maximum number of follicular units depends on the amount of hair available to collect in the area which donates it (occipital region); the elasticity of the donor area and its natural density. It’s possible to increase a little the elasticity of the area by making a local massage. As the elasticity will be evaluated soon before the transplant, the harvested amount of hair will be in
accordance to the elasticity index. The bigger the elasticity the greater the amount of follicular units collected. Generally, we can get safely from 2.500 to 3.800 UFs per session, being that the maximum achieved so far in one session was 4.890 follicular units, totalizing 10.426 hairs.

5. Why have you chosen to use the Lateral slit Follicular Technique?
Because this technique matches unique features such as:
1 - Lateral slit orientation: the follicular units are placed in a lateral direction instead of vertically. This detail follows the natural follicular units features, making possible to achieve a bigger visual covering, enhancing the cosmetic density and allowing extremely acute hair angles, especially needed for lateral and temporal restoration. , that the follicular units implanted will remain in place, without moving which would give the inconvenient aspect of a “standing” hair.
2 – Incredibly small orifices. We generally place the Follicular grafts in orifices that vary from 0.6 to 0.7 millimeters width, assuring minimum tissue damage and making a fast cicatrisation possible and minimizing to almost zero the formation of crusts. All these aspects are determinant to a real quick recovering.
3 - High density - cosmetic density. These extremely small orifices allow the high density: from about 40 to 60 follicular units per cm2. Allowing to get the cosmetic density in only one session, what it is not possible to make with the other techniques available.
4 - Exclusive use of follicular units, under 3-D microscopes: about 10 years ago this aspect caused a revolution in world-wide hair restoration, and it’s, to this day, is the best way to produce perfect Follicular grafts. The question should be: How is it possible not to use this technique nowadays, with all this scientific basement and proven results?

6. Is the transplant made by Dr. Tykocinski, himself?
Yes, but not alone. For a procedure like this, a great team of assistants is needed. Dr. Arthur Tykocinski carries through the transplant assisted for up to nine assistants. Different from the majority of the surgeons, who initially open the orifices and later, leaving the placement of the grafts for the team of assistants, Dr. Tykocinski, use a technique called Stick & Place, in which the orifices are opened and the grafts placed, simultaneously. By making the orifices one by one, we guarantee an immediate and total control of the follicular positioning and placement. The Stick & Place technique has many advantages: it needs lesser orifices because the follicles are placed before skin retraction, producing a lesser tissue, as well as the follicular traumas. This way we are able to diminish to nullity the risk of leaving an orifice without follicles or accidentally placing two follicles in the same orifice. Last but not least, one can control the drawing and hair density in accordance with the total amount of available follicular grafts.

7. Is the frontline result perfect, natural?
It can seem arrogant to say yes. Therefore, I suggest that you see the results and answer that yourself. However, we can give some suggestions so you can make sure that the team of professionals that will take care of you will be able to provide the expected natural result. There they go: Check out the previous results of their work through detailed and good lighting cases that shows the results with the hair combed backwards; Get information on the density to be reached, on whether they use exclusively follicular units dissected by use of 3-D microscopes; Get to know if the responsible surgeon has artistic aptitudes or if he only faces the hair restoration as something mere technical. After all, it’s exactly about "art" that we are speaking here, isn’t it?

8. How much does it take the entire procedure?
Generally, five hours for a 2.000 UFs session and from six to eight hours for a super Mega 2.800-4.000 UFs session.

9. What kind of anesthesia is used in the transplant?
We use local anesthesia with a light sedation, so the patient is able to sleep for a while, not worrying about the time spent there, which makes the procedure easier and faster for everyone.

10. What improvement can I expect after Hair Restoration?
Having sufficient volume of hair in the donor area, we will be able to get the cosmetic density in only one session. Cosmetic density means to produce the appearance of a natural hair, but in fact we are reproducing only 50-60% of the original density, which is, usually, enough. The exception is the patient with fine hair that demands higher densities. It does not mean that we will be restoring all the bald area, but a defined area, in accordance with the priority indicated by the patient, his expectation and availability, leading in consideration also the density of the donor area. With bigger sessions, it is possible to restore all the bald area, depending on the level of baldness one presents. Generally we do not restore bald points isolated, but the entire cosmetic unit. It means that we do not restore only the "inputs", but all the frontal region (forefront) and temporal (lateral). This prevents future problems, as the sprouting of "islands of hair" surrounded by bald areas.

11. How many hair transplants do you make in one day?
Using this technique we can only execute one hair restoration per day, working with a team of 8 to 10 people.

12. What about the scar in the donor area, is it too perceptible?
The scar derives from the surgical technique used; the surgeon’s ability and the cicatricial process of the patient. Making everything in the correct way, following all the current advances, (including the scale of Mayer and suture in two plans or to the times, the Tricofitic suture), the scar is generally linear, varying of 0.5 to 2 millimeters in almost of the cases. Bigger scars are usually caused for an inadequate cicatrisation of the patient (it depends on the constitutional and personal standard of each individual); by harmful surgical techniques or after multiple procedures (three or more). The problems after the first session are rare (less than 1%). To have an idea, the patient is able to use the hair as short as the one provided by the number 2 or 3 hair clipper combs.

13. When will the new hair start to grow again?
The new hair will start growing generally 3 or 4 months after the procedure. The final result can be seen from 9 to 15 months after the surgery.

14. Is the hair restoration a safe procedure?
It is an extremely safe surgery, done by local anesthesia. During the procedure, all the patient’s vital data as blood oxygenation (oximetria), cardiac frequency, pulse, arterial pressure are continuously monitored. Furthermore, previous examinations are taken in consideration so we to evaluate the patient’s health condition, preventing any surprise. Although the procedure lasts seven hours, the surgical part itself, lasts only about one hour. The remaining time is used to implant the hair, being extremely superficial and minimally invasive.

15. When will the stitches be removed?
Normally, we use nylon points, which must be removed after between 10 and 14 days after the surgery. But we have the option to use an absorbable suture, that doesn’t even need to be removed at all. This option is ideal those that by some reason is not able to come back to the clinic in order to remove the stitches.

16. Do I have to use any kind of bandages or turbans after the surgical procedure?

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FAQ – Pre and Post-Transplant

1. It is necessary to make some examination before the transplant?
Yes, it is necessary to go through some examinations, as hemogram, coagulogram and cardiologic evaluation. We recommend that the patient get them in advance, especially the evaluation the cardiologic one, just in case the doctor needs some additional examination, it would be good to have enough time to go through it.

2. Is there any special recommendation?
If you are a smoker, you must stop smoking two weeks before the surgery and for up to one month after the procedure, to assure that it does not have circulation or cicatrisation problems. If the patient is not capable of stopping, he or she should, at least reduce drastically the consumption, smoking as few as 1 to 3 cigarettes a day. If you’re using some medication, tell your doctor about it. Arterial hypertension Medications usually must be continued.

3. Finasteride: Should I stop or start using it?
If you already take finasteride does not stop, keep taking it daily. If you do not take it yet and your baldness is still initial or moderate, considers consult with a dermatologist so that he or she prescribes finasteride. If you prefer, we can also prescribe it. The finasteride handling aims at hindering future loss of remaining hair, preventing the necessity of Hair restorations in the future.

4. If a second Hair Restoration is necessary, When should it be made?
Normally, if the area is up to 80 cm2, we make it in one session only. We can execute a bigger area in a session, depending on the donor area and the availability of the patient. In case that a second Hair Restoration is necessary, it can be done one year after the first one. In this period, the elasticity in the donor area generally returns to the normal, allowing that a new session is carried through without that it has extreme tension in the place. As our objective is to carry through the lesser number of possible stages, in order to restore all area bald, we consider the counter-productive small sessions, therefore he is valid to wait a little more, so that the new session can again be numerous.

5. Should I have my hair cut for the surgery?
No, you shouldn’t. Please, avoid letting your hair too short, especially in the posterior part of the head, once the short hair would make it difficult to camouflage the stitches in that area. It’s recommended that the patient leaves the hair at least one-inch long in the back of the head, so that it is possible to cover the stitches properly. Actually, it would be great if you could avoid having your hair cut one or two months before the surgery.

6. How long should I remain in São Paulo to the procedure?
Generally, five days are enough. The ideal would be to arrive two days before the surgery for a medical appointment with us, so we can clear all your doubts and you can relax a little, making the things with no haste. In the following day, you will wash your hair in the clinic and then we’ll still have one day extra for talk about the procedure if you will. If you want to travel to somewhere not that far from São Paulo, you will be able to come back ten or fifteen days later to have the stitches removed. Another option is to use absorbable stitches, what we usually avoid once it increases the probability of allergic reactions.

7. How long is the recovering period?
Generally, recovering is sufficiently fast. The first five days are the most important ones. After that, you will be able to return to professional activities that requires less exposure. Normally, within ten days after the surgery, the aesthetic alterations related to the procedure become minimally perceptible, being the patients able to return to their usual activities. Frequently, our patients report that nobody has noticed that they had gone through a Hair restoration, even at work. Some patients take the vacations to carry through the procedure. If it’s your case, program ten vacation days and everything is going to fit just perfectly!

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FAQ - Hair Restoration in general

01. Why are some people bald and others not?
It depends on the inherited genetic code of the parents and also on the action of masculine hormones, as the DHT, in particular. Acting in the cell’s hormone receptors on the hair roots, it makes the hair more and more thin, short and clear, until the roots get totally atrophic, (a soft hair fuzz), making the hair fall once and for good. In general, the frontal and the upper-central region of the head are those most affected by it. It is called “masculine androgenic alopecia”. Although it can initiate during puberty, it is more visible after 30 years-old. The younger the problem begins, the more extensive it tends to be.

02. Can women develop androgenic baldness?
Yes, but only if she has the genetic inheritance for baldness. She can also have some sexual hormones disturb. We frequently see a case of acne and/or hirsutism (increase of body hair) associated to the female androgenic baldness. The first step for a proper diagnosis is a hormonal dosage and a good clinical examination.

03. Can a good clinical handling prevent the baldness and consequently, the transplant?
Not always, but it can. What is generally obtained is a delay in the progression of baldness, stopping or reducing it. These treatments have, most of the time, a maximum action of two years of use and later the clinical case gets stabilized. The clinical handling can be matched with other topic or systemic medications.

04. Is it true that some of these drugs can cause male impotence?
Some new medicines, as finasteride eventually can diminish the sexual desire (libido), but it occurs in less than 2% of the cases and is totally reversible when the medication is suspended. Some studies points that patient around 40 and older can have a bigger incidence. Besides there’s the psychological aspect as many patients can be induced to think they are going to experience some problem. In general, the symptoms disappear with the continued use.

05. Won’t the transplanted hair also end up falling eventually?
The hair from the transplant area comes from the posterior region of the head, an area where the hair roots do not suffer the hormonal action, thus 'it last for your whole life long. Therefore, the transplanted hair will not suffer the action of hormonal malfunction; as a result, they don’t tend to fall. On the contrary, they, can be cut, grow, be colored, relaxed or submitted to any hairdo possible. However, the hair transplant does not hinder the baldness progression of the original hair that surrounded those transplanted. That’s why the clinical handling is recommendable in case of initial, moderate baldness, before going through surgery.

06. The transplanted hair, isn’t it different from the others?
Once this hair has not been suffered from any hormonal action in its roots, it tends to grow stronger and thicker than the other hair that had undergone a baldness process becoming thinner. On the other hand, could we compare the transplanted hair to the natural hair that existed before the baldness process occur through the years, the difference would be minimum.

07. How long does it take so I can notice a bigger volume?
The hair starts growing 3 to 4 months after surgery, to an average speed of 1 cm/month. After 9 to 12 months you will already comb the new hair as you normally would and will be able to see a bigger volume. However, it doesn’t mean that the result will be full, as it reaches maturity within 15 months. Depending on the technique used, one second session in the area of the transplant can be necessary. This is one of the advantages of the Lateral slit Follicular Transplant that usually get the job done in just one session.

08. Could I have some other person’s hair transplanted to my scalp, would it be possible?
It wouldn’t be a good idea, at all. Your body would reject another person’s hair because it possess a different, a strange genetic code to your organism. This would demand to take immune suppressors to prevent this rejection, as in the case of the renal transplant. The problem is that the immune suppressors bring serious collateral effects, unjustifiable for cosmetic ends. On the other hand, we now believe that in a few years the culture of hair cells will make this possible dream come true, once we will be able to produce the patient’s hair in laboratory, overcoming the rejection issue. We will have then, unlimited hair.

09. Is it possible to have hair of my chest or other parts of my body transplanted to my scalp?
It is not a good idea once this hair has different features. They will continue to grow as chest hair because it doesn’t transform itself in normal hair. Although it is possible, a hair is always a hair, it would never get to the original hair size, even though the higher vascularization would make the hair grow 40% more. Besides, it differs in density and texture. In extreme cases, some hair surgeons
use it to magnify the hair volume. We, particularly discourage this practice.

10. Does the hair transplant leave any scar?
The incision carried through the donor area for the withdrawing hair follicles leaves a fine string that tends to disappear with time. But being it a dense area it’s very unlikely that someone would notice any local alteration, perhaps not even your hairdresser, except in patients who present cicatrisation problems, what can be soften with proper handling. Once again, as everything in the medicine, it depends on the use of the right technique, brought up to date, as it depends on each person’s cicatrisation features as well.

11. Does the patient feel any pain during or after the surgery?
The Hair Restoration today promotes a minimum discomfort. The procedure is carried through with local anesthesia and a relaxing product that is given to the patient before the surgery. After the transplant, we use an analgesic without which there would be a uncomfortable contact between the hair and the pillow. With it the patients use to describe, eventually, a light bother. It’s very important to use a long-lasting-effect anesthetic during the procedure making the post-surgery discomfort generally insignificant. Logically, everything depends on the technique used.

12. What are the complications that a hair transplant can have?
As post-hair restoration intercurrence, we can cite a light swell of the forehead in about 6% of the cases. Painless, this swell disappears in 2 or 3 days. A little numbness in the stitches area can persist for some weeks. Finally, the risk of a minor ' catch ' of the hair, that can be related with the health and habits of the patient, as tobaccoism, hypertension, diabetes, stress, consumptions of stimulants and other conditions where there is a reduction of the sanguineous circulation. Healthy people are very unlike to experience any problem. Although not having nothing that can be considered serious, all of it can be prevented by choosing an adequate technique and an experienced team. To remove the hair from donor area with old 'punches' of 2-5 mm or 'electric pens' are contraindicated by the International Society of Hair Restoration, but unfortunately, it’s still used by some. Complications possible in other techniques such as front line hair too straight or artificial; depressions where the grafts is been place, undulations in the scalp, the presence of tufts of hair as well as an stand-up hair can be prevented exclusively by using 3-D microscopes to separate follicular units to be implanted low invasive orifices (1 mm). The lesser the trauma is, the smaller the organism’s reaction, in an obvious action - reaction relation.

13. How long does it take till I’m able to go back to work and do my normal activities?
In the following day, after the washing in the doctor's office, the patient will be able to take a soft walk and in the second day he or she will be able to return to work. In the third day already it will be washed at home, with the recommended shampoo. After five days he will be set free to practice light sports, as walking or ergo metric bicycle. Competitive swimming, pump iron, gym and sports, only after the taking out the stitches. Even though it’s a calm post-transplant, not rushing is advised.

14. Will everybody notice that I’ve been through a hair transplant?
Well, let’s try to understand: there is the immediate aspect – right after the surgery - and later, when the hair’s grown. The immediate aspect is going to be perceptible in the first 3 to 5 days. After that, it may change from case to case generally, being little noticeable after 10 days. Matter fact is that every patient wants that people see some improvement in his or her look, and it’s going to happen. The interest part is that many people notice the difference but they cannot tell where’s at. It can sound incredible but people are not that observing. The great majority will not notice. Seeing is believing. If you have an extensive baldness it’s some people will probably notice that your hair is getting denser. The most incredible thing is that, according to the patients themselves, when they tell their friends that they have been through a hair transplant the friends won’t believe. The patient’s friends say that he or she just took something to make it grow! And they many times confirm it! At least until taking more confidence that the result was pretty good and 'assuming' that they had gone through a transplant. Perhaps the question is to assume its vanity, something still a taboo for many. A frequent commentary that some patients hear is that they look thinner, ask them if they had been working out or if they had changed the hair cut or the color of their hair. This is surprising once they barely had hair. For those patients who had a reasonable amount of hair before the transplant, the change passes unnoticed. For surprise of many, exactly when they assume that they had made a transplant, many do not believe. Does it seem natural? Well, asks who has already gone through, therefore we are suspected to tell you, ourselves. Nothing’s better than to hear from the mouth of the patients themselves. Even better when the commentaries are unanimous saying: It’s perfect!

15. I want to have the transplant done and later go out on vacation, is it possible?
Yes, the patient can travel on the third day after the surgery, even if it’s overseas travel. As a great amount of patients want total discretion, this is a good option.

16. Is the cost in the U.S. and Brazil the same?
The cost in the U.S.A. is higher, considering technique and equivalent number of follicular units. Even putting in consideration the use of imported material and the trips made for technical improvement, the cost of a Lateral slit Follicular Transplant with 3.200 follicular units is still about 35% of the value practiced in the best clinics of U.S. and Canada. Check out the doctors from the “coalition”, a pretty selected world-wide group of hair restoration doctors.
Http://www.hairlosslearningcenter.org/hair-loss-content/restoration-physicians/our_physicians.asp confers in the site

17. Can I get a suntan after the surgery?
In the first weeks it is recommendable that you prevent from taking sunbath or receive a direct solar exposition without protection. But it’s no big deal, all you got to do is to wear a cap that we provide if you want to go the beach or the swimming pool.

18. Does Health insurance cover this type of surgery?
Unfortunately, in Brazil there’s no coverage for esthetic procedures. On the other hand, if compared to the surgery prices in the U.S.A., where this technique is also carried through, the price here is much more accessible. So, it can be a good deal to make it here.

19. Is it necessary to have the hair cut before the transplant?
No it’s not. It is even better to let the hair grow a bit, making easier to comb it during the transplant to place the follicular units between them. In the donor area, a longer hair covers the stitches making it barely visible.

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FAQ - Myths and Truths

1. Washing the hair every day increases the fall.
MYTH. As a matter of fact, washing it helps loosing the hair that was about to fall anyway. It’s worth remembering that there are some periods where the hair falls more. This is normal. If to want to know more on the subject the indicated site is http://www.cabelo.med.br.

2. To have the hair cut regularly prevents the fall.
MYTH: The short hair modifies the appearance, but it does not influence in the fall. In the truth, the hairs are a little thicker in the base than it is on the tip, what can make it look more voluminous, temporarily, after the cut.

3. Some sports (except the aquatic ones) damage the hair.
MYTH. Sports activities only bring benefits. Athletes with tendency to baldness will be bald independently of the sport or physical activity.

4. The dandruff favors the fall.
MYTH.The seborrhea dermatitis, popularly known as dandruff, is characterized for an extreme oiliness (seborrhea) in the scalp, followed by inflammation and scaling off. The inflammation (irritation) produces a redness and sensitivity in the scalp, while the scaling off can vary from fine scales, to the intense one, forming crusts, that many times adhered to the scalp leaving it wounded when it’s removed. The dandruff can be associated to androgenic alopecia, speeding up the hair loss. When rinsing the hair, the ideal is to remove the conditioners completely, giving special attention to the scalp (residues can cause dandruff). Except this, stress is one of the most important unchaining factors of this case. Another factor is the increase of the number of usual scalp fungus (p. Ovale). For the handling, it’s used anti-inflammatory shampoos, anti-fungicides, scaling equalizers or all of these associated.

5. Sea water is good for combating oily hair.
TRUTH. Being it in the right measure, not only the sea water but also the sun, helps to diminish the oiliness, but they do not interfere with the fall.

6. If the white wire is pulled out, its successor is going to born black. MYTH. The hair is white when the cells next to the roots cannot produce melanin pigment, which gives color to the hair. Its, usually, genetically determined.

7. The hair grows faster in the summer. TRUTH. The sun stimulates some hormones, as the prolactin and the melatonin. Therefore, the hair bulb "works harder", what speeds up the hair growth.

8. The excess of Testosterone is related to hair loss. This makes the baldness men sexually more potent.

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