26Apr

This chapter on the PDF bellow was co-written by John Cole and Walter Unger. Both authors will refer to themselves as third persons throughout the chapter because their views and practices are not always the same. References to "Unger" and "Cole" should be understood to represent the views of only that co-author unless otherwise indicated. In addition, both authors contacted many practitioners, privately, and their opinions are presented as "private communications" after obtaining their approval.

Perhaps the most important factor in predicting successful hair restoration surgery is appropriate patient selection by the physician and physician selection by the patient.

There are four elements to this selection process: understanding the patient’s goals, the physician’s ability to meet the patient’s goals, conveying those abilities to the patient, and the patient’s physical examination. Three of these elements involve communication skills and a psychological or personal assessment, but are meaningless without the physical exam of both the recipient and potential donor areas, which is in fact the basis of a scientific approach to hair restoration surgery. This chapter deals with the examination and management of the latter.

Every donor region has specific characteristics that allow the informed hair restoration surgeon to customize an approach to the individual patient. Failure to recognize these individual characteristics does not always doom the hair restoration process, but it does limit the physician’s ability to precisely control it.

At one time, few truly objective findings were included in the assessment of the donor area. This is no longer the case. Alt, Unger, Rassman, and Bernstein might be considered the "fathers" of modern donor area assessment. Alt and Unger researched the limits of the safe donor area. Unger championed the concept of multiple donor sites for a variation in hair caliber and color. .1 Rassman introduced the need for an accurate measurement of the donor hair density and attempted to accurately quantify the available donor area. Bernstein introduced the important concept of hair volume.

Collectively, their work has laid the foundation for the scientific assessment of the donor area and more accurate predictions of anticipated coverage. Unfortunately, despite their efforts, few physicians seem to recognize the importance of accurate donor area measurements.<.p>

Donor area management may be broken into the following individual components:
delineating the "safe" donor area, the physical examination of the "safe" donor area and recipient area, the method of harvest and closure, subsequent procedures, efficiency of technique, and complications. Present knowledge as it relates to each component is presented in this chapter but it is worthwhile emphasizing that each requires further study.

This is a detailed discussion of the donor region, its science, and how we approach it from a diagnostic, as well as, surgical point of view. This is very detailed for the discriminating consumer, which is who we cater to.
By John P. Cole, MD

 

Our Patients Say...

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Cole Hair Transplant5/5 based on166 ratings.
 
4 Years Ago

Hi Dr. Cole, hope all is well. It has been some time since I checked in with you, and I wanted to pass on some impressions of my progress.

The good news is that things continue to improve up there on the 'ol head. I just came from a professional conference, and I hadn't seen some of my colleagues for some years, and also met many new people. The new people I met didn't seem to notice anything about my head (the dreaded stare at one's pluggy scalp I was so accustomed to). That was a good experience.

More often than not, however, people commented on how \"healthy\" I looked, especially people who hadn't seen me for some time. They said that couldn't quite put their finger on it, but that I looked \"younger\" than they had seen me . . . I pointed out that I have more grey hair than I did years ago, so how could I look younger? This seemed to puzzle people, and many just said that they couldn't quite figure it out, just that I looked strong, good, and healthy. Not too bad, huh?

I presented an academic paper before 500 or so people one of my last days at the conference, and while this was something that I would have avoided like the plague for the past 7 or so years (as the plugs became more and more obvious), it was a breeze and I enjoyed it. One person asked if I had taken a public speaking course or something. Of course I didn't tell them that it was as simple as getting some of my confidence back after shattering it with my bad decision to go to Bosley inc. all those years ago. Thus, in a way, with the boost provided by removing the plugs, I am simply starting to remember \"who I am\", rather than continuing to allow myself to be the insecure person I had become, due to the bad HTs.

In reference to my noggin, things continue to improve. Growth in the linear scars continues, I can shave down to a number 4 now in back without much showing, and this is a major improvement. The front is also looking good, I can style it with much less evidence of bad HTs. There are about 5 or so plugs that are still visible, and two areas of the hairline that while not pluggy, are still a bit \"patchy\" (the very front, to the right) and the left temple. Under bright neon lights, I have seen a wandering eye or two as well. However, I know that for my type of repair, 7 months out is not the end of the story, and thus I continue to hope for additional improvement.

Again, thanks for the extra mile you worked on my head, it has really made a difference.

Best Regards


Rating: 5star
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Cole Hair Transplant is located in Atlanta at 1045 Powers Place, Alpharetta, GA, United States and provides hair restoration to patients worldwide. We offer high quality FUE Hair Transplants and hair loss solutions

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