What Defines a Regional Hair Transplant

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This podcast is on a regional hair transplant. And this term is something that maybe I’ve come up with. I don’t know if it’s standard in the lexicon or not, but it’s used to describe how the area that I want to transplant into has different characteristics. That may be different, not just in terms of the number of hairs, like one, two, three, and four hair grafts. But, for example, there could be, differences in color. So there may be, for example, the temporal area there’s wider hairs and that is something that is important to respect. Otherwise you create a darker patch of hairs that are there. Another thing could be someone with very coarse hairs. I may want to put one hair grafts in the front hairline and a lot of those one hair grafts, but then I need to find the fines one hair grafts for that front.

So what’s important is when you are doing a transplant you have great staff. Who’s helping you place these grafts. Because this physician oftentimes is not the one place in the grafts and your staff has to be as good as you are. If they’re placing white hair grafts, willy-nilly in a way that doesn’t make sense, the patient will not have, or you will not have a great result. In addition to that, if you’re placing the courses, one hair grafts in the front, you’re not going to get a natural result. You know, especially if your hairs are naturally coarser and I’ve already done everything in terms of multiple row transplants, you want your Sentinel fine hairs to be in the front ones. So when you start to decide, you know, where the grafts are going to go, oftentimes the only discussion is the size of the graft.

One hairs, two hairs, because hairs grow in clusters of one twos, threes and fours are called flicker units. And so a lot of times doctors that don’t have great staff that are sorting through all their grafts are just putting them into ones, twos, and threes, and fours and some ones in the front too. So, you know, and to me, that lack of sophistication is only one of a thousand variables that are part of what the assistant is in charge of. And if your team, if your surgical team is poor, it doesn’t matter how good the surgeon is in terms of harvesting, closure, placement, recipient site design, angles, directions. But if the team is poor, your results are poor. So, you know, I just had one patient of mine said, Oh yeah, this other doctor near you has all this team fly in.

They come in whenever he has a surgery. Well, the problem with that is how do you control the quality? If you have random people coming in to help you, another person that used to work in other place said, yeah, we have four different teams. We just it’s like a churn and burn. They had people come in to do a transplant. And then, you know, you may get this team may get that team. And I only have one team that team stays with me and we don’t over do transplants. We don’t do two or three in a day and burn out the staff. We’re really focused on quality. And the quality has so much detail that I can’t even begin to go through this way about so many podcasts. I mean, on the quality and the quality, not just in the part of the surgeon, but on part of the team, something that people don’t think about from, you know, how the hair curl is I had a staff member that joined me and she didn’t even understand what the hair curl was from her doctor, a local doctor that she was working with.

She never even heard of it. She’s been in the business almost 10 years. So hair curl, you know, how the hair is curled. She didn’t understand that. I mean, that’s a fundamental, basic thing. How, you know, compression, how graft should not be compressed to the graft, that to the site must fit perfectly. You know, everyone is focused on how many, how many grafts we get. We know what am I going to get here? And they don’t understand the quality. There’s so many different things in terms of distributing the exact quality of those hairs that are assigned for certain areas of the head versus just sticking in ones, two threes and fours. It goes far beyond that in terms of quality control.


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