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    It is important that a patient receive an evaluation and education process to ensure he is a good candidate for hair transplant surgery. Even if a transplant is done perfectly a patient will not be happy if the results he receives are not what he expected. Patients have certain goals and expectations in mind when they search out physicians help.They need to be educated about the procedure, what can realistically be accomplished and if this will meet their goals.

    More specifically they need to be educated about the issue of a limited donor supply and how this affects the degree of coverage we can offer different patients. They need to learn about the issue of potential future hair loss and how this can affect the future look of a transplant. They need to be educated about the difference between the surgical density and the appearance of fullness and normal pre-hair loss density, They need to understand why some patients can cover their entire balding area while others can only cover the area partially or not at all.

    At SMG we educate the patient about all these variables while we go through the following consultation and educational steps.

    Step 1- Determine Patients Goals And Expectations: Evaluate the patient’s expectations and desire for coverage. Every patient is different. Some desire very aggressive work with total coverage. Others want more subtle coverage that will cause less drastic a change. Some what to do there crown and other don’t care about their crown. Some want a very lower hairline while others want a more mature receded hairline.

    Step 2:Evaluate available donor supply both in terms of total amount and the characteristics of the hair that may influence its effectiveness at creating the appearance of density (color, curl, caliber etc.). Every patient is different with donor supply ranging from 4000 to 9000+ follicular units.

    Step 3: Evaluate size of the Recipient Area that needs to be treated and predict, as best as possible, how much progression may occur in the future. Every patient is different based on their age, current severity of loss, family history, etc.

    Step 4: Determine what can be done based on the donor and recipient evaluation. Then compare this with the patient’s goals and expectation and see if they match.

    In other words:
    Determine If The Patients Goals And Expectations Are Achievable And Realistic Based On The Above Evaluation.THIS IS A CRITICAL STEP!!!:

    Step 5:

    1. If the patient’s expectations are realistic and achievable he is a good candidate for surgery and may move ahead with surgery. A plan for his hair restoration that will meet his goals will be presented to him.
    2. If the patient’s expectations are not realistic or achievable… then he should not have surgery at this time! Rather he should be re-evaluated and re-educated at a later time. It is possible that at a future date as either techniques change or the patient’s expectations change he may be a good candidate.
    It is our duty as a physician to properly educate and direct patients to the best of our ability. The work we do today will affect a patient for the rest of their life. We are much better as calm observers to give proper advise to the emotionally charged issue of hair loss.
    • false-promises
    • honest-assesment


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“Thank you very much for your attention. I am very happy with the results of the surgery. After 3 months only I already have full hair coverage in all the affected areas and don’t need to use the hair clips like I used to do for many years. Please give my beast regards to Dr. Shapiro and the team...”Read More

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