植发前必看的好帖子（翻译国外帖子）

pjxyz

原文版
HT Info Pack:


Here are some general tips -

Before Tips

1. Stay local to the HT clinic

2. Get to the clinic early in order to not be rushed as this will allow you ample time to go through everything with the Dr.

3. Have a list of questions for the Dr that you want answering.

4. Take 2 loose hats with you. (one might not fit)

5. Take a travel pillow, very handy. Especially on the journey home.

6. Get to bed early the night before. Aided sleep is advisable.

7. Get a massage the day before. Loads of places down in China Town(NYC)

8. Wear a buttoned up shirt for the day of surgery. Easy to get on and off.

9. Avoid - Alcohol, vitamins, minoxodil, MSM 7 days pre op. Can thin the blood.

10. Wash hair the morning of the surgery and wear lots of deodorant. Its a long sweaty day you don't want to be stinking out the place

11. Make sure you have made your story clear to various people that you are away for the next 2/3/4 weeks

12. Make damned sure you've filled your Vicodin prescription BEFORE you get re-haired (de-balded?), as opposed to waiting until the night before because "hey, this is New York, of course I'll find an all-night pharmacy...)

13. I would advise taking the pain killers regularly, even before the pain starts

14. Have the clinic take lots of pre op pics in order to have a controlled
comparison for post op


Additional tips from other guys:

1. My tip to anyone travelling long distances is to fly home the day after surgery! At one day post-op I had no swelling and no pain because my head was still totally numb! I flew home four days post-op and my head looked like a balloon and the aneasthetic was beginning to wear off which made for a long and uncomfortable flight home!!!!!

2. Have the doc wash your hair the day after surgery...it reduces scabing and you won't spend the next two weeks looking in the mirror waiting for them to fall off.

3. If you are going to do zero percent credit card, sign up the month before the procedure not the month after. they don't like 10K balance transfer and won't give you a high enough limit.

4. Sun screen on the graft for the first four months. Otherwise if you get too much exsposure you'll peel really bad and have redness for months.

5. Read the post op instructions before you have the HT. Write down any key questions and tick them off before you leave the surgery. Its easy to forget to ask, what with the injections etc.

6. Use a bandana - its more comfortable than the baseball hat and covers more of the head.

7. Bring button-up shirts - easier to take off.

8. Figure out your communications strategy. I decided to tell people on a need to know basis which meant that I told only a few.

9. Do not watch comedy DVD's during the procedure - It can result in you laughing and moving your head at the wrong time!

10.

11. Take a MP3, IPOD or CD player


Airport Security

The best way to do it is to make sure there is nothing on you to slow down your smooth passage through security. Remove all items such as watch, keys, change, bangels, chains, ...anything that could cause a bleep..
As you walk through remove your cap casually and calmly. They will not specifically be looking at you head at all... you will be ultra paranoid They will maybe glance and then once your through that vital 10 secs just casually pop the hat back on.
You will never ever see the sercurity guy again so who gives if he suspects..and the people behind you will be too stressed out taking all their crap off and sticking into the machine for scanning.
Another alternative is you can always ask for a private room........ but to be honest , just not needed!!


Immed After Tips

1.Never underestimate the recovery time needed. Get the absolute max amount of time off work. You will feel fine after a couple of days but you will look terrible. Its not so bad if you can wear a cap.

2. Remove all mirrors from your house, car, office etc Seriously!

3. Sleep upright /45degree angle to aid swelling

4. Apply huge amounts of Aloe Vera to both donor and recipient area 5 days after. (2 x a day minimum)

5. Distilled witch hazel helps with redness (apply 7/8 days post op)

6. Get on MSM (makes hair grow faster)

7. Drink lots of water / fluids

8. Bend at the knees for first 3/4 days

9. First 3/4 days just put shampoo in a cup and pour it over the recipient and donor area. Then build up to a shower but shield your recipient with your hand and dab on shampoo.

10. Have a couple of beers and soak your head in a hot bath prior to Staple removal

11. Rest as much as possible

12. No physical activity for 10 days then build it up.
2 weeks post op........

1. Stop staring in the mirror all the time

2. Start up physical exercise gradually

3. Start Minox if you want to help speed up growth

4. Stop inspecting scar/ donor area all the time! Its takes months to fade.

5. Put the HT on the back burner now for at least 4/5 months

6. Take some clear pics to compare you situation at various stages

Post op Redness

Post-op redness will occur both in the recipient area and the donor area. The degree and length of time in which both areas will remain pink or red, will largely depend on the individual's skin tone. Redness in the recipient area occurs due to the presence of newly formed blood vessels and inflammation from the placement of the new grafts.

Redness in the donor area occurs where the strip was removed and is basically a wound that will eventually heal. Once the wound has fully healed, the scar should appear as a pencil thin, white line that is difficult to locate provided the surgeon skillfully applied the latest techniques when removing the donor strip and closing this area.
For individuals with a higher degree of hair loss, the redness will be more apparent than with those who are able to partially camouflage the area with existing hairs.
Suntan (avoid burning) a few weeks prior to surgery. After surgery and once the grafts have shed, cosmetic attempts can be made to mask the redness in the recipient area.

The hair surrounding the donor area can be cut as low as a #2 razor guard (1/4"), and still conceal the donor wound. Depending on the thickness and density of the individual's hair. Typically 1/4" - 1/2" of existing hair, is sufficient enough to assist with covering the area.

Pimples

Pimpoles may occur on the recipient area. This is normal and should not cause any discomfort. To the touch, a pimple may be a bit sore (as with a pimple anywhere else on your body). If pimples do appear, they typically do so a month after surgery. Many patients have reported pimples appearing for months after surgery. It is thought that pimples occur due to fragments of skin or hair that may have been caught beneath the skin's surface.

I have recommended Tea Tree oil to a couple of recent HT guys who have experienced little pimples post op and it seems to have resolved their situ's - Also a very hot flannel applied to the recipient area can help draw them out and help!

pjxyz

Scabbing and Shedding Grafts

Once the grafts are placed into the recipient area, the grafts are held in by fibrin, produced by a chemical reaction in serum when the graft sites are made. Typically, the grafts will become fully secure by the eighth day. Scabs will begin to form the day after surgery. On average, scabs will remain present for up to 10 days.

If a scab falls out and there is a hair present in the scab, this is completely normal. As long as blood is not present and tissue does not appear around the hair, assume the graft is fine. Once the scabs have completely disappeared, you will have the appearance of a buzz cut. Within the next 2-6 weeks, these hairs will begin to shed and the recipient area will appear as it was prior to surgery. The grafts are merely in a resting phase and will begin its growth cycle in approximately 3 months.

The next phase of post-op surgery, is the most difficult; waiting for your new hair to grow in.

Staple/Sutures Removal

The staples or sutures (depending on the surgeon's technique) typically remain in place for approximately 10 days post surgery. Surgeons encourage that you come back to the clinic to have them removed, but will provide you with instructions for removing them should a visit to the surgeon not be possible.

The scar that will remain once the staples or sutures are removed will become less and less noticeable as months pass and will eventually turn into a pencil thin, white line.

TIP:
Prior to having the staples removed or sutures removed (this tip is more applicable to staples), have a long shower and soak the donor area. When scabs are dry, there tends to be a tiny pinch when the staples are removed. Soaking the donor area will moisten the scabs and minimize any discomfort.


Shockloss

Shockloss is something that can be experienced when transplanting into existing hair although highly unpredictable. Shockloss occurs when the native hair is weak and isn't strong enough to resist the trauma thats going on around it. More often than not the hair that has gone into shock will grow back but after 3/4 months - after the resting phase
Hair that goes into shock and doesn't return is hair that was inevitably on its way out anyway and wasn't strong enough to return.
Increased trauma to a localised area will increase the chances of shockloss
Shockloss is unpredictable and there is no hard and fast rule to avoiding it - especially if you are transplanting into existing hair.

There are risk factors that either heighten or lessen someone's risk. Diffuse thinners seem more prone to shockloss than receders because the hair in a diffuse area is often less stable than that of a receder. Very often, a lot of the hair in a diffuse area is "on its last legs" and in the latter stages of the miniaturization process.


NOTE:
Be aware that everyone is different! We ALL heal and grow at different time scales.

Be very patient and take pictures to enable you to see the results a little clearer. The realisation of the results will be hard for you to actually see as is so gradual.

Pictures at 6-8-10-12-14 months are important to give you the visual realisation of the developments occuring to keep you in a positive frame of mind!

All the best and heal and grow well all!!!
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Growth and Number of sessions

I get asked these questions all the time - "Will i only need one session?"

The answer to this is more than likely NO - Its very rare indeed that any patient only has one session unless they have a very small amount of loss - or limited donor supply, then you potentially aren't a viable HT candidate unfortunately.

Even if your hair loss is absolutely stable and doesn't progress any further the chances are your first session will be the foundation for a potential second session to top up/refine/add density/close angles/ work further back ..etc - regardless of technique used. Hair is like money you always want more - You will always want to make it better, we ALL do!

Top Dr's will endeavour to achieve the appropriate no. / highest number of grafts possible without jeopardising you in order to create as much coverage/density as possible in one session where warranted - whilst maintaining your donor area/further supply's integrity.

The initial session will come in so slowly and gradually that you become so used to it that it becomes the normal and YOU will not necessarily notice the change bang on month 3! - The realisation takes time!! It is only until you compare pre op pics that you actually realise how far you have come and have a glimpse at what your situation actally was.


You will scrutinise your results constantly, inspecting it every chance you get - and feel that you will always want more hair - Even at month 5/6/7 patients are planning their 2nd session but my advice is WAIT and allow for the first session to reach its max potential

It doesn't matter how many times i say it to people or write it they still feel that their growth has stopped at month 4/5/6...... then come month 10/11/12 they say - wow you were right.. I did get more.

Growth doesn't stop for many many months - it can take upto 18 months to reach the max potential from your HT so why guys are convinced after 5 months their growth has stopped is just beyond me
If you have received your HT from one of the reputable clinics around today then your growth will continue upto a year along with a great deal of maturing.

Many Dr's have commented on time scales for growth and established posters as well who have all been through the HT process and they all agree that you need to assess your HT at at least the 1 year mark in terms of reaching full growth.

You the HT recipient will not see the growth just occur - it takes months for the realisation to kick in. It is important to take pictures at monthly intervals to clearly see the progression.

Its important that guys realise that HT's are a commitment long term and you must realise that you will always want to refine your hair and wish it were thicker/fuller/denser - This is the nature of hair.

Hair greed

Grow well everyone!!!!

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[ 本帖最后由 pjxyz 于 2009-3-11 02:14 编辑 ]

pjxyz

Patience!!


Patience is the toughest part of the HT procedure but one of the most important ones.

Trust me i truly know how tough the waiting game is - I have been there many, many times before!! Looking constantly in the mirror, inspecting it every opportunity, driving along staring in the rear view mirror(how i never crashed i don't know) Wondering why at exactly 3/4 months there is still no growth!! Frustrated why the redness hasn't clamed down when forum member X was back to work at 10 days with no worries.

The trick here is to understand that everyone is different in terms of recovery times, growth times, expectations, realisation period etc.

Patience is an essential part of the HT journey and i think it needs more exposure - When embarking down the HT road - "Be Patient!!!"

Just because "Joe Bloggs" had great growth at month 3/4 doesn't necessarily mean you are going to - So being aware of this prior to your HT.
The growth will come in its own time and you will have your realisation in your own time. - Be patient!! Could be 6 could be 10 months.

It's a fact 3/4 months post HT is the toughest time in the entire process but you are only prolonging the agony by expecting to wake up one day around month 3/4 and see it all taking place. It doesn't happen like this!!! It is soooooooooooo slow and gradual that you actually do not see it happen. You will only see the transformation when you compare your pictures along side each other at monthly intervals. A great example was Ian who i spoke with at month 9 post op and he said "well i haven't really seen much difference since month 4" - I showed him his pictures and well you do the maths.



Be patient - I know its tough, really tough!!! By inspecting your hair though 24/7 its actually NOT going to make things happen any quicker - In fact it will make things happen slower - "A watch kettle never boils"

Be prepared post op to really make a conscious effort to put it all on the back burner for 6 months as a bench mark as other wise you will only drive yourself MAD! - Trust me - i speak from personal experience!!

Grow well all of you!!!!!!!!!!!!
-----------------------------------

I speak to many guys from various Doc's about their concerns with growth and time scales.

Its vital that guys embarking down the HT road understand that they are not going to get the full result from their HT until
16 / 18 months at least...
Nevermind 3/4 months..... which for some reason seems to be the bench mark for the day they wake up and its all over. :eek:

So many guys email me concerned that at 3/4months they have not seen any growth yet :confused: And that they think
their HT has been a failure :rolleyes: !

I think everyone needs to be made aware that even after a whole year there is still a great deal more in store,
ie thickening and maturing.

Many of us at the London Showcase only had this confirmed as we could all clearly see the big difference between
the "Feller Twins" who are 4 months apart. Ian who is at 16 months post op (4 months ahead of Pete) Looked significantly
thinker and fuller than Pete who is at the 12 month mark.

Months 8-16 are just as important in terms of growth, maturing, thickening as the first 8 months in my opinion.
The success of your HT can only be determined after 18 months especially if you are a slow grower as well

Look at the progression of Ian who is now at 16 months post op and as we speak in the chair with DR Feller for round 2!
All the best Ian - Hope its gone welll amigo!! ( put screen on full )


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Hair characteristics

Hair characteristics play a vital role in the overall illusion and success of a HT. Some patients have more favourable hair characteristics and therefore need less grafts to gain their personal goal. Someone with fine, straight, thin hair is going to require more grafts to achieve a similar result than for example someone with coarse, wavy, thick hair.

Remember Hair transplantation is the "art of illusion". With the appropriate placement and use of your hairs characteristic the illusion can be achieved very well - the more favourable your hair characteristic is ie; wavy, thick hair means the illusion can occur with fewer grafts if positioned correctly.

Our hairs characteristics all vary but be aware of your own when embarking into HT's and how it can aid or not aid the illusion. In brief - Patients with very similar loss patterns may not have the same hair characteristic. Therefore they will require a different amount of grafts to achieve a similar result in terms of illusion, coverage, density.

Hair transplants are all about the art of illusion ;-)


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Down time!

A very common question associated with getting a HT and one of the most common reasons for not getting a ht sooner in many cases. Many guys know which Doc they are going with after much research but then need to wait months, sometime years to get an appropriate window of "Down time" in order to pull the HT off unnoticed by family, friends, work colleagues etc...Down time is a pain in arse - NO DOUBT!!!

Downtime is definitely an element of the whole HT procedure you need to consider when embarking on your HT journey.

Depending on the size of the session obviously some patients down time is less than others: ie smaller sessions can get away with a shorter down time period compared to larger session sizes.

Healing is only half the battle - Many guys heal up with no real evidence of surgery in as little as 10 days and some can still have lingering redness for quite a prolonged periods of time - especially fair skinned patients. There is also the factor of having to have the recipient areas shaved down in order to achieve the best result possible and provide the doc great flexibility etc -Shaving down is essential!...(thats a whole other topic )

The answer to the question of "how much down time do i need?" is an impossible one to answer but i recommend that you give yourself as much time as possible - a MINIMUM of 2-3 weeks ideally 4-5 (especially larger strip sessions.) If you can wear a hat to work then you are laughing and could literally be back to work within days if you wanted to but for the vast majority wearing a hat at work is not an option and the appropriate amount of downtime post op needs to be considered!

I have received a number of sessions over the years and never once have i been able to back at work within 2 weeks and i know all the tricks - Some are below, please feel free to add any handy minimising "down time" hints.

1. Apply Aloe Vera gel, Emu oil, distilled witch hazel etc.. to the healing areas to help soothe and speed up healing process.
2. Take MSM (3000mg) to speed up the existing hairs growth since the buzz to get some length back to help disguise.
3. Use concealers in areas once hair is long enough to help bulk up and disguise lingering redness.
4. Wearing a hat to buy you valuable days.
5. Growing hair long pre op to help disguise areas worked on.
6. Buzz hair short pre op in advance so people you see on a day to day basis don't notice the new buzz cut post op.(Especially FUE guys)
7. Take a holiday post op and take yourself out the loop for 3-4 weeks
8. Take sick leave right before your holiday comes to a close - buy you valuable days


The list will hopefully be added to with experiences that guys have been through in order to help minimise their own personal downtime.


Hope all this info helps guys out - especially newbies who find research a complete mind field.

Regards
Spex

[ 本帖最后由 pjxyz 于 2009-3-11 02:15 编辑 ]

pjxyz

翻译版

HT info Pack 头发手术移植心得 觉得还是很有用的大家看看

A 手术之前 （before TIPS）
1 最好住在要做手术的诊所附近
2尽量早去诊所 给医生足够时间准备工作
3 把你要问医生的问题都写下来
4 带2个宽松的帽子去 尽量带宽松的帽子
5 带上旅行枕头 （特别是对于做火车的 估计国内用的比较少吧 呵呵）
6 手术前一天晚上早点休息 不用太紧张
7 手术前最好做做按摩 哈哈（原文说中国城按摩小姐很多）
8 最好不要穿套头衫 从内到外穿带纽扣的衣服 那样可以方便的脱下
9 手术7天前最好 不要喝酒 吃维生素药片 用MINOXODILL MSM之类的放脱发药品
10 手术前的早晨洗洗头 用用香水 因为手术是很长时间 （呵呵 国人很少用香水了）
11 想好了手术以后怎么和你朋友解释 （如果不想让别人知道你植发手术了）
12 没什么关系 美国人做手术前都要什么证明之类的 国内你交钱就去
13 最好按时吃止疼片
14 让医生给你手术前手术后都拍下照片 这样以后方便比较

补充注意事项 (ADDITIONAL TIPS FROM OTHER GUYS)
1 去远地方做手术 最好手术当天就回家 因为手术后几天可能发生水肿 如果手术后2-3天再长途旅行会加重水肿现象 （原文说手术后4天回的家 结果头肿的象大西瓜）
2 让医生在手术后的第2天给你洗洗头 这样血枷就比较容易清理掉
3 没什么关系 关于信用卡交钱的
4 手术后四个月最好给手术的地方抹抹防射的东西 （如果当地太阳很强烈的话 必然头皮可能会发红几个月）
5 在手术自前认真读读手术后要注意事项 把关键问题写下来
6 最好不要带帽子 可以用大围巾把头包起来
7 穿带纽扣的衣服 方便脱
8 想好了手术后几天怎么和朋友解释你躲到什么地方了
9 手术时候不要看喜剧片 你笑的时候可能你的头皮会发生移动
10 带上MP3之类的东西

B 机场安全 （AIRPORT SECURITY）
国内做火车多 原文考虑的很周到 你要是手术后带个大帽子什么而且又很紧张 机场安检人员必然要你脱掉帽子检查。。。。。

C 手术后注意事项 （IMMED AFTER TIPS）
1 不要低估你的恢复时间。。（不是国内医生所说的手术2-3天就可以工作了） 一定要休息足够长时间才去工作
2 把屋子里的镜子全拿走 不要天天去看
3 最好睡觉是头部高点 这样可以减少水肿
4手术5天后在植发区域和取法区域用大量的芦荟洗洗 每天2次
5手术7-8 天用 金缕梅减少头皮发红现象 （不知道什么东西 也就是减少头皮发红的药物）
6 可以吃MSM 加快头发生长
7 每天大量喝水
8 手术前几天 锻炼身体 低头弯腰
9 手术前3天洗头要注意洗头要轻轻的
10 在手术拆线前可以把头用热水泡泡 再去诊所拆线
11 多休息休息
12 手术前10天不要干重活 （不知道XX属不属于重活）

手术后2星期 （2 weeks POST OP…）
1 不要天天照镜子了 成活率肯定没问题的
2 慢慢开始做做锻炼
3 可以用MINOX加快头发生长
4 不要老看移植区 取发区域了 那些区域要好几个月才恢复正常的
5 哈哈 没看明白 大概意思就是4-5个月不要老想头发移植的事情
6 可以每隔一段时间给自己拍拍清晰的照片

D 手术头头皮发红现象 （POST OP REDNESS）
手术后头皮发红会出现的取法区域和植发区域 。。根据个人皮肤不同 会出现粉色或红色。。植发区域防红是应为头皮里面有血管形成 取法区域是应为伤口愈合。。。后面没什么了 觉得不美观可以用用化妆品

E 手术后的红点 （PIMPLES）
植发区域可能会出现红点 不要太担心这个是正常现象 红点点可能还痒痒 （和你身体其他地方长的红点点一个德行） 红点点经常在手术后1个月或几个月出现。这个原应可能是小快皮肤或头发被阻挡在头皮下面出不来了。。。建议可以用用茶树油治疗豆豆之类的药物

F 去血枷及手术后种植头发脱落 （SCABBING AND SHEDDING GRAFTS）
头发被移植到头皮后 或形成FIRBIN把头发固定住。。一般经常手术后8天头发就会牢牢固定住了。
如果血枷掉落时候里面带着头发 这个是很正常的现象。。只要头发上没有带有组织（也就是白点点）毛囊就还是好好的。再接下来2-6星期 种植区的头发会慢慢掉到没做手术前那样多毛囊会再接下来3个月长出新头发来

接来下就是最痛苦的等待头发生长咯

G 取发区域折线 （STAPLE/SUTURES REMOVAL）
不想翻译 不关心

H手术后植发脱落（SHOCKLESS）
移植的头发会因为手术而脱落。。这个因人而异 （有的人脱落100% 有的人脱落90% 没有规律性）。

移植头发区域周围的头发脱落是因为手术造成的。 通常移植区域附近手术后掉的头发会在手术3-4月长回来。 没长回来的头发都是那些不健康 早晚也会凋落的头发 手术只是加快他们脱落而已 （难怪为什么要等脱发稳定下来再去做植发手术）
特别注意
每个人头发生长速度都不一样 医生说的3个月头发生长也就是个大概时间
请大家有耐心 最好隔一段时间就拍拍照片 这样比肉眼更能看出头发生长状况
第6-8-10-12-14个月的照片非常有说服力 请一定要拍下来

H 头发生长和手术次数 （GROWTH AND NUMBER OF SESSIONS）
（意译了 不直接翻译了）国内医生大部分都说保证一次植发就能达到效果。实际上医生也无奈啊 毕竟国内人民收入有限 一次手术对于脱发面积大的就要1万左右。 （为医生想想也是 如果说直说病人手术1-3次才能达到效果 病人肯定跑了。。还不如先说1次就成功等做完了再说加密。。）除非你就修补个额头（或者你的头后部头发就少 取不了多少毛囊）基本上每个人需要1次植发 2-3次加密才能达到美观

EllenChen

这个帖子不错  支持一下

空格

我先在这里谢谢楼主为我们翻译这个帖子  楼主辛苦了

smilei34516

多谢楼主翻译这么好的帖子

smilei34516

同时  也希望楼主能多多翻译一些国外的好贴子

vvvdong

好的帖子 就的让更多的人看到

我相信゜

想问下平常掉的头发根部有白点是什么？正常吗？