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Reparative Procedures

Question:

Will Rogaine re-grow the hair I have lost?

Answer:

Rogaine works mainly to stop or slow down the progression of loss. In some cases it can help re-grow a bit of hair, but rarely will a drastic improvement be seen. Results only last as long as you keep taking it.

Posted by Jeffrey S. Epstein, MD, FACS

Question:

If I had a scalp flap procedure 20 years ago that now looks unnatural, what can I do about it to have it repaired?

Answer:

Up until the early to mid 1990s, scalp flaps, when performed properly by qualified surgeons, were reasonable procedures to perform on select individuals - given the less than perfect aesthetic results of micro/minigrafting procedures. Personally, I stopped performing these complex surgical procedures in 1995, after limiting them to only select patients.
Today, it is possible to significantly address and repair the major aesthetic problems that result from scalp flaps. The abnormally solid hairline can be softened. The donor site scarring can be repaired with grafting and/or with scar repairs. The rounded off frontotemporal recessions can be made more receded. As a surgeon who was trained in this procedure, I am able to understand the  dynamics of these surgeries, and repair them to their greatest degree.

Posted by Jeffrey S. Epstein, MD, FACS

I visited Dr Epstein a couple years ago regarding a repair procedure. I have significant ridging in the hairline and at the time Dr Epstein had mentioned a surgical procedure to address the ridging problem. He said at that time it was very new/experimental. I was wondering if this procedure has been further advanced or pursued, and if it is a viable option. I have tried a series kenalog injections with Dr XX - went up to kenalog 40 cc - but with no reduction in the ridging.

For people who go for a second hair transplant procedure, do you go right into the same donor spot as before or do you go around it?

Dear Dr. Epstein,

I am considering having my second transplant in the future.

After my first transplant I was concerned that I may have lost some grafts due to wearing a hat (which I require for work) and also I had some concern about loosing grafts while sleeping and washing.

Could you please tell me, If I do decide to have another transplant, at what time do the grafts become totally secure in the scalp? (in how many days/weeks)

Also for what reason do you believe this to be the case?

Kindest Regards

 
 
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