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Quality Quality in hair transplantation is priceless and although we often tie
quality, value, and price together; quality should never be compromised.
Small, delicate grafts are critical to high quality results in hair transplantation.
Value must be judged by evaluating both quality and cost. When comparing
the cost of procedures offered by different medical groups, it must be
an apples-to-apples comparison. Ask:
- How many grafts will I receive in each session? What
is the size of the grafts and how many hairs will each
graft contain? How many hairs will be moved in each
session?
- Will I have sufficient donor hair after completion of
this procedure for future hair restoration?
- How much will I pay for each graft in each session?
How many sessions will I need? What can I expect to
pay for the entire hair restoration process?
Your goal should be to achieve the best quality work with the highest
number of hairs moved in the smallest, most practical graft size. One
hair at a time may produce inadequate density. Naturally appearing follicular
unit grafts of 1-4 hairs may make more sense. When hairs are clumped together
in unnatural groupings, there may be a lower initial cost, but these hair
transplants will be detectable to the naked eye (toothbrush look) and
an unnecessarily rapid depletion of your remaining donor hair as more
hair is moved in this way. It is critically important to recognize that
compromise may be necessary, and each patient must be in a position to
understand the benefits and liabilities of each element in the decision
process when planning the size and distribution of the transplants.
The larger the size of your grafts, the more hairs will be in each graft
and the more unnatural you will look as these larger grafts produce a
greater contrast to the surrounding skin. Larger grafts also tend to be
more wasteful and deplete the donor supply faster than smaller grafts.
Smaller grafts appear more natural, but they may have a smaller impact
on the balding area if they are not done in substantial quantities. Negative Value
Having an unnatural appearance, spending money out of proportion to the
benefits you receive, losing valuable time in living a normal life, and
accelerating the hair loss process, are all signs of negative value. Deciding
whether to have hair restoration and what type of hair restoration to
have is difficult, and your time investment must be part of the formula
and multiple small surgeries take a high toll on the patient in many ways.
The worst outcome possible occurs in the patient who receives poor quality
work that cannot be fully corrected. The negative value is incalculable,
as the patient may have to live with the consequences of this error for
the rest of his or her life. For a person who undertook the hair restoration
process to avoid a wig, wearing one to cover a bad job is a daily reminder
of his or her mistake. A toothbrush appearance often takes more work and
more money to fix than it took to create, if surgical corrections are
possible at all. In these situations, the cost may sharply increase in
trying to correct what cannot truly be repaired. Camouflage is the only
answer and is always imperfect. Value
How do you determine value of a purchase of this magnitude and of such
a personal nature? This issue needs to be answered to the comfort of each
individual patient before making the decision to have any hair restoration
or transplant procedure. Value is determined by such factors as:
- Your results will reflect the outcome after your work is
complete and all of your transplanted hair has grown in.
A true understanding of the value of your surgery cannot
be assessed until after the work is complete. You should
compare what was anticipated with what was achieved and the two should
approximate each other. As having hair will give you a different perspective,
it is important to make this comparison relative to your starting point,
as your memory may fade and your mind may repress any connection with
your old bald or thin look.
- Inconvenience reflects the time you dedicated to the hair restoration
process at the expense of work, the discomfort associated with each
procedure, the social dislocations caused by each procedure, etc. If
you feel that your hair restoration has been of value, that value will
tend to mini- mize these inconveniences. To properly estimate the inconveniences
involved in surgical hair restoration, you should personally interview
some of your proposed doctor's patients. Their experiences will act
as a reality check on what the doctor told you. This should be done
before the surgical process is started.
- Risk reflects all of the uncertainties (real or imagined)
including medical complications of the procedures, psychological ramifications
associated with the process, and social effects before, during, and
after transplantation. Proper research and interviews with patients
will address these issues in advance.
- The total cost of the process in terms of lost time at work, opportunity
costs, social costs, and total dollars spent must be related to the
results you achieved. Such measurements as cost per session, cost per
graft, cost per transferred hair follicle and the like, reflect value
in measurable units. The ability of your surgeon to accurately estimate
the cost of a restoration should be anticipated before a procedure is
begun. Meet with patients who have had extensive reconstructions by
the doctor you are going to choose. Lowballing is more common than anyone
is willing to admit. Do not get suckered into a false sense of security
without proper interviews with some of the docor's previous patients.
- Commitment to completion means that the question that must be asked
is: "must I complete the process once started?" Well-performed
minigrafts or Follicular Unit Grafts, when done correctly in accordance
to a customized Master Plan (depending upon hair character and color),
will allow each session to stand independent of every other session,
achieving in the worst case a thinner appearance than was originally
planned. Ask the doctor if one procedure can stand on its own.
- Time from start to end of procedures reflects not only the calendar
months from the first to the last procedure, but also the number of
surgeries required to reach the last procedure. Each surgery produces
down time, social dislocations, possibly lost time at work, some level
of physical discomfort and considerable anxiety. The time span for all
this may be months or years in some Master Plans.
These six areas are critical in order to understand value. In the final
measurement, only results count. A pluggy appearance will have a negative
value for most people. A thin natural look may only have partial value
if the patient was expecting a full head of hair. On the other hand, a
thin look may be the only reasonable expectation for a person with advanced
baldness, high contrast of skin to hair color, straight fine hair or a
limited supply of hair. Evaluation of your results must relate your gains
after surgery to the expectations established at the onset of the process. |
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Hair Loss information on this site has been
contributed by hair loss specialists and surgeons who have
years of experience in the field of hair loss.
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