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That so entertaining, gmonasco. I would not know where to look for such links as you point out. There is so much to take home from this presentation, however. Jerry Brown was quite the "looker" in the 70s. He had medium length hair just over his ears. He looked professional yet "hip". Fast forward almost 40 years and his has a shaven head with a Norwood Class 6 pattern. Would he shave his head if he had a strip scar? It is almost appalling to see plastic surgeons recommend a variety of procedures for him. One thing i noted was that no one recommended a hair transplant. I can only imagine what they might say about his strip scar....."he needs to get that reduced....he needs to put some hair in that scar....he's obviously had a hair transplant....he needs balloon expansion of his scalp to reduce the scar".
Here are the points. Even in your 30s you might have a full crop of hair or you may be a NW class 2. By the time you hit 70, you might be a class 6. Jerry Brown did it. Why can't you? Why in God's name would you want a strip scar put on the back of your head for any reason regardless of your hair loss pattern in your 20s, 30s, or 40s? I don't get it. you can avoid it altogether today. What are you going to do in your 60 and 70s when your hair loss has out weighed your donor area? Are you going to shave your head like Jerry Brown or grin and bear it like Joe Biden? The points are simple. Hair loss is a life long process. The consequences of anything you do today are going to catch up with you later on in life. If you have a strip procedure today, shaving your head is out of the question from then on. It is better to do nothing in my opinion than get on that ballon. If you have something like FUE, you will not have a strip scar. At the worst you can relocate the grafts back to your donor area without worry about hair growth angle distortion. Still the best solution of all is to do nothing as did Jerry Brown. Many recommended a brow lift, liposuction, facelift or eyelid surgery, but no one recommended a hair transplant. Still more important, no one recommended a scar revision for his inadequate hair transplant procedure.
if you are going to have hair restoration surgery, it is my firm belief that you should do it in a way such that you minimize the consequences of the procedure. It is better to do FUE than a strip procedure. It is better yet to add Acell and PRP in the donor area when you do FUE. It may or may not be better yet to do hair plucking plus Acell in the recipient area than FUE. Time will tell. What i can say unequivocally is that strip surgery is only for those with minimal hair loss. If your hair loss is greater than a class 2 in your 40s, you should probably avoid it because ultimately your hair loss will catch up with you just as it did With Jerry Brown. You will hear it time and time again from strip surgeons that you should have FUE only if you have minimal hair loss. Well my friends, it is the other way around. The only way you do a good job of hiding that hideous scar is to have minimal hair loss. What would Jerry Brown do with his strip scar today? Would he have been re-elected? I don't know, but one thing for sure is that he would not have his hair cropped short and plastic surgeons would be commenting about more than his eyelids, face, and adipose.
I had a patient in his late 30s ask me about a strip procedure just this week. I told him I would not do it and referred him to several well known colleagues. Obviously strip surgery is still something that many want, but long term will they still want it? i don't know, but i do know that I will not be practicing medicine in 40 years when the complications show up. I will not be around to clean up my scars any longer. Personally I want nothing to do any longer with strip hair restoration procedures.
Here are the points. Even in your 30s you might have a full crop of hair or you may be a NW class 2. By the time you hit 70, you might be a class 6. Jerry Brown did it. Why can't you? Why in God's name would you want a strip scar put on the back of your head for any reason regardless of your hair loss pattern in your 20s, 30s, or 40s? I don't get it. you can avoid it altogether today. What are you going to do in your 60 and 70s when your hair loss has out weighed your donor area? Are you going to shave your head like Jerry Brown or grin and bear it like Joe Biden? The points are simple. Hair loss is a life long process. The consequences of anything you do today are going to catch up with you later on in life. If you have a strip procedure today, shaving your head is out of the question from then on. It is better to do nothing in my opinion than get on that ballon. If you have something like FUE, you will not have a strip scar. At the worst you can relocate the grafts back to your donor area without worry about hair growth angle distortion. Still the best solution of all is to do nothing as did Jerry Brown. Many recommended a brow lift, liposuction, facelift or eyelid surgery, but no one recommended a hair transplant. Still more important, no one recommended a scar revision for his inadequate hair transplant procedure.
if you are going to have hair restoration surgery, it is my firm belief that you should do it in a way such that you minimize the consequences of the procedure. It is better to do FUE than a strip procedure. It is better yet to add Acell and PRP in the donor area when you do FUE. It may or may not be better yet to do hair plucking plus Acell in the recipient area than FUE. Time will tell. What i can say unequivocally is that strip surgery is only for those with minimal hair loss. If your hair loss is greater than a class 2 in your 40s, you should probably avoid it because ultimately your hair loss will catch up with you just as it did With Jerry Brown. You will hear it time and time again from strip surgeons that you should have FUE only if you have minimal hair loss. Well my friends, it is the other way around. The only way you do a good job of hiding that hideous scar is to have minimal hair loss. What would Jerry Brown do with his strip scar today? Would he have been re-elected? I don't know, but one thing for sure is that he would not have his hair cropped short and plastic surgeons would be commenting about more than his eyelids, face, and adipose.
I had a patient in his late 30s ask me about a strip procedure just this week. I told him I would not do it and referred him to several well known colleagues. Obviously strip surgery is still something that many want, but long term will they still want it? i don't know, but i do know that I will not be practicing medicine in 40 years when the complications show up. I will not be around to clean up my scars any longer. Personally I want nothing to do any longer with strip hair restoration procedures.
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