Is There a Downside Going To a Hair Transplant Clinic That Uses Travelling Technician

[tbtadmin]

Posted on Bald Truth Talk Hair Transplant Forums What is the downside of going to a clinic that uses traveling techs? I mean if the techs are REALLY skilled wouldn’t they just be spreading their good tech ways across the various hair transplant clinics they work for? - - - - - - - - - - Traveling [...]

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[Steven Gabel, MD]

I agree completely with Dr. Feller.

It is so important to have technicians who know the business and know the physician. When I perform a hair transplant, my staff and I meet prior to the patient entering the procedure room and discuss the case and the goals of the specific procedure. I also explain the surgical plan in detail and any specific things I want accomplished. Since I have my own staff that works for me day in and day out, they know exactly what I am looking for and the case runs very smoothly.

If I had to work with a random staff that changes daily, I would not be able to maintain the high quality of work that I perform. The staff would not know what I am looking for, and quite frankly, I would not trust any new person that has not worked for me and seen my work and the extremely high-standards I require for all my staff.

There are several organizations that rotate the hair technicians from office to office quite frequently - the staff one week could be in Seattle, the following week in Orlando, then a month later they could be working in Los Angeles. This means that the rotating staff works with all sorts of physicians and does not develop any continuity. In my opinion, this situation is less then optimal. Therefore, it is important for prospective patients to ask the physician about their staff - do they rotate or do they have a permanent staff that works everyday with that physician? These are very important questions to ask.

Steve Gabel, M.D.
Gabel Hair Restoration Center
Portland, Oregon
503-693-1118

[blowmeup]

I do really appreciate this topic being brought up because it is something I never would have actually thought about myself. The argument to NOT use traveling techs is quite compelling. The best example that hit this point home for me was this comment:

"How good would the NY Giants be if they created a team of traveling players who hardly know each other just before each game and never practiced together? It would be a disaster. And so it goes with traveling HT techs." well said.

Definitely should be on everyone's top ten list of things to ask your potential surgeon. Thanks.

[Steven Gabel, MD]

In fact, taking your sports example one step further, you hear about players being traded from one team to another; it usually takes months for them to all get into rhythm, if not years of playing together. It is quite evident from watching players who are good and have been playing together for years that they have almost an inate sense of where the other is on the court or field. Again, this is a very important aspect of the procedure and should be asked about.

[the B spot]

Dr. Feller, Dr. Gabel--interesting article.

I think for the most part I agree with both of you. I believe that the technician staff is such an integral part of the hair transplantation process that without dedicated staff, even the most gifted doctors will never fullfill his or her full potential.

When asked the question, "Who is more important, the Doctor or the Technician?" I respond with a football analogy: Put Peyton Manning or Tom Brady behind a poor offensive line, and you have a great QB that is going to have a difficult time getting the job done. You simply must have a great team to produce great results day in day out.

I think asking how long individual members of a particular doctors staff have been working there is a question that should be asked more often by patients doing research on a particular clinic.

Great Article!

Take Care,
Jason

[Steven Gabel, MD]

Jason

I agree.

[frekey]

I just came across this post... Dr. Feller.. it's an interesting article you wrote, but I see some well known doctors on this forum has multiple offices in across the U.S..

It's a good point to bring up, I wonder if those doctors with more than one office can comment... do the tech staff travels with them office to office or do they have the local permanent staff supporting them?

[Jeffrey Epstein, MD]

Personally Frekey, I feel that I want my own dedicated team of transplant technicians working on my patients. I have a team of 15 full time assistants- some of whom have been with me for 15 years, most for 6 to 7 years. These techs know so much about what I expect and need from them, and similarly I know each of their strong points i.e. 4 of them are dedicated sliverers, 3 each are purely right or left side planters and 2 are ambidextrous, some are better at assisting with FUE procedures, others with eyebrow transplants, etc.
I do have a second office in NYC- and there, I typically travel with 4 of my Miami techs, and have created as well a team of 3 other techs who work with me as well as my associate in NYC, Dr. Yael Halaas. Dr. Halaas is also a board-certified facial plastic surgeon who particularly specializes in treating women and performing FUE procedures, and she shares my NY team as well.

Jeffrey Epstein, MD, FACS
Miami and NYC

[frekey]

I left you a follow up question on your website blog, but never got responded... Do you (Dr. Epstein) perform surgeries in your Scottsdale, AZ office (or only consultations) or only Florida and New York? Do your techs join you in the AZ office?

A little off topic, but you recommended to transplant hair into a scar area. I imagine you would use FUE techiques for small scar 1/4 in wide 6 inches long. But I see you mention your HITs technique of closing scars from strip method that are hard to see. Would these techniques allow for hair to be cut as short as a size 1 clipper setting or smaller?

Last question... since this is a scar repair...is there any preparation waiting period to be had before surgery can start? I don't have any MPB, only scars.

My goal is nearly invisible scar with the ability to cut short hair when ever I want...I haven't been able to ever before.

Sorry for going off topic, but they are sorta related.

[Jeffrey Epstein, MD]

Happy to answer your questions Frekey on this forum.

With reparative procedures of donor site scars, there are several steps I typically take, in an series of carefully planned steps. Typically, as a first step I will try to perform an actual scar repair - excising the scar then closing it in a plastic surgery fashion that often will include my HITS (a version of the trichophytic) technique. Oftentimes that will result in a partial improvement in the scar, but if it is not sufficient and/or I feel that this type of scar repair is not indicated (i.e. tight scalp), I will go right to FUE grafting into the scar.
Being realistic- you may never be able to cut your hair with a #2 or #1 razor, even with the very best techniques, depending upon what your scar looks like currently, the density and calibre of your hairs, and the color of your scalp. These are all things which can be discussed prior to any surgery after review of photos and/or in-person consultations.
Finally, no special pre-op preparation is necessary to have this procedure.

Jeffrey Epstein, MD, FACS
Miami and NYC