A Proposito Di Autotrapianto Su Pazienti Giovani

[Aragorn]

Interessante contributo di John Cole su un tema più volte dibattuto:

 

Hair restoration surgery in the young patient can be dangerous. We do not have a crystal ball and we cannot predict your future. If you begin surgery when you are young, you may find your hair loss exceeds your donor capacity. At this point you may wish that you had not begun doing surgery and simply desire to return to your natural state of baldness. Unfortunately, I find many individuals present to my office with this very complaint. They simply want to return to a natural, bald state.

 

The younger you are when you first experience hair loss, the more hair loss you can expect to occur over the remainder of your life. Like it or not, hair loss is a life long process that will not cease until you die or we discover a medical cure for hair loss. We cannot predict when we will see a cure for hair loss. If you are already an advanced degree of hair loss in your early twenties, I would recommend against hair restoration surgery. If you degree of loss is less, and you have excellent hair characteristics, we might consider a surgical solution at some point.

 

I do not believe that any young individual should begin surgery in his early twenties without first trying medical treatment. Most medical treatments such as minoxidil, propecia, avodart, and topical spironolactone do not grow a significant amount of hair in most individuals. What they do often though, is slow or even stop hair loss. This is very important to you. You are buying time until we have a better solution and perhaps limiting the amount of hair restoration you will require over the course of you lifetime. This may ultimately save you money and preserve you coverage for a longer period of time. You may also slow your hair loss until such time that you become more comfortable with your degree of hair loss. This means that if your donor supplies will allow us to give you a full look in the front, but a thin or bare look in the back, vertex, you may be happy with this result at age 50, but very disappointed at age 23. In other words, people tend to become more comfortable with their hair loss as they age. This is not an absolute rule though. I have seen many men in their 50s, 60s, 70s, and 80s who were not happy with their hair loss and sought treatment.

 

If you do consider surgery at a young age, I recommend FIT. This is the only true stand alone procedure. In other words, you can elect to shave your head down the road and still appear natural because you will not have a linear strip scar in your donor region. You must realize that this is a new procedure though, and there are many things about it that we are still unravelling. We know that in due course we are simply going to get better and that the results should continuously improve. This does not mean that we are disappointed with the results to date. Rather, we find the results are fantastic. We do expect major improvements over time and a better definition of the complications.

 

I do not recommend strip incisions in the young patient and feel that it is imporatant for any physician to disclose the potential beneifits of FIT/FUE and the linear scar complication to any young male seeking hair restoration surgery.

 

FIT also allows you to pursue the "less is more" illusion of coverage. Here the hair is cut very short in a crew cut fashion. The balding or thinning areas are restored so that they appear thin but natural. We do not attempt to restore the density you were born with, but give you a thin look. When the hair is cut short, we find the illusion is such that you appear to have better coverage than you really do. In other words, less coverage give you a more full illusion.

 

Typically, I recommend that any person delay hair restoration surgery until they are 23 years of age. I would consider FIT placed in a conservative fashion in a younger male though, but only if they were fully educated and had been counselled by those who experienced hair transplant surgery at a young age, but now spend a large portion of their time educating others about their unfortunate mistakes. One might consider speaking with Arfy on www.hairosshelp.com. The longer you can delay your procedure, the better when you are in your early twenties.

[mr. marte]

Ma non trovi che sia in contraddizione con le alte densità; nel senso, se ho capito bene quello che c'è scritto, che ritenendo impossibile una valutazione sullo stadio finale della a.a. di un paziente, consigliano di temporeggiare il più possibile con trapianti leggeri evitando soprattutto in pazienti giovani le strip che pregiudicherebbe un'eventuale rasatura.

Può essere?

ciao

[Lady Marmelade]

perche' ha scritto che piu' giovane sei quando ti inizia l'alopecia e piu' capelli perderai? non e' mica vero!mio papa' era praticamente gia' come e' adesso a 40 anni(ora ne ha 64),e non molto diverso da quando ne aveva 30! altrimenti tutti gli uomini avrebbero solo la corona intorno e basta! perche' cmq tutti iniziano verso i 23-25 anni che piu' chi meno! e in realta' non e' cosi' perche' e' una questione di genetica!

[curvadong]

The younger you are when you first experience hair loss, the more hair loss you can expect to occur over the remainder of your life. Like it or not, hair loss is a life long process that will not cease until you die or we discover a medical cure for hair loss.

Infatti,non dice che chi perde capelli necessariamente inizierà presto a perderli,tuo padre è un caso di calvizie iniziata a 23 ma relativamente "quieta" fino ai 30 che in dieci anni lo ha poi "stabilizzato"(ma alcuni perdono tutto in pochi mesi,anche intorno ai 18/20 anni),dice che a maggioranza di casi,se inizi a perderli molto presto la tua calvizie ti porterà,appunto probabilmente,ad un grado di nw avanzato,proprio perchè essendo un processo continuo,prima inizi,più ti avvantaggi sugli altri,più ne perdi!!

 

E' quasi impossibile vedere un 18enne affetto pesantemente da A.A. che a 30 è solo appena fisiologicamente stempiato.Sarà con tutta probabilità fortemente diradato e "arretrato" se non completamente calvo,da 5 a 18(!) della nw.

[raffa75]

come io non ho mai visto nessuno comincaire a perderli a 30 anni e diventare completamente calvo..........spero di non essere il primo io eh eh eh eh ehe

[jmmy76]

Non ho capito bene <_< :( <_< potete spiegarmi?io ho 28 anii e mezzo, sono sempre stato stempiato,mio nonno materno è calvissimo mio nonno pat aveva più capelli di me,mio padre a 58 anni ne ha più di me :angry: ho cominciato a diradarmi seriam negli ultimi 2 annetti anche se lentamente...questo cosa vuol dire?visto che per quanto riguarda l'argomento della calvizia che si stabilizza non c'è certezza anzi ognuno dice la sua e visto che tra 2,3 o 5anni poteri essere ancora cosi o compèletamente calvo quando è,secondo voi il momento migliore per pensare all' intervento?scusate la domanda banale e forse stupida :(

[RAFFAELE1]

il momento migliore è dopo i 30anni e dopo che cessate tutte le cure farmacologiche la caduta si è fermata da almeno 1anno cosi si puo essere abbastanza sicuri di essere stabili e di nn andare incontro almeno per il momento a cadute drastiche.....