I noticed that you do hair transplant consultations in Los Angeles. Do you have a hair transplant clinic in Los Angeles? — A. R.

Although our Los Angeles hair transplant patient advisor spends several days per month in L.A. providing consultations to hair loss sufferers, Hasson & Wong does not have a surgical office in the U.S. Most of our patients do come from the U.S. to Canada for hair transplant surgery. People having surgery know that the convenience a clinic’s location shouldn’t be the deciding factor when choosing a clinic. With surgery, you don’t “shop local”, instead you let the clinic’s results be your guide. — Victor Hasson, MD

Schedule a Hair Transplant Consultation Today

Our Los Angeles patient advisor has a decade of experience helping assess a hair loss sufferers suitability as a patient and is a great resource of information about hair loss.
Call 1.800.859.2266.

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I am 30 years old and had a strip surgery for mainly temples/frontal area when I was 23. The result was very good. But 7 years later there was some thinning on the the temples area. The overall result is still great since I am also on propecia. I think that I need some minor touch-ups (500-900 grafts) in the temples area instead of a big session. I want to save for the future. Is strip surgery recommended for minor touch-ups? What is the best option? Thank you in advance. — L.G.

Thanks for the question. For minor touch-ups, strip surgery works as well as it does for megasessions, especially if the patient already has a scar from a previous surgery. If a patient feels that a strip surgery is out of the question for whatever reason, FUE for a small procedure is an option as long as the patient understands it’s limitations. Depending on the type of donor hair, the FUE result may produce a lower yield and require more touch-ups to achieve the desired result. Ultimately we feel the strip would be the way to go for most patients. Based on what little information we have, we would also conclude that the strip is your best option.

If you would like more information, please don’t hesitate to contact our office or submit an online consultation.

Victor Hasson, MD

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Hi, I had a 1,500 graft strip procedure done in July 2009. Ever since then, I’ve had headaches and numbness in certain areas of the back of my head. The headaches got so bad that they became daily, pretty much from the time I awoke until I went to bed, so about a month ago I went to a neurologist and he had me get a Cat scan, and everything came back negative, so he currently has me on meds for that. The people who did my surgery says the headaches are not connected to the surgery, would you agree with that? About the numbness, I know that’s connected to the surgery. It’s not totally numb, because I can feel myself touching it, but it is numb, if that makes any sense. I still have pain if I touch it too hard, and it’s never gotten any better. Also, if I touch my scar, that causes immediate pain. Could there possibly be permananet damage to my nerves in my head? Or is a chance that I could still get feeling back there? Also, is there a way that you could possibly fix that scar, and if so, would that possibly fix the numbness in my head? — C

Thanks for your question regarding headaches and numbness after a hair transplant. We would tend to agree that the headaches you are experiencing are not related to the hair transplant surgery. Some numbness surrounding the donor area is not unusual up to a year post-op. It is very uncommon for our patients but in some instances, sensations can remain in the donor region to some degree. Permanent nerve damage is unlikely but a small part of the nerve ending could be trapped in scar tissue which could cause some pain. A scar revision would likely result in an improvement or elimination of the numbness or discomfort but there are no guarantees.

If you would like any further discussion or information regarding scar revisions, please contact our clinic. Our friendly and informative staff would be happy to speak with you.

— Jerry Wong, MD

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First, I cannot tell you how thankful I am to find your practice. Two years ago, uneducated, I had a transplant procedure with a local surgeon here in Alabama. At the time I was looking for help and did not do the proper research. (Granted there are “resources” online, but how many times since the dotcom era have we been told not to believe everything we read on the Internet?) The procedure allowed 850ish grafts to be transplanted, which I thought would do more than it did. The doctor seemed very genuine, the Owner/Office manager…not so much, which also aided in my search for someone/something better. Since the procedure I have found a lot of help and encouragement online, which led to your incredible practice. I had the discussion with my wife Sunday and we have started our plan to save the needed resources. I have not contacted your office at this time since saving will require at least a year and with your time being limited, there are others needing their response sooner. My question is, since the recipient area will be shaved, will the previous transplant hair feel the effect of shock loss or will it begin to grow back like the donor area? I’ve always used a concealer since my hair began to thin and also a week and a half after my first surgery I started back with the concealer. No one has seen the truth of my hair loss due to these products. It’s understood that some shock loss can be expected and I assume it is relative to the person, but any insight is appreciated. My thought is, if the previously transplant hair begins to grow back just like it would from a normal hair cut, I could begin with the concealer to mask the transplanted artwork as it begins to take shape. Thanks again for your time and expertise. — R.P.

Thank you for the kind words regarding Hasson & Wong Hair Transplant Clinic. Temporary shock loss can effect existing hair in the recipient area. The degree of temporary loss varies from patient to patient. Generally your previous transplanted hair would be stronger than other surrounding hair and would be less likely to shed after surgery. Chances are it would continue to grow at the same rate as the donor area from day 1 post-op. You should be able to get away with the use of the concealers to help the transition. Concealers such as Toppik are fine but others that go directly on the scalp can potentially cause some damage to the transplanted follicle.

While our time is limited to some degree as you mentioned, we are always happy and willing to evaluate patients who may not be planning to have surgery any time soon. If you wish to get an estimate to plan for your surgery, feel free to submit a free hair transplant consultation or contact us. We look forward to evaluating your case when you are ready.

— Victor Hasson, MD

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I was wondering, what is “pitting” and how does it happen? Second, I had several “cowlicks” on my head before losing my hair. If I were to get a hair transplant, would I get those awful cowlicks again? — S.E.

Pitting is the result of placing large grafts in the scalp without properly controlling the depth of the incision. The surface of the skin becomes indented creating an unnatural pit. This can still happen in some clinics with less experience and old technology but never in our clinic.

Controlling angle and direction of hair is very important in creating a natural result. Cowlicks are a nuisance and make stying the hair difficult. It is good that you have lost the hair that once created a cowlick. The newly transplanted hair would be directed in the proper angle and direction and the cowlick of the past would not be an issue. In short, you would not get that “awful” cowlick again and nor would the hair ever change to the old direction (cowlick) once it is transplanted.

— Jerry Wong, MD

If you are thinking of having a hair transplant, visit our hair transplant surgery website for a free online hair transplant consultation.

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Do you travel to Dubai for consultations or to perform hair transplant surgery? — M.

We do not have a consultation office in Dubai. However, the majority of out patients are international including patients from Dubai. Uploading and submitting photos through our website is usually sufficient for a recommendation to determine whether a patient is a good candidate for hair restoration at our clinic. All patients travel to Vancouver for surgery and any other pre or post-op visits. Most of our patients are seen only once for surgery and any subsequent follow-ups and showing of results are done by email.

Jerry Wong, MD

Receive a free hair transplant consultation online.

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Do I have to cut my hair or have it shaved at recipient area at time of the hair transplant surgery? — G.S.

The necessity of shaving the recipient area depends on the number of grafts being transplanted in a given area and how much existing hair there is. For medium to small size surgeries where there may be sufficient spaces between the existing follicles, a surgery can then be performed without the shave. To obtain the best results though, generally, it is best to shave the recipient area if there is a fair amount of existing hair.

— Victor Hasson, MD

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My question is regarding hair flap surgery or if you call it scalp flaps. If a person is a Norwood 5 or 6 balding pattern and cannot achieve desired result from hair transplants would one be able to get full coverage or density from undergoing hair flap surgery? If there is not enough donor hair will a person get more coverage from hair flap surgery? — M.K.

A Norwood 5 or 6 can achieve adequate or desired density from follicular unit transplantation if he has sufficient donor hair and the surgery is performed by a qualified surgeon. Only a handful of surgeons can produce such a result. A flap procedure is not generally recommended by the top hair restoration surgeons. A flap can produce an unnatural hair direction and angle. A scar is created right at the hairline. Generally, high density up front and a significant drop off or lack of hair behind also contributes to an unnatural appearance. It is not as natural as a true follicular unit grafting procedure. If the patient has average donor area characteristics, the overall result of a follicular unit hair transplant will be superior to the flap even if the density is not as high.

— Jerry Wong, MD

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• Do I Have To Take Finasteride 1 Year Prior to Surgery? I am a 36 year old man whose hair loss began when I was 19. I feel the progression of my hair loss has subsided at least 5 years ago....

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