VOLUME 1 for PHYSICIANS
Samuel M Lam, MD, FACS Medical Director Lam Facial Plastic Surgery Center and Lam Institute for Hair Restoration Plano, Texas
Jitendar P Vij
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Hair Transplant 360 (For Physicians), Volume 1
© 2011, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2011
Typeset at JPBMP typesetting unit
Printed at Ajanta Offset
To my mom, CAROL, who has taught me by example how to be a caring and compassionate person. Thank you for being a beaming example of love to all those who have the privilege to know you.Preface
Hair Transplant 360 is conceived as an entirely new project idea in which the physician and the assistant have each been afforded an equally, authoritative voice: Volume 1 is written by a physician for physicians and Volume 2 is written by an assistant for assistants. Hair-restoration surgery stands apart from other surgical endeavors in that the outcome is predicated on the quality of every team member rather than resting on the shoulders of the physician alone. This book serves to bridge that divide as thoroughly as possible by providing a 360-degree perspective on how to perform superior hair-transplant surgery from the alpha to the omega for both physician and assistant. As part of that vision, every reader (physician and assistant alike) should try to digest the information contained in both volumes for a comprehensive and fundamental understanding of hair transplantation.
I have written this first volume for physicians with the goal to help a beginning hair-transplant surgeon to practice the safest, most artistic and technically superior hair restoration possible. With that objective in mind, the depth of this subject should also hopefully enlighten even the most seasoned hair-transplant practitioner. Preparing for the American Board of Hair Restoration Surgery, I realized the severe deficits in my own understanding of the field, particularly when I should not be operating on a prospective patient. Accordingly, I have focused the first chapter on the medical side of hair restoration, including the basic points of anatomy and physiology, processes of hair loss, diseases that preclude hair-restoration surgery, along with practical topics like consultation, marketing, and preoperative planning that every physician should know before beginning to operate. Without this front-end knowledge, a physician cannot aspire to be a great surgeon.
When it comes to surgery, this book stands as an exquisitely detailed blueprint of how to do it from one's surgeon's perspective, with all the attendant biases to which I will fully admit. However, in my estimation multi-author projects can inherently lead to confusion on the reader's part of how exactly to perform a given procedure. This book offers a stepwise practical guide on how to undertake the technical details of hair transplant surgery from start to finish. Further, extensive illustrations, photographs, and videos that I have personally designed and developed for optimal educational value lavishly support the text. It is my hope that this book will become the most practical guide on how to perform hair transplant surgery safely and effectively that is available on the market.
Beyond technical expertise, hair-transplant surgery is a creative process that can express individual artistry more than I could have first imagined when I started in this field. I had the concept that making countless incisions to place countless grafts into them would be a tedious, dull and boring chore. Instead, I have been awakened to the creative side of hair transplantation with designing patterns that are a work of art and that fit the aesthetic needs of a patient. This entire volume is suffused with my passion for the artistry required to perform superlative hair transplantation, a subject that I believe has been largely ignored in other textbooks. The artistry is most lovingly captured in the concluding chapter focused on case studies demonstrating how artistic hair transplantation can be practically implemented.
I would like to thank Emina, my co-author, for helping me shape our vision for a glorious world where ethical, artistic and technically wonderful hair restoration can flourish. I am thrilled that she can walk, climb, cry, laugh and smile broadly beside me on this never-ending journey of better results for deserving patients.
Samuel M LamDesign and Vision
I would like personally to thank my publisher for believing in my vision from the outset (as no other publisher has ever done for me) and working with me all the way through this process without hesitation and with absolute faith in my message, content, and design.
I never write a book that has been published before. This is not just another hair transplant book but one that is utterly unique in its scope and content, as outlined in my preface. Commensurate to that goal, I have been allowed considerable artistic freedom to make this book look and feel like nothing else.
As an artist, I am imbued with a sense of passion for quality design in every facet of my life, and this book project is no exception. I did not want this book to resemble any other medical textbook; instead I aspired that the modern and iconoclastic design would breathe life into and reflect the uniqueness of the content within.
I originally designed the enso logo for my spa but adapted it to the purpose of this book, thanks to my hair-transplant assistant, Darla Stewart, who did not embrace my initial concept of a yin-yang motif, which I have come to realize was a correct decision. I wanted a logo to convey the partnership of the physician and assistant as well as to represent the circular concept of the 360-degree comprehensive nature of this book project, and I think the enso accomplishes those objectives.
The enso is a Japanese word that means “circle” and carries the meaning of enlightenment, strength, elegance, and the universe all of which I believe capture the spirit of this book project. Zen masters contend that the character of the artist is revealed through his interpretation of the enso, with artists who paint the enso on a daily basis as part of a spiritual journey.
Hair restoration is also an artistic journey in which the physician and team continue to progress toward mastery but never fully attain it. When you embark on your career as a hair-transplant surgeon or assistant, recall the meaning of the enso, that this is a never-ending artistic expedition of a united team aiming upwards.Acknowledgments
With any published work, it is never the reflection of an author's solo product. With that humility, I would like to thank those who have greatly impacted my clinical work as a hair transplant surgeon and in whom I owe an immeasurable debt of gratitude. In particular, I would like to single out Dr Vance Elliott who mentored me during the start of my practice and with whom I have maintained a profound collegial rapport and abiding friendship. I have borrowed many ideas for this book that Dr Elliott has developed without formal attribution so I would like to acknowledge that openly here.
I would also like personally to thank Dr William Parsley for his kind review of my manuscript and for very helpful criticism and commentary on topics particularly that needed a dermatologic perspective.
I owe the deepest debt of gratitude to my co-author, Dr Emina Karamanovski, who has steadfastly developed our current technique through assiduous study, passionate debate, and rigorous review of our work together. Her uncompromising approach to our work has raised the bar for every team member, including my own efforts. She is a true leader in every sense of that word, providing emotional, inspirational, creative and intellectual guidance for our entire team. I am very proud to work with not only a great assistant but an amazing person.
Without my staff, I could not do what I do. I always smile at the end of a day when all I hear is praise for my staff. After reading these two volumes, I believe that you will appreciate how much hair restoration is a team sport. The surgeon only plays a partial role in the overall success of a procedure. Thanks to my staff for their passionate and compassionate contribution to making our vision for superior hair restoration alive and flourishing.