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Hair Transplant 360 (Advances, Techniques, Business Development & Global Perspectives), Volume 3
Samuel M Lam
I: HAIR-TRANSPLANT TECHNIQUES 360
1:
Hairline-Design Strategies and Techniques
BACKGROUND
SCALP ZONES AND LANDMARKS
Frontal Zone
Temple Zone
Parietal Zone
Vertex Zone
TECHNIQUE
Preoperative Considerations
Age
Sex
Patient Desires and Expectations
Degree of Donor Availability
Facial Contours
Hair Characteristics
Ethnicity
Male Patterns
Frontotemporal Patterns
Frontomid-scalp Patterns
OPERATIVE CONSIDERATIONS
Male Hairline Placement
Mid-Frontal Point
Frontotemporal Junction (the Apex)
Irregularity
Transition Zone
Temple Hairline
Parietal Hairline
Vertex Hairline
Female Hairline Placement
THOUGHTS AND PEARLS
2:
Micro-Punch Instruments for Recipient-Site Creation
BACKGROUND
TECHNIQUE
Preoperative Considerations
Operative Considerations
Postoperative Considerations
THOUGHTS AND PEARLS
3:
Preview Long Hair Transplantation
DEFINITION
OBJECTIVE
TERMINOLOGY
BASIC CONCEPTS
BACKGROUND
HISTORY
DISCUSSION
CONCEPTS AND REASONS FOR PERFORMING PREVIEW LONG HAIR
Nonequivalent, Technical, Artistic, and Aesthetic Precision: Changing the Concept from “Estimating” to “Seeing”
Planting for Beauty, Not for Function
Three-Dimensional Sculpting Technique
Coverage Behavior
Satisfaction Density
Preview Numeric Threshold
Consistent Coverage
Density Selection Reverse Concept
Donor-Area Use Optimization and Maximization and Surgical-Morbidity Reduction—“Less is More”
The Preview Long Hair Discretion Paradox and the Discreet Person's Paradise
Minimum Postoperative Hair Loss
Modular Aesthetic Independence (MAI)
Economically Positive Impact
Relatives’ Support and Approval
MATHEMATICS: INDEX, CONSTANT, EQUATIONS
Preview Result X Final Result
Delta Loss Index
Personal Growth Index
The P Constant
Patient Potential Donor Area X Patient Confirmed Donor Area
Patient's Confirmed Donor Area = Patient's Potential Donor Area (6,250 FUs) X P Constant
First Session Should Not Be a Gigasession
Therasession
TECHNIQUE
Consultation
Donor Removal and Graft Preparation
Creation of Sites and Graft Placement
Immediate and Final Postoperative Photographs
Postoperative Instructions and Guidance
CONCLUSION
4:
Follicular-Unit Extraction with the SAFE System: A Dull Dissecting-Tip FUE Device
BACKGROUND
TECHNIQUE
Preoperative Considerations
Operative Considerations
Postoperative Considerations
GRAFT SURVIVAL: FOLLICULAR-UNIT EXTRACTION VERSUS STRIP
THOUGHTS AND PEARLS
5:
Spreader Technique for Donor Harvesting
BACKGROUND
SPREADER DESIGN
PREOPERATIVE CONSIDERATIONS
OPERATIVE CONSIDERATIONS
THOUGHTS AND PEARLS
THOUGHTS AND PEARLS
DISCLOSURE
6:
Eyelash Hair Transplant
BACKGROUND
RECONSTRUCTING EYELASHES
HISTORY
CAUSES OF EYELASH LOSS
INITIAL CONSULTATION
TATTOOED EYELASHES
LABORATORY TESTS
PREOPERATIVE INSTRUCTIONS
SURGICAL TECHNIQUE
Selection of Donor Area
Anesthesia
Asepsis
Obtaining Hair Grafts for Eyelashes
Eyelash-Graft Insertion
POSTOPERATIVE INFORMATION
COMPLICATIONS
THOUGHTS AND PEARLS
7:
Eyebrow Hair Transplant
BACKGROUND
PREOPERATIVE CONSIDERATIONS
OPERATIVE CONSIDERATIONS
POSTOPERATIVE CONSIDERATIONS
THOUGHTS AND PEARLS
8:
Surgical Female Hairline Lowering
BACKGROUND
TECHNIQUE
Preoperative Considerations
Operative Considerations
Operative Steps
Postoperative Considerations
THOUGHTS AND PEARLS
FREQUENTLY ASKED QUESTIONS
How Much Lowering Can I Expect?
How Much Pain is Involved?
How Long Will I be in the Operating Room (OR)?
Will the Hairline Stay in the New Position?
Will the Scar be Obvious?
How Long Will I Need to Rest?
Will I Need Further Procedures?
COMPLICATIONS
9:
Stamp Design for Recipient-Site Creation
BACKGROUND
TECHNIQUE
Operative Considerations
THOUGHTS AND PEARLS
10:
Megasessions, Lateral Slits, and Dense Packing
BACKGROUND
TECHNIQUE
Preoperative Considerations
Operative Considerations
Postoperative Considerations
THOUGHTS AND PEARLS
11:
Implanters in Hair Restoration
BACKGROUND
Introduction to the Implanter Usage
Description of Implanters
Characteristics
Implanter Body (Resterilizable)
TECHNIQUE
Circulation of the Implanter
Graft Characteristics
Technique Used to Place Grafts in the Grooved Needle
ROLE OF THE SURGEON
The Implanter in the Hand of the Surgeon
Insertion of the Implanter into the Skin
Strategy for Positioning the Grafts
INTRAOPERATIVE PROBLEM SOLVING
THOUGHTS AND PEARLS
Stick and Place with the Implanter
Use of the Implanter in Eyebrows
Use of the Implanter in Temporal Hair Loss
Use of the Implanter for Grafting in between Native Hairs
Use of the Implanter as a Carrier
12:
Long-Term Strategic Planning for Hair-Restoration Surgery in Male Pattern Baldness
BACKGROUND
PLANNING CONSIDERATIONS
Norwood-Hamilton Hair-Loss Patterns
Family History of Hair Loss
The Patient's Age
Miniaturization
The Strategic Approach
Transitional Densities
THOUGHTS AND PEARLS
13:
Advanced Transplantation of the Crown: How to Increase Visual Perception of Coverage and Density with Cross-Hatching
BACKGROUND
TECHNIQUE
Preoperative Considerations
Operative Considerations
Postoperative Considerations
THOUGHTS AND PEARLS
14:
Managing and Correcting Synthetic Hair Implantation
BACKGROUND
PROTOCOL FOR SYNTHETIC-HAIR PATIENTS
Preoperative Considerations
Operative Considerations
Postoperative Considerations
THOUGHTS AND PEARLS
15:
Pubic Hair Transplants
BACKGROUND
PUBIC ALOPECIA: ETIOLOGY
PSYCHOLOGICAL ASPECTS
PUBIC HAIR FEATURES
THE IDEAL CANDIDATES FOR TRANSPLANTATION
CASE REPORT: THE FIRST SURGERY IN ITALY
PREOPERATIVE SETTING
Planning
PREOPERATIVE INSTRUCTIONS
SURGICAL INSTRUMENTS
ANESTHESIA
In the Donor Area
In the Recipient Area
SURGICAL TECHNIQUE
TECHNICAL SUMMARY
Phase 1
Phase 2
Phase 3
Phase 4
Phase 5
Phase 6
Phase 7
Phase 8
POSTOPERATIVE INSTRUCTIONS
COMPLICATIONS
THOUGHTS AND PEARLS
16:
Transplantation to the Beard, Chest, and other Areas
BACKGROUND
TECHNIQUE
Preoperative Considerations
Operative Considerations
Postoperative Considerations
THOUGHTS AND PEARLS
17:
The No-Shave Technique for Follicular-Unit Extraction
BACKGROUND
TECHNIQUE
Preoperative Considerations
Operative Considerations
Postoperative Considerations
THOUGHTS AND PEARLS
DISCLAIMER
II: HAIR-REPAIR TECHNIQUES 360
18:
The PASSO Algorithm for Hairline Correction
BACKGROUND
Position
Angles
Shape
Softness
Other
APPLYING THE PASSO ALGORITHM TO HAIRLINES
CLINICAL CASE
Position
Solution
Angles
Solution
Shape
Softness
Solution
Other
THOUGHTS AND PEARLS
19:
Hairline Correction Techniques
BACKGROUND
GENERAL APPROACH AND USE OF THE “LUCAS TECHNIQUE”
Twofold Approach
Lucas Technique
Other Planning Points
THOUGHTS AND PEARLS
20:
Scalp Repair using Tissue Expanders
BACKGROUND
HAIRLINE DESIGN
Alopecia-Reduction Procedures
Tissue Expanders
Case 1: Skin Cancer Resection and Radiation
Case 2: Scalp Defect from Excision of Skin Neoplasm
Case 3: Large Burn Defect Presenting after Multiple Failed Treatment Attempts
THOUGHTS AND PEARLS
21:
Managing Aesthetic Problems following Hair Transplantation
BACKGROUND
Consequences of Progressive Hair Loss
Unsightly Appearance of Plugs
Linear Excision of the Anterior Hairline
THOUGHTS AND PEARLS
22:
Scalp Reductions and the Frechet Triple-Flap Repair
BACKGROUND
HISTORY
CORRECTION OF THE SLOT DEFECT
TECHNIQUE
SPECIFIC APPLICATIONS
AN EXAMPLE OF SLOT CORRECTION IN AN EXTREME CASE
23:
Correcting Facelift and Other Scars
BACKGROUND
Factors Affecting Hair Transplantation in any Primary Scarred Skin
PROCEDURE PLANNING
Anesthesia
Donor Harvest
Recipient Site Incisions
POSTOPERATIVE CARE
24:
Harvesting Follicular Units from the Body for Scalp Repair
BACKGROUND
PATIENT SELECTION
TECHNIQUE
POSTOPERATIVE CARE
THOUGHTS AND PEARLS
25:
Scalp Micropigmentation: A Valuable Technique for Use in Hair Loss
CONCLUSION
26:
Managing Complications in Hair Restoration
BACKGROUND
RISKS AND COMPLICATIONS
Asymmetry
Prevention
Treatment
Bleeding, Hematoma, and Aneurysms
Management
Cobblestoning
Cause
Treatment
Cornrow Plugs
Treatment
Cysts
Treatment
Damage to the Hair Follicle
Dissatisfaction with Results
Design Problems
Folliculitis
Hyperpigmentation
Ingrown Hairs
Infection
Kinking of the Hair
Necrosis
Prevention
Treatment
Numbness
Prevention
Pain
Poor Hair Growth
Poor Hairline
Scars
Swelling
Temporary Hair Loss
THOUGHTS AND PEARLS
27:
Follicular-Unit Extraction Grafts Transplanted into Strip Scars
BACKGROUND
TECHNIQUE
Preoperative Considerations
Operative Considerations
Postoperative Considerations
THOUGHTS AND PEARLS
III: BUSINESS CONSIDERATIONS 360 FOR THE HAIR-TRANSPLANT SURGEON
28:
Strategies for Business Development of a Hair-Restoration Practice
BACKGROUND
STRATEGY 1: THE MEDICAL CONSULTANT
Pearls and Takeaways about the Medical Consultant
STRATEGY 2: INTERNAL MARKETING
STRATEGY 3: EXTERNAL MARKETING/ADVERTISING
PRACTICE MAKES PERFECT
PEARLS AND TAKEAWAYS ABOUT INTERNAL AND EXTERNAL MARKETING/ADVERTISING
29:
Marketing Your Hair-Transplant Practice
BACKGROUND
A SWIRL AND A TWIRL…MARKETING ARRIVES
DEFINING MOMENTS
GETTING STARTED
CUSTOMER SERVICE
Telephone
The Staff
Evaluation from a Patient's Perspective
INTERNAL MARKETING
EXTERNAL/NICHE MARKETING
PUBLIC RELATIONS (PR) AND PRESS RELEASES
INTERNET
ADVERTISING
THOUGHTS AND PEARLS
30:
Management of a Cosmetic Practice
BACKGROUND
HIERARCHY OF YOUR TEAM/LEADERSHIP
Hiring and Firing
ABOUT HIPAA REGULATIONS
Policy and Procedures
SURGERY-CENTER ACCREDITATION VERSUS OFFICE-BASED SURGERY
THOUGHTS AND PEARLS
31:
Running a Successful Solo Practice
INTRODUCTION
PERSONAL BACKGROUND
TRANSITION INTO FULL-TIME HAIR SURGERY
LETTING PEOPLE KNOW YOU EXIST
Yellow Page Listings and Newspaper Advertisements
Practice Brochure
Practice Newsletter
Other Advertising Avenues
The Internet
LEARNING HAIR-TRANSPLANT SURGERY
RUNNING THE DAILY PRACTICE
CONSULTATIONS
PHOTOGRAPHS
SCOPE OF PRACTICE
INTEGRITY
THOUGHTS AND PEARLS
32:
Running a Successful Multiple-Location Solo Practice
BACKGROUND
PROS
CONS
THOUGHTS AND PEARLS
33:
Insights into being Part of a Successful Corporate Practice
BACKGROUND
PROS
CONS
THOUGHTS AND PEARLS
34:
Transitioning from a Private Practice to a Corporate Practice in Hair-Restoration Surgery
INTRODUCTION
MEDICAL PROCESSES
BUSINESS PROCESSES
THOUGHTS AND PEARLS
35:
Transitioning from a Corporate to a Solo Private Practice in Hair-Restoration Surgery
BACKGROUND
PROS
CONS
THOUGHTS AND PEARLS
36:
Building and Managing an International Hair-Restoration Practice
INTRODUCTION
NEXT WE TURN OUR ATTENTION TO THE BUILDING BLOCKS OF OUR SUCCESS
Corporate Culture
Business Practice
Business Practice: Systems
Case Study: Mumbai
Business Practice: Protocols
Business Practice: Employee Selection
Success
International Challenges
CONCLUSION
37:
Expanding a Hair-Transplant Business into a Diversified Cosmetic Practice
BACKGROUND
OFFICE LOCATION AND LAYOUT
LESSONS LEARNED
BE YOUR OWN ADVERTISEMENT AND BELIEVE IN YOUR SERVICES
SELECTING NEW COSMETIC PROCEDURES
INJECTABLES AND PHLEBOLOGY
Injectables
Phlebology
SKILLS YOU ALREADY HAVE, AND WHAT YOU NEED TO LEARN
GETTING STARTED
SUMMARY
38:
Expanding a Cosmetic Practice to Include Hair Restoration
BACKGROUND
PROS
CONS
THOUGHTS AND PEARLS
39:
Malpractice Minimization
INTRODUCTION
THE RISKS
Some “Rule of Thumb” Statistics
Types of Hair Incidents that Give Rise to Litigation
Hairdressers Only—Hair Loss After “Permanents”, Hair Dyes, Bleaching, etc.
Cases Arising from Unsatisfactory Follicular-Unit Grafts, Minigrafts, Plugs or Combinations
Cases Arising Following Repeated Alopecia Reduction Procedures
Cases Arising from Scalp Flaps
Problems with Artificial Hair Implants
Lack of Personal Bond between Doctor and Patient
Complications of Anesthesia or Sedation
High-Risk Patients
What to do When a Patient Appears Unhappy with One's Result?
THOUGHTS AND PEARLS
Some Case Examples
Case 1
Case 2
Case 3
40:
Managing Your Online Reputation and Advanced Internet Marketing
INTRODUCTION
A BIG STRATEGY WITH LOTS OF LITTLE STRATEGIES
BUT I HEARD THAT SEO IS OBSOLETE!
WHERE TO START?
DO IT YOURSELF OR HIRE SOMEONE?
GOOGLE
PAY-PER-CLICK
THE SYNERGIES BETWEEN ONLINE AND OFFLINE EFFORTS
QUALITY CONTENT
VIDEO
SOCIAL MEDIA
REPUTATION MANAGEMENT AND ENHANCEMENT
DESIGN
MOBILE… MOBILE… MOBILE…
CONVERSION OPTIMIZATION
MONITORING YOUR VENDOR
PLANNING FOR THE FUTURE
WRAPPING IT UP
41:
Perfecting the Patient Consultation
BACKGROUND
STARTING WITH THE SEVENTH STEP
42:
Leadership, Teamwork, Multiple Profit Centers, and Other Fundamental Business Concepts for a Successful Cosmetic Practice
BACKGROUND
INTEGRITY
LEADERSHIP
TEAMWORK
Team Leadership
Hair Team
PROFIT CENTERS
CONCLUSION
IV: ANCILLARY MEASURES 360
43:
Regenerative Medicine Part I: Usage of Porcine Extracellular Matrix in Hair-Loss Prevention, Hair-Restoration Surgery, and Donor-Scar Revision
INTRODUCTION
44:
Regenerative Medicine Part 2: Use of Platelet-Rich Plasma
INTRODUCTION
PRP EFFICACY IS RELATED TO THE BIOLOGICAL ACTIVITY IN PLATELET RELEASATE
All PRPs are not Equal
OPTIMAL PLATELET CONCENTRATIONS FOR WOUND-HEALING APPLICATIONS
Leukocyte Populations in PRP: Helpful or Harmful for Wound Healing
The Method of PRP Activation Impacts Growth-Factor Release
PRP's Role in Hair-Restoration Surgery
DISCLOSURE
45:
New Frontiers in Graft-Storage Solutions
BACKGROUND
PATHOPHYSIOLOGIC PROCESSES DURING TRANSPLANTATION
CONSIDERATIONS FOR GRAFT-STORAGE SOLUTIONS (TABLE 45.1)
Ionic Concentration
pH
Additives
Temperature
THOUGHTS AND PEARLS
46:
The TrichoScan for Patient Selection
INTRODUCTION
TECHNIQUES AND METHODS
Choosing the Optimal Measurement Site
Shaving
Dying
Measuring
Interpretation
CONCLUSION
47:
Bimatoprost for Hair Loss: Initial Studies and Application
INTRODUCTION
RESULTS
Bimatoprost Stimulated Human Scalp Hair Follicle Growth in Organ Culture
Topical Bimatoprost Promoted New Hair Follicle Growth in Mice In Vivo
The Prostamide Receptor Antagonist, AGN 211336, Blocked Bimatoprost Stimulation of Scalp Hair Follicle Growth
Scalp Hair Follicles Express the Genes for Prostanoid Receptors In Vivo
Location of Prostanoid Receptors in Scalp Hair Follicles
DISCUSSION
ACKNOWLEDGMENTS
48:
Autocloning by Beard Hair Plucking
INTRODUCTION
49:
Finasteride Side Effects
INTRODUCTION
SEXUAL SIDE-EFFECT ISSUES
Male Breast Cancer Issues Related to Finasteride
Prostate-Cancer Issues Related to Finasteride
PSYCHOLOGICAL ISSUES
INFORMED CONSENT
50:
Oral Minoxidil
INTRODUCTION
MY EXPERIENCE WITH ORAL MINOXIDIL
CASE REPORT 1
CASE REPORT 2
CASE REPORT 3
CASE REPORT 4
CASE REPORT 5
THOUGHTS AND PEARLS
51:
Low-Level Laser Therapy
BACKGROUND
MY INTRODUCTION TO LLLT
HOW I DO IT
MY LLLT PROTOCOL
POSTSURGICAL USE OF LLLT
V: DIFFICULT CASES 360
52:
Hair Transplantation on a Patient with a Large Cranioplasty: Special Considerations
BACKGROUND
CASE PRESENTATION
History
Physical Examination
Laboratory/Imaging Tests
Intervention
Preoperative Management
Intraoperative Management
Postoperative Management
Patient Evolution
THOUGHTS AND PEARLS
53:
Hairline Plug Correction
GENERAL CONCEPTS
THE REOPERATIVE SURGEON AND THE ORIGINAL SURGEON
CASE REPORT: NATURALNESS IN HAIR-RESTORATION SURGERY
BACKGROUND
Operative Technique
54:
Approach to the Young Patient
BACKGROUND
INITIAL CONSULT
DONOR CONSIDERATIONS
DESIGNING THE TRANSPLANT
YOUNG PATIENT CASE SCENARIOS
Young Patient Norwood Type II
Young Patient Norwood III, IV, and V
Young Patient Diffuse Thinning
55:
Temporo-Parieto-Occipital Flap Repair
BACKGROUND
PATIENT HISTORY
PHYSICAL EXAMINATION
PATIENT EXPECTATIONS
TREATMENT PLAN
TECHNIQUE
Procedure #1
Procedure #2
Description
Procedure #3
Description
Procedure #4
Description
HISTORY OF SCALP FLAPS
THOUGHTS AND PEARLS
56:
A Case of Poor Judgment with Traditional Plugs
BACKGROUND
CASE PRESENTATION
THOUGHTS AND PEARLS
57:
Graft Removal, Redistribution, and Reimplantation using Follicular-Unit Extraction
BACKGROUND
PREOPERATIVE CONSIDERATIONS
OPERATIVE CONSIDERATIONS
SURGICAL PROCEDURE
POSTOPERATIVE CONSIDERATIONS
58:
Mega- and Gigasessions: Restoring Areas 150 cm2 and Over
BACKGROUND
CASE PRESENTATION
History
Examination
Procedure
THOUGHTS AND PEARLS
Where to Cover
Size and Number of Sessions
Gigasession (Sessions of 5,000 Follicular Units or More)
Donor-Area Technique
Priorities
Vertex Area
Temporal Peaks
SUMMARY
ACKNOWLEDGMENT
59:
Repair of Hairline Height after Juri-Flap Surgery
BACKGROUND
PREOPERATIVE ASSESSMENT
OPERATIVE CONSIDERATIONS
POSTOPERATIVE PERIOD
THOUGHT AND PEARLS
60:
Hair Transplants in Young Men
BACKGROUND
CASE PRESENTATION
History
Physical
Intervention
THOUGHTS AND PEARLS
61:
Repair Case of a Wide Donor Scar
BACKGROUND
CASE PRESENTATION
First Step
The Second Step
The Third Step
The Fourth Step
The Fifth Step
The Sixth Step
The Seventh Step
THOUGHTS AND PEARLS
62:
Serial Scalp Reduction
BACKGROUND
CASE PRESENTATION
OPERATIVE MANAGEMENT
TECHNIQUE
THOUGHTS AND PEARLS
63:
Management of Donor-Site Necrosis
BACKGROUND
CLINICAL CASE
THOUGHTS AND PEARLS FOR MANAGING NECROSIS IN THE DONOR AREA
VI: SURGICAL ASSISTANT 360
64:
Emergency-Situation Management for Physicians and Staff
INTRODUCTION
THE CONSULTATION
THE ADMISSION PROCESS
PRE-ADMISSION CHECKS
THE PROCEDURE
Midazolam (Versed) Toxicity
Opioid Toxicity
Dexamethasone (Decadron) Toxicity
Lidocaine Toxicity
Epinephrine Toxicity
Bleeding
Anxiety or Restlessness
OTHER CONSIDERATIONS
Vasovagal Syncope
Diabetic Patients, Hypoglycemic Events, and Hyperglycemic Events
Anticoagulants
Myocardial Infarction
LOSS OF POWER OR ELECTRICAL SUPPLY
THOUGHTS AND PEARLS
65:
Robotic Follicular-Unit Extraction (The ARTAS System) and the Role of the Surgical Assistant
BACKGROUND
PROCEDURE OVERVIEW
SYSTEM SET-UP
SYSTEM COMPONENTS
PATIENT PREPARATION
SURGICAL TRAY SET-UP
GRAFT PLANNING
SYSTEM OPERATION
MAKING ADJUSTMENTS
SAFETY FEATURES
TROUBLESHOOTING
GRAFT REMOVAL
GRAFT INSPECTION
GRAFT PLACEMENT
POSTOPERATIVE CARE
SYSTEM DISASSEMBLY AND OPERATING ROOM CLEANING
TEAM APPROACH
66:
Efficiency Versus Effectiveness
INTRODUCTION
Effectiveness
Efficiency
WHAT IS ESSENTIAL IN PROVIDING QUALITY (EFFECTIVENESS)
WHAT IS ESSENTIAL IN BEING PRODUCTIVE (EFFICIENCY)
67:
Postoperative Care Do's and Don'ts
REPETITION IS THE KEY
NIGHT OF SURGERY
Pain
Rest
Bleeding
Swelling
Coverings
ONE-DAY POSTOPERATIVE: PRESSURE DRESSING
SECOND-DAY POSTOPERATIVE
Bandage Removal
Shampoo and Grooming Instructions
Scabbing
Camouflaging Products
ONE-WEEK POSTOPERATIVE
Shedding and Shock Loss
Regrowth
Complications
FOLLOW-UP
CONCLUSION
ADDENDUM
Editor's Note
Example 1: Dr Glenn M Charles
POSTOPERATIVE INSTRUCTIONS FOR FOLLICULAR-UNIT EXTRACTION
Medications
Sleeping and Activity
Caring for and Cleaning the Scalp
Your appointment is scheduled for __________________
GraftCyte for Post-Procedure Care
What to Expect
Example 2: Dr James Harris
POSTOPERATIVE INSTRUCTIONS FOR FOLLICULAR UNIT HAIR TRANSPLANTS
The First Night after Surgery
The Week Following Your Surgery
PLEASE CONSIDER THE FOLLOWING TIMETABLE WHEN PLANNING POSTOPERATIVE ACTIVITIES
Example 3: Dr Sam Lam
DISCHARGE INSTRUCTIONS FOR HAIR RESTORATION
Specific Instructions
Hair Care
Medications
68:
Follicular-Unit Extraction and the Role of the Surgical Assistant
69:
The Effects of Graft Injury and Desiccation
INTRODUCTION
DONOR HARVESTING: SINGLE STRIP
SLIVERING
CUTTING
PLANTING
SUMMARY
70:
Tools of the Trade
INTRODUCTION
SETUP
GRAFT PREPARATION
GRAFT PLACEMENT
ALTERNATIVES
71:
Efficient Training Techniques
INTRODUCTION
PRINCIPLES OF ADULT LEARNING
Key Features of Adult Learning
HOW WE TRAIN
Teaching Graft Preparation
Silicone
Foam
Cadaveric Tissue
Teaching Graft Implantation
Styrofoam Head to Teach Angles and Directions
Animal Skin
Trainer Placer Boards
Styrofoam Head with Plasticine/Reusable Clay
72:
Hair Transplant 360 for Assistants: Updates
INTRODUCTION
TRAINING
INSTRUMENTS
DISSECTION AND PLACEMENT
EMPLOYEE/HAIR-TRANSPLANT TECHNICIAN EVALUATION FORM
VII: BUSINESS CONSIDERATIONS 360 FOR THE SURGICAL ASSISTANT
73:
Starting a Career as a Hair-Transplant Technician
BACKGROUND
PROS
CONS
THOUGHTS AND PEARLS
74:
Cross-Training Strategy between a Surgical Assistant and a Medical Assistant
BACKGROUND
PROS
CONS
PEARLS AND PITFALLS
CONCLUSION
75:
Different Career-Path Options for Surgical Assistants
BACKGROUND
SINGLE LOCATION: SOLO- AND MULTI-PHYSICIAN PRACTICE
LARGE MULTILOCATION PRACTICE
THE FREELANCE SURGICAL ASSISTANT
CONCLUSION
76:
Coordinating a Combined Dermatological and Hair-Transplant Practice
BACKGROUND
STAFF CONSIDERATIONS
PEARLS AND PITFALLS
CONCLUSION
77:
The Consultant Role in Hair Restoration
BACKGROUND
PROS
CONS
THOUGHTS AND PEARLS
78:
Staff Management: The Office Manager's Perspective
BACKGROUND
PROS
CHALLENGES
THOUGHTS AND PEARLS
79:
Outline to Running a Successful Solo Practice
INTRODUCTION
DAILY OFFICE DUTIES
SURGERY DAY AT THE OFFICE
PERSONAL DUTIES
A FEW TIPS THAT ARE IMPORTANT TO A SUCCESSFUL PRACTICE
80:
How to Leverage Your Staff Skills
INTRODUCTION
Afterword
FESTINA LENTE
INDEX
TOC
Index
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