Tag: surgery

The History of Hair Transplant

Hair transplant procedures have come a long way in recent decades. The results surgeons can get with the new areas of hair on a patient’s previously balding areas are better than they have ever been before. It is amazing that this first started with a doctor who wanted to transplant hair to give people new eyebrows.

Dr. Okuda of Japan was busy trying to transplant hair to the eyelashes and eyebrows of people who had lost them traumatically. This was before World War II. When the war broke out, his discovery of hair transplant procedures was squelched until two decades later.

In 1959, Dr. Norman Orentreich began a new field of surgery when he published on the use of hair transplant surgery. It was during this decade that doctors had begun to try moving balding-proof hair follicles to the balding areas of patients’ heads. They used hair from the fringe, or back and sides of the head, to accomplish this.

The doctors were trying to determine whether hair follicles were balding resistant because of where they were located on the head or because of something inherent in the follicles themselves. This would settle the issue of whether hair transplant would work by those methods.

After their trials, they got the answer: the hair follicles themselves made the difference in the life of the hair and not where they were placed on the scalp. They termed this phenomenon Donor Dominance. Hair transplant surgery was on the horizon.

Doctors started doing hair transplant procedures immediately. They began with a method that was somewhat flawed. While they did use their idea about moving hair from the sides and back of the head to the balding areas, they did not have pleasing results.

These hair transplant procedures in the 1960s and 1970s used a method where 15-25 hairs were grafted in a round plug pattern. These plugs were both conspicuous and unsightly. They looked quite unnatural; if a person had hair plugs, everyone knew it. They were not only unbecoming, they were also permanent.

Improvements were made in hair transplant surgery in the 1980s. Mini-grafts were better, but they still had the appearance of plugs, albeit smaller plugs. These were made up of 5-8 hairs each. This size of plugs is still being used by some surgeons even today.

As time has gone by, the graft used by most surgeons has gone down. The hair transplant of grafts between 1-8 hairs is the norm. Up to 800 grafts can be done in one sitting now. There is still room for improvement, though, as the results still do not look completely natural as they should.

A new method of hair transplant that is being used by some doctors today is follicle-unit micro-grafting. In this procedure, grafts are made up of 1-4 hairs and are placed over the balding area. This is the usual number of hairs in follicles on a healthy head of hair. By inserting thousands of these follicular units, surgeons can give the appearance of natural hair and hairline.

Hair transplant surgery has reached a level where it can produce a result that is virtually undetectable to most people. Over the course of several decades, it has changed from an experimental procedure to one that is used frequently and successfully.

The Difference Between Arthritis and Rheumatism

The Difference Between Arthritis and Rheumatism
Leong Y.H..M.D

‘Rheumatism’ is a traditional and non-specific term used in the East and West to refer to a variety of conditions affecting the bones, joints, skin, heart, kidneys, lungs. This term is rapidly falling out of favour in the West today because modern medical science has discovered that most of these conditions have different aetiologies (causes) requiring very different treatments.
You can say that it’s a word mainly used in Chinese (& traditional) societies; it’s also used by a minority of Westerners into homeopathic and alternative medicine. The only common characteristics among these conditions are: 1) they cause long-term chronic pain, and 2) they are very difficult to treat.
‘Arthritis’ is a broad term refers to inflammation of the joints, but doesn’t say anything about the cause. Includes conditions like osteoarthritis, rheumatoid arthritis, psoriatic arthritis, infective arthritis, gouty arthritis, etc.
Generally, I’d divide arthritis into 2 big groups:
1) Osteoarthritis (OA)
This is primarily a ‘wear and tear’ condition affecting older people. Arises from overuse (e.g. marathon runners), previous injuries (football players), overweight, heredity. A lot of older Asian women get OA of the knees while the Americans and Europeans get it in the hips. The pain is more mechanical than inflammatory. So you get pain in the later part of the day after a lot of walking and climbing stairs.
Because it’s mainly a mechanical problem, treatment with painkillers is only a temporary solution. Long-term lifestyle changes are more important – reduce weight, mobility and muscle-strengthening exercises, reduce all kinds of weight-bearing activities (walking, jumping, running, carrying heavy objects). In severe cases, surgery may be warranted.

2) Inflammatory (‘Rheumatic’) Arthritis
This group comprises the various types of arthritis which are mainly inflammatory , not mechanical, in nature. They usually result from an auto-immune condition, which causes the body’s immune system to go haywire and attack the joints and other parts of the body. E.g. rheumatoid arthritis (RA), SLE (skin, kidneys, joints, brain), psoriasis (skin, joints), ankylosing spondylitis (back, heart), gout (joints, skin, kidneys), rheumatic heart disease/fever (joints, heart, skin). All these conditions require different forms of treatment.
I’ll talk a bit about RA, the commonest condition in this group. Unlike OA, RA can occur at any age and is usually hereditary (we now have a test for the RA factor in the blood). Pain is usually in the early morning, worse when it’s cold, and gets better with activity and use. That means an RA sufferer suffers from morning stiffness and pain, but gets better in the afternoon when it’s warmer and when he has moved around a bit.
Treatment, unlike OA, is mainly through drugs – painkillers, anti-inflammatory drugs like steroids, cytotoxic drugs like sulfasalazine and MTX. In Asia, treatment is mainly through accupuncture, medicated plasters and ointments. With the vast arsenals of drugs and non-drugs alternative treatments available today, RA can be controlled very well and the sufferer can actually lead a very active life. Many OA sufferers on the other hand may eventually require surgery since we don’t have very effective drugs for OA. About the Author
Dr Leong Y.H is a western trained medical doctor with a keen interest in Oriental medical treatment. He contribute articles to http://www.quick-pain-relief.com and http://www.chinese-culture.net. You may distribute this article as long as mention is made of the author and the website.

The Care of Rheumatoid Arthritis

The Care of Rheumatoid Arthritis
Leroy Gastering

There are different forms of arthritis each painful and possibly debilitating. Often attributed to those of advanced age, arthritis can afflict anyone and can develop for a number of reasons, depending upon the type. Since this particular disease affects the joints, the agility and mobility of the patient can be significantly impacted as it progresses sometimes to the extent of physical deformity.
Rheumatoid arthritis is a disease of the immune system which often targets the hands of the patient. In addition to great pain and inflammation of the joints, those who suffer from this form of arthritis will often experience a deformity of the hands and fingers. The disease typically affects both hands simultaneously and can cause exquisite pain, swelling and loss of normal function, in addition to severe deformity.
In broad terms, arthritis refers to inflammation of the joints. Where rheumatoid arthritis is concerned, the actual linings of the joints is what becomes inflamed. This causes the cartilage in the joints to grow and swell, which over long term erodes the joints. This is what causes the very characteristic crippling deformities that occur in the fingers and hands of rheumatoid arthritis sufferers.
People diagnosed with rheumatoid arthritis comprise only 1% of the population. (Vast numbers of people who suffer from other types of arthritis.) This disease affects women much more frequently than men. So far, there is no known cure for rheumatoid arthritis. Therefore, the only recognized treatment at this point, is to manage the pain. Doctors prescribe various remedies which depend upon the patient’s medical history, overall profile and other related factors.
Of the many types of pain control, oral medications are often used to control the swelling and pain thats associated with rheumatoid arthritis. Other options include braces and splints which gird weakened joints and remove excessive pressure from them and surgery, in more critical cases. The latter option not only aids in reducing pain, but also provides greater mobility and improves the appearance of the hands. These surgeries may consist of a synovectomy, osteomoty or joint replacement.
When diagnosed early enough, there are many steps that can be used to reduce pain and the other consequences of this type of arthritis. So, even though theres no known cure, if one experiences pain, swelling, or diminished use of the hands, one should contact a doctor immediately. A plan can be outlined to reduce pain, and prepare for future surgery.
No-one should have to live with pain of arthritis, now that so much progress has been made in the field of pain management. The first steps in managing the pain may be as simple as common aspirin or other medications. If they do not work, a doctor will then prescribe medication that specifically targets arthritis pain. But before that can happen,there has to be open communication between the doctor and the patient regarding the pain early in the treatment. So, it is not advisable to suffer quietly in this case.

About The Author

Leroy Gastering is the owner of Arthritis Biz, inc. which is a complete resource center for anything and everything related to Arthritis. For more details please visit http://www.arthritisbiz.com.

Styling Secrets of Hair Transplant

If you are getting a hair transplant, you probably want to know all about styling methods. From the days before your surgery to the years afterwards, it is good to know all you can about how to care for your hair. If you did not want your hair to look good, you would not have had the hair transplant in the first place.

When you are having your consultation with the surgeon, explain the kind of hair style you would like to have. This gives him an idea of how best to create the design of the hair transplant receptor sites on your scalp. It might make a difference in the angle of the hair or the direction of the hair.

The doctor will show you before and after pictures of his past hair transplant patients. Do not be discouraged if they all seem to have the same plain haircut in the after pictures. This is often the case when the doctor is trying to be truthful.

He will have the patients pose with their hair sans hair styling products like mousse or gel. This is to prevent you from getting a false impression of what a hair transplant can do. Yet, if you use your imagination, you can see how the right style would make the hair transplant look great.

Before you go in for your hair transplant surgery, your surgeon will give you some facts about how to care for your hair before the surgery and after. He will emphasize that the hair on your crown should be at least 2cm long. This is so that the donor site scar will be adequately covered up until the sutures heal.

Also, the doctor will not tell you to get a haircut. In fact, when getting a hair transplant, the longer your hair is, the better it often works. It hides the sutures and eventually hides any scars you might have.

You will be told to use your normal shampoo before the hair transplant surgery. No special scalp treatment will be needed. Do not worry about any scraggly hair on top of your head. The doctor will blend it in with the grafts as he goes.

It may seem odd, but once the grafted hairs are set, they are just as strong as the rest of your hair. You can cut them, comb and brush them, and even dye them in time. New hairs start to grow within three months. You will find you need haircuts more often, as your hair will grow about one or two centimeters per month.

As for intense styling, your hairdresser can help you with that in about 20 days after your hair transplant surgery. Your grafted hairs are the same as old hairs but they are balding resistant. However, they need special care at first. Your hairdresser should know about hair transplants and understand just what you need to avoid.

After a few short weeks, you can treat your hair transplant grafts just like you did your old hair before you lost it. You can style it however you want. You can comb it and use hair care products on it. Do not forget: this is really your own hair.