Haircuts

the Phat Phree -Features -- The Worst Christmas Songs Diary of Anne Frank: Lost Chapter Which is YOUR Orgasm Face? LA LA LAND Music Video The 50 Most Embarrassing Ways to Die 101 Hottest Hollywood Skin Flicks (SFW) 101 Hottest Hollywood Skin Flicks (NSFW) 50 Ways to Ruin a Frat Party The 50 People Who Need a Vicious Beating The Al Franken Interview Safety Third! A Fireworks Display Guide The 50 Coolest On-Screen Rides Interview: STELLA Vance DeGeneres Knows Everything The 50 Worst Hairstyles of All-Time Features Archive All Content Features The World Entertainment Sports Fake News Comics From The Web Interviews Q5 Media a full-service internet and traditional marketing firm. Last Call Cleveland Cleveland's best comedy troup. Your Ad Here Posted: 5/9/2005 by: The Phat Phree Staff It is said that hair makes the man, and certainly women go to amazing lengths to find a style that will at once enhance their looks and set them apart from other women. Sometimes the pressure and lengths traveled lead to styles and cuts that are just plain terrible. From the old standbys of ugliness like, The Mullet and Comb-Over to new additions to the bad hair lexicon like, The Career Terminator and The Gangsta Pimp- they are all here. We hope you enjoy our list of the 50 Worst Hairstyles of All-Time. The Anchorman This variation of the "comb-over" is as ugly as it is dishonest. How can you trust a man who can't even tell the truth about being bald? The Treasure Hunt There are only two creatures on this planet that are attracted to shiney objects: racoons and morons. The Nashty It looks terrible here, but only gets worse as the sweat soaks in on the basketball court. The Moe Howard The ultimate bowl-cut, Moe Howard sported this 'do for comic effect, but that doesn't stop others, particularly heartless parents, from requesting it for their kids. The Original Pimp Known around the world as the first American pimp, Thomas Jefferson is credited with popularizing this style for his modern day counterparts. The Mushroom AKA The Dickhead, this once-popular style has gone out of favor in recent years, but it'll be back. The Captain Loved by bums across the globe, The Captain is often accompanied by stool and dirt matted deeply into the hair. The Don King It's often hard to manage your hair when you are stomping people to death on the streets of Cleveland. The Jew-Fro Commonly known as the Horshack, or the Kaplin, this popular 70's style, along with its cousin the Afro, nearly made pillows obsolete. The Driving Rain The "wet look" is always a questionable choice, but all the more so if you're Latino. The Dangerzone Kenny Loggins has made some terrible mistakes at the stylist over the years. And he must have a really weak chin for that beard to be a better alternative. The Gangsta Pimp I really don't get why it is cooler to be a pimp than a rapper... "I'm so fucking hard I can wear a woman's hairdo." The Dee Aguilera Dee Snyder popularized the hidious man-whore look nearly two decades ago, and Christina Aguilera brought it back. The Super Idiot Only an inbread hillbilly would try to grow a cape. The Wham! "Wake me up before you ejaculate on me" The Van Winkle II Will the real Slim Shady please stand up? The asshole formerly known as Vanilla Ice makes his first appearance on the list here. The Max Headroom "My hair-cut-cut-cut is riduculous. And these s-s-s-sunglass are worse worse." The Drain Clog When you need a backhoe to comb your hair, it is time to cut the shit off. Seriously. The Sharpton This black version of the Pompador is just terrible. The sad thing is Al probably thinks he looks good. The Oh Yeah! Professional wrestlers have never been known for having good taste, but the Hulkster's blonde Skullet is the worst. The Box An odd look for men, The Box is much worse on women. Grace Jones toed the line. The Broom It may take hours to create, but later, when you are standing in the corner at the terrible rock show ignoring everyone, it will be SO worth it. The Mein Kampf Although the little mustache gets all the attention, Hitler's early cut was just as terrible and creepy. The Wright Stuff "I went to the barber shop and asked him to take a little off the top." 8 is 1 Too Many Jesus Christ, as if putting your kids on TV isn't bad enough. Adam Rich's parents should be in jail. Black Hawk Down This girl LOVES Inspector Gadget 2. The Comic Relief I think Billy's hairline is just trying to get as far from his terrible jokes as possible. Sounds of Silence Worn by Art Garfunkel, Cosmo Kramer and Russian Dignataries, this style says, "I'm the sidekick" better than any other. The Samoan Q-Tip WARNING: If used to clean ears, stroke swab gently around the outer surface of the ear without entering the ear canal. The No Means YES! Marv's wigs are some of the most terrible ever seen on television. But, I wouldn't say that to his face for fear of being bitten. The Pretty Tough These two "tough guys" hang their heads out of car windows like dogs to get their hair just right. The Van Winkle I Some one put a racing stripe on a retard. "Word to your mutha!" The Avalanche Don Sutton is one of only three people ever to wear the curley, white perm mullet-style. God, that is fucking awful. The Nino Brown Also known as The Put-Put Green, this variation of The Box only enjoyed a short period of popularity following the release of New Jack City. Thank God. The Sideshow Bob You really have to be a special kind of stupid to want to look like an evil cartoon clown. The Milli Vanilli Woven from only the finest in throughbred horse hair, I hear that Milli's hair actually came from Secretariat. Sensitive Ponytail You are a thoughtful and considerate lover... and an asshole. The Traficant Former Ohio Congressman James Traficant was convicted of bribery in 2002 while sporting a fucking criminally bad hairpiece. Once again dishonesty from a guy with a wig... Who'd have thunk? The Double Fault Agassi popularized this variation of the mullet with its frosted tips and ever-receeding hairline in the early 90's. The 3-Team Parlay Good 'ole Pete Rose took a gamble on this style and lost. Badly. The Clown Skullet "Anyone what to take a sledgehammer and smash my head?" Yes. The Night Court Markie Post brought this hidious feathered she-mullet into our homes from 1987 to 1992. Pride of Jersey I'd bet my right hand that this family has seen every Bon Jovi concert ever performed in the Tri-State area. The Eternal Flame (Editor: All Michael Jackson jokes have already been performed repeatedly by Jay Leno.) Flock of Seagulls When you're embarrassed by your bald head, you comb your hair over it. Appearenly, it also works for your hidious face. Spaghetti Western Who would have thought it was possible to further disgrace Italian heritage? Career Terminator Look, it's the kid from T2 all grown up. Seriously, though... We get it Rosey. You're gay. The Final Solution Purdue's Gene Keady makes HItler's last hairstyle look even worse... As incredible as that may sound, the proof is in the photo. The O'Shea Also known as The Shag and The Gheri Curllet, this travesty was made worse by Cube forgetting his activator on picture day. The Donald The king of the comb-over, Donald Trump's orange hair flap is without a doubt the worst hairstyle of all-time. And he is a jackass. Got any we missed? List compiled by: Charlie DeMarco, Mike Polk, Brenda Della Casa, Jim Fath, Chris Queen, Justin Harvey, Richie Whitt, Marjorie Preston, Clare DeCapua, Leigh Angela, Brett Stern, William Friesen, Larry Housel, M. Thomas L., Mike Martone, and Chad Zumock. Written by: Charlie DeMarco New Today : More By This Writer: • Anti-Claus Displays • His Name is New Guy at the Office • Memoirs I'd Like to Forget • SCG: The Best Of Napalm 2005! • Abused Phamily Circus: Where's Daddy? • The 50 Worst Times to Get Wood • The 50 Most Embarrassing Ways to Die • The Phat Phree is at MySpace. • 50 Worst Acting Performances in a Film • A Tale of Two (Small Market) Cities Top Rated (100 votes): Most Emailed: 1 The NFL All Criminal Team 2 Look At My Striped Shirt! 3 Seriously, get this sweater off of me. 4 This Gangbang Is So Awkward 5 Having Huge Penis Not So Great 1 Look At My Striped Shirt! 2 The NFL All Criminal Team 3 Seriously, get this sweater off of me. 4 The 50 People Who Need a Vicious Beating 5 Thank You Happy Hour Heroes click here to POST COMMENT> First Page -- Page 1 of 38 -- -- Page 2 of 38 -- -- Page 3 of 38 -- -- Page 4 of 38 -- -- Page 5 of 38 -- -- Page 6 of 38 -- -- Page 7 of 38 -- -- Page 8 of 38 -- -- Page 9 of 38 -- -- Page 10 of 38 -- Last Page (Comments 1-10 out of 372) Mrs Posted: 12/21/2005 by: Pat You've done a very good job presenting the 50 worst hair styles. What's your take on the best, however many there are? (광고)웅진코웨이 무료체험 서비스 안내.@ Posted: 11/15/2005 by: 웅진코웨이 무료체험후 맘에 드시면 렌탈해 보세요. 제품배송시 설치비, 배송비, 출장비 모두 무료!!! =============================================================================== 웅진코웨이 렌탈 및 판매중인 상품군 : 정수기, 공기청정기, 연수기, 비데, 음식물쓰레기처리기 등. 렌탈시 혜택 : 월렌탈비만 납부하시면 필터교환, 정기점검, 청소관리, A/S, 이사시 분리 및 재설치, 출장비, 수질검사(1년1회)의 비용은 별도로 청구되지 않으며 렌탈비용에 모두 포함되어 있습니다. =============================================================================== 이렇게 허락없이 글을 남기게 되어 정말 죄송합니다. 1회성이오니 너그럽게 용서해 주시기 바랍니다. 메일로 회신 주시면 등록거부 리스트에 넣겠습니다. (충성!-수신거부 홈페이지 주소 기재해 주세요.) 웅진코웨이 http://www.woongin.co.kr 웅진코웨이 http://www.woongin.co.kr 웅진코웨이 http://www.woongin.co.kr 구경한번 오세요. 웅진코웨이 신제품 실시간 업데이트!!! 문의전화 : 080-566-5100 [광고] 11월 특별 이벤트 입니다. Posted: 11/15/2005 by: 파워업 제목: 파워콤 인터넷 가입 특별 이벤트 파워콤 XPeed광랜[아파트용100메가]/프라임[일반주택용 10메가]은 기존 인터넷보다 훨씬 빠르고 안정적입니다. 왜냐하면, 국내 광케이블망의 70%를 가지고 있는 POWERCOMM 의 인터넷이며, 국내 굴지의 LG그룹 이기 때문입니다. 본, 광고를 보시고 파워콤에 가입문의 하신분에 한해 30만원 상당의 상품권을 제공합니다. [기타 다양한 상품을 선택하실 수도 있습니다.] 실적을 맞추기 위한 한시적인 이벤트이며, 영업 및 물류 광고 비용모두를 고객께 돌려 드리고자, 100분에 한정합니다. 파워콤 가입접수처: 02-2655-0944 홈페이지 가입 : www.dollor.net 또는, 아래 메일 주소로 전화번호 만을 남겨주시면 됩니다. xpeedkorea@yahoo.co.kr . . . 읽어 주셔서 감사합니다. 삭제비번 0000 . 게시판성격에 맞지 않으시면 삭제해주십시오. 게시판에 광고성 글 게재가 금지된 경우를 필터링하였음에도 불구하고 이 글이 등록되었다면, 등록과정에서 에러가 발생한 경우이므로, 홈피또는 메일로 본 사이트명을 알려 주시고 "광고거부"의사를 표시하여 주시면, 광고가 다시는 게재되지 않도록 조치 하겠습니다. .. 이 게시판 주소는 [ 플러스보드]에서 수집하였으며 이 주소외는 어떠한 정보도 갖고 있지 않습니다 [광고] 11월 특별 이벤트 입니다. Posted: 11/15/2005 by: 파워업 제목: 파워콤 인터넷 가입 특별 이벤트 파워콤 XPeed광랜[아파트용100메가]/프라임[일반주택용 10메가]은 기존 인터넷보다 훨씬 빠르고 안정적입니다. 왜냐하면, 국내 광케이블망의 70%를 가지고 있는 POWERCOMM 의 인터넷이며, 국내 굴지의 LG그룹 이기 때문입니다. 본, 광고를 보시고 파워콤에 가입문의 하신분에 한해 30만원 상당의 상품권을 제공합니다. [기타 다양한 상품을 선택하실 수도 있습니다.] 실적을 맞추기 위한 한시적인 이벤트이며, 영업 및 물류 광고 비용모두를 고객께 돌려 드리고자, 100분에 한정합니다. 파워콤 가입접수처: 02-2655-0944 홈페이지 가입 : www.dollor.net 또는, 아래 메일 주소로 전화번호 만을 남겨주시면 됩니다. xpeedkorea@yahoo.co.kr 읽어 주셔서 감사합니다. 게시판성격에 맞지 않으시면 삭제해주십시오. 삭제비번 0000 ... 이 게시판 주소는 [ 플러스보드]에서 수집하였으며 이 주소외는 어떠한 정보도 갖고 있지 않습니다 ★★ 실전 맞고포커 쳐서 현금벌자!!★★ Posted: 11/15/2005 by: 7포커사이트 요즘 포커 맞고 사이트가 굉장히 많지요. 그런데 그런 사이트들 보면 대부분과다한 수수료나 환전시 몇일씩 기다려야 하는 불편함이 있었습니다.제가 하는 사이트 소개해 드릴게요현금 게임머니 비율이 1:1입니다. 즉, 게임머니 1000원은 현금 천원과 동일합니다.모두 잃어도 하루 1회 천원을 다시 리필시켜줍니다.오로지 유져들간의 게임으로만 이루어집니다.또한 게임으로 돈을 따게 되면 수수료 전혀 없이 통장으로 24시간 이내 입금해드립니다.그냥 한번 즐긴다 생각하시고 와서 해보세요.아래 배너를 클릭하세요 ============================================ 원하시지 않는글이면 정말 죄송합니다. 삭제 비밀번호는 7878입니다. 최신 몸짱 자체제작동영상 다벗는 자료는여기로 Posted: 11/14/2005 by: 최혜선 http://movieshow.ah.to 로 가셔서 보시면되요.. 최신자료가 많이 있네요.. 꾸준히 업데이트 되더라고요.. 여기 클릭하시고 방문하세요.. 즐감~ 클릭해도 사이트 방문이 안되면 http://movieshow.ah.to 를 복사해서 인터넷 주소창에 넣으세요 최신 몸짱 자체제작동영상 다벗는 자료는여기로 Posted: 11/14/2005 by: 최혜선 http://movieshow.ah.to 로 가셔서 보시면되요.. 최신자료가 많이 있네요.. 꾸준히 업데이트 되더라고요.. 여기 클릭하시고 방문하세요.. 즐감~ 클릭해도 사이트 방문이 안되면 http://movieshow.ah.to 를 복사해서 인터넷 주소창에 넣으세요 환상적이고 섹시한자료 무료로 보세요. Posted: 11/14/2005 by: 전부무료+ 최고의 프로그래머가 최강의 사이트로 제작한 포털링크모음 사이트입니다. 무료영화만화,무료성인자료실,연예인 섹시동영상등 유익하고 환상적인 자료가 많이 있사오니 오셔서 편리하게 인터넷 이용 하시고 즐거운시간 되시기 바랍니다^^ http://kaboja.net/ http://kaboja.net/ http://kaboja.net/ ******************************************************************** 허락없이 글을 올려 대단히 죄송합니다. 게시판 성격에 부적합하면 삭제시 비밀 번호는 3333입니다. 게시판주소를 보내주시면 다음부터는 올리지 않겠습니다. tlqdhkkk@hanmail.net (최대규모)p.2.p*공*유*자*료*실-무제한 공유중~!! Posted: 11/14/2005 by: P2P야덩 무.료.자.료.실.로. 입장하기.... http://hotlove.mx.tc http://hotlove.mx.tc http://hotlove.mx.tc http://hotlove.mx.tc 삭/제/번/호: p2py1 (최대규모)p.2.p*공*유*자*료*실-무제한 공유중~!! Posted: 11/14/2005 by: P2P야덩 무.료.자.료.실.로. 입장하기.... http://hotlove.mx.tc http://hotlove.mx.tc http://hotlove.mx.tc http://hotlove.mx.tc 삭/제/번/호: p2py1 POST A COMMENT All Fields are required. name: email: TITLE: Comment:

Hairdos Here's your chance

FamilyFun: Away in a Manger: Biblical Hairdos Sign Up for Free Newsletters Away in a Manger: Biblical Hairdos Here's your chance to play hairdresser to some well-known characters. Have fun with beard lengths, braids, and more. To get the instructions for making the entire manger, click here. MATERIALS: Scissors 4 to 8 feet (less for a male, more for a female) of bulky-weight, hair-colored yarn (we used Lion Brand Homespun) About 8 feet of skin-colored worsted-weight yarn Tacky glue About 20 feet of clothing-colored yarn (use a bulky-weight yarn like those suggested for the hair) Time needed: Under 1 Hour 1. Male Hairstyle, Beard, and Mustache: If you'd like a fuller look, unravel all of the hair strands, as shown on the right side. 2. Spread glue from one temple around the back to the other temple. Press the hair against the temples, then, one side at a time, fold the hair in half and press the ends to the back of the head, covering the stem. 3. To finish the hair, cut a 9-inch strand of hair yarn and glue it around the crown of the head. Trim if needed. To create a beard/mustache, cut a 4-inch piece of hair yarn and fold and glue it in place. 4. Female Hairstyle: Spread glue on each temple and press down the front strands of hair. Spread the rest of the hair evenly across the back of the head, covering the head stem. 5. Cut two 9-inch strands of hair. Apply glue around the forehead. Press the strands over the glue and tie them in back. Arrange the hair and dab glue under and on the knot to hold it in place. Let the glue dry. Trim as desired. Crafter's comments There are currently no remarks posted about this craft. Be the first to review it by clicking below.

hair replacement... Hair loss

Hair Replacement About ASPS | Contact Us Home : Learn About Procedures : Procedures Print This Page Cosmetic Procedures: Botox® Breast Augmentation Breast Lift Browlift Camouflage Cosmetics Chemical Peel Chin Surgery Computer Imaging Cosmetic Surgery at a Glance Dermabrasion Ear Surgery Endoscopic Plastic Surgery Eyelids Face Lift Facial Implants Indications for Men Injectable Fillers Laser Skin Resurfacing Lipoplasty or Liposuction Microdermabrasion Nose Surgery Permanent Eyeliner Skin Management Spider Veins Tumescent Technique Tummy Tuck Upper Arm Lift If you're considering hair replacement... Hair loss is primarily caused by a combination of aging, a change in hormones, and a family history of baldness. As a rule, the earlier hair loss begins, the more severe the baldness will become. Hair loss can also be caused by burns or trauma, in which case hair replacement surgery is considered a reconstructive treatment, and may be covered by health insurance. If you and your doctor have determined that hair transplants are the best option for you, you can feel comfortable knowing that board-certified plastic surgeons have been successfully performing this type of procedure for more than thirty years. If you're considering hair replacement surgery, this brochure will give you a basic understanding of the variety of procedures involved. It can't answer all of your questions, since a lot depends on your individual circumstances. Ask your surgeon if there is anything you don't understand about the procedure you plan to have. THE TRUTH ABOUT HAIR LOSS Baldness is often blamed on poor circulation to the scalp, vitamin deficiencies, dandruff, and even excessive hat-wearing. All of these theories have been disproved. It's also untrue that hair loss can be determined by looking at your maternal grandfather, or that 40-year-old men who haven't lost their hair will never lose it. THE BEST CANDIDATES FOR HAIR REPLACEMENT Hair replacement surgery can enhance your appearance and your self-confidence, but the results won't necessarily match your ideal. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. It's important to understand that all hair replacement techniques use your existing hair. The goal of surgery is to find the most efficient uses for existing hair. Hair replacement candidates must have healthy hair growth at the back and sides of the head to serve as donor areas. Donor areas are the places on the head from which grafts and flaps are taken. Other factors, such as hair color, texture and waviness or curliness may also affect the cosmetic result. There are a number of techniques used in hair replacement surgery. Sometimes, two or more techniques are used to achieve the best results. Transplant techniques, such as punch grafts, mini-grafts, micro-grafts, slit grafts, and strip grafts are generally performed on patients who desire a more modest change in hair fullness. Flaps, tissue-expansion and scalp-reduction are procedures that are usually more appropriate for patients who desire a more dramatic change. Remember, there are limits to what can be accomplished. An individual with very little hair might not be advised to undergo hair replacement surgery. HAIR LOSS IN WOMEN Some doctors estimate that one in five women will experience some degree of hair loss usually caused by aging, illness, or hormonal changes after menopause. Women tend to experience a subtle thinning all over the scalp rather than losing hair in patches as is common in men. To correct the problem, some women choose to wear a wig or hair extensions. Others have had some success using a topical prescriptive drug. The effectiveness of such drugs varies in some patients and simply prevents further hair loss without stimulating any appreciable new growth. Hair replacement surgery may be the answer for those who feel uncomfortable with either of these options. Because mini-grafts are usually the surgical treatment of choice for filling-in thinning areas, good candidates for this procedure should have dense hair growth at the back of the head. Mini-grafts are harvested from this dense area and replanted in thinning areas to create a fuller look. Occasionally flap and tissue expansion procedures may be used if the individual is judged to be a good candidate. If you're considering a hair replacement procedure, it's important to understand that you will never have the coverage you had prior to your hair loss, but surgery may camouflage the thin areas and give you more fullness. ALL SURGERY CARRIES SOME UNCERTAINTY AND RISK Hair replacement surgery is normally safe when performed by a qualified, experienced physician. Still, individuals vary greatly in their physical reactions and healing abilities, and the outcome is never completely predictable. As in any surgical procedure, infection may occur. Excessive bleeding and/or wide scars, sometimes called "stretch-back" scars caused by tension may result from some scalp-reduction procedures. In transplant procedures, there is a risk that some of the grafts won't "take." Although it is normal for the hair contained within the plugs to fall out before establishing regrowth in its new location, sometimes the skin plug dies and surgery must be repeated. At times, patients with plug grafts will notice small bumps on the scalp that form at the transplant sites. These areas can usually be camouflaged with surrounding hair. When hair loss progresses after surgery, an unnatural, "patchy" look may result-especially if the newly-placed hair lies next to patches of hair that continue to thin out. If this happens, additional surgery may be required. PLANNING YOUR SURGERY Hair replacement surgery is an individualized treatment. To make sure that every surgical option is available to you, find a doctor who has experience performing all types of replacement techniques-flaps and tissue expansion as well as transplants. Look elsewhere if your doctor tells you that he or she has perfected one technique that can "do it all." In your initial consultation, your surgeon will evaluate your hair growth and loss, review your family history of hair loss, and find out if you've had any previous hair replacement surgery. Your surgeon will also ask you about your lifestyle and discuss your expectations and goals for surgery. Medical conditions that could cause problems during or after surgery, such as uncontrolled high blood pressure, blood-clotting problems, or the tendency to form excessive scars, should also be checked by your doctor. Be sure to tell your surgeon if you smoke or are taking any drugs or medications, especially aspirin or other drugs that affect clotting. If you decide to have hair replacement surgery, your surgeon will explain anesthesia, the type of facility where the surgery will be performed, and the risks and cost involved. Don't hesitate to ask your doctor any questions. Make sure you understand your surgeon's plan-which procedures will be used and how long each will take. Ask your doctor to give you an idea of what you will look like after the procedure or, in the case of grafts, after each stage of treatment. PREPARING FOR YOUR SURGERY Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking and avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. If you smoke, it's especially important to stop at least a week or two before surgery; smoking inhibits blood flow to the skin, and can interfere with healing. You should arrange for someone to drive you home after your surgery. Plan to take it easy for a day or two after the procedure and arrange for assistance if you think you'll need it. WHERE YOUR SURGERY WILL BE PERFORMED Hair replacement surgery is usually performed in a physician's office-based facility or in an outpatient surgery center. Rarely does it require a hospital stay. TYPES OF ANESTHESIA Hair replacement surgery, no matter what technique is used, is usually performed using a local anesthesia along with sedation to make you relaxed and comfortable. Your scalp will be insensitive to pain, but you may be aware of some tugging or pressure. General anesthesia may be used for more complex cases involving tissue expansion or flaps. If general anesthesia is used, you'll sleep through the procedure. THE SURGERY Hair transplantation involves removing small pieces of hair-bearing scalp grafts from a donor site and relocating them to a bald or thinning area. Grafts differ by size and shape. Round-shaped punch grafts usually contain about 10-15 hairs. The much smaller mini-graft contains about two to four hairs; and the micro-graft, one to two hairs. Slit grafts, which are inserted into slits created in the scalp, contain about four to10 hairs each; strip grafts are long and thin and contain 30-40 hairs. Generally, several surgical sessions may be needed to achieve satisfactory fullness-and a healing interval of several months is usually recommended between each session. It may take up to two years before you see the final result with a full transplant series. The amount of coverage you'll need is partly dependent upon the color and texture of your hair. Coarse, gray or light-colored hair affords better coverage than fine, dark-colored hair. The number of large plugs transplanted in the first session varies with each individual, but the average is about 50. For mini-grafts or micro-grafts, the number can be up to 700 per session. Just before surgery, the "donor area" will be trimmed short so that the grafts can be easily accessed and removed. For punch grafts, your doctor may use a special tube-like instrument made of sharp carbon steel that punches the round graft out of the donor site so it can be replaced in the area to be covered-generally the frontal hairline. For other types of grafts, your doctor will use a scalpel to remove small sections of hair-bearing scalp, which will be divided into tiny sections and transplanted into tiny holes or slits within the scalp. When grafts are taken, your doctor may periodically inject small amounts of saline solution into the scalp to maintain proper skin strength. The donor site holes may be closed with stitches-for punch grafts, a single stitch may close each punch site; for other types of grafts, a small, straight-line scar will result. The stitches are usually concealed with the surrounding hair. To maintain healthy circulation in the scalp, the grafts are placed about one-eighth of an inch apart. In later sessions, the spaces between the plugs will be filled in with additional grafts. Your doctor will take great care in removing and placement of grafts to ensure that the transplanted hair will grow in a natural direction and that hair growth at the donor site is not adversely affected. After the grafting session is complete, the scalp will be cleansed and covered with gauze. You may have to wear a pressure bandage for a day or two. Some doctors allow their patients to recover bandage-free. Plastic surgeons are the leaders in tissue expansion, a procedure commonly used in reconstructive surgery to repair burn wounds and injuries with significant skin loss. Its application in hair replacement surgery has yielded dramatic results-significant coverage in a relatively short amount of time. In this technique, a balloon-like device called a tissue expander is inserted beneath hair-bearing scalp that lies next to a bald area. The device is gradually inflated with salt water over a period of weeks, causing the skin to expand and grow new skin cells. This causes a bulge beneath the hair-bearing scalp, especially after several weeks. When the skin beneath the hair has stretched enough-usually about two months after the first operation-another procedure is performed to bring the expanded skin over to cover the adjacent bald area. For more information about tissue expansion, ask your plastic surgeon for the American Society of Plastic Surgeons, Inc. brochure entitled, Tissue Expansion: Creating New Skin from Old. Flap surgery: Flap surgery on the scalp has been performed successfully for more than 20 years. This procedure is capable of quickly covering large areas of baldness and is customized for each individual patient. The size of the flap and its placement are largely dependent upon the patient's goals and needs. One flap can do the work of 350 or more punch grafts. A section of bald scalp is cut out and a flap of hair-bearing skin is lifted off the surface while still attached at one end. The hair-bearing flap is brought into its new position and sewn into place, while remaining "tethered" to its original blood supply. As you heal, you'll notice that the scar is camouflaged-or at least obscured-by relocated hair, which grows to the very edge of the incision. In recent years, plastic surgeons have made significant advances in flap techniques, combining flap surgery and scalp reduction for better coverage of the crown; or with tissue expansion, to provide better frontal coverage and a more natural hairline. Scalp reduction: This technique is sometimes referred to as advancement flap surgery because sections of hair-bearing scalp are pulled forward or "advanced" to fill in a bald crown. Scalp reduction is for coverage of bald areas at the top and back of the head. It's not beneficial for coverage of the frontal hairline. After the scalp is injected with a local anesthetic, a segment of bald scalp is removed. The pattern of the section of removed scalp varies widely, depending on the patient's goals. If a large amount of coverage is needed, doctors commonly remove a segment of scalp in an inverted Y-shape. Excisions may also be shaped like a U, a pointed oval, or some other figure. The skin surrounding the cut-out area is loosened and pulled, so that the sections of hair-bearing scalp can be brought together and closed with stitches. It's likely that you'll feel a strong tugging at this point, and occasional pain. AFTER YOUR SURGERY How you feel after surgery depends on the extent and complexity of the procedure. Any aching, excessive tightness, or throbbing can be controlled with pain medication prescribed by your physician. If bandages are used, they will usually be removed one day later. You may gently wash your hair within two days following surgery. Any stitches will be removed in a week to 10 days. Be sure to discuss the possibility of swelling, bruising, and drainage with your surgeon. Because strenuous activity increases blood flow to the scalp and may cause your transplants or incisions to bleed, you may be instructed to avoid vigorous exercise and contact sports for at least three weeks. Some doctors also advise that sexual activity be avoided for at least 10 days after surgery. To make sure that your incisions are healing properly, your doctor will probably want to see you several times during the first month after surgery. It's important that you carefully follow any advice you receive at these follow-up visits. GETTING BACK TO NORMAL How soon you resume your normal routine depends on the length, complexity and type of surgery you've had. You may feel well enough to go back to work and resume normal, light activity after several days. Many patients who have had transplants (plugs or other grafts) are dismayed to find that their "new" hair falls out within six weeks after surgery. Remember, this condition is normal and almost always temporary. After hair falls out, it will take another five to six weeks before hair growth resumes. You can expect about a half-inch of growth per month. FOLLOW-UP PROCEDURES You may need a surgical "touch-up" procedure to create more natural-looking results after your incisions have healed. Sometimes, this involves blending, a filling-in of the hairline using a combination of mini-grafts, micro-grafts, or slit grafts. Or, if you've had a flap procedure, a small bump called a "dog ear" may remain visible on the scalp. Your doctor can surgically remove this after complete healing has occurred. In general, it's best to anticipate that you will need a touch-up procedure. Your surgeon can usually predict how extensive your follow-up surgery is likely to be. To find a plastic surgeon who performs this procedure, visit the online referral service of the American Society of Plastic Surgeons (ASPS). ASPS, founded in 1931, is the largest plastic surgery organization in the world and the foremost authority on cosmetic and reconstructive plastic surgery. All ASPS physician members are certified by the American Board of Plastic Surgery (ABPS) or the Royal College of Physicians and Surgeons of Canada. Index The truth about hair loss The best candidates for hair replacement Hair loss in women All surgery carries some risk Planning your surgery Preparing for your surgery Where your surgery will be performed Types of anesthesia The surgery After your surgery Getting back to normal Follow-up procedures Hair replacement candidates should have some noticeable hair loss with healthy hair growth at the back and sides of the head to serve as doner areas. A tube-like instrument punches round gafts from the donor site to be placed in the area where hair replacement is desired. A tissue expander causes the skin of hair-bearing scalp to gradually expand. When the skin beneath the hair has stretched enough, it is surgically placed over the bald area. During flap surgery, a section of bald scalp is cut out and a flap of hair-bearing skin is sewn into its place. The patterns used in scalp reduction vary widely, yet all meet the goal of bringing hair and scalp together to cover bald areas. The results of hair replacement surgery can enhance your appearance and self-confidence. Contact Us | Privacy | Disclaimer Surgeon Referral Service 1.888.4 PLASTIC All Materials 2005 ASPS/PSEF

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