Q: I am a 47 year old woman with thinning on the top of my scalp for three years. I think I want to go for a comprehensive evaluation for hair loss and know that the doctor may want to take blood tests to help find out the cause of my hair loss. I am not sure if I need to fast before I come in? — R.B., West University Place, TX
A: Fasting is not necessary for a comprehensive evaluation.
The comprehensive diagnosis may include hair pull tests, hair pluck, hair density measurements, anagen telogen ratios, scalp biopsies and laboratory (blood) tests but no pre-test fasting or other preparation is necessary.
Q: Didn’t you do free consults in the past? — N.F., Bronxville, NY
A: Yes. It had been in response to the policy of the larger chains. Patients coming to our practice are evaluated by a board certified dermatologist, trained in diagnosing the causes of your hair loss with expertise in both medical and surgical management. Our consults are not just screens for surgery.
Read more information on becoming a new patient on the Bernstein Medical – Center for Hair Restoration website. If you are ready for a hair loss or hair transplant evaluation, click here to schedule an evaluation with the doctor.
Q: Do you use computer type imaging to create the best way to ensure you (or any hair transplant surgeon) have the same goal or target “picture” of the particular patient’s restoration as that particular patient has as his “picture?” –F.D., Laude, Missouri
A: I prefer not to do imaging since it tends to oversell the hair restoration procedure.
In addition, the technology is unable to accurately represent what the hair transplant will really look like as there are many hair characteristics that it can’t take into account.
Seeing lots of actual photos of hair transplant patients is much more instructive – and more honest (if the photos are taken correctly). At the time of the consult I design the hairline and photograph it.
Q: What are “Senior Medical Consultants”? — E.W., Miami, FL
A: These are non-medical personnel who wear white coats to give the impression that they have formal medical training. They are actually salespersons and they should immediately identify themselves as such. Although non-medical personnel can help to answer general questions, they should not be examining you and making specific recommendations about your hair transplant procedure. That is the job of your doctor.
When a physician evaluates you and makes recommendations, he or she is responsible for informing you of the risks as well as the potential benefits of your surgery, and is ultimately responsible for your care. They will also have the knowledge to provide you with a balanced view regarding your surgery as well as other treatment options. This is the practice of medicine.
A “consultant” who is being paid to convince people to have a transplant, but who is not actually performing the surgery, does not bear this responsibility and may have a natural tendency to over-sell the procedure. Beware!
Here are some resources about hair loss consultations at Bernstein Medical:
- About hair loss consults at Bernstein Medical
- How to choose a hair transplant surgeon
- About Bernstein Medical and our hair restoration services
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