My name is Dr. Scott Thompson. I’m a board certified facial plastic surgeon, an otolaryngologist. Many of the patients, particularly men,that come into my office, although I see this with women as well,is hair loss, and it can be at any age. It can be in the twenties, thirties, forties, fifties. I recently did a hair transplant on someone in their seventies. In the past, we would take what’s called plugs, little plugs of hair that had multiple follicles, and transplant up those up to the front. It never looked natural because it was just clusters of hair all grouped together.
Now, we actually have techniques where we take each individual follicle and transplant it into the hairline where, if someone’s thinning, we can make thicker hair,or if they have nothing, we can create a hairline that they never had, and there are medications that we use for hair loss as well. If it’s more dramatic, then I’m most likely going to recommend something more surgical. If it’s not, we may just stick with medications, and one other thing I’ll touch on, that’s also, kinda, some recent excitement, is there’s a technology, or therapy, called PRP, which stands for platelet rich plasma, and that’s usually in orthopedics, and a lot of different specialties, but recently, we’re using it for hair, and what we do is take the patient’s own blood.
We spin it down and get the serum that has the platelets because it has a lot of growth factors and parts of the blood that, kind of, stimulate growth of blood vessels,and we inject that into the hair, into the scalp, and the reason we lose hair is because the blood supply is lost to those follicles,and this helps to, kind of, reestablish that blood supply and prevent the hair follicle from getting smaller, called miniaturization, or dying.
Fortunately, with hair transplant surgery,the recovery is minimal. There’s a little bit of wound care that has to happen. Sometimes we have to give you a short hair cut if we’re using the individual follicle method,and then you have to wear a hat,but there’s really no down time. You can go right back to work. The process takes all day because it’s a very tedious process to transplant each one of those individual follicles into the scalp. There’s minimal down time. You can get back to most activities within a week. More strenuous things I might suggest a little bit longer than that.
What to You Need To Know About Plastic Surgery
As a facial plastic surgeon I basically do any surgery on the face. So that includes skin cancer,I do a lot of skin cancer,sometimes large reconstructions where I’m taking care of someone that may have lost their whole nose or a big part of their cheek to a skin cancer. And then in the cosmetic realm lots of face lifts and neck lifts. I do a lot of otoplasty that’s where we pin the ear back for, usually,kids that have the ear sticking out too far.
Then a lot of nasal surgery and that can be both functional,which means breathing, or cosmetic focusing on the external or the outer appearance of the nose. And all of my patients, pretty much all of these surgeries that I do,we do at Lakeview Hospital. And I’ve worked with the same staff or over ten years doing these procedures.
They stay overnight at the hospital and the staff here is trained on how to take care of my patients and they do a really good job taking care of my patients here. A lot of my patients come in and they tell me,”you know, I’m tired of everybody telling me that I look angry or that I look tired ’cause I’m not. I feel good, I’m energetic, I’m healthy. “And so what I am doing, I’m not trying to create someone different than who a person is.
We’re trying to retain that identity,but unfortunately as we age we kind of lose our identity a little bit because of all those features of our face they just become less visible. But there’s nothing to be embarrassed about.
Cosmetic surgery has really become something that is accepted. And in the past I think cosmetic surgery did make people look different than they wanted to look and sometimes we still see that now of people that have too much cosmetic surgery. But my approach is, I really am not trying to change you or make you look like a different person but kind of retain your identify and your unique features.
Fixing that Double Chin
The treatment of the double chin is really progressed over the past several decades. Traditionally we could really only use liposuction. So just making an incision and going in with a canula and removing fat. And that’s still considered the gold standard and it’s what I do most commonly for removal of fat. But there are now non-surgical options as well.
Most recently and probably most significantly,there’s one called Kybella. Which is an injection that actually dissolves fat cells. It’s not gimmick, it’s not one of these that you’ll see results but you really won’t. It actually has FDA approval and a lot of research behind it. So good candidates for Kybella are individuals with,I would say mild to moderate amount of fullness under the chin. I think younger patients are good for Kybella because the skin is really pretty elastic and it’s going to bounce back when we remove that fat or we do the injection. As we get older, I’m more likely to suggest something a little more invasive. Something more like a facelift where we lift the skin.
But I think the best thing to do is to come in, sit down. We can kind of figure that out and have a consultation. If we do the surgical approach and the submental lipo suction there are three small incisions:one here, here, and here behind the ear. And there’s one stitch in each of those places. That stitch comes out at about five days. It’s a nearly invisible scar because it’s so small.
We typically have our patients wear a little bit of a compression wrap around the chin to keep some pressure on that area as it heals for about three or four days. I usually tell people if you have the ability, take about a week off just to have that down time. But honestly, if you worked a desk job,you could really go back the next day. But you’d have a wrap around, you know.