Factors affecting Hair Restoration Surgery

Factors affecting Hair Restoration Surgery

Smoking, alcoholic beverages, and medications do you consume these things? And if so how much do you consume? What about herbal health food products? These things should be considered before undergoing hair restoration surgery. You may ask, what is the connection between smoking, drinking, medications, herbal products or vitamins have to do with surgery? All these things have the potential to contribute to excessive bleeding or oozing' during and after the operation.

The surgeon needs to have honest answers, not to change or judge the patient's lifestyle, but to assess the potential for excessive bleeding from wounds during and after the surgery. The presence of a risk factor for excessive bleeding may be an indication to delay surgery until the risk factor has been reduced. An example is, a period of no smoking' and no drinking' prior to surgery. The risk of bleeding for hair transplantation patients is largely for oozing; it may extend the time needed for implantation of hair grafts and pose a potential threat for loss of some grafts after surgery.

General List of Risk Factors:

Tobacco Smoking

Smoking (especially long term and heavy smokers) has numerous harmful effects on the body. There are the increased risks for lung cancer, chronic obstructive pulmonary disease, heart disease and systemic circulatory disease. The nicotine and other chemicals in smoked tobacco can cause or contribute to disorders of blood circulation, causing increased risk for excessive bleeding. The reduction of elasticity in small blood vessels in the skin, can decreases the blood supply to hair transplants, causing increased risk for transplant failure. Also people with long term exposure to second hand tobacco smoke may be affected with decreased blood supply to the skin.

Alcohol Consumption

Alcohol containing ethanol disturbs the ability for healthy blood clotting as it causes blood to be thinner'. Consumption of a single drink of alcohol has been shown to increase risk for bleeding with one to two hours.

Recreational Drugs

Drugs such as cocaine can have interactions with medications that can cause unforeseen side effects and complications.

Prescription Medications

Many prescription medications are known to increase risk for bleeding. They may have cross-reactivity with other medications and herbal products; they can increase or decrease the effects of the drug and blood clotting.

Vitamin Supplements

Vitamin E, especially in large doses, has been reported to increase risk for bleeding by its effects on blood platelets and other blood clotting factors.

Over the Counter Medications

Widely used over the counter medications, such as Aspirin and non-steroidal anti-inflammatory drugs may increase bleeding risk at higher doses or with frequent use. As these medications are not prescribed, patients may not disclose their use in pre-surgical examination.

Herbal Products

Many herbal products are known to have cross-reactivity with prescribed drugs that can increase risk for excessive bleeding.

Patient Physician Communication

Patients should tell their physicians about all medications they take, whether it is prescribed or over the counter. Physicians should explain why this information is important in pre-surgical assessment.

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