Young Hair podcast transcripts
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Podcast Transcripts
—S1e1 The best hair transplant consultation in 2024.
Key Points
  • A complete and medical consultation by a doctor is vital
  • Patients should expect photographic and physical /scalp examination by the doctor.
  • full risks and possible outcome and complications must be explained
  • psychological screening matters too.
Hello, and welcome to the Young Hair Podcast. I’m your host, Dr. Wayne Young. I’ll summarize all the latest and best proven advances and advice for you to get the most out of your hair restoration.

Each episode, I’ll cover the most common questions about hair restoration, and also the best ways to get the most out of your procedure. I keep it real easy, so let’s get started. And welcome to today’s episode.

Why do I do consultations? Well, first of all, I think it’s very, very important to understand that there are new guidelines written up by the Medical Board of Australia, and these new guidelines came out on the 1st of July, 2023. They pertain to cosmetic and non-surgical, cosmetic surgical procedures.

And how practitioners need to follow these guidelines. And one of the most important features is the assessment. At the start, the first consultation is performed by the doctor during the procedure.

So first of all, it’s law. Secondly, I think it’s respect. And I think it’s so important to understand that from the get-go, the doctor-patient relationship needs to be on strong ground.

So when I consult on my patients, I really, really try to get to know them and understand what impact their hair loss has on them and on their lifestyle. But that’s just one aspect of the consultation. I need to know their medical history, their past hair loss procedures, their past hair loss medications, and if they had any problems with these medications.

I also need to know if they’ve had any surgical procedures or any problems with anesthetics or any medication problems in the past. Do they have any allergies? So these are all basic, basic things that all doctors do, and I’ve done it for 28 years now.

The medical history. Then we go on to the examination, and part of the examination is taking photos. Again, I need to have a consent for these photos because this is a new law.

And the importance of this consent is that these photos form part of the medical history, but they also are stored securely and safely, and they’re not used or shared inappropriately or without the patient’s consent. These photos are then examined and assessed, and I discuss the particular areas of hair loss with the patient. Examination-wise requires me to use my dermatoscope to assess areas of hair loss, and also to understand what their donor or their hair bank looks like, because this really will dictate how much hair I can supply to the hair loss areas.

The density required to restore to appropriate level will need to be adjusted if the hair bank isn’t as good as it should be. And these are all explained in this first consultation, and it’s really, really important. The procedure itself, how long the procedure will take, if there will be pain, who’s…

And this is really important, so I tell all my patients that I do the procedure with two assistants, and I believe that this is the way it should be. You know, there are many clinics that let the technician do the whole procedure, and I think that’s not the way to do it. And certainly this is the way that it’s done in Turkey.

There was very, very little doctor input with these clinics in Turkey, and almost all of them in Turkey, the technicians, usually one or two, does the whole procedure, and the doctor will make a cursory hello and goodbye and draw a hairline or do some anesthetic. But I’m doing the procedure all day, every day. The other things that are really important with a consultation is to know what sort of follow-ups there are, and I do all the follow-ups.

In addition, the post-care plan. So we send all our patients the post-care plan prior to their booking, so they really can understand what requirements are due for them from day one, day two, day five to day 30. When can they go to gym?

When can they get a haircut? These are all really, really important questions. So in summary, really important to get a thorough doctor-led consultation with the person who’s doing the procedure right at the start.

Secondly, try to come up with a good list of questions for the doctor. Try to really understand what you’re in for and understand the differences of some clinics where they may not be doing the procedure themselves. They will be getting some fly-in, fly-out technicians with some technology, and the clinic with the doctor won’t have any chance or ability to correct any things that will go wrong.

So these are the things you really, really need to understand in your consultation. Thank you very much. Goodbye.

And thank you for your presence, and I hope you enjoyed today’s podcast. Reach out and like and follow us on Instagram. And if you would like a consultation with me, info at younghair.com.au.

Please subscribe to this podcast to keep up to date. We’ll see you next week. Goodbye.
— S1e2 The future of hair loss treatments and hair transplants.
Key points
  • Patients need to understand that diagnosis and treatment is evolving
  • the core issue is not to chase trends
  • there is a need for better diagnostics and planning


Hello, and welcome to the Young Hair Podcast. I’m your host, Dr. Wayne Young. I’ll summarize all the latest and best proven advances and advice for you to get the most out of your hair restoration.

Each episode, I’ll cover the most common questions about hair restoration, and also the best ways to get the most out of your procedure. I keep it real easy, so let’s get started.

And hello, everyone. So we’ve got a great show today. We’re going to talk about the future of hair loss treatments and hair transplant.

So imagine hair restoration 2.0. This is really interesting, and research has shown that there’s 16% of men between the ages of 18 and 29 who experience balding, whereas 53% of men between the ages of 40 and 49 experience balding. And scientists in America estimate 50% of women and 85% of men in the US will experience balding in their lifetime.

So hair loss is a big thing, and we need to treat it well, we need to diagnose it well, and then obviously with hair restoration procedures, with FUE, we need to get it done as well as possible. We’re going to talk about exosomes today, we’re going to talk about hair banking, hair cloning, we’re going to talk about genetic tests, such as Trichotest, which I do all the time, and we’re going to talk about artificial intelligence and how we can harness this power for diagnostic and also treatment purposes, possibly now and possibly in the future. So, let’s get started.

So, what are exosomes? So, exosomes have been around for around 30 years, but have only become really popular and having cosmetic industry manufacturers and companies excited in the last four to five years. They’re basically microparticulate, microcellular messenger particles…

And then obviously, you need to deliver these exosomes safely and carefully. And then they obviously need to work. So, let’s keep an eye out on that, and I’ll definitely let you know when these become available and they’re safe and work thoroughly in Australia.

Hair banking. So, what is hair banking? Essentially, it’s taking hair follicles, let’s say 100 hair follicles, and then storing them in liquid nitrogen so that you have a high concentration of stem cells which can be used and reproduced in the future and assist you with your hair restoration in the future.

There’s two companies that I know that do it, one’s in the United Kingdom and one’s in America. And then there’s hair cloning. So I get asked all the time, Doc, when is hair cloning coming?

Can’t we just clone the follicles and get them in? So, and I always say to my patients, this would be fabulous because then obviously we don’t need to do part one of our operation. Because as of now, we’ve got the extraction and we’ve got the implantation phase of FUE hair transplants.

So you can imagine if we just took our 20 follicles, sent them off to a company, they cloned them and gave me a specific subtype and subsets of follicles that are going to be perfect for my patient’s restoration procedure. That’s going to be outstanding, because all then I need to do is to implant these follicles. And then the procedure overall will be like three hours.

Just amazing. So I’m not too sure when it’s going to happen. And I’ve spoken to some colleagues around the world and they believe it’ll be at least 10 years.

We move on then to Trichotest. The Trichotest is a buccal swab, basically a swab from the inside of your cheek. Then it gets sent off to the laboratory at GX Sciences in Austin, Texas.

And they take about two weeks to then send me the results. And it’s a very, very thorough test to look at all the features that are important for hair loss, such as inflammation, vasodilation, the androgen sensitivity. And the important thing about this test is, it’s going to tell me what medication will work optimally with the patient.

And we’re not gonna waste time and use this medication and this formulation, and there’s no real response. So I’m really fine tuning the medication for the particular patient, rather than just giving something off the shelf and hoping it’s gonna work, and then wasting this one year or two years.

In terms of artificial intelligence, it’s something we’re all hearing about. And there’s certainly many, many uses in medicine that’s been happening over the years, from X-ray and mammography assessment, to histopathology assessments. And the most important thing is how to use this technology as best as it can be to really maximize the assessments or the planning or the treatment.

So I’ve used Chrysalix, which is a Swiss company, which basically entails taking five photos of a patient, and then the technology morphs these images together, and I get a model of the patient where I can turn vertically and horizontally at an angle. I then can assess the symmetry, the balance, and any discrepancies in either side, and very, very easily show my patients that, hey, your cheeks are a little bit flat, or your chin, can you see your chin’s a little bit recessed? We need to bring that chin forward, and it would balance your face, and I can actually do it on the screen because the technology allows me to do it.

So that’s Chrysalix. Then this is, I think, really, really great planning for preplanning of cosmetic treatments, such as rhinoplasty and dermal fillers. With hair restoration, unfortunately, there’s not many great technologies out there right now that can assess a patient’s hair, their donor, how many follicles, how many follicles are needed, what will the patient look like, what will the hairline look like with 2,000 follicles, 3,000 follicles, et cetera.

So I’m always searching for great technology, and if we find something great, we’ll definitely be using it.

In terms of the technology for hair restoration, well, for follicular unit extraction, I use a multi-phase device, which allows me to really tailor the particular phases of extraction, from cutting the skin to where the punch goes deeper in the skin, and then allowing me to really adjust these features, and also the different types of punches. There’s many types of different punches, so that with different patients’ scalps and different types of hair thicknesses, the eye can really, really match the extraction phases and technology, so that I’m getting these follicles as carefully out as possible. And this is really, really important.

The technology that we use is so advanced and so changing from the previous years or 10 years ago, where we used to do manual extraction, with a little punch. And let me tell you, there’s a world of difference. So I’m always searching for advices and advices from the timing of how to do the procedure, to the pace of the procedure, to the anesthesia of the procedure, to recovery.

And obviously, recovery is so important. So we’ve got some new great plans to improve your recovery and improve your healing, which we can discuss in our next podcast. So that’s pretty much the hair restoration and future hair loss treatments 2.0.

We at Young Hair Restoration are always striving for the best outcomes and the best treatments for our patients. So please contact me if you’d like an assessment and to discuss your further management of your hair loss or your future hair restoration procedure. Thank you and goodbye.

Bye.

And thank you for your presence, and I hope you enjoyed today’s podcast. Reach out and like and follow us on Instagram. And if you would like a consultation with me, info at younghair.com.au.

Please subscribe to this podcast to keep up to date. We’ll see you next week. Goodbye

other transcripts coming soon.