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The consultation: the focus is on the patientThe basis for any relationship of trust between doctor and patient is a personal meeting in which the wishes and needs of the patient are not only taken into account, but also discussed in detail, weighing up all pros and cons.
The fully informed patient together with the experience and knowledge of the physician represent the most important basis for any successful treatment, whereby it goes without saying that the focus is always on the patient.
- Bijan Feriduni -
The choice of the right physician depends on a number of factors, three of which are experience, technique and training. Obviously such a choice is also influenced by before-and-after photos showing in detail treatment results.
The internet, conversations with other patients and recommendations from other doctors are also important factors influencing any decision as to which physician to trust. But there is nothing like a personal consultation, in which any questions or uncertainties regarding the treatment and therapy options can be discussed. And last but not least, the patient has the opportunity to check whether he gets along with the physician - also an important factor influencing any choice of physician.
A personal consultation is not only to be recommended - any responsible physician will always offer one to a patient. The patient is always at the centre of any consultation, discussing with the physician objectives, wishes, options, previous treatment and possible reasons for hair loss as well as potential therapies.
The family history, the assessment of hair loss in the patient's own family, hair density, hair structure, the hair loss pattern, a microscopic examination and other examination methods or the determination of possible donor patches and the transplantation area are also important elements of any consultation. On top of all this, the pros and cons of any treatment are discussed, as well as any possible side effects.
A personal consultation including an exact assessment of the different factors are not just helpful for the patient. The consultation also helps the physician to find out whether a hair transplant is the right thing for a patient, and, if so, what is the most suitable form of hair transplantation. It also allows the physician to get to know the expectations, results and hopes the patient associates with the treatment. An in-depth competent consultation is therefore an important ingredient of any treatment carried out by Dr. Feriduni.
The following four subjects always belong to any consultation involving Dr. Feriduni:
An assessment of the donor and recipient region
A decision in favour of a hair transplant is a long-term one, with life-long consequences. To ensure that everything is done properly, the area from where the donor hairs are to be taken is analysed in detail, checking the number of hairs and their characteristics. No two patients are the same, and the number of donor hairs can vary from 4,000 to 9,000 follicular units. The number and characteristics of the donor hairs have a major influence on what the hair looks like after the treatment - with regard to such factors as colour, curliness, growth direction or hair diameter.
In addition an assessment needs to be made of how big the area affected by hair loss and to be subjected to treatment is and - as far as possible - how any future, age-related hair loss will occur. Every patient is different, whether with regard to age, current hair loss intensity, hereditary or other factors. This means that no generalisation can be used, with each patient receiving his own personal diagnosis and treatment plan.
An exact determination of the donor and recipient areas is therefore an important part of any consultation, allowing the potential of a hair transplant to be assessed as accurately as possible.
Finding out a patient's objectives and expectations
No two patients are alike - this does not just apply to his or her personal circumstances, but also to the personal expectations and wishes associated with a hair transplant.
There are patients who just want to have their hair loss appear less obvious, while others want to completely change their appearance. Some don't want to have a tonsure any longer, while others don't really mind having one. Whereas certain patients would like a low hairline, others prefer a receding one suiting their age. As a way of getting to know these objectives and expectations and the priority given to them as best as possible, an in-depth personal consultation is obviously of great importance.
Explaining to patients the basic principles of hair transplantation
The number of grafts needed to fulfil a patient's expectations is one issue needing to be discussed in depth. A further issue involves discussing the limited number of donor hairs available and what influence this has on hair transplant options. A further important aspect is age-related hair loss and its effects on a patient's future appearance after a hair transplant.
As part of the personal consultation with Dr. Feriduni, patients are also informed about why each patient and his hair loss need to be looked at individually. For example, it is possible for hair transplantation on a patient with very good donor hairs and just small bald patches to restore full hair density to the thinning patches. On the other hand, in patients with large bald patches and few good donor hairs, thinning patches can only be partially treated.
Discussing realistic objectives with the patient
In this part of the consultation the feasibility of a patient's expectations and objectives regarding hair transplantation are gone through, well knowing that not all wishes and hopes can be fulfilled. As a way of matching a patient's objectives and expectations with the feasibility of a hair transplant, Dr. Feriduni presents the feasible treatment options available.
Unfortunately, treatment is not always suitable for a patient, with Dr. Feriduni then having the responsibility of explaining the reasons why. When the patient's expectations are not feasible or realistic, treatment should not be conducted - at least not immediately.
A later examination might nevertheless come up with better factors for successful treatment, meaning that, even when a patient is advised against treatment, a new consultation with a renewed examination at a later date should be considered. With hair transplantation technology and techniques subject to permanent progress, one option is for a patient to change his objectives and expectations to such an extent that a transplant at a later date becomes a viable option.
Generally speaking, all patients should be aware that treatment is long-term, with results applying life-long.
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