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Hair Restoration Research Forum Visits to Leading Hair Transplant Clinics Visit to Dr. Bernardino Arocha’s Clinic in Houston, Texas (Personal Album)|
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| Dr. Arocha has been showing his ultra refined and large sessions of follicular units on this forum as a recommended physician for well over a year. Given these many impressive results, it came as no surprise when visiting his clinic to see that his technique and procedure are truly ultra refined. However, I wanted to see it for myself and verify this before considering him for membership in the Coalition of Independent Hair Restoration Physicians. In my opinion he and his experienced staff have shown that they meet the demanding criteria and standards for membership in the Coalition. See Coalition standards at http://www.hairlosslearningcen...ership-standards.asp Dr. Arocha’s beautiful office studio is part art studio and part clinic, combining his interest in medicine with his talent for painting. This synergy is evident in his patient’s final results, which are typically very natural. Like so many patients I encounter during my clinic visits, the patient during the day of my visit did most of his research on the Hair Transplant Network. I enjoyed speaking with him and found him to be very well informed about hair transplantation. But what do you expect from someone who’s a regular on this community :-) This patient in his early 40’s wanted to restore and strengthen his hairline. To meet his goal of restoring a dense and natural hairline, Dr. Arocha and his staff intended to transplant approximately 3,000 follicular unit grafts. I really liked Dr. Arocha’s donor removal technique. He first scored the surface of the patient's scalp with a single blade rather than cutting all the way down past the base of the follicles, which can result in transecting (severing) the underlying follicles. Once the scoring incisions were done, he used his forceps to gently separate the follicles in the donor strip away from the underlying donor area. This minimized the chance of transecting the precious donor follicles along the edge of the donor strip. Dr. Arocha also only took out one section of donor tissue at any given time so as to minimize the time the donor tissue and follicles were out of the body. Then when the medical techs were completing the trimming of a donor section a new section would be removed for trimming. Ultimately the donor tissue in total measured 1.2cm wide by 22cm in length. Dr. Arocha closed the donor area by first using internal sutures to pull the subcutaneous tissues beneath the skin together. This greatly reduces the tension on the surface of the skin so it can be sutured together under minimal tension. Thus there is less tension and pulling on the external skin level sutures, which reduces the chances of stretching and scaring along the donor scar. The sutures are also more comfortable for the patients than either staples or single layer closure. While doing such a double layer closure takes more time, I think it is optimal for the patient’s healing and comfort. If I were to do another surgery, I personally would request a double layer closure. Dr. Arocha also performs the trichophytic closure technique when he expects the surgery to be the patient’s last procedure. He also took care to only shave the donor area that was removed so that the patient’s hair right above the suture line could easily cover it. Three of Dr. Arocha’s medical techs – Craig (9 years experience), Maria (10 years experience) and Lourdes (8 years experience) trimmed the donor tissue into follicular unit grafts, while Dr. Arocha made all the incisions for the grafts. He used the smallest incision that would accommodate the tiny grafts, while varying the angle and direction to replicate a natural hair direction. The final graft and hair count was 572 one hair grafts, 984 two hair grafts, 921 three hair grafts, 391 four hair grafts and 187 five hair grafts – for a total of 3,055 grafts comprised of 7,802 hairs. In addition to performing a truly ultra refined top notch hair transplant procedure, I was impressed by Dr. Arocha’s friendly “bedside manner” and sense of humor. In my opinion, Dr. Arocha and his experienced staff have achieved the skill, experience and ultra refined procedure that puts their clinic on a world class standing. To learn more about Dr. Arocha, visit his profile/recommendation at http://www.hairtransplantnetwo...Doctors.asp?DrID=636 |
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Hair Restoration Research Forum Visits to Leading Hair Transplant Clinics Visit to Dr. Bernardino Arocha’s Clinic in Houston, Texas (Personal Album)