Question:
Are there any spots on the Norwood scale, say a 2, that would be too early for a hair transplant?  At what point on the scale would a hair transplant be right?

Answer:
I do not base my philosophies on the Norwood scale as it represent the balding situation at a given time on one’s life and balding is usually progressive.

Question:
Is there any sort of colored hair powder or spray that can be used after the hair transplant to help disguise the side effects?

Answer:
There are a number of good coloring sprays, powders or fibers that are colored and can make the hair look more pronounced or thicker.

Question:
I’m in my early 30s and looking into getting my first hair transplant. I figure I’ll need another in the future because most of the men in my family have gone bald. I’ve got a definite bald spot on my crown and thinning across the top, front of my head. Would you recommend just filling in the top/front for now and then filling in the crown at a later time, or filling in both now?

Answer:
The emphasis on your first hair transplant should be in the font third of the scalp.

Question:
I had a hair transplant about two and a half months ago. I’ve been expecting the transplanted hairs to shed but they haven’t yet. Does this mean that they won’t and is this normal?

Answer:
Occasionally this happens if the hair is fine and the grafts are small. It is a fortunate situation as you get cosmetic hair results 3 months sooner than the average.

Question:
How soon after rhinoplasty can you consider a revision rhinoplasty procedure and are there ever exceptions for having it sooner?

Answer:
There are exceptions, but the general rule is at least 6 months and preferably one year.

Question:
Are there any risks to using rib cartilage for revision rhinoplasty?

Answer:
Simply stated, yes.

Question:
I’m of Middle Eastern decent and interested in undergoing rhinoplasty. However, I’m concerned that giving me that perky, ski-jump nose would not fit with my ethnic features. How do you preserve the ethnicity of the nose while refining its appearance?

Answer:
Conservative trimming of the nasal tissues allows for preservation of nasal characteristics.

Question:
How would you improve broad or wide nostrils as commonly seen in African American noses?

Answer:
We simply remove some of the skin of the nostrils at their junction with the cheek and lip.

Question:
My nose is too narrow. What will you use to make it wider, some of my own tissue from somewhere? Does this job require incisions outside the nose?

Answer:
The usual narrow nose can be made to look wider with cartilage spreader grafts taken from the nasal septum.

Question:
On the Real Housewives of New Jersey, one of the housewives looks like she’s had an obvious nose job, like the bridge of her nose is sort of concave now. Is this a common problem with rhinoplasty and how do you avoid it?

Answer:
The surgeon should be conservative in reducing a nasal hump in order to avoid this problem. It is really a matter of judgment based on experience.