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Hair Transplant > Hair Transplant Surgeon Interviews > Interview with Hair Transplant Surgeon Dr. Robert Jones
Dr.
Robert Glyn Jones
Institute of Hair
Transplantation
Oakville, Ontario
Curriculum Vitae (Medical Resume)
Regrowth: First off, please give us some background about yourself and your practice. What is your medical background and how long have you been practicing?
Jones: I have been practicing for 18
years -- 5 years doing hair transplants and 10 years in cosmetic surgery.
Regrowth: Do you prescribe Propecia to
your patients and if so do you find its effects match the results of the clinical studies?
Jones: Yes I do prescribe Propecia and I
find the results match those described in the studies.
Regrowth: What do you say to people who are
concerned about the side effects of Propecia?
Jones: There is about a 2% incidence of
impotence which is usually reversable if stopped.
Regrowth: Do you ever prescribe Propecia to
women who are not planning to have children or past their child bearing years? If so, how
effective has it been for them?
Jones: No, I don't prescribe Propecia to
women.
Regrowth: Have you heard reports from any
patients on Propecia of excessive shedding of hair and what results do these patients
generally end up having?
Jones: No, that's not my experience from
my patients.
Regrowth: Have you ever had patients using
Propecia who it was effective for initially but then it lost its effectiveness?
Jones: No, my patients who have had good
results on Propecia have maintained them.
Regrowth: Do you prescribe Proscar to your
patients who want to get on Finasteride but want to save money by quartering Proscar
pills?
Jones: Occasionally I will prescribe
Proscar when I feel it is in the patient's best interest if they ask.
Regrowth: What percentage of your patients
using Propecia would you say experience side effects?
Jones: None so far.
Regrowth: Do you recommend Rogaine Extra
Strength / Minoxidil 5% to your patients?
Jones: Occasionally, when I feel it might
help them.
Regrowth: Do you find Minoxidil 5% provides
additional results over Minoxidil 2%?
Jones: It's hard to say -- people's
results can be subjective and it's hard to compare different patients.
Regrowth: How do you feel about higher
strength Minoxidil formulas of up to 15% that can be obtained via a prescription through
custom compounding pharmacies? Do you think they will provide additional results?
Jones: I haven't used these yet and
really have no way to evaluate them.
Regrowth: Have you prescribed Minoxidil 5%
to many women and if so how effective was it?
Jones: No, I don't usually recommend it
to women.
Regrowth: Have you seen any or many women
using Minoxidil (2% or 5%) who had the side effect of unwanted facial or body hair growth?
Jones: No, not in my experience.
Regrowth: What do you think of the
claim of the woman who is suing Upjohn saying Minoxidil caused unwanted facial growth that
didn't go away after treatment was discontinued?
Jones: These claims are probably not true
as far as I know.
Regrowth: Do you find patients using
both Propecia and Minoxidil 5% have better results than patients using either alone?
Jones: It's difficult to say since each
individual responds differently.
Regrowth: What is the largest improvement
you have seen in someone taking Propecia alone (on the Norwood scale)?
Jones: The greatest improvement I have
seen is an improvement from a Norwood 4 to a Norwood 3.
Regrowth: What is the largest improvement
you have seen in someone using Minoxidil 5% alone (on the Norwood scale)?
Jones: I have only seen minor improvement
in individuals using Minoxidil 5% alone.
Regrowth: What is the largest improvement
you have seen in someone using both Minoxidil 5% and Propecia (on the Norwood scale)?
Jones: Again, the greatest improvement
was from a Norwood 4 to a Norwood 3.
Regrowth: Have you heard success stories
with any other products available for hairloss, such as Tricomin, Folligen, Fabao, Kevis,
etc? If so what results were reported?
Jones: No, not really.
Regrowth: What do you tell people for
whom Minoxidil 5% and Proscar is ineffective who don't wish to have transplants or use a
hair system?
Jones: There is not much else that can be
done and I recommend that they have to learn to live with being bald.
Regrowth: How long have you been
performing transplants and how many do you estimate you have performed (patients and
procedures)?
Jones: I've been performing for 5 years
and I usually perform about 150 per year, so about 750.
Regrowth: Do you see many women for
transplant operations, and is this number increasing?
Jones: Yes I do see many women who are
interested in transplants, but no I'm not seeing more of them than in the past.
Regrowth: Are women more or less suited to
transplants than men?
Jones: Every situtation is different.
I try to evaluate what is best for the individual patient.
Regrowth: We hear so many different terms
for grafts from different practices. Which grafts do you perform and why. Do you
transplant only follicular units?
Jones: In my transplants I only use micrografts
and follicular units.
Regrowth: How many grafts or hairs do you
transplant in one session?
Jones: Up to 5,000 hairs or 2,000 grafts
on average.
Regrowth: Do you believe in the megasessions
method of transplanting large numbers of hairs all in one session?
Jones: Yes, occasionally, when I believe
it is appropriate for a particular patient.
Regrowth: How many transplant sessions does
your average patient go through?
Jones: Most of my patients have 2
procedures.
Regrowth: Do you ever turn patients
down who seem to have psychological problems regarding their hairloss? What percentage of
patients are these?
Jones: Yes, we do end up turning down
around 10-20%, usually younger patients.
Regrowth: Do you ever turn patients down
just because their amount of loss is too extensive for them to get good results? What
percentage of patients?
Jones: Yes, about 1-2% of patients are
just not good candidates for transplantation.
Regrowth: Do you ever turn patients down who
haven't lost enough hair yet to know what their final amount of loss will be? What
percentage of patients?
Jones: Yes, there are about 10% of our
patients who we recommend wait.
Regrowth: How can a patient know when
he has lost enough hair to make transplants worthwhile without worrying about further loss
causing poor end results?
Jones: At about age 30-35 we are able to
have a better picture of what can be done.
Regrowth: What general guidelines do you
look for to tell if someone has enough hair left to have a transplant?
Jones: A lot depends on the patient's
hair color & texture. Some patients can get better coverage than others.
Regrowth: How painful are the shots to the
scalp for local anesthetic?
Jones: We find in our practice that there
is very little pain involved.
Regrowth: How long does it generally take
incision scabs to go away?
Jones: Our patients usually lose their
scabs in 10 days.
Regrowth: Several people have posted that
transplant doctors have told them that transplants would not cause any existing hair to
fall out and then it did. Do you warn patients of this and how frequent is it?
Jones: Yes, I tell them about telogen
shock. I also get them to use Rogaine to help prevent it.
Regrowth: Do you recommend Propcia/Proscar
and/or Minoxidil to transplant patients?
Jones: No, not usually
Regrowth: If someone uses Minoxidil and has
a transplant session, how soon can they start using Minoxidil again after the surgery?
Jones: We recommend they wait 14 days
before restarting Minoxidil.
Regrowth: Do you recommend any topical
treatments such as Iamin or GraftCyte after surgery to promote healing of the grafts?
Jones: Not to our patients.
Regrowth: What do you do if a patient comes
back to you and is unhappy with their transplant results?
Jones: On the rare occasion that a
patient is unhappy, we repeat the procedure at a reduced cost.
Regrowth: What do you think of Laser hair
transplantation? Why do you not perform them? What are the advantages and disadvantages?
Is this just a gimmick to get people who think 'if it's lasers it must be superior'?
Jones: I tried it and didn't like it. The
only advantage is marketing.
Regrowth: What do you think of the
idea of culturing unlimited amounts of hair for transplantation? When do you think this
will be a reality?
Jones: Sounds great, but I don't know
when it will become a reality.
Regrowth: Do you perform scalp reductions
and if so how many would you say you have performed?
Jones: No, I don't feel with today's techniques that there is a place for scalp reductions.
Curriculum Vitae
Dr. Robert Glyn Jones
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