Auto news on Youtube Feb 19 2018

Thank you for your question.

You submitted a question of a photo of the top of your scalp. And you state that you

are 10 days after undergoing 5200 hair grafts. And you're looking for some kind of indication

of a successful surgery. And you were advised that you would not get any sense of the true

success of the surgery for at least 6 months. And you are posting a question to see if there

are any other ways to know if there was a successful outcome since 6 months is a long

time to wait.

Well, I can certainly share with you what I have counseled my patients when I was doing

a lot of hair transplant surgeries as well as patients who we treat with non-surgical

solutions in our practice every day.

A little bit of background, I'm a Board-certified cosmetic surgeon and Fellowship-trained oculofacial

plastic and reconstructive surgeon. I have been in practice in Manhattan and Long Island

for over 20 years. I am also the founder of TrichoStem™ Hair Regeneration Centers, a

system we developed that was derived from hair transplant surgery to maximize the outcome

and the success of the surgery using a material called extracellular matrix and platelet-rich

plasma (PRP). And we have been helping people from around the world non-surgically for male

and female pattern hair loss in addition to people who have had undergone hair transplant

done elsewhere.

So as far as the healing process is concerned and the outcome is concerned, you have to

unfortunately deal with the reality that it does take time to see how many of those grafts

that were placed actually grow. In general, I can say that 6 months is kind of optimistic.

You really have to wait about a year and in some people even longer but most of our colleagues

in hair transplant surgery would state that one year is the right time to get a sense

of the full expression of the hair graft as well as the growth of the existing hair. One

of the things that people don't always appreciate is that in addition to the shock loss of the

grafts, there is also shock loss of existing hairs. And it depends on how advanced your

hair loss was at the time of your surgery in terms of the density of existing hair.

Further I would say that we have been able to appreciate a strategic application of our

Hair Regeneration technology for patients who have done transplant elsewhere. Just a

little bit of more detail about Hair Regeneration, this was derived after we were doing a lot

of transplants and we were wanting to see as you do the most optimal outcome which is

the growth of every graft that was placed. Hair transplant as you have experienced is

a very tedious procedure and you want to see every graft grow.

So we used a material called extracellular matrix and platelet-rich plasma (PRP) which

is basically a regenerative medicine technology to help the donor area heal better as well

as the grafts to heal better. Well, a nice side-effect was that thinning hair got thicker.

Further along, we were able to then develop a system to help people with male and female

pattern hair loss who would be not necessarily good hair transplant candidates but were progressively

thinning and used this technology to help people get thicker hair. Basically, what we

were able to do is reactivate hair that is not growing, thicken thinning hair as well

as prolong the lifespan or growth cycle of thinning hair.

Over the course of 7 or 8 years, we also developed a classification system looking at gender,

age, age of onset, rate of progression, degree of progression and other medical factors and

other issues related to previous hair treatment. And we've even been able to make even more

distinctions and improvement in the system to help people with their progression of hair

loss.

In addition as I mentioned, we have patients who come from all over the world who will

come to us within the first 3 months of having a hair transplant and we've been able to

demonstrate that with the stem cell based technology, we can actually expedite the regrowth

of transplanted hair. Further, we were able to thicken existing thinning hair and essentially

help the healing process. So we've been able to do that and I'm not saying that

this is necessarily critical for you to do but it is something that we talk about to

patients who are considering hair transplant. And we describe a scenario where during this

healing process, this stem cell type technology seems to have a way to improve the trajectory

of healing.

But to address your question, you have to basically look at it at stages. You look at

the progress of healing in stages. Wound healing, regardless of the type of surgery, takes about

a year. When we are talking about cosmetic surgery like face lifting surgery or hair

transplant surgery, wound healing takes about a year. You go through 4 different phases.

You go through a hemostatic phase, inflammatory phase, proliferative phase and then remodeling

phase. And all of those phases are part of nature and is part of the process.

Now your doctor can probably suggest to you ways to help you with long-term management

of your hair loss progression. If you had, basically I can infer that if you've had

5200 grafts then you probably had fairly extensive hair loss. So you also want to think about

what's going to go on beyond your growth of your grafts and what's going to happen

a few years later so you have to think of long-term strategies. This is something that

a lot of people don't appreciate when we do a hair transplant. They think of it as a one-off

procedure and then they expect that they won't continue to lose hair which is absolutely

not true. Everyone will continue to lose hair. It depends on the individual's rate of progression.

So it is important for you to at least, by asking this question, learn about options

for prolonging the lifespan of your existing hair, the hairs that were grafted and think

about the long-term management whether it's the use of pharmaceuticals such as finasteride,

minoxidil, whether it's regenerative technology such as Hair Regenerative as well as future

transplantation.

So I hope that was helpful, I wish you the best of luck and thank you for your question.

For more infomation >> How Long Hair Regrowth Takes after a Hair Transplant, and Improving Growth Rate and Results - Duration: 9:14.

-------------------------------------------

How Long Do Breast Implants Last? - Duration: 2:06.

So do breast implants have to be replaced every 10 years? That is the most

common question, Lauren, that I get. That is the biggest myth that I have ever heard

heard on the entire planet. They do not have to be replaced every 10 years. I had

a woman a few months ago after 23 years wanted to go bigger - saline implants -

and when I took it out it looked exactly like the day I put it in 23 years before.

Wow. And it happens maybe 3% of the time, and I only replace them if they break

and they're not that fragile. I have women after three months skydive, scuba

dive, kickbox, body build. When women go for their mammogram, the mammogram

places about 25 pounds of pressure on their breasts, and the implants are

tested to hundreds and hundreds of pounds. So how does a breast implant break?

The most common thing that I see Lauren is sometimes the implant just

rests on itself in a way it develops a fold on itself in one spot. Okay. And the

fold goes back and forth, back and forth, much like a paper clip would weaken and

break. Then the implant would crack. If it's saline the body

would absorb the saltwater, urinate it out, and the patient would return to her original size.

If it's a silicone, the only way you can tell if the silicone is broken

is by a special MRI x-ray, which currently the company and the government

are recommending that you check to see if the silicone is broken three years

after surgery and every two years thereafter. So it's fair to say you might

need to check to see if there's any breakage, but it's very rare that it

actually happens. Maybe 3% or less. And again, if it's a saline implant

the person would know because they would return to the original size.

For more infomation >> How Long Do Breast Implants Last? - Duration: 2:06.

-------------------------------------------

How Long Does it Take to Become Fluent in English? How Can I Get Fluent Fast? - Duration: 7:29.

- Because spending two hours per day,

which is a lot of time,

memorizing verb tables won't help you.

Hello, everybody.

This is Jack from tofluency.com.

In this video, I'm going to answer a very common question

that I get from English learners like you.

And that question is this.

How long will it take me to become fluent in English?

And what can I do to speed up this process?

I completely understand why you want to know this

because when you start something new,

you want to know how long it's going to take you

to achieve your goals.

It's the same for me, too.

For example, how long will it take me to get a six-pack?

Or how long will it take me to get one million subscribers?

Or how long will it take me

to grow my hair down to my waist?

Going back to English fluency,

a very important thing to know is that

going from an A2 or a B1 level

to a C1 level is a big goal.

Only a small percentage of those learning English

reach that goal.

Now a C1 level is where you can basically have

conversations about most topics,

and you feel confident doing this.

You use the right grammar, the right vocabulary.

You don't make many mistakes.

And like I said, it is difficult to get there,

but know it is possible.

It is possible to reach that level

if you follow what I'm going to talk about in this video.

And also know that if you have an A2 level,

and your goal is to get a C1 level,

if in the next two years you are B1 or B2,

that's a great thing because it means

that your English has improved.

So don't always think about it in terms of I'm here,

I want to be there.

Think about it more in terms of I'm here

and I'm constantly improving.

Let's now talk about the three main things

that will dictate your level,

and how long it's going to take you.

The three things that I think are most important.

Number one is your current level.

The level that you have now.

Number two is how much time you spend

learning English per day.

And number three is what you do with that time.

The first one is obvious.

If you have a good level already then it's easier

to become an advanced English speaker.

But if you're starting from the beginning,

it's going to be more difficult.

The second one,

how much time you spend learning English per day,

is something that you have control over.

What's important is how many hours

you are willing to do per day moving forward.

If you want to speed up this process,

if you want to become fluent in English faster,

you'll need to spend more time learning English.

I've got a question for you.

How much time do you spend learning English per day?

This includes watching videos like this,

going to a language school, doing anything in English.

Okay, so how much time you spend

learning English per day is important,

but what you do with that time is important, too.

What we're talking about here is your study plan.

What you do to improve your English,

which methods you follow because spending two hours per day,

which is a lot of time,

memorizing verb tables won't help you.

It's not going to help you speak more fluently,

it's not going to help you understand

how to use grammar in a natural way.

It's just a waste of time.

However, spending two hours doing something like this

will make a big difference.

So here is an example of a study plan

that might work for you.

The key is finding something that suits you

in your strengths and your weaknesses

and also your goals.

But following something like this is very powerful.

The initial 30 minutes are spent

working on your pronunciation.

So you listen to sounds in English and you repeat them.

You try to improve your intonation.

You follow programs that are going to help you with this.

Many learners don't work on this area,

but it's such an important area

if you want to improve your speaking.

Then spend 30 minutes reading and listening to a book.

So you can find a book that includes an audio book

and listen and read at the same time.

This is followed by 30 minutes using my speaking method.

This is where you imitate native speakers,

and you copy the way they speak.

This helps you improve your speaking in general,

but you'll also learn new vocabulary

and internalize grammar.

There is a link in the description to this method.

And then you end the two hour study plan

by doing 30 minutes of conversation.

So you find a speaking partner, or you hire a teacher,

and you practice your English in a natural way.

Again, this is just an example

of how you might spend two hours per day

and know that you can spread this out throughout the day,

which means that you can spend

some time in the morning on this study plan,

some time on your lunch break

and then complete it in the evening.

But the key here is to know that

what you do is really important.

At this stage you might be thinking,

oh, but I don't have time to do this.

Or I can't find anybody that will speak English with me.

My response to this is if learning English

and if reaching a really high level is important to you

then you will find the time,

and you will find speaking partners.

And a good question to ask yourself is

am I willing to do the things I need to do

in order to achieve this goal?

And am I willing to do this over the long-term?

If so, do more and do the right things.

With all that in mind,

leave a comment below sharing your learning routine.

What do you do on a typical day to learn English,

and how much time do you spend doing this?

Also let me know if you're going to

change the way you learn English,

and if you're going to do more.

Thank you so much for watching

and if you're new, be sure to subscribe.

Bye for now.

(funk music)