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Post-Surgical Hair Loss
Post-surgical hair loss, although rare, can arise from two etiologies: accelerated hair loss and post-surgical effluvium. There is a theoretical risk of post –surgical shock loss. It is logical that attendant with surgery there may be an increase incidence of hair loss after surgery. After all, there is an increase in blood flow to the surgical site post procedure. That is why the recipient area is red or erythematous after surgery. This bathes the area with DHT along with the necessary oxygen and nutrients required for healing and life of the tissue. This however, technically is not post-surgical shock loss, but accelerated hair loss. The risk of this occurring is dependent on the genetic predisposition of the hair in the recipient area and the extend of miniaturization of these hairs. What then is post-surgical shock loss or effluvium? This type of post-surgery hair loss can result after the procedure and arises from trauma to the miniaturized hair. It usually manifests about 3 months post procedure. This trauma to the weaken hair in the recipient area occurs when the angling of the sites is off. It is imperative that the angle and direction of hair growth be fallowed accurately. Significant post-surgical hair loss in the post-surgical period is at best a rare event; in fact, I have not seen it for the last 4-5 years. The reasons are related to advances in surgical techniques and pharmacologic therapies. First and foremost is the creation of precise angles of the recipient sites, while fallowing the exact direction of hair growth. Secondly, the use of very small needles and cut to size blades, that minimize the size of the sites created, hence the extent of tissue and possible follicular injury if there is native hair remaining. Lastly, the use of finesteride diminishes the DHT by 70% hence protecting the native and transplanted hair from any post-surgical increase in circulating DHT. The use of minoxidil 5% acts synergistically to further protect the native miniaturized hair and possibly stimulate the growth of the transplanted hair. Furthermore, the growth of the transplanted hair with its increased caliber is of greater contribution to the hair mass and volume than the native thinner caliber miniaturized hairs. I do recall one patient about 6 years ago that had some shock loss post-surgically. He was managed with finesteride, minoxidil 5%, reassurance and time. He of course not only recovered but also had an outstanding hair restoration outcome. The patient got his smile back in about four months post-procedure as his hair transplant commenced to grow in.   21-Jul-08 11:00 AM
Hair Restoration Post-Surgical Recovery
<div align="left">The state of the art follicular unit transplantation is the ultra-refined follicular unit transplantation, using follicular units (fu s)that have been trimmed of the excess tissue under the binocular microscope. These follicular units have all the essential anatomic parts that ensure its rapid growth, while avoiding any excess tissue. These ultra-refined fu s allow the creation of the smallest sites. These minimal sites are important for two reasons: 1. They allow the creation of very closely placed sites, hence greater density 2. The small sites facilitate the rapid healing, so as to minimize the post-surgical recovery and hasten rapid resolution of any trace of the procedure.</div> <div> </div> <div align="left"><img height="265" alt="" src="/attachments/wysiwyg/119/PostSurgery1.jpg" width="395" border="0" /> .9 mm sites in the hairline allow the creation of density with one procedure. Note these are coronal sites that fix the exit angle of the hair to create precise angling. <img style="width: 398px; height: 225px" height="225" alt="" src="/attachments/wysiwyg/119/PostSurgery2.jpg" width="398" border="0" /> Close up of the hairline only one day after the procedure. Note that the patient has a wet look, yet his hair already looks improved; there is less visible bald scalp. <img style="width: 402px; height: 254px" height="254" alt="" src="/attachments/wysiwyg/119/PostSurgery3.jpg" width="402" border="0" /> This Before photo was taken only a day prior to the procedure. So impressed was the patient, Ben Howard, that he told the Morning News anchor on Fox 26, that he looked improved immediately after the procedure. While he was correct, we do not wish to set such a high expectation. We are happy to settle for 3-4 months for results to be apparent. That is regarded as an early response in the industry.</div> 15-Apr-08 9:00 AM
Meet the Experts: Hair Transplant Surgeon, Dr. Bernardino Arocha is Raising Eyebrows
<v:shapetype id="_x0000_t75" stroked="f" filled="f" path="m@4@5l@4@11@9@11@9@5xe" o:preferrelative="t" o:spt="75" coordsize="21600,21600"><v:stroke joinstyle="miter"></v:stroke><v:formulas><v:f eqn="if lineDrawn pixelLineWidth 0"></v:f><v:f eqn="sum @0 1 0"></v:f><v:f eqn="sum 0 0 @1"></v:f><v:f eqn="prod @2 1 2"></v:f><v:f eqn="prod @3 21600 pixelWidth"></v:f><v:f eqn="prod @3 21600 pixelHeight"></v:f><v:f eqn="sum @0 0 1"></v:f><v:f eqn="prod @6 1 2"></v:f><v:f eqn="prod @7 21600 pixelWidth"></v:f><v:f eqn="sum @8 21600 0"></v:f><v:f eqn="prod @7 21600 pixelHeight"></v:f><v:f eqn="sum @10 21600 0"></v:f></v:formulas><v:path o:connecttype="rect" gradientshapeok="t" o:extrusionok="f"></v:path><o:lock aspectratio="t" v:ext="edit"></o:lock></v:shapetype> <img height="149" alt="" hspace="5" src="/attachments/wysiwyg/7/drarocha.gif" width="125" align="left" vspace="5" border="0" />Dr Bernardino Arocha is Founder and President of Arocha Hair Restoration in Houston, <st1:State w:st="on"><st1:place w:st="on">Texas</st1:place></st1:State>.  He is an avid art collector and painter and attributes much of his success as a cosmetic surgeon to his artistic flair.  In this in-depth interview, he explains how a natural hairline is designed using facial geometry and explores the new field of eyebrow transplants; who needs them and how to get them? He is talking with Penny Moss, host of HairLossNewsMakers.com. NHJ:   Dr. Arocha, how did you first become interested in art? BA:  Growing up in <st1:State w:st="on"><st1:place w:st="on">New Jersey</st1:place></st1:State>, I enjoyed visiting the great museums in the <st1:City w:st="on"><st1:place w:st="on">New York City</st1:place></st1:City> area and watching theater in <st1:place w:st="on">Central Park</st1:place>.  Later in college, I studied art history and I enjoyed painting as a hobby.  My favorite medium is oil and canvas.  I also do a little bit of collecting. NHJ:   Is this artistic background your secret to designing natural hair transplants? BA:  (Laughs) you’ll have to ask my patients. I have completed a fellowship in Hair Restoration Surgery which gave me the opportunity to train with some of the leading hair restoration surgeons in the world. From them, I learned many useful principles and techniques.  Over the years I have enhanced and refined them and, to return to your question, I like to think my artistic instinct contributes to my hairline designs and helps make my work look natural. NHJ:   You are very involved with temporal peak transplants and creating a “natural hairline.” What are the special things a hair transplant surgeon do to achieve the most “natural hairline”? BA:  When you achieve a natural hairline in a hair transplant, we're talking it being undetectable from what occurs in nature.  This is achieved primarily by the proper placement of the hairline.  Leonardo DaVinci determined that the face is divided into thirds.  The distance between the chin and the nose should be a third of the left of the total face, as is the distance from the bottom of the nose to the eyebrows and then from the eyebrows to where the hairline should be.  Also, you need to create a “transition zone” between the hairless skin at the top of the forehead and the area where hair begins to grow normally.  I will be about one half centimeter to one centimeter deep, using single hairs, with the finer hairs being the very first and second rows and then one and two hair follicular units from the mid to the end of that transition zone.  This hairline in the transition zone needs to be what call, “irregularly irregular.” In fact, I find that it can never be too irregular.  Dr. Jennifer Martinick in <st1:country-region w:st="on"><st1:place w:st="on">Australia</st1:place></st1:country-region> has coined the term “snail tracking across the forehead” to refer to this irregular pattern as opposed to a straight hairline which would look very unnatural. NHJ:   Are there any ethnic differences to consider when designing the hairline? BA:  Yes, there are differences between people from <st1:place w:st="on">Europe</st1:place>, <st1:place w:st="on">Africa</st1:place> and people from the <st1:place w:st="on">Far East</st1:place>.  With African Americans for example, hairlines can be a little straighter across, with less of a frontal temporal angle. NHJ:   How can a patient be sure to get exactly what he or she expects? BA:  It's critical to visit with your prospective surgeon to see as many before and after pictures as necessary to determine if you like their work.  You should ask specifically to see pictures of people like yourself so you can determine whether your expectations can be matched by the surgeon’s skill and techniques.  NHJ:   When we spoke last week, you told me about eyebrow transplant procedures. Who is a candidate for this technique and what kind of results can be achieved? BA:  The most common causes of eyebrow loss are repeated plucking of the eyebrows and physical trauma.  Many of my patients come to see me as result of accidents, surgical procedures, chemotherapy or burns. All these causes of eyebrow loss are amenable to surgical restoration.  Although we can help most people, there are some situations where we powerless to intervene. One prominent example is trichotillomania, an obsessive-compulsive disorder where patients pull hairs out from the scalp and eyebrows, and sometimes even the eyelashes.  Regrettably, we can’t help alopecia areata/ totalis patients either. These are genetic auto-immune disorders whereby the body makes antibodies against its own hair follicles.  NHJ:  How quickly do you see the benefits of an eyebrow restoration? BA:  It takes about eight months for an eyebrow transplant to completely grow in. Often patients repeat the procedure if they want really thick eyebrows. NHJ:   A lot of people don’t know that eyebrows and eyelashes can be restored.  Is this a relatively new surgical procedure? BA:  Yes it is.  After I was invited to appear on Fox TV last July, I received a lot of inquiries because most people didn't know we could do this. NHJ:   What is the difference between an eyebrow and an eyelash restoration? BA: For the eyebrow, we use very acute angling sites so that the hair comes in almost flush to the skin. We create the sites at an angle of 0-10 degrees in so that the hair doesn't stick up, and the curvature of the hair needs to bend towards the skin.  In an eyelash, the curvature needs to be the opposite; away from the skin, so that the eyelash curves upward. NHJ:   Where do you get these hairs from? BA:  Sometimes we need fine hairs, as in a woman with fine facial hair in the eyebrow area.  That type of hair tends to grow around the ear and in the temporal area. Conversely, to find a good match for a man with thick facial hair, we would probably go to the occipital area, in the back of the head, where the hair tends to be thicker. NHJ:   Thank you for telling our readers about this exciting work.  If someone wants to learn more about eyebrow and eyelash restoration surgery, how can they contact you? BA:  I can be found on the web at <a href="http://www.arochahairrestoration.com/">www.arochahairrestoration.com</a>.  1-Mar-08 4:00 PM
The Hair Loss Headline
  <img style="border-left-color: #ffffff; border-bottom-color: #ffffff; border-top-color: #ffffff; border-right-color: #ffffff" height="149" alt="" hspace="5" src="/attachments/wysiwyg/7/drarocha.gif" width="125" align="left" vspace="5" border="1" />An update with Dr. Bernardino Arocha of Arocha Hair Restoration in Houston Texas. Dr. Arocha also makes himself available in Dallas. He is affiliated with the International Society of Hair Restoration Surgery and is a Diplomate of the American Board of  Hair Restoration Surgery, as well as the American Academy of Cosmetic Surgery among others.<o:p></o:p> <o:p></o:p> <o:p></o:p> HH –  Dr. Arocha, it’s been a few months since we last spoke with you.  How are things with Arocha Hair Restoration, which was then, a brand new company?  DA – Looks like the word has gotten out about our artistic approach to hair restoration. HH – That’s great news. Tell us more. DA –We have become a fulltime mega session center, performing the most challenging surgeries of the advanced stages of male pattern alopecia. These large mega sessions are performed while maintaining the highest standards of ultra-refined follicular unit transplantation. Some of these cases are as large as 6000 follicular units. HH – That’s big! DA – Yes. And I did someone with advance hair loss, a Norwood 7 with very limited donor density. <o:p></o:p> HH – To put it in general terms, a Norwood 7 is someone with extreme hair loss and someone most transplant doctors would not touch. DA – That is correct, but my team and I enjoy the challenge. HH – We’ll be talking to that person in this edition, but tell us more from your perspective. DA – Well, this patient did have extreme hair loss – probably the most I’ve ever seen in my many years in this business, but I was still able to make thousands of transplanted grafts available. It was amazing and I’m proud. He seems very happy! HH – So in essence, you can help just about anybody. It doesn’t matter how severe the hair loss problem. With the techniques you incorporate, anyone can be helped. DA – That is true. Today, that is now possible, where I’d say – a few years ago, it wasn’t. HH – Quite amazing. Also, you’ve seen a nice share of alternative transplants over the past few months. Tell us about that. DA – Oh yes – eyebrows and some eyelashes.     HH – Tell us more about eyelashes – what’s a patient asking for? DA – Some have a congenital absence or a sparse growth so we can increase their eyelash density and give the patient longer and more luxurious eyelashes. HH – Where do you find donor eyelash hair? DA – Behind the ear and some parts of the neck. Hair caliber always matches the patient’s needs. HH – In 2008, do you see more alternative transplantation? DA – Yes, I think there’s a growing awareness of the public to enhance the framing of the eyes, which makes alternative transplant more relevant.  HH – Sounds exciting! Thanks for your time today and we’ll be speaking with you before the end of the year. <o:p></o:p> Patient Jorge First Tried Everything Under The Sun… <img style="border-left-color: #993300; border-bottom-color: #993300; border-top-color: #993300; border-right-color: #993300" height="175" alt="" hspace="5" src="/attachments/wysiwyg/7/jorge.gif" width="260" align="left" vspace="5" border="2" /> HH – Jorge, how old were you when you first noticed you had a thinning hair problem?<o:p></o:p> Jorge – Around the age of 28, some 9 years ago. <o:p></o:p> HH – When you first began, what were your options? What have you tried?<o:p></o:p> Jorge – I was one of those who fell for the quick sell on TV and magazines. I used this shampoo that was actually made for horses, but the ad said it would also work on humans to make hair grow. <o:p></o:p> HH – That’s interesting. Go on. <o:p></o:p> Jorge – Another product I tried was called Topik.<o:p></o:p> HH – Never heard of it. <o:p></o:p> Jorge – It’s like artificial hair. You spray it on your bald spot and it was supposed to make it disappear.      <o:p></o:p> <v:shape id="_x0000_s1028" style="margin-top: 8.4pt; z-index: -2; margin-left: 285.3pt; width: 152.85pt; position: absolute; height: 186.95pt; mso-wrap-edited: f" fillcolor="maroon" strokecolor="maroon" strokeweight="1.25pt" type="#_x0000_t75" wrapcoords="-318 -173 -318 21687 21918 21687 21918 -173 -318 -173" filled="t" stroked="t"><v:imagedata src="file:///C:\DOCUME~1\mtejeda\LOCALS~1\Temp\msohtmlclip1\01\clip_image006.png" o:title=""></v:imagedata><w:wrap type="tight"></w:wrap></v:shape>HH – You sound like a person who wanted to solve your problem, but was getting nowhere. <img style="border-left-color: #993300; border-bottom-color: #993300; border-top-color: #993300; border-right-color: #993300" height="254" alt="" hspace="5" src="/attachments/wysiwyg/7/jorgeafter.gif" width="208" align="right" vspace="5" border="2" /> <o:p></o:p> Jorge – Absolutely. It was very frustrating. Eventually I got smart and began interviewing with several hair transplant doctors. <o:p></o:p> HH – What was that like?<o:p></o:p> Jorge – They seemed like they were trying to oversell. I didn’t feel right. <o:p></o:p> HH – And Dr. Arocha?<o:p></o:p> Jorge – I still had the problem and finally found out about Dr. Arocha. He told me like it was. I felt very comfortable. He was very convincing without being overbearing. And, when I first called-in, I didn’t talk to salespeople like the other times; I talked to Dr. Arocha directly. <o:p></o:p> HH – What was the procedure like?<o:p></o:p> Jorge – Fine, no problems whatsoever. <o:p></o:p> HH – Did you have a lot of donor area?<o:p></o:p> Jorge – I was a severe case you might say. He still got the job done. <o:p></o:p> HH – If I were to look at you, what would I see?<o:p></o:p> Jorge – You wouldn’t know it. And, it has been a positive for my self-esteem. <o:p></o:p> HH – What kind of work do you do?<o:p></o:p> Jorge – Real Estate. I would say it affected me when I was bald and I use to feel I was missing something – but not now. Now I put on a suit with a nice head of hair. HH – Jorge, thanks for sharing today.  Severe Hair loss Patient Omar Tells Us About His Experience<o:p></o:p> <o:p><img style="border-left-color: #993300; border-bottom-color: #993300; border-top-color: #993300; border-right-color: #993300" height="241" alt="" hspace="5" src="/attachments/wysiwyg/7/omarbefore.gif" width="228" align="left" vspace="5" border="2" /> </o:p> <v:shape id="_x0000_s1029" style="margin-top: 0px; z-index: -1; margin-left: 0px; width: 168pt; position: absolute; height: 177.8pt; mso-wrap-edited: f; mso-position-horizontal: left" fillcolor="maroon" strokecolor="maroon" strokeweight="1.25pt" type="#_x0000_t75" wrapcoords="-289 -182 -289 21691 21889 21691 21889 -182 -289 -182" filled="t" stroked="t"><v:imagedata src="file:///C:\DOCUME~1\mtejeda\LOCALS~1\Temp\msohtmlclip1\01\clip_image008.png" o:title=""></v:imagedata><w:wrap type="tight"></w:wrap></v:shape>HH – Omar, you had hair loss at an early age, didn’t you. <o:p></o:p> Omar – Yes, it began when I was 18. <o:p></o:p> HH – Just out of high school. What did you do?<o:p></o:p> Omar – I started using Rogaine and it didn’t do much for me. At 19, I began to have severe hair loss. It was pretty bad. I wound up being an extreme hair loss patient for Dr. Arocha. <o:p></o:p> HH – What the industry calls a “Norwood 7.” So here you are at 19. Did Rogaine work at all?<o:p></o:p> Omar – No, in fact, it made it worse. <o:p></o:p> HH – What did you then do?<o:p></o:p> Omar – I went the transplant mode. I originally talked to Bosley. Being 19 and in college, the costs seemed substantial and they really weren’t convincing. Also at the time, they weren’t doing follicular unit grafting. They were taking slaps and it didn’t look natural. You had 4 or 5 hairs coming out of one spot and it isn’t what I was looking for. <o:p></o:p> HH – How did you come across Dr. Arocha?<o:p></o:p> Omar – My brother told me about him and I did some research. Found out he was one of the leading transplant surgeons out there. <o:p></o:p> HH – Now, you had extreme hairloss as mentioned earlier. Dr Arocha says you were probably the most severe hairloss case he’s ever had. How did you initial consultation go?<o:p></o:p> Omar – Very comfortable. Very confidant. He talked to me about it and how he was going to do the procedure.   <o:p></o:p> HH – And you knew all along your case was a little different. What the industry calls a “Norwood 7” – a case in which a normal transplant surgeon wouldn’t want to touch. <o:p></o:p> Omar – That’s right but it appeared I lucked out with Dr. Arocha. He did tell me I was one of the worst cases he’d ever came across. <o:p></o:p> HH – That takes some guts! What did he tell you as far as the amount of hair he could get – so-called donor hair? <o:p></o:p> Omar – As much as he could get, but the goal was 2500 grafts. He wound up getting me 3,500 grafts. <o:p></o:p> HH – That’s amazing given your hair loss. <o:p></o:p> Omar – Yes it is. He really knows what’s he’s doing. The results were a lot more astonishing then we expected. We were expecting frontal and partial to mid-scalp but we ended up getting full-frontal and full mid-scalp. It’s still progressing and getting better and better every day. HH – Omar – It sounds great and good luck to you. <o:p> </o:p><img style="border-left-color: #993300; border-bottom-color: #993300; border-top-color: #993300; border-right-color: #993300" height="171" alt="" hspace="5" src="/attachments/wysiwyg/7/omarafter2.gif" width="228" align="left" vspace="5" border="2" />  The Hair Loss Headline. Published 2008/Temecula, California. <o:p> </o:p> <div class="MsoNormal" align="left">  </div> 1-Mar-08 3:00 PM
Surgical Treatment of Advanced Stage Male Pattern Hair Loss
There is an inverse relationship between the severity of hair loss and the amount of donor available. That is the more severe the hair loss the less donor available for the hair restoration procedure. The average Caucasian individual is born with 50,000 fu (follicular units) on their heads. The average density is 100 fu./cm squared. An individual with advanced stage hair loss, Norwood 6 or 7, usually has on average between 230- 300 cm square of bald scalp. To restore this individual to his original density would require about 30,000 fu (300x100). That is more follicular units than the total remaining on the heads of these follicular unit challenged individuals. Fortunately, it is not necessary to achieve such density. It has been shown that the threshold for visible detection of thinning for the human eye is below 50-fu/cm sq. Even then, 15,000 fu is required to stay above the threshold of detection of thinning. Employing modern hair restoration techniques, one is able to obtain very pleasing outcomes for the majority of these individuals with advanced hair loss, while employing much lower numbers of follicular units. The key to successful hair restoration outcomes then lies in the use of these state of the art hair restoration techniques, since it is always the patient with the most need that has the least donor available for hair transplantation. The average individual has between 4-10,000 fu available. No one ever complains about getting too much hair, hence it is usually best to do the largest session the patient can afford and the available donor can support. With favorable hair characteristics, and reasonable patient expectations we can achieve excellent results in as little as one to two procedures. It is imperative that the patient has realistic expectations, which includes that the crown area will likely not be able to be covered with any significant density. My preference is to focus on restoring the hairline, frontal forelock, frontal region and mid scalp region. The crown is left to pharmacologic therapy, hair system or comb over from anteriorly transplanted hair. The exception is for the fortunate few with great donor density that permits harvesting in excess of 4000 fu. The breakdown of a 4000 fu transplant is to do between 1500 to 2100 fu in the hairline and frontal forelock areas, and the remaining 2000 fu is distributed between the remaining frontal and mid scalp regions. The densities created are 50-70 fu/cm2 for the hairline/forelock, and about 20 fu/cm2 for the frontal core and mid scalp areas. The crown area is determined by pie x r2 (3.14 times radius squared) . Hence, the area increases exponentially with the increase in radius. For example a crown with a radius of 5 cm has an area of about 78 cm2, and a crown with a radius of 6 cm has an area of 110 cm2, thus the area increases about 50% for an increment of 1 cm in radius. To obtain even a thin coverage we need a density of at least 20 fu/cm2 so the total required for the 5cm crown is 1600 fu and 2200 fu for the 6 cm one. To secure a medium density we need 30 fu/cm2, so2400 and 3300 fu respectfully. An astounding, 4000 and 5500 fu is required to obtain a dense (no apparent thinning requiring 50 fu/cm2). So clearly it fallows that before we are able to address the crown loss, we need to satisfy the hairline/frontal/mid scalp areas, before proceeding cautiously to decrease the size of the crown hair loss. In the crown area, we work from the periphery to the center, it is important to restore the hair lost first, last. In other words, we start to restore from the periphery and work in towards the center. The advanced stage Norwood 7 typically requires between 5000-6000 fu to satisfy even thin crown coverage. Hence, all advance stage Norwood’s require mega sessions. The term mega session in hair restoration has been an upward moving target. Not too long ago 1000 to 1500 fu was considered a mega session. The use of binocular microscopy to sliver and trim the follicular units has greatly improved our donor yields, on average increasing donor yields by about 25%. Optimal donor harvesting delivers higher yields while conserving this limited resource. Hence, today we are able to offer properly selected patients the option of maximizing their hair restoration outcomes with cases that have surged to the five to six thousand levels. Indeed Rome was not build in a day, but it is nice to have the option to minimize the need for multiple procedures, while maximizing our patient’s hair restoration outcomes. <div>                   Before                                                           After <img height="458" alt="" src="/attachments/wysiwyg/119/Patient1.jpg" width="398" border="1" />                      Before                                                        After <img height="399" alt="" src="/attachments/wysiwyg/119/ArochaArticleSet2-4.jpg" width="400" border="1" /> </div> 20-Feb-08 3:00 PM
Hair Transplants Have Come a Long Way
<div align="left"> Dr Arocha was recently interviewed by the <a target="_blank" href="http://www.chron.com/CDA/archives/archive.mpl?id=2007_4442451">Houston Chronicle</a>. </div> For men valiantly engaged in the battle of the bald, a two-pronged attack is usually what the doctor will order. <div align="left"> </div> First, a product that will stop further hair loss, such as the oral drug Propecia or the topical solution Rogaine. <div align="left"> </div> Second, either relocating hair from the back of your head onto the top, or investing in a modern-day hairpiece. <div align="left"> Click here to read <a href="http://www.chron.com/CDA/archives/archive.mpl?id=2007_4442451">Dr. Arocha's Hair Transplant</a> full interview. </div>   16-Oct-07 2:45 PM
Facial Aesthetic Hair Transplantation
Modern hair transplantation specialists can offer comprehensive hair restoration services. That is, the qualified hair restoration specialist is not limited to treating the typical pattern hair loss patient, but can offer alternative hair transplantation that includes Facial Aesthetic Hair Transplantation. Facial Aesthetic Hair Transplantation includes the reconstruction or restoration of eyebrows, eyelashes, temporal peaks, sideburns, moustache and beard. <div align="left">One of the advances that make this all possible is the use of the binocular microscope to create one and two hair follicular unit grafts. These single and two hair follicles are the building blocks that permit the creation of very natural appearing transplanted hairs that show no visible scars. Thus, this permits the creation of hair artwork. Armed with these follicular units we can employ very small blades to create sites. These sites can be placed very close together, allowing the creation of hair density with only one pass. We can control the angle of the sites created. We employ very acute angling in the creation of eyebrows, temporal peaks, and facial hair, so the transplanted hair lies down.</div> <div> </div> <div><img alt="" src="/attachments/wysiwyg/119/facialtransplantpic1.2.jpg" height="384" width="578" /> </div> <div> </div> <div align="center">Before photo showing the china pencil drawing of the left temporal peak and side burn which is to be transplanted. Sites were created using a 1.25mm blade at a very acute angle. </div> <div><img alt="" src="/attachments/wysiwyg/119/facialtransplantpic2.2.jpg" height="384" width="577" /> </div> <div align="center">After photo showing left cosmetic sideburn enhancement detail. Note that the hairs are growing flushed to the skin. Also note that this marked improvement is only 2 weeks after the procedure!</div> <o:p> </o:p> <div> </div> <div> <img alt="" src="/attachments/wysiwyg/119/facialtransplantpic3.jpg" border="0" height="352" width="528" /></div> <div align="center"> Before photo with the right temporal peak which is to be restored. Note china pencil drawing of the hairline and right temporal peak to be restored.</div> <div> </div> <div align="center"><img alt="" src="/attachments/wysiwyg/119/facialtransplantpic4.jpg" border="0" height="205" width="307" /></div> <div align="center"> A natural appearing right temporal peak obtained only four months after the procedure adds definition to the face. This excellent result serves the important function of framing the side of the face. Note the much-rejuvenated patient sporting a crew cut.</div> <div><img alt="" src="/attachments/wysiwyg/119/facialtransplantpic5.jpg" border="0" /></div> <div> </div> <div align="center"> This woman has only one hair remaining in her right eyebrow, resulting from many years of excessive eyebrow plucking.</div> <div><img alt="" src="/attachments/wysiwyg/119/facialtransplantpic7.jpg" border="0" /></div> <div style="font-size: 10pt;"> </div> <div style="font-size: 10pt;" align="center"> Immediate improvement in the reconstructed eyebrow obtained one week after the procedure by leaving the hair long in the transplanted follicular units. Note that the surface epithelium of the follicular unit grafts is now flaking off.</div> <div> </div> <div align="left">The advances in modern hair restoration surgery are forging the advancement of hair artwork; hence we can embellish and rejuvenate our patients with suitable improvements to their faces that include eyebrows, eyelashes, temporal peaks and facial hair. Not only are the improvements groundbreaking, they are also very timely.</div> <div align="left"> </div> <div style="font-size: 10pt;" align="left">Watch Dr. Arocha's <a href="/en/cms/?463">Facial Aesthetic Hair Transplant Surgery Video on Telemundo</a>. </div> 23-Apr-07 8:00 AM
Post-Surgical Scars in Hair Restoration Surgery
<div style="FONT-SIZE: 10pt" align="left">Anytime surgery is performed or skin is wounded a scar results. Scars are the body’s attempt at healing. Scars result from any surgical procedure, whether it is an FUE or Strip Harvest. Certain individual characteristics, such as increased scalp laxity, predispose to wider scar formation. However, scars can be minimized by the practice of maintaining the tension on the skin surface to a minimum.</div> <div style="FONT-SIZE: 10pt" align="left"> </div> <div style="FONT-SIZE: 10pt" align="left"><img height="384" alt="" src="/attachments/wysiwyg/119/scar1.jpg" width="577" border="0"></div> Minimal linear scar resulting from traditional strip harvest. Note that it is less than .5 mm, faintly visible and of course covered by hair. <o:p>  <div align="center" src_cetemp="/attachments/wysiwyg/119/scar2.jpg"><img height="174" alt="" src="/attachments/wysiwyg/119/scar2.jpg" width="361" border="0"></div> </o:p>   “Bird shot” pattern of diffuse FUE scars. Note that some of the FUE punctate scars are about 1mm. Of course these scars are also covered by hair, hence usually not visible unless the hair is trimmed very short. FUEs are performed employing a small punch either 1 or .75 mm to score the follicle, the wound is very small, but it is left to heal without primary closing, hence it does so by secondary intention which means that a small scar will result. In FUEs there are numerous punctate scars producing a “bird shot” pattern of diffuse punctate scars. <div style="FONT-SIZE: 10pt" align="left">Traditional Strip Harvest should produce a linear scar, however, it should only be faintly visible if the principle of minimizing surface tension is adhered to. In addition, the use of tricophytic closure renders the faintly visible scar invisible by having the hair grow through the scar.  State of the art strip harvesting employs use of a two layer closing, the deep layer serves to minimize surface tension. The superficial layer gently brings the surface margins together, allowing the healing of the wound with minimal tension. The third step, is the beveling of the lower wound edge, this causes the hair to grow through the scar. </div> <div style="FONT-SIZE: 10pt" align="left"> </div> <div style="FONT-SIZE: 10pt" align="left">Typical invisible scar resulting from a strip harvest in a hair restoration ultra mega session. <div> </div> </div> <div align="center" src_cetemp="/attachments/wysiwyg/119/scar3.jpg"><img height="384" alt="" src="/attachments/wysiwyg/119/scar3.jpg" width="577" border="0"></div> Another example of an invisible strip harvest scar resulting from a tricophytic closure of a strip donor harvest in a mega mega session.<o:p> <div align="center" src_cetemp="/attachments/wysiwyg/119/scar4.jpg"><img height="384" alt="" src="/attachments/wysiwyg/119/scar4.jpg" width="577" border="0"></o:p> It takes the wound about 6 months to mature. Weight lifting before the wound has matured can widen scars because of the increase in skin surface tension from the weight lifting. <div> </div> <div> <div align="center" src_cetemp="/attachments/wysiwyg/119/scar5.jpg"><img height="384" alt="" src="/attachments/wysiwyg/119/scar5.jpg" width="577" border="0"></div> </div> </div> Very fine scar less than 1mm resulting from a 2 -layer closure of a strip harvest in an ultra mega session. Note small point bleeds due to suture removal just before photo.<o:p>  <img height="384" alt="" src="/attachments/wysiwyg/119/scar6.jpg" width="577" border="0"> </o:p> Photo showing widening of the prior fine scar, taken after a few months of heavy weight lifting. The scar is now 2-3 mm wide. <o:p>In Conclusion, minimally noticeable scars can be achieved in modem hair restoration surgery no matter which method of harvesting is employed.  The critical sine qua non of minimizing post-surgical scars is the principle of keeping the tension vectors on the wound as small as possible.  The great results in minimizing scars can be further enhanced by the tricophytic closure so the resulting scar is usully nearly invisible. </o:p> 12-Mar-07 11:00 AM
Sound Nutrition for Luxurious Hair
The Human Body is a marvelous fine tuned machine; a pivotal factor in its continual smooth functioning is the provision of adequate and balanced nutrition. This is also essential for a healthy head of hair. Nutritional aberrations can lead to hair loss. Iron deficiency can cause a kind of diffuse hair loss known as telogen effluvium. Iron deficiency can result from inadequate intake of foods rich in iron and in post pubescent women from excessive menstruation. Dieting, especially crash dieting, can lead to diffuse hair shedding some months after the start of the diet. Protein and Protein/ Caloric malnutrition, known as Kwashiorkor and Marasma cause hair loss also. Insufficient essential fatty acid intake can cause telogen effluvium. Hair loss is also a feature of zinc and biotin deficiencies. Biotin deficiency can result from ingestion of too much raw egg whites. Body builders beware when trying to supplement the lean protein intake by consuming egg whites in proteins shakes. To maintain a healthy and luxurious head of hair, it is essential to have a balanced diet that includes carbohydrates, protein, fats, zinc and vitamins. Consume foods rich in iron such as oatmeal, cream of wheat, raisin bran cereal, baked potato, green leafy vegetables, liver, meat, and dates or prunes to replenish body iron stores. Be certain to consume adequate omega-3 fatty acids. Excellent sources of these essential fatty acids are wild salmon, sardines, herring or mackerel, and freshly ground flax seeds. To ensure a healthy, luxurious head of hair with a good lustre and sheen eat sensibly. Whether you have had a hair restoration procedure , or are blessed with a full head of hair, eating a balanced diet as discussed above will maximize the quality of your hair. What's more such good living may booster your health! 16-Jan-07 4:45 PM
Lateral Slits
Lateral or coronal slits allow the precise control of the exit angle between the hair and the scalp skin. Sagital or parallel slits permit the hair to move up and down in the groove created by the blade, hence the exit angle between the hair and the skin can vary between 10 and 15 degrees. The use of lateral slits are of great advantage in hair transplantation involving areas that demand more precise and acute angles. These areas include the eyebrows, temporal peaks, pubic and facial hair . The lateral  slits are made with very small blades that make very small and shallow incisions, this expedites the healing and permits the placing of very close sites so as to maximize the density. 18-Dec-06 12:00 PM
Hair Loss Direct
<a href="http://www.hairlossdirect.com/"><img height="56" alt="Hair Loss Direct - The Everything Hair Loss Pages" width="250" border="0" src="http://www.hairlossdirect.com/images/hairlossdirect_sm.gif" /></a> <div class="vcard"> Jenny Qian jqian@schipul.com <div class="adr"> <div class="street-address">11757 Katy Freeway</div> Houton, 77079 </div> (281) 497-6567 </div>
Hair Products
<a href="http://www.hairmedics.com/hair_guide/Hair-Loss-Hair-Products-fjdb.htm">Hair Products</a> <a href="http://www.hairmedics.com/hair_guide/hair-treatments-for-baldness-gaea.htm">Hairloss Products</a> - <a href="http://www.hairmedics.com/hair_guide/minoxidil-hjgf.htm">Minoxidil</a>, Proazmin, Saw Palmetto, <a href="http://www.hairmedics.com/hair_guide/finasteride-hgcj.htm">Finasteride</a> and Hair loss prevention - Visit <a href="http://www.hairmedics.com">Hairmedics.com.</a> <div class="vcard"> <a class="url fn" href="http://www.hairmedics.com/hair_guide/Hair-Loss-Hair-Products-fjdb.htm">Jenny Qian</a> jqian@schipul.com <div class="adr"> <div class="street-address">11999 Katy Freeway</div> Houston, 77079 </div> (281) 497-6567 </div>
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Hair loss - Your # 1 Source About Hair loss and Hair Loss Remedy - hair loss articles and resources.<a href="http://hairlossinfosite.com">http://hairlossinfosite.com</a> <div class="vcard"> <a class="url fn" href="http://hairlossinfosite.com">Jenny Qian</a> jqian@schipul.com <div class="adr"> <div class="street-address">11999 Katy Freeway</div> Houston, 77079 </div> (281) 497-6567 </div>
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Arocha Hair Restoration Dallas
Upscale Hair Restoration with an Artistic Flare for natural Undetectable Results in Record Time! Dr. Arocha has opened a new Hair Restoration office in Dallas. Call 713-526-4247 or 1-888-723-4247 and Contact to schedule a FREE Hair Implant Consultation in Dallas Today! Great results at only 4 months post-surgery!  Results this good, this early will only get better with a little more time.  The results will last a lifetime, the sooner you call the sooner you'll be able to enjoy your new look. See some of Dr. Arocha's Dallas Hair Restoration patient's results below:   See more of Dr. Arocha's Dallas Hair Restoration Before & After Results here. Call (713- 526-4247) and Contact Dr. Arocha to schedule your FREE Hair Restoration Consultation in Dallas Today and receive a Free travel bag after your initial hair transplant surgery consultation.   Get directions to Dr. Arocha's Dallas Hair Restoration office from: 5439 Glen Lakes Dr. ...
Hair Restoration Testimonials
<div>In various cases a person’s appearance is the gateway to first impressions and is often the basis of self value and self satisfaction. That is why hair loss places a strong emphasis on the way a person feels. Read on to find out how our patients feel after hair loss treatment and hair loss becomes part of their past! </div> <div> </div> <div>Dr. Bernardino Arocha is one of less than 50 hair transplant surgeons in all of North America recommended by <a href="http://www.americanhairloss.org/" target="_blank">The American Hair Loss Association</a>. <div> </div> </div> <div>"Dr. Arocha is performing outstanding, state of the art hair restroation surgery.  He is one of a elite few surgeons who is helping to set a new standard in the field." - Spencer Kobren author and radio talk show host,"The Bald Truth"</div> <div> <a href="/en/cms/?101">Hair Restoration Testimonials</a> </div>  
Case Studies on Hair Transplant Surgery
By reading these stories, you’ll see that, though every individual has different views about their hair loss problem, it’s clear that the same results come from it once they seek surgical help and hair loss treatment. The psychological trauma a person can remove just by seeking the right hair restoration practice is priceless.       <a href="/en/catalogs/search.asp" target="_self">More Hair Transplant Surgery Case Studies</a>
Arocha Section
“I want you to know that I have dedicated my professional career to providing my patients the very best and safest hair restoration services available. I look forward to helping restore your hair to a fuller, more natural appearance.” Bernardino A. Arocha, M.D. President Arocha Hair Restoration American Board of Hair Restoration Surgery Dr. Arocha has performed over 2,000 hair restoration surgeries for men and women. That is a total of 5,000,000 follicles transplanted.  He is one of the leading experts in hair restoration surgery.  <img alt="Houston Hair Replacement office" src="/attachments/contentmanagers/182/patient_dr.jpg" border="0" /> Using the latest procedures Dr. Arocha restores the receding hairline and crown associated with thinning hair using the patient's very own hair in the hair replacement system.  No glues, no weaves, no synthetic hair, just your own natural hair. Certain restrictions apply. (Travel expenses reimbursed up to $500. A $500. credit will be applied after all hair loss treatment and surgical expenses have been paid.) For Consultation and Preview of Over 1000 before & after photos  <a href="http://www.arochahairrestoration.com/contact/consultation.asp">click here</a>  No-Obligation, Complimentary Hair Restoration Consultation! Call today for your no-obligation complimentary consultation with Dr. Arocha at 713-526-HAIR(4247) and receive a <img alt="" src="http://www.arochahairrestoration.com/attachments/wysiwyg/File/Travel_bag.jpg" align="right" border="0" />free travel bag after your initial hair transplant surgery consultation. This is a limited offer so call now! 
Hair Replacement Surgery - Locations
<div align="center">Arocha Hair Restoration Houston 3005 Huldy St. Houston, TX 77098 713-526-HAIR 1-888-723-4247 Dr. Arocha's hair replacement surgery practice is located inside the 610 loop in the prestigious River Oaks Area. <a href="http://www.mapquest.com/maps/map.adp?searchtype=address&country=US&addtohistory=&searchtab=home&address=3005+Huldy+St.&city=Houston&state=TX&zipcode=77098" target="_blank"><img style="border-color: rgb(4, 0, 0);" alt="" src="/attachments/contentmanagers/25/mapquest.jpg" border="1" height="382" width="450" /></a> Click here to get driving directions from <a href="http://www.mapquest.com/maps/map.adp?searchtype=address&country=US&addtohistory=&searchtab=home&address=3005+Huldy+St.&city=Houston&state=TX&zipcode=77098" target="_blank"><img alt="" src="/attachments/contentmanagers/25/mapquest_logo.jpg" border="0" /></a></div> <div> </div> <div align="center">Arocha Hair Restoration Dallas <div>5439 Glen Lakes Dr.</div> <div>Dallas, TX 75231 713-526-HAIR 1-888-723-4247</div> <div> </div> <div>Dr. Arocha has opened a new office in Dallas. <img style="border-color: rgb(16, 0, 0);" alt="" src="/attachments/wysiwyg/273/dallas_map2.jpg" border="1" height="382" width="450" /> Click here to get driving directions from <a target="_blank" href="http://www.mapquest.com/maps/map.adp?formtype=address&country=US&popflag=0&latitude=&longitude=&name=&phone=&level=&addtohistory=&cat=&address=5439+Glen+Lakes+Dr.&city=Dallas&state=TX&zipcode=75231"><img alt="" src="/attachments/contentmanagers/25/mapquest_logo.jpg" border="0" /></a> </div> </div>
Dr. Arocha, Hair Restoration Specialist - Organizations
<h2>I. AFFILIATIONS</h2> 1. <a href="http://www.abhrs.org/" target="_blank">American Board of Hair Restoration Surgery</a> 2. <a href="http://www.ishrs.org/index.htm" target="_blank">International Society of Hair Restoration Surgery</a> 3. American Society of Hair Restoration Surgery 4. <a href="http://www.cosmeticsurgery.org/" target="_blank">American Academy of Cosmetic Surgery </a> 5. <a href="http://www.hairtransplantnetwork.com/Consult-a-Physician/doctors.asp?DrID=636" target="_blank">Hair Transplant Network </a>   <h2>II. BOARD CERTIFICATION</h2> American Board of Hair Restoration Surgery 2005 Dr. Arocha was board certified by the American Board of Hair Restoration Surgery in 2005, and belongs to many other organizations that keep him informed of the latest in hair restoration surgery.
Before and After
 <div align="justify"> <table cellspacing="0" cellpadding="0" width="180" align="center" border="0"> <tbody> <tr> <td> Hair Restoration has helped both men and women boost their self esteem and confidence.  We are very appreciative of all these nice patients, who have volunteered to allow the use of their before and after photos to benefit you the viewing public. Check out our Before and After Hair Loss Treatment gallery to see for yourself; Hair Restoration enhances hair growth permanently,naturally and undetectably. <a href="/en/catalogs/plasticsurgery/view.asp?catalogid=46&entityid=1"><img alt="" src="/attachments/contentmanagers/33/arocha1.jpg" width="169" border="0" /></a> <a href="/en/catalogs/plasticsurgery/view.asp?catalogid=2&entityid=1"><img alt="" src="/attachments/contentmanagers/33/arocha2.jpg" width="169" border="0" /></a> </td> </tr> </tbody> </table> </div> 
Hair Restoration Testimonials
Usually a person's appearance is the gateway to first impressions and is often the basis of self value and self satisfaction. That is why hair loss places a strong emphasis on the way a person feels and is seen by others. Dear Dr. Arocha It’s been 15 months since my first hair restoration surgery, and three months since my second procedure. I’d like to express my sincere satisfaction with the current result, and am looking forward to the anticipation of even more hair growth in the months to come. My decision to go forward with the procedure has resulted in a lasting effect on my overall self confidence and well-being. And finally, a note of gratitude to you and your staff for putting me at ease thoughout the entire affair. I never dreamed this would turn out so well, and that I won’t have to look forward to ever losing my hair. Sincerely, ...
Arocha Medical Home Page
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Facial Aesthetic Hair Transplant Surgeries Video
Dr. Arocha appeared on Telemundo talking about his hair and elelash transplant surgeries. Anchorman: Coming in at #2 in our News Countdown, we have an interesting procedure. Currently, hair transplants are the most efficient way to battle baldness. This technique is now being used by many women, but not necessarily for their scalp, in other parts of their body. Nancy Leal explains. Nancy Leal: With these beautiful green eyes, any woman would love to have long eyelashes to show them off. Lucero Sughes: Every day I battle with these eyelashes; I have to stretch them, add mascara, eyeliner… If they were long enough, I would have no more problems with them. Nancy Leal: So for this problem there is now a solution. What would you think of a hair transplant for your eyelashes or eyebrows? Or why not a mustache for men? Dr Arocha: We obtain from the scalp on the permanent hair, which is on the sides and the back of the head. ...
DSC_0058
<img src ="http://www.arochahairrestoration.com/tpeople/wwwArochaHairRestoration4.1/barocha/photos/4/DSC_0058-m.JPG" /> File uploaded by Bernard Arocha. 
DSC_0266
<img src ="http://www.arochahairrestoration.com/tpeople/wwwArochaHairRestoration4.1/barocha/photos/3/DSC_0266-m.JPG" /> File uploaded by Bernard Arocha. 
DSC_0018_2
<img src ="http://www.arochahairrestoration.com/tpeople/wwwArochaHairRestoration4.1/barocha/photos/2/DSC_0018_2-m.JPG" /> African-American male only 5 months after one hair transplant session. 
06
<img src ="http://www.arochahairrestoration.com/tpeople/wwwArochaHairRestoration4.1/barocha/photos/1/06-m.jpg" /> File uploaded by Bernard Arocha.

Below, you'll find extensive information on leading wedding hair styles articles and products to help you on your way to success.

How To Cope With Hair Loss
By Shaun

A look at the ways in which you can cope with losing your hair.

Coping with loss is not easy especially if you are female and you have lost your unexpectedly as a result of a disease or treatment for a disease. Chemotherapy is a common cause of loss and this can be an extremely unsettling experience for women that experience it. Especially bearing in mind these women are already going through quite enough as it is. As if fighting a bloody awful disease and coping with terrible treatment procedures isn't enough.

Losing seems to be another metaphorical kick in the balls and as a result finding ways of coping with loss is extremely useful. The bottom line is that everyone that loses their misses it. It is not just the vain people that suffer a sense of loss and it is important that you accept that you will feel down about it and that it is perfectly natural you shouldn't feel guilty.

It has to be said that is sexy and it is especially important for women. Losing can make you feel less attractive and as a result it can be really demoralising. One of the first steps toward coping with loss is maintaining a positive outlook. It is obvious but important to remember that you are the same woman that you always were but you only look a little different.

Your friends and family will still see the woman that they know and love. Often the person that is losing their forgets this and sees the loss of as a loss of identity. This is not the case. You are not in any way less of a person because you have less

Black And White Hair Style
5 DIY AntiAging Tactics By Yvonne Finn Do you want your life story to be a long and joyous one, without having every line written on your face? Yes, we all do! Is there anyone who doesnt want to l..
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5 Things You Can Do To Improve Your Grooming & Achieve Greater Dating Success By Jose Miguel Poza 1. When you go out on a date with a woman, wear decent shoes which are clean and polished. This is ve..
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hair. If you can remain positive and have a positive outlook then you will have an easy time of dealing with it. It is of course not easy to stay positive all of the time.

The next important thing is to take time to appreciate that you are upset about your loss. If you constantly tell yourself that everything is fine and that you are not upset by it you will find things very quickly start to mount up. Allow yourself a period of time every week to be upset. Cry about it and make notes on how it makes you feel.

This should help you come to terms with the new way that you look. By writing things down you might be able to work out exactly what it is that upsets you. For example if you are upset because your used to make you feel sexy or that you feel shy without your it is useful to work out how you feel. If you can find out exactly what it is about losing your that upsets you then you will be able to make strategic steps toward fixing it.

There are a number of options for women that have lost their hair. The first is to be proud about the way you look. Women can look extremely sexy bald. The most notable examples of this are women like Demi Moore in GI Jane, Natalie Portman and Gail Porter. These women really exemplify how sexy women can be when bald. Becoming bald is even a preferred option for some women as the bare headed look can be stunning.

Some women may choose to cover up their baldness with a wig. There are thousands of great wigs and the levels of sophistication of the modern wig make it an acceptable option for many. Such is the quality of modern wigs that it is often impossible to tell that the woman is even wearing them. Whatever option you choose the most important thing is to hold your head high and be confident in yourself.

We strive to provide only quality articles, so if there is a specific topic related to hair that you would like us to cover, please contact us at any time.

And again, thank you to those contributing daily to our wedding hair styles website.

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The Parts Of A Great Office Chair
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Ergonomic chairs elevate your lower just right so that your spine can firmly relax on the support. able Read more...

The Very Best Damaged Hair Treatments
By Dylan
Yes, there are a multitude of products, home cures and salon therapies geared toward being the best damaged hair treatments. Some work better than Read more...

Adjusting Your Ergonomic Office Chairs
By Jimmy
The purpose of ergonomic office chairs is to help the people who use them reduce the cumulative effects of sitting down for prolonged periods on the Read more...