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Severe acne, daily aspirin, heavy smoking or drinking are all risk factors that have the potential to affect the successful outcome of hair transplantation or other forms of hair restoration surgery. Acne and hair loss are both conditions that effect someone’s appearance, and both are conditions for which effective treatments are available. The patient may not see any obvious relationships between treatment for acne and treatment for hair loss, other than his or her concern for correction of cosmetic deficits. However, a physician hair restoration specialist recognizes that some medical treatments for acne can influence the timing of surgical hair restoration to assure the outcome but rarely prohibits hair restoration surgery.
Side effects of isotretinoin are hair loss and changes in the structure of skin and hair, both of which can influence the outcome of a hair restoration surgery. Blood thinning medication may put a patient at risk for excessive bleeding during and after a surgical procedure. Behavioral risk can also influence the outcome of surgery include heavy tobacco use as well as heavy use of alcohol. Both of these factors can be associated with operative and postoperative risk. Patients should not be shy in revealing behavioral risk factors such as smoking and drinking. The surgeon should know about these risk factors before undertaken any type of surgery. Any patient who neglects to reveal all current and past medical treatments to the hair restoration specialist puts himself/herself at risk for less than optimum hair restoration outcome. No information should be withheld because the patient fails to see its importance to hair loss treatment, or for any reason such as embarrassment about a medical condition currently or recently under treatment.

Mark A Bishara, M.D., P.A. Medical Director 
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