Form & Consent
Hair transplant
Personal Information
to perform a hair transplant. The nature of this procedure, the expected results, the risks involved and the limitations were explained to me. I am satisfied with the explanations I received and I understood them well.
I am well aware that the practice of medicine and surgery is not an exact science and that, therefore, the results of this type of surgery cannot be guaranteed.
Instructions
Hair transplant
Pre-operative instructions for a hair transplant
2 weeks before
NO vaccinations
NO anti-inflammatories, NO aspirin (see list)
7 days before
NO vitamin E (tablets), marijuana or other drugs.
48h before
NO alcohol.
48h before
Cut your hair at 1mm.
On the day
Clothing
We recommend a loose-fitting shirt or sweater, no tight-fitting clothing (sweater or turtleneck). No tight fitting hats or caps.
Power supply
Eat normally before coming to the Clinic. Do not come on an empty stomach. Avoid all fatty foods.
Car
You must be accompanied and will not be able to drive your vehicle on the day of the procedure.
List of drugs TO AVOID
15 days before surgery
Acethopen - Alka-Seltzer - APO - ASA - Arthralgen - ASA
- ASA compound - Asasantine - Asaphen - Ascriptin - Aspergum - Aspirin - Aspirin for children - Bayer Aspirin - BC powder - Buff A comp - Bufferin - Butabital - Butazolidin - Carisoprodol - Cordex - Coricidin - Coriphen-Codein Daprisal - Darvon compound - Decagesic - Disalcid - Doan - Dristan - Easpirin - Ecotrin -Edrisal - Empiral - Empirin - Endodan- Entrephen 217, 22, 282 - Mep 292, 283, 293, 294 -Equagesic - Excedrin - Fiorinal - Fiortal - Gelpirin - Goody's - Halfprin - Indocid - Instantine - Lorbat - Magsal - Methorcarbamol - Midol - Mobigesic - Mono-gesic - Norgesic - Novasen - Novahistine w/APC - Norwich - Ornex - PAC - Pabalate - Pepto-Bismol - Percodan - Persistin - Phenacetin - Phenaphen - Plavix - Proposyphene - Robaxisal - Roxiprin - Salfflex - Salt-Adult Tetrex APC - Trigesic - Trilisate - Vanquish - YSP - Zacatrin compound-10
Anti-inflammatory :
Advil - Aleve- Anaprox - Arthrotec - Cataflam - Cliroril - Daypro - Dolobid - Duract - Feldene - Haltran - Ibuprofen - Indocid -Lodine - Midol - Motrin - Nalfon - Naprelan - Naprosyn - Nuprin - Orudis KT - Pediacare - Sine-Aid IB
All decongestants:
Gualacolate Glycerol: Found in many cough syrups; may help facilitate bleeding.
* Not derived from aspirin, but contributes to increased bleeding.
Natural products & others TO AVOID
7 days before surgery
Anti-inflammatory :
Garlic - Chamomile - Ginger - Ginko - Biloba - Ginseng - Echinacea - Grapefruit juice - Nicotine patch - Cayenne pepper - Selenium - Vitamin E
May intensify the effects of anesthesia:
St-John's worst - Yohimbe- Melatonin
