I agree with you that you would be disappointed.

All I am saying is that, we all had patients in the begining of our journey as good or bad as this patient. Hopefully with the positive feed back and encouragement the surgeon will start giving better results.

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I am a medical advisor to Lexington International and Hairmax. What ever I say is my personal opinion.

Dr. Mohmand is recommended on the Hair Transplant Network

personally i would not have touched crown.

I am not bothered with the level of hair line.

My understanding is If the donor area can allow total of 6000 to 7000 grafts in two to three sessions then I would in some cases bring the hair line down to about 7 cm from glabella. The maximum I go is about 7.5 cm. rarely in extensive type VII i do 8 cm or so.

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I am a medical advisor to Lexington International and Hairmax. What ever I say is my personal opinion.

Dr. Mohmand is recommended on the Hair Transplant Network

Exactly my point when telling guys dont be a guinnea pig.
Go to a well ESTABLISHED surgeon.
I cant emphasize this enough.

Hi everyone,
I have been going over the comments about the posted 8 months results of this patient. Unfortunately, I had some involvements so I could not get back to you guys earlier. I am glad that this community is active and critical and I believe this makes it more educational for the patients and even surgeons. Having said that some of the judgments are too quick and in this particular case I take blame of not providing enough information on the case to start with. I am asking Reyes my assistant to go online and post some of our patients every now and then, but I guess at least to get him started I should walk him through the process to see what information is critical to understand the rational of our day to day surgical decision. Unlike some of the posts, this is not a selected case in our practice and I don't believe that surgeons should only show the best result. I think if you do everything right and with the best standard there should not be any substandard results. Of course the results are going to be different, but that individual difference is what I always want to make sure my patients understand.

Let me explain more on the hairline design for this patient that I found several comments on. Hairline design is a very dynamic task and has to do with several factors including the shape of a patient's face, ethnic background, donor hair quality, skin tone and of course patient factor that some people tend to forget. Judging the location of the hairline only by looking at an above eyebrow picture is not reasonable. I don't have permission to show this patient's full face, but one of the most important factors in determining the location of the hair line is facial dimensions.

I don't bring the hairline any higher than its natural position unless the patient definitely has limited donor and wants more even coverage. Most people in my experience don't mind having a thinner crown if they can have a more perfect hairline and frontal density. I agree with this group of patients and I always keep shaping the frame of the face as my first priority.

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Parsa Mohebi, M.D.
U.S. Hair Restoration

As the last comment for today Below are the most important factors that should be taken into consideration when designing a hairline.

1. Donor hair quality is important in designing the hairline. Only under certain circumstances can you place the hairline higher than its natural location. I believe we can only give patients a significantly receded hairline when there is minimum contrast between the skin tone and hair color (Blond, white and salt and pepper hair in fair skinned patients) or in patients with very fine donor hair that could resemble a receded miniaturized hairline. If the hair and skin quality does not match the above criteria, you should not bring the hairline higher. You may have seen patients who had hair transplants with a good hairline that is still detectable and does not look natural only because of its location. Our eyes always expect to see a high hairline with some degrees of miniaturization and anything other than that looks unusual.

2. I already discussed the facial dimensions. The proportions of facial features are extremely important. You cannot design a hairline without viewing its relationship to the other components of the face. The rule of one third is accurate in most cases.

3. Availability of high quality donor hair is also important to decide whether or not you have an adequate number of grafts to be able to restore a large balding area without any need to bring the hairline higher than where it belongs.

4. I don't like starting with a higher hairline and bring it down later. If a surgeon knows that he is planning for more than one surgery, hairline design should be done at its final location during the first hair transplant so it could be reinforced in the following surgeries if need be. If you know you have enough donor hair to restore the whole head, I don't see any reason to give a patient a higher than normal hairline.

5. One important factor that we should not ignore is the patient factor. Many patients have done their homework and know exactly what they want. Also some patients don't mind having a thinner crown if they can have a perfectly placed hairline. This particular patient is a physician who knows his demand, but at the same time is willing to try finasteride to see what kind of results he can get on the top and crown area before his next surgery. His donor hair is great and we will have his next surgery soon. I will keep the forum updated with the final results of his next surgery.

Have a great Holidays,
Parsa Mohebi, MD

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Parsa Mohebi, M.D.
U.S. Hair Restoration

Seems like a lot of guys are just too uneducated about Ht's and don't research enough or are suckered into getting too few grafts.

I would rather shave all of that off than walk around with Crypt keeper hair. Sheesh!

For those who still have a doubt about Dr. Mohebi's work, Just check my new photos after 5 months and half.

http://hair-restoration-info.c...6060861/m/9081003483

I can not thank enough Dr Mohebi to have made such a big and positive change in my life.

Bruce

Not a fan of this one. I'm sure it will look better after a second transplant.