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Old 10-23-2009, 12:39 PM
Paul Shapiro, MD's Avatar
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This 43 year old male came in for a 6 month follow up exam. He was a good candidate for a 3,000 + Follicular Unit case, but unfortunately he had poor donor of 70 FU sq.cm and a tight scalp. I removed a strip that was 28.5 cm long. I first took out 7.5 cm of a 1.4 cm wide strip in the middle and then took out 21 cm at the decreased width of 1.2 cm wide. I focused on the front half of his scalp knowing that I would not get 3,000 FU.
The total yield was 2528 FU. The hair count was as follows:
1 hair FU 754 Hairs 754
2 hair FU 1277 Hairs 2454
3 hair FU 448 Hairs 1344
4 hair FU 99 Hairs 396
Total Hair 2528 Total Hairs 4948

I did not take any side view photos before the surgery so there are no before and after side comparisons. I also did not take any immediate post op photos but he did let me shave the front ?? of his scalp.

PRE-OP PHOTOS


AREA TO TRANSPLANT


PRE-OP/6 MONTH POST-OP COMPAIRSONS



6 MONTH POST OP CLOSE UP OF CENTRAL CORE


6 MONTH POST-OP HAIRLINE AND CLOSE UP



DONOR SCAR 6 MONTHS POST-OP

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Old 10-23-2009, 06:55 PM
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Dr. Paul,

The work looks excellent. I'm really impressed with the results of this case along with the one presented by Janna the other day as both patients were diffuse thinners which from my understanding can result in transection if one is not extremely careful of the surrounding hairs. Clearly, your technique is yielding great results!

M&M
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Old 10-24-2009, 07:42 AM
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Very nice.. especially for 6 months.
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Old 10-29-2009, 12:29 PM
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Quote:
Originally posted by M&M:
Dr. Paul,

The work looks excellent. I'm really impressed with the results of this case along with the one presented by Janna the other day as both patients were diffuse thinners which from my understanding can result in transection if one is not extremely careful of the surrounding hairs. Clearly, your technique is yielding great results!

M&M
M$M
Thank you for the positive comments. In this case I did cut the hair short in order to be able to go between the hairs and avoid transection. That is one of the advantages of cutting the hair short.
Dr. Paul
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Old 10-29-2009, 07:57 PM
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Dr. Paul,

This is another excellent example of your brilliant work. Nicely done!

Best wishes,

Bill
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Old 10-30-2009, 02:03 PM
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Dr. Paul Shapiro,

Great write up and very nice results thus far...
The density in the hairline is nice yet transitions very well with the rest of the hair.

For this patient, how did you determine the placement of the grafts while maximizing the density in the front? I hope my question makes sense.

Thank you,
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