This is a gentleman in his mid-60's, who had undergone an extensive face-lift operation 17 years ago. For a time, the scar you see running across his hairline was not noticeable. However as time passed, this patient continued to lose more hair, making the scar evermore prominent. By the time he has come to me, he has virtually no hair in front of the scar.

To make his hairline look more natural, we had to bring a new hairline down 1.5 cm below the lowest part of his scar. Our thinking was that if we created enough density in front of the scar, it would completely conceal the scar.

There were a few technical limitations with the patient's surgery. It is difficult to see from these pictures, but most of his tissue within 1 cm either way of his scar has poor blood perfusion, as evaluated based on capillary refill (when you push on the tissue, the redness disappears. Normally when you stop pushing, the redness reappears very quickly. In this tissue, the redness took roughly 2 seconds to reappear). Rather than nice normal scalp tissue, this area had an abundance of tough, non-vascular connective tissue.

Due to the nature of this tissue, I decided to proceed with this surgery very concervatively. I was worried that if we put 40 or more grafts per cm into this area at one time, we might experience some degree of tissue necrosis secondary to a lack of blood supply. Therefore, we grafted at approximately 25 follicles per cm, for a total of 1842 units. The plan was to assess the outcome, and proceed with a 2nd procedure of another 25 or more f/u's per cm 6 months after the 1st surgery.

As you can see the photos, his grafts are already coming in quite nicely at the 4 month mark. The patient is very pleased at the progress, and is scheduled for his 2nd procedure in about a month.

It has been 15 months from his 1st procedure and 9 months from his 2nd.
1826 FU's on the second

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Dr. Brandon Ross is a member of the Coalition of Independent Hair Restoration Physicians

Dr. Ross,

Thanks for posting another example of your work. I think discussing patient characteristics and limitations is also highly important so our members and guests can understand the reason for a particular surgeon's approach.

Being right on schedule for 4 months, it looks like the results will turn out nicely.

Keep us posted on his progress.

Bill

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Managing Publisher of the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog and the Hair Loss Forum and Social Community

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Subscribe to our Newsletters | How We Recommend Physicians

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To learn about how I restored my hair, view my my hair loss website.

Remember, true beauty radiates from within, not from the skin.

I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own.

****New 15month Follow-up Pics****

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I am Dr. Ross's Head Nurse and over 14 years transplant experience.

Dr. Ross is a member of the Coalition of Independent Hair Restoration Physicians

Very nice result. Not only did you cover the scar up, you gave him a great hairline.

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HT #1: Karamikian Unknown # of grafts Sept.2006

HT#2 Nov.23rd, 2007
Dr.Feller
Almost 3200 grafts via strip

HT#3 April 2010
Fue 200/side into temple points

HT#4 February 2011

My Hair Loss Website - Hair Transplant with Dr. Feller

Luv2Plug,

I'm always pleased when clinics take the time to update previously posted surgical albums with the results. This patient's hairline is very natural looking with plenty of density behind it blending in with his natural hair.

Nice work!

Bill

__________________
Managing Publisher of the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog and the Hair Loss Forum and Social Community

Follow us on Facebook | Twitter | YouTube

Subscribe to our Newsletters | How We Recommend Physicians

-----

To learn about how I restored my hair, view my my hair loss website.

Remember, true beauty radiates from within, not from the skin.

I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own.

Nice job, all looks natural, nice donor scar too.

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My Hair Loss Website