This patient had EXCELLENT hair transplant work performed prior to visiting me. The only problem that gave him concern was the immense recession of his temple hair which left his top hair "floating". Now, this is ok to a certain extent, but the gap between his donor area and top hair transplants had gotten to a very obvious extent.

FORTUNATELY, he had a good enough donor area for a 2500 graft procedure. So we decided to connect the left side of his old HT to the left temple AND fill in the front part of the crown.

Here are his results at 1 year

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Feller Medical, PC
Great Neck, NY

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

Providing Hair Transplants and Platelet Rich Plasma (PRP) Treatments

I need to make a clarification. I believe the actual number of grafts implanted is about 2500-2600, so one of the photo series in the gallery is incorrect where it says 3,000 grafts. I don't think we got that high due to his three prior surgeries.

Dr. F

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Feller Medical, PC
Great Neck, NY

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

Providing Hair Transplants and Platelet Rich Plasma (PRP) Treatments

Dr. Feller,

Do you know how many grafts this patient had transplanted prior to seeing you? Also, does he have any more grafts available from strip or FUE if he wants?

Dr. Feller,
Very interesting. I think most young men like myself who get HT's are worried about this kind of recession in the future. If this guy was on propecia do you think his temples would have receded this low? I'm really hoping that Fin will keep me from this kind of balding. Excellent job on a difficult case.

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2008 Dr. G – presumably 1,000 grafts / 2,142 hairs
2009 Dr. Paul Shapiro – 2,348 grafts / 4,258 hairs
2011 Dr. Paul Shapiro – 1,999 grafts / 3,624 hairs

My Hair Transplant Journey with Shapiro Medical Group

And one more thing, thank you for posting this result. I keep thinking to myself that many young patients who are experiencing balding will eventually end up with this man's pattern, and will not have enough grafts to keep up. What I don't understand though, is why this guys pattern isn't the template for every young, balding man who presents for a surgery. (of course, not all young bald men will become old men with this extreme baldness, but it seems likely) If this is the best that a NW 7 can get, why are the 25 year old NW 5's getting full scalp coverage? I am in no way knocking your work Dr. Feller, as I believe it is outstanding, I am just wondering what magic allows the scalp of a young patient to be filled in, but not the older patient? I guess what I'm getting at is that the younger patients always seem to have more grafts available than the older patients. If the number of grafts is both finite and fixed, the older patient should have as many grafts available at age 75 as he did at 25, and yet it doesn't appear that way. In your experiences, is that a fair and accurate statement, or am I off base?

Well put TC17. I see so many 70 year olds with virtually no donor hair and I must admit that that scares the hell out of me.

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2008 Dr. G – presumably 1,000 grafts / 2,142 hairs
2009 Dr. Paul Shapiro – 2,348 grafts / 4,258 hairs
2011 Dr. Paul Shapiro – 1,999 grafts / 3,624 hairs

My Hair Transplant Journey with Shapiro Medical Group

tc, not every young guy balding is going to end up THIS bald, especially if they have no family history of guys advancing this far. i see your point about being concerned, but come on, this guy is very very very very bald, more bald than most. don't really see how u can say that this should be the template for all 20 something year olds, you say is likely but based on what? Most, not all, but most guys who end up this bald have been this way for a loooong time and were probably nw5-6 by the time they were 21, or somewhere close.

its obvious as one ages he looses a bit of density in the donor but how much no one knows. thats risk EVERYONE takes if they get a ht. look at jack nicholson, he had a lot of recession when he was young but his sides have held up great and he's definitely getting up there in age. my grandpa is the same way, donor hair has held up great. My dad is in his 60's and has a full head of hair with some diffuse thinning while his brother is almost the same age, probably a nw4 but great donor.

This guy could have had thin hair to begin with that just accentuated worse with age. no one knows. like i said its a risk. at some point you have to decide if that risk is worth it. if i had a bunch of family members w/ nw6-7 patterns i would be really hesitant, but i think with meds and decent family history and the hopes that in 30 something years propecia and rogaine arent the only things available to fight hairloss, that is all u have to go by and a chance a lot are willing to take.

Excellent show Dr. Feller.

Guys, most men that bald do not end up, this bald....I think 11% of balding men end up a NW7. So in that vein it is ok to transplant guys...but this is why future planning is a must.

I was talking with Matt Zupan last night about this, and he said generally you like to take 2/3rds of the donor and leave a 3rd for future recession. Obviously we do not hold true on this for every patient for a variety of reasons, but it is a good rule of thumb we like to work from first.

My opinion on this gentleman is he can get a custom designed, low density crown piece to accompany his transplant work that will help with his over-all look....should he desire to do this. The work is standalone, but it is obvious he was bothered by it.

Great example Dr. F and thanks for having the guts to show this. GREAT PERSPECTIVE.

Jason

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Go Cubs!

6721 transplanted grafts
13,906 hairs
Performed by Dr. Ron Shapiro

Dr. Ron Shapiro and Dr. Paul Shapiro are members of the Coalition of Independent Hair Restoration Physicians.

I think if you are this bald you should just shave it. you arent fooling anyone with a comb over and imo it just looks bad. I just think that there needs to be a line drawn as to who is and isnt a ht candidate and its clear this guy should never have been one. If he was that concerned about being this bald, he should have gotten a hair piece.

another thing that isnt talked about enough is also your rate of balding and what meds can do for you. matt at smg told me that propecia makes the hair that you would otherwise lose in 5-10 yrs lose it instead in a 30-35 yr time frame. i also heard from another doc that he has never seen anyone go "bald" while on proecia.

you cant just pluck random people out of the population and say this is the template for everyone. its a case by case basis, which includes family history, meds, hair characteristics, ect...

Good save dr. Feller!

(what you read below may sound negative, but it is the reality)
ive done my research! and im not a angry guy, on the contrary quite positive!
this is what much of the transplanted fear of being bald, sure hair characteristics play a big part in the transplant but once and if the temples do drop you end up with something a bit less manageable. i think that everyone should go into a transplant with the mind-state that his results will end up like the gentleman here, and if your ok with that then follow through, you can do all the family balding research you want and take all the pills and potions, but still the harsh reality is you are balding and who knows how far it will go. but if your gonna be this bald and proud (in my opinion of course) your best bet is to shave it ugly or handsome, on occasion ill see a guy shaved up with a long but clean horse shoe scar on the back of his head, kudos to him for outing his bad decision... dr. feller keep working on the single hair techniques i think you always show the truth in your photos and are very talented as well, but you YOUNG guys out there considering, consider, but consider shaving it! give it a try for a year, its nice not analyzing your hair loss pattern and trying to cover it up- or buy a nice hat- perhaps dress a bit more sharp, get buff loose the gut, its something to embrace! your missing all they joys in life by worrying about something so small in the big picture of living... have we all forgotten that vanity is a terrible thing to chase. your life is writing your book, do you think someone really wants to read a chapter about how hairloss has effected your life so you got a transplant- doubt it- remember your not alone in this, millions of others are going through what you are and if your a BIG enough man you will be able shrug this off in no time and be out of your house living, you know- river rafting, working on a 1972 chevy pickup in the driveway, hiking a mountain, learning guitar, (insert your hobby here) -i guess what im saying is BEING A MAN, trust me there is nothing masculine about a hair transplant...nothing!!! a uber man would just say fuck it and keep on living ,doing, and creating!
and for those of you in your 20's and early 30's who have had a transplant or 2, i wish you the best of luck in the coming years, and i hope it brings you true happiness, honestly!

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don't believe everything you think