Regulars of this forum will notice we are posting, once more, a series of pictures to illustrate the correction of a bad surgery.
There is a good reason to this choice. In Europe, the average quality of the Hair Transplants is far behind the results reached in the United States.
It is thus still frequent to welcome patients having recently undergone a bad surgery.
A patient who is looking for a surgeon that will correct the previous surgery takes a great care to find an expert able to guarantee a quality work.

This patient has undergone his previous surgeries in France, with the same doctor: 5 mini hair transplants from 1994 to 2006!
The aspect was typically unnatural with large plugs (FU4 to FU6) on the hairline.
The strategy has been developed in two steps. The largest grafts were removed via a FUE punch first. Then, the patient came back to my clinic six days later for the surgery itself.
A big part of the scar in the donor area was removed, and the grafts were recovered.
The patient did not want to be shaved.
As usual, I asked the patient to massage the donor area actively before the surgery mainly in this case,
the donor area has been damaged five times, so it was impoverished and the elasticity reduced.
The patient did it very well so finally the laxity strongly improved and finally instead of about 1500 grafts, we reached 3038 grafts for 6806 hair.
675 FU1 1062 FU2 897 FU3 329 FU4.

The pictures show the situation at time 0, for the removal of the plugs, and then at Day 6 when the surgery takes place.
Those pictures were taken and sent by the patient, I do not have any other post-op pictures of him. Their quality is not bad.

In a few months, the regrowth masked almost completely the former result. This patient is definitely very happy of his new situation.

It is important to emphasize the use of a great number of single grafts (FU1): 675. Thanks to them, it has been possible to ???erase??? the aspect of the old grafts.

Dr. Jean Devroye
E email: officedevroye@aol.com
www.hairtransplantsurgery.com
www.hair-transplant-pictures.com

http://www.hairtransplantnetwo....asp?CopyID=55&Nav=8

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Dr. Devroye and his clinic were visited and carefully reviewed by the publisher of the Hair Transplant Network, Patrick Hennessey. To view photos and highlights from this visit, click here. Dr. Devroye is a member of the Coalition of Independent Hair Restoration Physicians

Regulars of this forum will notice we are posting, once more, a series of pictures to illustrate the correction of a bad surgery.
There is a good reason to this choice. In Europe, the average quality of the Hair Transplants is far behind the results reached in the United States.
It is thus still frequent to welcome patients having recently undergone a bad surgery.
A patient who is looking for a surgeon that will correct the previous surgery takes a great care to find an expert able to guarantee a quality work.

This patient has undergone his previous surgeries in France, with the same doctor: 5 mini hair transplants from 1994 to 2006!
The aspect was typically unnatural with large plugs (FU4 to FU6) on the hairline.
The strategy has been developed in two steps. The largest grafts were removed via a FUE punch first. Then, the patient came back to my clinic six days later for the surgery itself.
A big part of the scar in the donor area was removed, and the grafts were recovered.
The patient did not want to be shaved.
As usual, I asked the patient to massage the donor area actively before the surgery mainly in this case,
the donor area has been damaged five times, so it was impoverished and the elasticity reduced.
The patient did it very well so finally the laxity strongly improved and finally instead of about 1500 grafts, we reached 3038 grafts for 6806 hair.
675 FU1 1062 FU2 897 FU3 329 FU4.

The pictures show the situation at time 0, for the removal of the plugs, and then at Day 6 when the surgery takes place.
Those pictures were taken and sent by the patient, I do not have any other post-op pictures of him. Their quality is not bad.

In a few months, the regrowth masked almost completely the former result. This patient is definitely very happy of his new situation.

It is important to emphasize the use of a great number of single grafts (FU1): 675. Thanks to them, it has been possible to ???erase??? the aspect of the old grafts.

Dr. Jean Devroye
E email: officedevroye@aol.com
www.hairtransplantsurgery.com
www.hair-transplant-pictures.com

http://www.hairtransplantnetwo....asp?CopyID=55&Nav=8

__________________
Dr. Devroye and his clinic were visited and carefully reviewed by the publisher of the Hair Transplant Network, Patrick Hennessey. To view photos and highlights from this visit, click here. Dr. Devroye is a member of the Coalition of Independent Hair Restoration Physicians

This was clearly not an easy case. I'd say Dr. D must have thrown just about every trick in the book at this patient to be able to get 3,000 grafts out of a guy with FIVE prior sub-standard surgeries. NOT an easy thing to do as I'm sure several doctors probably turned him away. I especially appreciate the use of FUE to remove the more obvious minigrafts from the front hairline which never should have been there in the first place. Just another example how FUE, in the right hands, can be utilized as an adjunct to modern hair transplant surgery.

As usual not only is this an excellent surgery, but top notch presentation as well.

-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

Yep, I agree, great stuff Dr D!

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My Hair Loss Website - Hair Transplant with Dr. Feller

Dr Feller Jan '09 1800 grafts

Hi dr Devroye,

This is looking like a real masterpiece!

I'd like to ask you a question if I may; Does it really help to do the scalp massaging exercises that it can double the estimated counts of grafts being able to extract or strip excision?

I'm also given my 'homework' of doing this prior to my ht in a few weeks time; but can you as a patient know when you're booking results in doing those scalps exercises?

May I know what you ask the people to do to enhance their scalp laxity level, since there are alot of different types of exercises available and so I'm not sure which of them are the most rewarded ones. Also how often and how long should you been doing those scalp stretching stuff to make any difference?

I'm doing the Hasson and Wong thing everyday now and I also have a massaging equipment with little twisting rubber 'fingers' which I also use for at least 30 minutes a day; do you think this can be helpful as well ?

Thanks in advance and congrafts for those marvelous results

groetjes uit oost-vlaanderen BE

Answer to Skunky

First of all, we have to render unto Caesar the things which are Caesar's. The idea came from Dr Hasson and from my colleague and friend Dr Jerry Wong.
Secondly, I don't have a scientific approach of the scalp massaging. Dr Melvin Mayer built a device to help the precise measurement of the laxity. I don't use it. I simply estimate the laxity by the mobilization of the skin. With the experience I acquired a good ability in this exercise.
I ask ALL my patient to practice massaging. It has to be done from 2 to 4 weeks before the surgery 10 to 20 minutes a day. Many of them are doing little many session of 3 to 5 minutes because the massaging is tiredness for the arms.
I don't have a huge experience of the massaging equipment. I've had two patients who used it and it was successful.
If you do it by hand, you have to really mobilize the skin. The finger has to be fixed on the skin. The movement is vertical on the side and horizontal on the back.
When I remove the strip, I have a progressive approach. I take out progressively the strip and begin the suture . I adjust the width regarding the real tension of the skin. In this particular case, the length of the strip was 27 cm, the width was 0.7 cm in the beginning to 1.3 cm in the center. The number of 1500 grafts was just an estimation. We had a good surprise obtaining finally 3000 grafts

__________________
Dr. Devroye and his clinic were visited and carefully reviewed by the publisher of the Hair Transplant Network, Patrick Hennessey. To view photos and highlights from this visit, click here. Dr. Devroye is a member of the Coalition of Independent Hair Restoration Physicians

Wow, they were nasty looking plugs, I'd bet the patient is delighted with that result, well done. Where you able to recycle all the removed plugs as well?

__________________
My Hair Loss Website - Hair Transplant with Dr. Feller

Thank you so much for answering my question Dr.D,

The reason why I like using the massaging equipment is because it's less tiresome for doing over a longer period and it gives me the opportunity to get a certain amount of pressure onto the scalp . I think these both methods seem to be cooperating but the massage thing also delivers some relaxation ; stress relief; which I might be beneficial as well

Will keep looking forward to see some more brilliant results out of your hands.

my only problem is you show overhead pics of graft placement yet no AFTER overhead shots, just the exact same hairline shot in favorable lighting taken WITH flash(which makes hairlines appear fuller)..

its an obvious improvement, nice job. but not a fan of the documentation. did you by chance take any shots in the same conditions as the befores?

Nice job doctor, this is an excellent result.

Lost my swagger, the minute I saw your name in this thread I knew you would complain about the overhead shot :-)
While it is true that an overhead shot would provide a more realistic impression of the results, the doctor clearly states that the after photo's are sent by the patient himself.
The doctor did not take the after photo's. The patient is in France.