Patient came to the office requesting dense coverage over the frontal region. He realized that he didn't have sufficient donor area to cover the entire scalp densely in one surgery. Dr. Friedman focused on the frontal area and feathered the grafts back. Despite our reccomendation the patient did not get on Propecia. Patient had a total of 3 surgeries.

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Patient Consultant for Dr. Shelly Friedman

Dr. Shelly Friedman is recommended on the Hair Transplant Network

Not impressed at all. I would expect a little more density for such a large # of grafts. I know it's going to be said that he more than likley has lost the rest of the native hair he originally had, but even knowing this I still dont like the results.

Not to mention the before pictures dont show us much

I see it differently and this is what I expect from all proceedures when someone has such extensive loss. How can u cosmeticaaly put 7800 grafts in an area where at least 30-50,000 hairs used to be? It cannot happen. I have seen some great work in this forum but the reality is the numbers just don't add up in most cases. I am 52 with curly darkish hair (still at my age, very few gray as yet) and have a small tuft inf ront but have been receeding behind the tuft and temples but still manage to cover it up so that no one thinks I am losing hair....I get comments all the time about how I haven't lost hair...teh curls help as it looks denser and I have a lot of hait, not too thick but lot of indidiual hairs. I am probabaly a 2A going to 3 and I believe I need 4k hairs to bring it back to as close to normal as possible and look good for the frontal third...even 7k would look about right imo. So this man looks about right to me. Am I being out of order with my thoughts? I think most people see photos with good lighting etc that makes the nd results appear denser than they are. The frustration for me is that how can you possible put 7800 grafts to replace 30-50k hairs missing and expect more than this. hence the reason I have not taken the plunge yet....

half of the hair needs to be there to have the illusion of density. So if a normal person has 30-50k then he would only need 15-25k to give the illusion of density and since each graft on average is 2.2 hairs at this guy would have 17160 hairs on the top of his head and that is well within half of 30k. So I believe that he should have more density for the # of grafts he's had transplanted.

hairraising......most patients don't need to do 7000+ grafts to achieve a cosmetically full appearance, of course if you have extensive balding you may need every hair you can get. But if you get a great yield out of the sessions, the hairs are placed closey with the right orientation so that they naturally layer together, volume can be achieved. It is an illusion as it usually is about 50 -60% originally density that create this effect. There are many postings that show very good coverage with less than 6000 grafts. Stay on the positive.

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Patient Services Director for True & Dorin Medical Group

Dr. True and Dr. Dorin are members of the Coalition of Independent Hair Restoration Physicians

I agree, for 7,800 grafts, this is thin looking.

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My Hair Loss Website - Dr. Hasson

Thank you for your response on the pictures. When a patient has 60,000 hairs on the top of the scalp and has lost over half of that hair, thats at least 35,000-40,000 hairs that he has lost. We replaced roughly 19,000 hairs, the pictures are what to be expected.Since the patient did not take preventitive steps his only option was to have addtional surgeries. He looks great and is very happy with the results.QUOTE]Originally posted by hairraising:
I see it differently and this is what I expect from all proceedures when someone has such extensive loss. How can u cosmeticaaly put 7800 grafts in an area where at least 30-50,000 hairs used to be? It cannot happen. I have seen some great work in this forum but the reality is the numbers just don't add up in most cases. I am 52 with curly darkish hair (still at my age, very few gray as yet) and have a small tuft inf ront but have been receeding behind the tuft and temples but still manage to cover it up so that no one thinks I am losing hair....I get comments all the time about how I haven't lost hair...teh curls help as it looks denser and I have a lot of hait, not too thick but lot of indidiual hairs. I am probabaly a 2A going to 3 and I believe I need 4k hairs to bring it back to as close to normal as possible and look good for the frontal third...even 7k would look about right imo. So this man looks about right to me. Am I being out of order with my thoughts? I think most people see photos with good lighting etc that makes the nd results appear denser than they are. The frustration for me is that how can you possible put 7800 grafts to replace 30-50k hairs missing and expect more than this. hence the reason I have not taken the plunge yet....[/QUOTE]

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Patient Consultant for Dr. Shelly Friedman

Dr. Shelly Friedman is recommended on the Hair Transplant Network

Sorry if I sounded negative. I certainly wasn't trying to be. Sorry also for typos. I just hack away and never correct. It's just that he got what he got and I assume the Dr is a coalition Dr? I never understood how Shapiro and Wong can get such great results with their hairline work and frontal section with the amount of hairs/grafts they use. These two are the best of the best without doubt added to a few others obviously, but they are at the top of their game. Most people comb back so the results look better. This guy has a short cut and no comb back so this looks realistic...sadly...I want it to be fuller believe me. I do think it looks thin and maybe they should have built the front more and then spread it back. How many hairs are in the frontal third?

what I mean is for the frontal third how many hairs/grafts are needed to make it look great in any light or situation including swimming, showereing etc or just plain mussing up your hair in the wind without having to pull it into shape. Interested to know. many thanks. The thing I love about this forum is that everyone looks out for everyone else and it's a brotherhood kind of thing. Great job to all.