It is surprising to me to still see how many repair cases remain. By 2006 I felt follicular unit transplant physicians had corrected most of the old plug cases done in the 80's / 90's. However, in late 2007 and 2008 the number of repair cases we performed increased. Why? Hard to say. I feel the information being spread by forums like the HT Network helps these men realize something can be done to help.
The patient showcased presented to my office in August 2008 having had plug style transplantation years ago by military physicians. While a candidate for repair, his case is limited by some donor depletion and somewhat fine hair. After discussing all his options, just over 3000 grafts were transplanted 3 ?? months ago. Presented are his before and 3 ?? months post op photos. His grafts are showing early regrowth (still short and relatively fine) and will be happy to post additional photos 6 months from now. We also plan addition surgery to plant further back on the scalp and final tweaking of his hairline to ensure all plugs are well hidden.

Brad Limmer, MD/jac

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Limmer Hair Transplant Clinic

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

If you're seeing many repair cases, is there any chance of showing some photos of extensive work done years ago that wasn't necessarily bad, but now requires a lot of additional work because of a widening pattern over the years?

For example say someone who may have been a stage 4 maybe 15 or 20 years ago and had several sessions to completely fill it in, but who would now be a stage 7 had it not been for the HT.

We have an update from a patient who has just become a member Hair Restoration Social Network ? Community for and by Hair Loss Patients

Everyone please send him a friendly welcome!!!
Thanks,
Jessica

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Limmer Hair Transplant Clinic

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

posted in wrong area

Dr. Limmer (or Jessica), is there a reason for limiting sessions to 1750 grafts a day?

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Finasteride 1.25 mg. daily
Avodart 0.5 mg. daily
Spironolactone 50 mg twice daily
5 mg. oral Minoxidil twice daily
Biotin 5000 mcg.
MSM 1500 mg. twice daily
Zinc 50 mg. daily

Damn, with all the stuff you put in your hair are you like a negative NW1?

RCWest:
There are a number of steps to each transplant procedure which include setup, donor site preparation and local anesthesia, removal of the donor strip, suturing of the donor site, graft preparation, graft insertion, final cleanup and discharge instructions. The time required to each of these steps is relatively similar among all practices except the graft placement step. Therefore the graft placement step determines the length of the procedure more than any other steps.

The graft placement step requires making the recipient site and inserting the graft into that site. The receipt site can be made with either a blade or a needle. The sites can be made all at once followed by graft insertion (stick & delayed placement method) or the sites can be made one at a time and filled with a graft immediately (standard stick and place method). We prefer the second of the two methods…even though it is slower.

Why? Well, it has served our patients well for 22 years and after trying other modalities we feel it allows us to make smaller recipient sites creating less trauma, allows us to place them very close together in bald scalp and allows us to easily place them between existing hair without the difficulty of finding the sites back as they are filled immediately after they are made versus hours later.

So, while we may take a slightly longer time to complete your procedure, we feel it is worth it as these results you will wear for a lifetime.

Jessica

__________________
Limmer Hair Transplant Clinic

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

Thanks for explaining that! I'll take the smaller incision/less trauma any day.

__________________
Finasteride 1.25 mg. daily
Avodart 0.5 mg. daily
Spironolactone 50 mg twice daily
5 mg. oral Minoxidil twice daily
Biotin 5000 mcg.
MSM 1500 mg. twice daily
Zinc 50 mg. daily

Damn, with all the stuff you put in your hair are you like a negative NW1?