This patient has had a previous HT with large grafts that resulted in a pluggy appearance. He also had a previous and - unsuccessful attempt at correcting the hairline by simply placing small grafts in front of the pluggy hairline. This approach did not improve the appearance of his hairline and is shown as the ???before??? photo. The result shown is following a single session in our office with plug reduction and recycling of the plug hairs as well as additional ultra refined follicular unit grafting.


These images illustrate the importance of reducing the plugs themselves in addition to follicular unit grafting when attempting to correct a pluggy hairline. Simply put, the heart of the problem is the plugs and the focus of the solution has to be reducing the plugs themselves. A recent article on this topic was published which outlines my current approach to these types of cases. This can be viewed at http://www.hairtransplantnetwo...splant%20Article.pdf

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

It appears to be a huge differance here! Better pictures would help though!

Ya, it looks much more natural and robust, but how many grafts? Pics don't seem too consistent or comprehensive.

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*A Follicles Dying Wish To Clinics*

1 top-down, 1 portrait, 1 side-shot, 1 hairline....4 photos. No flash.

Follicles have asked for centuries, in ten languages, as many times so as to confuse a mathematician.

Enough is enough! Give me documentation or give me death!

Dr. Vogel,

I know there are a few approaches to hair transplant repair, in particular, creating a more natural looking hairline. While some physicians choose to transplant hair in between and around the larger grafts, some choose to extract and redistribute the larger grafts.

From what I've seen, not only does the approach of each physician vary, but a physician's approach varies according to the patient's circumstances, size of the grafts, etc.

In my opinion, this is a very nice improvement.

Best wishes,

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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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.