I usually don't post in this section, but the patient asked me to do so for him so he can receive feedback he might not otherwise get in the section that clinics usually post in.

This patient had multiple old style plug and mini graft surgeries years ago when he had much more of his own hair. As his native hair began to fall away, the plugs and minigrafts become more and more pronounced-a common problem.

We undertook to repair this work by implanting along the hairline to blend out the old minigrafts and then focus in the front center area to fill in the where his native hair used to be.

Because of the multiple old surgeries it looked like he had a "road map" of tangled scars in the donor area thus limiting the harvest. We were, however, successful in obtaining 2,683 grafts.

Visiting with us almost 2 years later he is concerned that the procedure was not that effective. He believes there was growth, but not that much. I thought the results were excellent, paticularly for a repair patient, but of course I am biased, so I offered to put up his pics for the public to see and to offer their opinions.

As of our last conversation we discussed implanting about 1500 grafts into the front and top region again to thicken them up. 1,500 grafts is all he has left that can be taken via strip. After than I could probably get another 1500 or more grafts via FUE if he were so inclined.

Thank you in advance for your comments.

Dr. F

__________________
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

Dunno what hes not sure about, he looked weird before and now he looks normal. Nice repair job, cant see any sign of the previous crap wrok at all.

__________________
My Hair Loss Website

An absolute improvement. Sure he is not Antonio Banderas now but he looks a heck of a lot better now. I personally like hairlines that resemble more recession in the temples, but his hairline looks good and natural. If I were him, I would address the front portion of the crown in future procedures with maybe a little more density in the front half.

__________________
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

wow, what a great repair job! no idea what he is concerned about... his hairline looks great, and echoing aaron, i'd be looking at more denisty around the crown area in a future HT.

But he should be over the moon with those results, it is a million miles away from what he had before hand!!

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

Wow he complained enough as to make you post it on here.

Duh it looks better.

I'm not going to tell anyone how to feel about his hair, but if I were this patient, I would be thrilled.

Nice repair work: it's a big improvement and a solid overall result - especially given only ~2700 grafts to work with. With another 1500/3000 available to shore things up, he could have an elite, "homerun" result.

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

Looks really good; he honestly couldn't ask for much more going into things, and with one more session he should really be rounded off nicely. It seems to me like he has lost ground elsewhere, which may be contributing to his attitude -- I went through a similiar feeling briefly when I continued to thin outside of my recipient zone.

__________________
-----------

*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!

It is an excellent repair. I'm not entirely sure what the patient's concerns are, but compared to where he was before - fantastic. I'm really not even sure what you would do with 1500 more FUT graphs, let alone 1500 more FUE? Soften the hairline slightly due to the minigrafts (probably not)? More top density? Who knows? It's always disheartening to hear that a patient is not satisfied with their results, and most of the time it is obvious why, but I think this is a great result, considering the circumstances, and hopefully these responses will make the patient believe the same.

__________________
Blake (Future_HT_Doc)

Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

All opinions are my own and my advice should not constitute as medical advice.

It is a DRAMATIC difference from where he started.
I'm curious as to how you handle a patient like this. Are you actually offering to do 1500 units for a reduced price or even free? I agree with the future doc, below average results are easily noticed, but this guys results are quite remarkable.

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

715 grafts at Bosley, 2004
3238 grafts by Dr.True, Mar 2008
3393 grafts by Dr. Wong, Jul 2009