Jim had 4 procedures with me over several years totaling over 7,000 grafts. Now we could do that number of grafts in just 2 sessions.

Throughout each procedure we never went over a previously transplanted area. This means that the density you see in each part of scalp is from only ONE procedure.

Here's how it breaks down:

1. First procedure we did first third of scalp
2. Second procedure we did middle third of scalp
3. Third procedure we did the superior crown, which is most of the crown
4. Fourth and last procedure we brought the hairline forward

Each time we removed his old scar so that he would only be left with one scar as evidence for all the procedures. In his last procedure we excised half the scar and closed the donor area with trichophylic method. You can see in the scar photos the hairs growing though the top part of the scar demonstrating the efficacy of this simple procedure.

Here is every picture and picture type I could think of. There is NOTHING IN HIS HAIR. NO COVER UP PRODUCTS, NO SPRAY, NO GEL.

He took a shower just before coming to the office and blow dryed his hair. I took video too, but it will be about a week until I can edit it down and convert it to web format.

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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

No wonder he is happy...now that's a transformation! Dr. Feller, what is the (immediate) hairline density? This way we have an idea, more or less, as a lot of numbers are thrown around.

Dr. Feller, this is some beautiful work! Two questions: 1) Is the patient taking Fin or Dut? 2) If I see it correctly, you incorporated some of his remaining fine hairline hairs to recreate his new hairline. If so, did you account for if/when those hairs disappear?

Wonderful results! A new man!

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My blog.

HT1: 4063 grafts by Dr. Hasson, 12/9/03

HT2: 3537 grafts by Dr. Hasson, 5/15/06

Total grafts: 7,600

I just put him on dutasteride about 1 week ago.

I did account for the probablility that he would lose the fine hairs at the hairline and when you see him in person, you will see that those fine hairs extend below the level of the transplant.

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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

Dr. Feller, thanks for your response. One more question, if I may: Dr. Hasson feels very strongly about dutasteride, based primarily on his experience with his own patients. Have you been prescribing it for a long time (enough to have a reasonably reliable sample)? If so, what have the empirical results been? And do you prescribe it to be taken once daily?

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My blog.

HT1: 4063 grafts by Dr. Hasson, 12/9/03

HT2: 3537 grafts by Dr. Hasson, 5/15/06

Total grafts: 7,600

This is an excellent question.

Most people know that I was never impressed enough with Propecia to offer it en masse to my patients. Primarily this was because it was a hormone blocker whose long term side effects were really unknown. By now, however, there have been no horror stories reported from the general public nor from the patients I have who are already on it.

Dutasteride is a different story, however. The results I have seen from this drug have been impressive and I recommend it to almost all patients now. I've seen patients benefit from this drug within 6 months, and I've seen more dutasteride success than I have propecia.

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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

Thanks a lot, Dr. Feller. It's great to know that Dutasteride seems to be working across the board, particularly since there doesn't seem to be much scientific data out there.

By the way, what dosage do you prescribe? Dr. Hasson prescribes it once daily, but I believe Dr. Wong has his patients on it twice a week or something like that.

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My blog.

HT1: 4063 grafts by Dr. Hasson, 12/9/03

HT2: 3537 grafts by Dr. Hasson, 5/15/06

Total grafts: 7,600

It's strange that you are a little worried about advising your patients on using finasteride in case there could be side effects but you seem to have no worries about Dutasteride which has been on the market for much less time!

I have been using fin without problems but would like to swap to dut if it's proven. Is it?

Yes, I don't understand Feller's pretty longstanding lack of enthusiasm about finasteride, based upon safety concerns, and his newfound enthusiasm for dutasteride, for which there is no long-term safety and efficacy data from clinical trials whatsoever. I think I remember reading about some 4-year safety data for the men taking it for BPH, but this is an older population as well. Is it just a case of "Dr. Hasson is doing it, it must be good"? What exactly are the "results" that have been impressive? Greater hair counts and regrowth? What about the terrible, and in some cases, irreversible shedding some patients have experienced on this drug? Certainly some such reports are alarmist, but they seem widespread enough that something must be going on.

Yes, I am supporter of Dutasteride for those patients who understand the possible side effects.

Safety is no longer a concern for me since Finasteride now has a proven safety track record. Since Dutasteride is in the same family of drugs, DHT blockers, Dutasteride benefits from Finasteride's saftey record. It is common in medicine to evaluate the saftey of drugs based on other drugs in its class. We do it with blood pressure medicaton, antibiotics, anesthetics, and others drugs every day.

The difference here is that Dutasteride seems to be more effective than Finasteride, which I base on my own personal experience. I've seen a greater number of cosmetically successful results from Dutasteride in the past 1.5 years than I have from Finasteride in the past 10 years. What more evidence do you need until somebody does a side by side pepsi challange?

Nik, if you are so unsure of the side effects of a drug, then you shouldn't take it, particulalry because it is an elective therapy. No on is forcing you.

Brian, all I can tell you is what I've experienced in my own practice. Many patients got onto the DUT bandwagon long before I did and their common method was to switch out the Finasteride for the Dutasteride. THEY report they are doing well with it, and those that I've known for a long time have demonstrated signficant cosmetic improvement.

I have no association with either the producers of Finasteride or Dutasteride.

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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