Patient with grade 6 hairloss, we placed follicular units in lateral microslit graft recipient sites and used trichophytic suture technique for closure.

__________________
Dr. Meshkin is recommended on the Hair Transplant Network

Patient with grade 6 hairloss, we placed follicular units in lateral microslit graft recipient sites and used trichophytic suture technique for closure.

__________________
Dr. Meshkin is recommended on the Hair Transplant Network

Dr. Meshkin,

Thanks for posting these.

At such an advanced norwood stage (he almost looks like a norwood 7), can you tell us this particular patients goals, why he didn't opt for a larger session, etc?

2500 grafts should give him a nice start. What would he like to accomplish in the long term?

I appreciate your involvement on our forum.

Best wishes,

Bill

P.S. Be sure to check your email - I sent you something a few days ago.

__________________
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

View our hair loss articles on EZineArticles.com

Follow us on Facebook | Twitter | YouTube

Subscribe to our Newsletters | How We Recommend Physicians

-----

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.

Ive seen a couple of pic's that looks like the doc places grafts on the hairline in the shape of W's. Is this standard?

Hello Dakota3,
I use different shapes for different people. With this design I am trying to achieve an irregular pattern at the frontal hairline. when the hair grows out this pattern will have a very natural result.

__________________
Dr. Meshkin is recommended on the Hair Transplant Network

Hello Bill,
To answer your question, some people have limited donor and very tight donor areas and if I try to remove wider and larger donor and may run into problem of creating wider scar. There are alot of clinics that push to remove donor hair and do 5000 grafts for every patient, however they donot share their pictures from the scar formation in the donor area after the surgery.
Also not everyone can afford to pay for 5000 grafts they are limited in the amount of money they want to spend for their surgery. If they have the money and I can remove safely without damaging the donor area, I will do the megasession. but I never comprise the donor area to get more grafts.

__________________
Dr. Meshkin is recommended on the Hair Transplant Network

Hello Bill,
To answer your question, some people have limited and very tight donor areas. If I try to remove wider and larger donor I may run into problem of creating a wide scar. There are alot of clinics that push to do 5000 grafts for every patient, however they donot share their pictures from the scar formation in the donor area after the surgery.
Also not everyone can afford to pay for 5000 grafts; they are limited in the amount of money they want to spend for their surgery. If they have the money and I can remove safely without damaging the donor area, I will do the megasession. but I never comprise the donor area to get more grafts.

__________________
Dr. Meshkin is recommended on the Hair Transplant Network

Dr. Meshkin,

Thanks for the explanation on your general philosophy. I realize that every patient has different characteristics (donor density, elasticity, safe zone, etc) that a surgeon has to work with that will impact the end result.

My questions however, were specific to this patient's particular situation rather than a general philosophy.

Clearly there are a few surgeons doing larger megasessions when appropriate for the patient with great success, some of which are exceeding, 4000 and even 5000 grafts. This is certainly an exception rather than the rule in most cases, but the cases I have seen still show very thin fine scars.

Again, as you said, it's about the individual patient.

So in this patient's situation, was he a tight donor case or only wanted to start with 2500 grafts due to a lack of funds?

I appreciate your involvement on our forum and look forward to seeing more of your work.

Best wishes,

Bill

__________________
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

View our hair loss articles on EZineArticles.com

Follow us on Facebook | Twitter | YouTube

Subscribe to our Newsletters | How We Recommend Physicians

-----

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.

This patient had limited donor and tight scalp. However we were able to cover reasonable area considering we only did 2500 grafts. Patients' expectations were realistic and we may be able to do one more session to either fill in the front or perhaps work some in the crown area. Usually for patient that have tight scalps, I recommend to start stretch exercise in the donor area two months after the surgery, in case the patient decides to do another session in 6 to 12 months.

__________________
Dr. Meshkin is recommended on the Hair Transplant Network

Dr. Meshkin,

I appreciate your response.

I look forward to seeing the grown out results in several months. I hope you'll come back to update us on his progress.

Best wishes,

Bill

__________________
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

View our hair loss articles on EZineArticles.com

Follow us on Facebook | Twitter | YouTube

Subscribe to our Newsletters | How We Recommend Physicians

-----

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.