Coalition Surgeons

Dr. Alan Feller · #1 **Top** 10-06-2006, 02:51 PM

A general rule I go by is that it is better to have one thick hair than 2 thin hairs. I think this patient I operated on 6 months ago can testify to the accuracy of this statement.

We did 3,500 grafts on him in one procedure:

Dr. Alan Feller · #2 **Top** 10-06-2006, 02:51 PM

A general rule I go by is that it is better to have one thick hair than 2 thin hairs. I think this patient I operated on 6 months ago can testify to the accuracy of this statement.

We did 3,500 grafts on him in one procedure:

JakeVig · #3 **Top** 10-06-2006, 03:31 PM

ummm this maybe just me but this looks like pretty mediocre coverage for 3,500 grafts?

He definately has a better cosmetic appearance now but I would've guessed that he only received around 2,500 grafts.

What was the density per cm2?

Dr. Alan Feller · #4 **Top** 10-06-2006, 05:24 PM

He's only 6 months out.
I posted him not as an example of "final results" (you can see a ton of those on my website and other posts I've made) but rather as a demonstration of EARLY growth.
Get it?

Bill - Managing Publisher · #5 **Top** 10-06-2006, 06:42 PM

Not to question a doctor, especially one as reputable as Dr. Feller, but 6 months for most is far from early growth. In fact, from what I've seen, the majority of patients have seen 80 to 90% of their growth by about 6 months and then of course it thickens with time over the next 6-12 months. I do realize some patients take a longer time to grow...so I'd love to see results again from him in 12 months. It sounds like this patience is in for the long hall...you mention hitting the frontal region first! I assume that means he is planning on coming back for more work? It just seems that he has a much larger area to cover and already 3500 grafts were used for such a small area. To keep that level of density, he'd need 15000 grafts+ to cover his head. If I were the patient, I'd be concerned I wouldn't have enough grafts for the long hall.

Bill

spex · #6 **Top** 10-07-2006, 02:33 AM

This patient is only 6 months out and as Dr Feller mentioned on another forum has at least another 30% growth ahead of him. Dr Feller has stated also that the patient intends to have more performed over on a different forum.

Bill, I'm certain Dr Feller and this patient will have formulated an appropriate plan of action with regards to his next procedure based off the first one and with the DR knowing full well the Patients characteristics and remaining donor supply and also the individuals personal goal.

FYI - NO hair transplant is performed at the same density throughout the entire top of the head as i'm sure you know. The front is the "priority zone" and this is where the maximun density is applied -then working back at the appropriate density depending on characteristics/donor supply - supply and demand.

HT is the art of illusion

the B spot · #7 **Top** 10-07-2006, 08:50 AM

This is great thread, and I appreciate Dr. Feller posting a patient that is in the middle of his treatment schedule. I can identify with this patient, as his balding pattern mimics my own.

I had 3000 grafts spread over a larger portion of my balding pattern, about 120 cm. My density ranges from 25 to 45 fu's per cm/2 in these areas. At 6 months, while I was ecstatic over my growth, the subtle, slower changes from months 8-12, have provided me with an entirely different look. The hair has softened and thickened and is completely unnoticeable to anyone.
Judging a HT at 6 months is ok, as long as we understand that the hair will continue to "mature" and grow for another 6 to 10 months.
Yet again, this is another reason to do 2 sessions as it allows to patient to get the most "mileage" out of his available donor (NW5, 6, and 7's) and to decide where they want coverage and what density they would like to achieve (realistically)
The next surgery will allow Dr. Feller and patient to see transplanted hair characteristics and perhaps augment the initial plan. For example: Say a density of 60 to 70 fu'scm/2 is desired by the patient. However, after an initial HT, a pass of 45 to 55 meets or exceeds to patient expectations (factoring in hair type/expectations) and they then can use the other 5 to 15 fu's they would have used previously and lower the hairline a bit, or get more coverage in the crown ect.... The point is, the PATIENT is making the choice to decide what is acceptable to them, not the Dr., not internet hype, or any other influences, just patient and doctor.

Now in going back to this case--- we can debate the plan of attack, or debate the yield AT 6 MONTHS. I think at this point it would be premature to offer either unanimous praise or negativity, because we are NOT looking at the finished product. What I will say is that a great base has been laid for session #2, and given the recreation of the hairline, will allow Dr. Feller to REFINE his first work producing a finer HT by virtue of going back over previous work.
Thanks Again Dr. Feller we all enjoy the jaw-droppers, but it is refreshing to see a stage one surgery, giving us a glimpse of what is to come.

Bill - Managing Publisher · #8 **Top** 10-08-2006, 06:42 PM

Very good points Spex and B spot.

Sorry if my post came across negative. I suppose I'm making a judgement without knowing this patients specific interests and case. Dr. Feller has proven to do excellent ultra-refined HT work in the past and I'm sure he will continue to do so. I look forward to seeing more from this patient.

I suppose seeing that 3500 grafts were used in such a concentrated area concerns/concerned me simply because there is such a large area left to cover wtih subsequent surgeries. But it does come down to what the goals are of the patient verses how many grafts he has left remaining for following surgeries. Being that I know nothing of the case other than seeing the photos, I admit that it's not fair to judge. I look forwar to seeing more regarding this patient.

Bill

the B spot · #9 **Top** 10-08-2006, 08:38 PM

Bill, no worries mate!!!!! I think we need people to express their opinions, even if the majority is clamoring in another direction. You have been around for quite some time now, and if that is how this presentation "hit" you, well, that is what it is.
My initial opinion was almost the same as yours until I went back over the photos and thought about it for a second. In fact, I thought that Dr. Feller should have spread the grafts a little farther apart and gone for a little more coverage. Of course, that is my opinion, but I realize that Dr. Feller AND the patient understand what they are doing NOW and in the FUTURE, and if the patient is cool with this plan, then I am happy for him.
I would lay money that in a year or so, after another session, this guy will look like a million bucks!!!
I think the most important fact here is that Dr. Feller is posting a patient in the middle of his first session, so all of us can observe his progress and the mind-set of Dr. F in treating him. This wasn't a "look at how awesome this guy turned out" post, but a look where this guy is now, and where we are trying to get him in the future.
It is important!!!!!!!

BTW, good luck on your upcoming surgery!!!! I think your going to look AWESOME, and I know you will provide detailed photos!!!!!
What are you going to do once your no longer bald?

Dr. Alan Feller · #10 **Top** 10-09-2006, 11:09 AM

Bill,
Don't lose heart. This patient has an unusually large head. It's not that 3,500 grafts isn't alot, it's just that his head is that big. I have patients where fewer than 3,000 grafts can cover half the head. Depends on your proportions. In this patient's case he is a big guy with a big head.

Dr. Feller

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