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Old 03-10-2008, 12:21 PM
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Hi,

Just wondering if anyone has lost there hairs after Hair transplant down the track after a year or couple? or is HT is a permenant solution?

k waiting for replies....
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Old 03-10-2008, 12:21 PM
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Hi,

Just wondering if anyone has lost there hairs after Hair transplant down the track after a year or couple? or is HT is a permenant solution?

k waiting for replies....
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Old 03-10-2008, 12:32 PM
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Transplanted hairs should be permanent; but that is because they are transplanted from our strategic donor area -- a "safe zone"....sometimes this zone can be flexed a bit, though ideally it would be only with total patient consent.
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Old 03-10-2008, 12:36 PM
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Make NO mistake about it. A person can lose some of his transplants over the years. It's not common, but it DOES happen.

What can happen in a few patients is that the caliber of the transplanted hairs can actually thin noticably within 3 years of the transplant. I have no idea why this happens, but it is a definite phenomenon in few patients. The way to counter this graft thinning is simply to implant more grafts in the area.

This happened to a patient of mine who used to post quite frequently. I performed two surgeries on him that gave him a thick tuft of hair in the front and top of the head. Then, about 2.5 years later he visited the office because of noticable thinning in the recipient area. We did one more transplant and that did the trick. He has no problem since. He posted a professional portrait of himself and signed off the internet to go on with his life.

Making sure your transplant surgery is done right is just ONE aspect contributing to the final result. YOUR personal physiology plays just as important a role. The body does many seemingly qwirky and weird things and we are FAR from having all the answers.

Fortunately, the overwhelming majority of patients have "average" physiologies that allow for significant cosmetic improvment after surgery.

Dr. Feller
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Old 03-10-2008, 12:55 PM
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Old 03-10-2008, 01:06 PM
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Spex put up Dai Vernon's portrait that I mentioned in my previous post. That is how he looks today

Below are photos of how he looked when I first met him:


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Old 03-10-2008, 01:51 PM
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I forgot about him. Thats a great result.
Did he ever address the crown?
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Old 03-10-2008, 02:17 PM
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Thats an incredible change in appearance! Fantastic work, even if that is "thin hair" I would gladly have that result!
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Old 03-10-2008, 03:31 PM
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How many grafts did he have?
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Old 03-10-2008, 04:26 PM
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Dr. Feller---
"Make NO mistake about it. A person can lose some of his transplants over the years. It's not common, but it DOES happen.
What can happen in a few patients is that the caliber of the transplanted hairs can actually thin noticably within 3 years of the transplant. I have no idea why this happens, but it is a definite phenomenon in few patients. The way to counter this graft thinning is simply to implant more grafts in the area."
----
I have *never* heard of this phenomena before; is there any way you can elaborate more on this? I realize you said the causal variables are physiological and *unknown* but w/respect to *thinning*:
-your NOT referring to thinning due to MPB and thus the hair which does *thin* does not ultimately die and not continue to grow; correct?
-you said it was "uncommon;" can you quantify that at all (i.e. 5%)?
-if a patient does have some quirky physiological predisposition which causes the transplanted hair to *thin* then won't the same hold true for additional transplanted hair on the same patient in an attempt to resolve the issue? This would be of *significant* concern in a case where an individual---although planning for the long-term AND taking into account supply and demand issues---does an initial Mega-Session procedure to ONLY address the front half while leaving enough grafts in reserve to address the crown in a second procedure; as in this case:
http://www.hairrestorationnetwork.co...d.php?t=153255
This has been MY plan for a line of attack, because by ALL accounts it seems to be the most effective strategy;
-BUT-
what if one (as in Club Head's case) had been one of the unlucky *minority* who suffered from *thinning* of transplanted hair? He would now be left w/only half, or less, of his donor hair left and has only addressed HALF of his balding area?

The ONLY account I have ever heard of anything approximating this phenomena was by Jotronic where he stated that sometimes the transplanted hair (during the 12-18 month period) will *thin;* but the *thinning* he was referring to was w/respect to the donor hair being of a caliber which is naturally thicker than what would be found on the top of even a man who does not suffer from MPB, thus the donor hair thins out to mimic the hair in the recipient area. Is this NOT the phenomena your referring to?
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