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Old 09-13-2011, 08:33 AM
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Default Dr. Lindsey 4536 graft frontal case with 1 month scarcheck McLean VA

This fellow was in yesterday for a scar check. He has been doing a comb-over for years to hide his hairloss. At his initial consultation, I suggested he preserve his comb-over, do a big frontal case, which would take a week off of work, then he could go back to work with his comb-over and hopefully no one would notice. Then a year later we could do a second case but I felt we’d never cover the crown.

We did a large strip case on him, and excised the usual size (1.7cm wide) strip and had a nice 2 layer closure. In fact, I commented during the strip that #1: he had fantastic density—way more than I expected and #2: that we probably could have gone a little wider given how easy he was to close. I expected us to get 3500+ grafts, pretty typical for a big case at my office.

As the day wound on, my techs’ numbers kept growing and by 3 o’clock, we had 4536 grafts, roughly half singles and half doubles and triples. I’d made fewer single slits than that, so in the far back we added some extra one’s to give more bulk. I’ve described my thoughts on this before, and essentially, back in the middle of the head, I think it’s reasonable to add extra singles like this as you really just want density. I’d never do this up front or at the hairline, as the hairs may grow at a bit of an angle and look noticeable, but way back in the middle; again I just want density and more coverage.
Shown are periop pics, 3 day checkup pics, 1 week and 5 week pictures. His scar is virtually undetectable even at 1 month. Assuming this grows in well, I’m guessing we can get 3000 out of another strip and really almost completely give him good coverage. He has thick wavy hair which solves half the battle.

Dr. Lindsey McLean VA
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Old 09-13-2011, 08:40 AM
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This looks like it is going to turn out very nice.
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Old 09-13-2011, 12:52 PM
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Great work Doc - i know i am biased but 4500+ BOOOM!!!

Great work
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Old 09-13-2011, 08:27 PM
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Looking good.... and he has to be stoked that he has sufficient donor to fill in the crown down the road.
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Old 09-13-2011, 09:26 PM
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Dr. Lindsey,

It appears that this gentleman is in for an impressive transformation. I hope we'll see some follow up pics as he progresses.

Thank you for sharing this case.
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Old 09-14-2011, 08:46 AM
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Thanks for the comments. Yes, he is our biggest graft number case so far.

I suspect he'll be in for followups. He lives in our area and is pretty motivated to get a nice result. In fact the biggest issue he and I had is that I had to get him to log off the forums during the first week as he kept getting differing instructions from everyone about postop care....

Now is the hard part. Waiting for growth.

Dr. Lindsey McLean VA
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Old 09-14-2011, 06:55 PM
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Hi folks - my head is the one pictured at the top of this thread I've been lurking a while, this is my first (and possibly last) posting. I tend to not post much online, even at places like Facebook, but would like to share a little for the benefit of anyone considering Dr. Lindsey.

My overall experience with Dr. Lindsey and his staff has been excellent thus far. I spent considerable time "researching" the process, both here and elsewhere. FUE did not seem a viable option in my case due to the number of grafts needed for good coverage. While FUE is great for some people, I disagree with those who feel FUE is the universal answer for everyone.

I'm a bit of a perfectionist in life, and my top criteria was "natural" looking results and difficult to see scar. Most of the horror stories out there seem to involve either plugs, flaps / scalp reductions, or 1/2 inch donor scars. Dr. Lindsey takes great pride in his sutures and minimal scarring, and it shows. My initial results in the donor area are very encouraging.

The day of the procedure was relaxed, efficient, and relatively painless. I came into this expecting an unpleasant day, and was a little nervous/shaky before taking the meds. Perhaps pictures of open scalps (like mine above - ha!) or past experience with dentists played a role in that. This procedure was far less painful than my last wisdom tooth extraction, and I would rate it around the same as getting a few flu shots. After the area was numbed, I didn't feel much pain, and Dr. Lindsey's staff made sure it stayed that way throughout the day. I spent a good deal of the time reading and browsing with my iPad. Music also helped me pass the time and mentally distract me while the strip was being removed.

Dr. Lindsey's assistants are wonderful. They were extremely warm, friendly, and hard working. I got the sense that they genuinely care and are personally invested in a good outcome. They worked tirelessly to get all those grafts rooted in my "thick scalp." The final count was higher than expected (I was hoping for 3500-3800) and I'm optimistic this will give me some nice density in front. All of the surprises thus far have been good ones. More donor density, grafts, and laxity than expected. Less pain and disruption to my life. I really couldn't ask for more right now.

My first day back to work was completely uneventful. Noone noticed, or even looked twice at my head. Instead, they asked how my little "vacation" was While I did lose some of my combover hair due to shaving in the recipient area, I've been able to cover it fairly well with the addition of Toppik. One of my fears was looking a bit freakish on my return to work, and that thankfully didn't happen.

Dr. Lindsey was always quick to answer my many questions, and patiently put up with some of my paranoia. For the record, I did follow his post-op directions as precisely as possible, and so far things appear to be going well. Beyond washing, for about a week or so I rubbed a little Vitamin E into the donor area, but nothing special beyond that. While reading posts here did generate some additional questions - it also answered many others I had and made me more comfortable going forward with the procedure. It's not likely I'll spend much time here in the future, but I did find this board a valuable resource and appreciate the information shared. Folks like Plunge and Spex have made it much easier for the rest of us.

From my own experience, I feel Dr. Lindsey is a great option for anyone considering a hair transplant in the metro Washington, D.C. area. I think if anything he tends to be a little underrated here, and at this point I would include him in the top 5 doctors I'm aware of. I understand it's early to judge final results, but the feedback here has me hopeful this will turn out nicely. Things also looked pretty good to me the first week or two - prior to the inevitable shed. I have had few interactions with doctors as pleasant as this.

I expect to check back in with Dr. Lindsey for follow up, and as I told him - I consider this the first half of a two-part process. Next year I hope to finish off the crown. For me personally, this was a major decision and one that I've put off for a number of years. Now I just want to fast forward to the final result. My biggest disappointment is that it may take 2 years from start to finish, and wish I had begun a little sooner. Best of luck to everyone else in their journey.

Cheers.
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Old 09-20-2011, 08:48 AM
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Thanks for the nice post. I'll see you in a few months. I am expecting a terrific result for you.

And yes, go skins!

Dr. L
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Old 09-22-2011, 02:20 PM
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Dr. Lindsey,

Excited to see some of the results photos in a few months! Thanks for sharing these photos!
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Old 09-27-2011, 09:21 AM
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You are not nearly as excited as I am and I'm less so that the patient is, but not by much. Thanks. I'll look forward to posting something in about 5 months.

Dr. Lindsey McLean VA
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