This 36 y/o male first presented to me 13 years ago, having undergone multiple transplants with large plugs, which decimated his donor area and left him very unhappy with his appearance. He was wearing a hairpiece when I first met him. Every 3-4 years he would come in, and we would perform the "Lucas Technique" on his old grafts, coring out some of the hairs within them and then replanting them as FU's and micrografts where needed. He had his most recent procedure in late 2009 and recently returned for me to evaluate the results, at which time these photos were taken. Our goal was to gradually soften his old plugs and at the same time place FU's in the spaces between the old grafts. He has received a total of around 4000 FU's during those procedures, the most recent one having been 565 FU's. His "before" photos are first listed, followed by the recent ones I took.
Mike Beehner, M.D.

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Is he 36 now or when you first met? Does he still use a hair piece? He looks so so better. His first pics are some of the worst I have seen.

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"Great minds discuss ideas; average minds discuss events; small minds discuss people." -Eleanore Roosevelt

I see some doctors using the word 'repair' when they just add grafts in one session,this is a true repair imo,great work looks way better!

Dr. Beehner, Why was the plug redistribution done over years and not in one sitting?

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HT #1: Karamikian Unknown # of grafts Sept.2006

HT#2 Nov.23rd, 2007
Dr.Feller
Almost 3200 grafts via strip

HT#3 April 2010
Fue 200/side into temple points

HT#4 February 2011

My Hair Loss Website - Hair Transplant with Dr. Feller

Wow......his original work was awful. You have done a nice job for him....looks so much better and natural now. I had the same question as hair there.....why was the decision made to do this over a period of years? At any rate, a really nice end result.

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Surgery - Dr. Ron Shapiro 6/14/11 - 3048 grafts

http://www.hairrestorationnetwork.com/orlhair1

Man that is a big transformation. Why was it done over years? I know when redistributing grafts from old plugs you have to let the area heal before re transplanting in that region, but years seems like a long time!

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Newhairplease!!
Dr Rahal in January 19, 2012
4808 FUT grafts- 941 singles, 2809 doubles, 1031 triples, 27 quads

My Hairloss Website

His first two procedures were done only a couple of years apart, and the next couple a few years later, and then the touch-up a couple of years ago. The answer to your question is twofold: the first two procedures effectively removed the pluggy look enough to get rid of the hairpiece, and the second reason was spreading it out for financial reasons. He was 36 when he first came in 1998 and is 48 now. I hope that clears up that point for you.
Mike Beehner, M.D.

That's a pretty incredible transformation, I must say.

Thanks for the clarification..

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Newhairplease!!
Dr Rahal in January 19, 2012
4808 FUT grafts- 941 singles, 2809 doubles, 1031 triples, 27 quads

My Hairloss Website

Those plugs were awful - it's case where good yield was his worst enemy at the time. The guy looks a lot better now.

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2008 Dr. G – presumably 1,000 grafts / 2,142 hairs
2009 Dr. Paul Shapiro – 2,348 grafts / 4,258 hairs
2011 Dr. Paul Shapiro – 1,999 grafts / 3,624 hairs

My Hair Transplant Journey with Shapiro Medical Group