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Dr. Thomas Nakatsui

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Everything posted by Dr. Thomas Nakatsui

  1. As there seemed to be a lot of interest with the last patient I posted, I thought I would put up another temple fill-in. This is a patient who came in two weeks ago to my office for follow-up. When he first came to us about two years ago, he really didn't like the deep recession of his temples. He didn't want to lower his hairline but he did want to fill in the balded temple areas that he really didn't like having exposed. We transplanted 361 single grafts, 629 double grafts, and 110 three hair grafts, for a total of 1100 grafts. He is very happy with the improvement. Dr. Nakatsui
  2. This is a patient who came in for follow-up for an FUE procedure back in 2018. He had wanted to fill in his temples. We transplanted 67 single grafts, 489 double grafts, and 160 big grafts, for a total count of 716 grafts. He is very happy with the improvement to this temples and cannot detect any of the FUE extraction sites. Dr. Nakatsui https://drnakatsui.com
  3. This is a patient who first came to see me in 2015 and who wanted to thicken up his frontal scalp. He was very happy with his results but over the next four years felt that his hair was continuing to thin, particularly in the mid scalp area and in 2019, we did a smaller procedure to fill in the mid scalp. In 2016, he received 784 single grafts, 1183 double grafts, and 324 three-hair grafts, for a total count of 2291 grafts to the frontal scalp via FUT. In 2019, he received 652 single grafts, 845 double grafts, and 117 three hair grafts, for a total count of 1618 grafts to the mid scalp
  4. This is a patient who came in recently and had previously received a hair transplant to his hairline years ago. Since that time, he experienced thinning of the area behind the transplant, as well as lateral to the transplant, and in the vertex. He wanted to thick up these areas again so we transplanted these areas last year. We used 737 single grafts, 1843 double grafts, and 933 three hair grafts, for a total count of 3513 grafts. The patient is about 11 months out and is very happy with the results so far. Dr. Nakatsui https://drnakatsui.com
  5. This is a patient who wanted his frontal scalp to look thicker and wanted his hairline to be lowered. He wanted to maintain a natural look but didn't want to use a lot of grafts. We only used 455 single grafts, 1090 two-hair grafts, and 705 three-hair grafts, for a total count of 2250 grafts to thicken up the frontal scalp. He came in about 11 months post op and he is very happy with the results. He is happy that it has changed his hairline and areas of significant thinning dramatically while still appearing very natural. In the after photos, he has a bit of product in his hair, obscuring
  6. Melvin and Mycroft, Thank you for your replies. I am also looking forward to the results. This was an FUT procedure and I believe it was a mini-micrograft procedure or multi-follicular graft procedure. Thanks again.
  7. This is a patient who came in for his procedure recently. His story is interesting in that he had received one prior hair transplant procedure from another clinic about two years ago. He believes he was told he had received approximately 2500 grafts. Luckily, he had a photo of his recipient area following his first procedure so we could ascertain if this was possibly the case . Based on this photo, I think it more likely he received 2500 follicles/hairs as opposed to 2500 grafts as the density does not seem high enough to reconcile a 2500 graft count. I do encounter patients who were tol
  8. This is a patient who came in a few weeks ago for follow-up He first came in about 5 years ago and wanted to fill in his frontal scalp. In the frontal scalp, we transplanted 684 single hair grafts, 1380 two-hair grafts, and 337 single hair grafts for a total of 2410 grafts. He is very happy with the results. Dr. Nakatsui https://drnakatsui.com
  9. This is a patient who wanted to thicken up his frontal scalp as he felt that his hair was thinning out of control and his hairs were becoming so fine. We decided to transplant the frontal scalp and we used 2186 grafts consisting of 643 single hair grafts, 1176 two-hair grafts, and 367 three-hair grafts. His after photos were taken 13 months after his transplant. He came in a few weeks ago and is extremely happy with the thickening. Dr. Nakatsui https://drnakatsui.com
  10. Melvin, thanks for the comments! Gasthoerer, thank you for your comments also. I see that I forgot to put the postop front view photo. I will attach the front view before and after here. Dr. Nakatsui https://drnakatsui.com
  11. This is a patient who came in for follow-up a few weeks ago. One year ago, we did a FUE transplant to his temples. We transplanted 177 single grafts, 503 double grafts, and 153 3-hair grafts for a total of 833 grafts. The patient is very happy with his improvement. Of note, he had a strong cowlick on the right side that we had to follow in terms of hair direction. Dr. Nakatsui https://drnakatsui.com
  12. Phi36fromaus, vinzaf19, Thanks for your comments! I really appreciate them. jj51702 and vinzaf19 both asked if the patient is on any other medications as well. I checked his chart and his is currently taking Propecia 1 mg daily. Thanks again for all the comments. Dr. Nakatsui https://drnakatsui.com https://nakatsuiderm.com
  13. CosmoKramer, jj51702, paddyirishman, and forgotpassword, Thank you for your comments! I appreciate them. He is definitely happy with the rejuvenation of his hairline. Even though it is not a low hairline, it has turned the clock back considerably and sometimes that is exactly what the patient wants. As for what other treatments he is on, I will have to check his chart and get back to you. Thanks again for the comments. Dr, N https://drnakatsui.com https://nakatsuiderm.com
  14. This patient came in recently for follow-up and he is now about 6 years out from his surgery. Just wanted to show how well transplants can be sustained over the years. He initially came in unhappy with the significant thinning he had experienced and wanted to rejuvenate his hair. He did not want a low hairline and wanted to keep some temple recession. However, he really wanted to thicken up the appearance of his frontal scalp. We used 566 single grafts, 1236 double grafts, and 918 three-hair grafts, for a total count of 2720 grafts. He is very happy with the results of his trans
  15. This is a patient who came In a few weeks ago for follow-up. She had always felt self-conscious about her high hairline all her life and had really wanted to lower it. We transplanted 386 single grafts, 856 double-hair grafts, and 375 three-hair grafts for a total of 1617 grafts. We did this five years ago and she tells us this was an amazing transformation for her. She was extremely happy with the change. Dr, Nakatsui https://nakatsuiderm.com/treatments/hair-transplant-edmonton/ https://drnakatsui.com
  16. This is a patient who we transplanted several years ago and came in recently for follow-up. We only transplanted the frontal scalp and transplanted 825 single grafts, 1611 double grafts, and 797 three-hair grafts, for a total count of 3233 grafts. He is very happy with the results. Dr. Nakatsui drnakatsui.com | nakatsuiderm.com
  17. This is a patient with very fine hair who wanted to restore his frontal hairline. As most of you will know, it is more difficult to generate a dense result in a patient with fine donor hair as the hair volume is so much less than in a patient with coarse hair. This patient underwent a strip procedure in 2016 and received 578 single grafts, 847 double grafts, and 393 three hair grafts, for a total count of 1818 grafts. His scarline is very thin. He is very happy with his results. Dr. N Nakatsui Hair Transplant Surgery
  18. We see more and more women who are troubled by their androgenetic alopecia. This patient came in recently for follow-up and I have attached her pre-op and 1 year photos. She had thinning of frontal forelock area, as well as some thinning of the right temple. We did a small transplant of 1427 grafts (683 single hair grafts, 710 double hair grafts, and 34 three hair grafts). Dr. Nakatsui https://drnakatsui.com
  19. Thanks for the great question. As you imply, there are many types of scarring alopecia, ranging from trauma to inflammatory processes such as lichen planopilaris, discoid lupus, and folliculitis decalvans. In this particular case, I do not recall the cause of the alopecia but I believe it was from trauma and therefore, I expect this result to be longstanding. The only problem that might arise would be if his other hair were to recede past the transplanted areas, then the transplanted areas would appear as islands of persistent hair. Over the years, I have transplanted various types
  20. This is a patient who came in recently for follow-up. He had several small areas of scarring alopecia that he wanted to fill in and wanted to get FUE so that there would be no visible linear scar. We are often asked about the viability of grafts into scar tissue. In my experience, follicular unit grafts grow very well in scar tissue although I do wonder if the percentage of growth is sometimes less than in "virgin" scalp. This patient received 91 single grafts, 291 double grafts, and 25 three-hair grafts for a total of 407 FUE grafts. The areas of scarring alopecia are now undetectable an
  21. This was a patient who was noticing loss to the temple areas, as well as thinning of the frontal scalp. He wanted to thicken up these areas and we did a small FUE session to fill these in. He received 135 single grafts, 632 double grafts, and 79 three hair grafts, for a total count of 836 grafts. He has very well so far for a relatively small procedure. Attached are his before and after photos. Dr. Nakatsui https://drnakatsui.com FRONTAL VIEW RIGHT SIDE LEFT SIDE
  22. This is a patient who really wanted to thicken up his frontal scalp. We transplanted 2362 grafts (561 single hair grafts, 1353 two-hair grafts, and 448 three-hair grafts) to the frontal scalp. He is extremely happy with the improvement in the appearance of his hairline. Dr. Nakatsui Hair Transplant Surgery Clinic located in Edmonton, Canada
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