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Bernstein Medical - Center for Hair Restoration Patient ODQ has brown hair and a donor density of 2.3 hairs/mm2. He had an advanced Norwood Class 3 pattern of hair loss. The patient wanted to lower his hairline and thicken the forelock area. Results after one hair transplant session of 1,950 follicular unit grafts.
Click thumbnails a larger view:
Overview:
Before / After:
Left: Before Hair Transplant
Right: After One Session
Detail of Hairline
Left: Before Hair Transplant
Right: After Hair Transplant
Top View
View showing distribution of grafts.
Left: Before Hair Transplant
Center-Left: Position of Hairline
Center-Right: Distribution of 1,950 Grafts
Right: 1 Year Post-op
See patients with similar characteristics in the Bernstein Medical photo galleries:
- Norwood Class 3
- 1 Session
- Hair Character: Brown
Additional Resources:
- View Patient ODQ's photo profile at Bernstein Medical
- Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class
- Interested in a consultation? Click here to schedule a consult or here to read about our consultations
- New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ
- Visit the Bernstein Medical YouTube channel
- Norwood Class 3
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Hi David,
Good question. He has been on finasteride and got good regrowth on the back part of his scalp, so it was not necessary to transplant there. All the grafts were placed in the front/mid-scalp so, in a sense, even though he is a Class 6 technically, he was transplanted as if he were a NW 4A. He plans to remain on finasteride.
Best,
Dr. Bernstein
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Bernstein Medical - Center for Hair Restoration Patient ACB was a Norwood Class 6 with straight brown hair. He had a hair transplant consisting of 1,788 follicular unit grafts. Results photos were taken 10 months following his hair transplant.
Click thumbnails a larger view:
Before / After:
Left: Before Hair Transplant
Right: After One Session
Detail of Hairline
Left: Before
Center-Right: Position of Hairline
Center-Left: Placement of 1,788 Grafts
Right: After One Session
See patients with similar characteristics in the Bernstein Medical photo galleries:
- Norwood Class 6
- 1 Session
- Hair Character: Brown, Straight
Additional Resources:
- View Patient ACB's photo profile at Bernstein Medical
- Visit our Hair Transplant Photos galleries or browse our patients by their Norwood Class
- Interested in a consultation? Click here to schedule a consult or here to read about our consultations
- New to hair restoration? Read our comprehensive guide to Hair Transplant surgery or our Hair Transplant FAQ
- Visit the Bernstein Medical YouTube channel
- Norwood Class 6
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Bernstein Medical - Center for Hair Restoration Patient RYL was a Norwood Class 6 before surgery, with red hair and a donor density of 2.2 hairs/mm2. The patient had a hair transplant consisting of 2,496 follicular unit grafts. The results photos were taken one year after his surgical hair restoration procedure.
Click thumbnails a larger view:
Before / After:
Left: Before Hair Transplant
Right: After One Session
Detail of Hairline
Left: Before Hair Restoration
Center-Left: Position of Hairline
Center-Right: Recipient Sites
Right: After Transplant
See patients with similar characteristics in the Bernstein Medical photo galleries:
- Norwood Class 6
- 1 Session
- Hair Character: Red
Additional Resources:
- View Patient RLY's photo profile at Bernstein Medical
- View our Hair Transplant Photos galleries at Bernstein Medical
- Browse our patient photo sets by Norwood Class
- Visit the Bernstein Medical Website for information about our consultations and services, plus a wealth of resources on hair restoration.
- Visit the Bernstein Medical YouTube channel
- New to hair restoration? Read our comprehensive overview of Hair Transplant surgery and our Hair Transplant FAQ
- Norwood Class 6
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Bernstein Medical - Center for Hair Restoration Patient RFR is a Norwood Class 5A with blond hair and a donor density of 2.1 hairs/mm2. He had one hair transplant session of 2,144 follicular unit grafts. The results photos were taken one year after his surgical hair restoration procedure.
Click thumbnails a larger view:
Before / After:
Left: Before Hair Transplant
Right: After One Session
Detail of Hairline
Left: Before Hair Restoration
Center: Position of Hairline
Right: After Surgery
Top View
Left: Before Hair Transplant
Center-Left: Position of Hairline
Center-Right: Placement of 2,144 Follicular Unit Grafts
Right: After Hair Transplant
See patients with similar characteristics in the Bernstein Medical photo galleries:
- Norwood Class 5A
- 1 Session
- Hair Character: Blond, Straight
Additional Resources:
- View Patient RFR's photo profile at Bernstein Medical
- View our Hair Transplant Photos galleries at Bernstein Medical
- Browse our patient photo sets by Norwood Class
- Visit the Bernstein Medical Website for information about our consultations and services, plus a wealth of resources on hair restoration.
- Visit the Bernstein Medical YouTube channel
- Norwood Class 5A
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At 10 days, grafts are permanent, so you may scrub as much as you like. For cosmetic purposes, this is generally a good idea as any residual crusts on the scalp or transplanted hair may be noticeable. Removing the crusts will also decrease any tendency to pick and scratch.
With respect to the other question, if you bang your head and it doesn't break the skin or cause a hematoma (bleeding under the skin), the grafts should be fine. With regard to getting in the ring with Tyson - I wouldn't advise it.
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Hi Gillenator,
What you are saying is correct. Perhaps my comment on folliculitis was too concise and thus misinterpreted. I was lumping non-infectious and infectious folliculitis together when I said that incidence of folliculitis was relatively common. The non-infectious, low-grade inflammation of at least some hair follicles is what is very common. The infectious folliculitis – one that can affect growth after a hair transplant and that requires treatment with antibiotics – I agree is relatively rare. For this reason, and to prevent antibiotic resistance, prophylactic antibiotics are now not routinely recommended for hair transplantation.
In addition to the post-op suggestions that patients can use to prevent folliculitis mentioned above, the surgeon can reduce the incidence by keeping implanted grafts slightly elevated. This is a practice currently employed by most hair transplant doctors.
I suspect that the recent increased incidence of folliculitis may, in part, be due to the increased % of procedures performed by FUE (rather than just the increased volume of procedures) where hair fragments may be included in the transplant, inciting inflammation and predisposing to infection. This can be mitigated by using stereo-microscopes to check and trim the extracted grafts. Unfortunately, stereo-microscopic dissection is a skill that is second nature to hair transplant teams that were trained in FUT/strip and now do FUE, but not necessarily a honed skill of practices that only have performed FUE.
Thanks for asking me for this clarification.
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Hi all,
Wanted to let you know about the latest news from Dr. Bernstein. Here is a sample of the news release:
Hair transplant pioneer Dr. Robert M. Bernstein and his colleague Dr. William R. Rassman have received a patent on a new method that improves the outcome of Follicular Unit Extraction (FUE) — the type of procedure used in half of all hair transplants performed world-wide. The key invention is the addition of a delay between the creation of recipient sites and the insertion of follicular units into those sites. The delay allows the healing process to commence before grafts are inserted, resulting in increased success of the transplant and an improved outcome.Dr. Bernstein introduced the concept of “pre-making recipient sites” into medical literature in a 2012 publication in Hair Transplant Forum International, has discussed the idea extensively, and presented findings at the 2015 ISHRS Annual Scientific Meeting. However, this is the first time he has patented a hair restoration technique.
You can read the rest on the Bernstein Medical website.
Feel free to contact us with any questions.
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Hi Guys,
My surgeon asked me to actively scrub away any remaining hair after 2 weeks, as he felt waiting for more than 3 weeks predisposes to folliculitis.
She said that follicles are well and truly safe after day 10.
Any thoughts ?
Hi kirenkodali,
Around ten years ago I did a study to specifically answer this question (Bernstein RM, Rassman WR: Graft anchoring in hair transplantation. Dermatol Surg 2006; 32: 198-204.). We found that at ten days post-op grafts were no longer at risk of being dislodged. We therefore tell patients to be very gentle when washing your recipient area within the first 10 days. After that you will be able to wash normally without losing grafts. You can read the study here and watch a video describing the study and its findings here.
Folliculitis, a low-grade inflammation or infection of the hair follicle, is relatively common and may occur up to three months after your transplant. It is typically caused by picking or scratching crusts or scabs, or poor hygiene, but may occur even without any precipitating factors. The best way to prevent folliculitis is frequent postoperative showering of the recipient area and, of course, not picking or scratching your recipient area.
You can visit our Post-op FUT or Post-op FUE pages for more information on post-operative care, instructions, and a timeline. You can download PDF versions of the instructions for offline use, the link for the PDF is at the top of each of the post-op pages.
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Bernstein Medical - Center for Hair Restoration Patient IJC is an African-American male with Norwood Class 4A hair loss. He has dark-brown/black, textured hair with a donor density of 1.5 hairs/mm2. The "after" photo results shown were taken 4 years after one session of 2,275 follicular unit grafts.
Click thumbnails a larger view:
Before / After:
Left: Before Hair Transplant
Right: 4 Years After Transplant
Detail of Hairline
Photos showing the planning of the patient’s hairline.
Left: Before Transplant
Center: Position of Planned Hairline
Right: 4 Years After Transplant
Top View
Patient prefers to keep his hair short.
Left: Before Transplant
Center: Distribution of 2,275 Grafts
Right: 4 Years After Transplant
See patients with similar characteristics in the Bernstein Medical photo galleries:
- Norwood Class 4A
- 1 Session
- Hair Character: Black, Curly
- Donor Density: 1.5 hairs/mm2
Additional Resources:
- View Patient IJC's photo profile at Bernstein Medical
- View our Hair Transplant Photos galleries at Bernstein Medical
- Browse our patient photo sets by Norwood Class
- Visit the Bernstein Medical Website for information about our consultations and services, plus a wealth of resources on hair restoration.
- Visit the Bernstein Medical YouTube channel
- Norwood Class 4A
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Bernstein Medical - Center for Hair Restoration Patient GKL has a Norwood Class 4A pattern of hair loss with a persistent frontal forelock. He has brown, slightly wavy hair and a donor density of 2.2 hairs/mm2. Results after one hair transplant of 1,845 follicular unit grafts.
Click the thumbnails below for a larger view.
Before / After:
Left: Before
Right: After
Detail of Hairline
Photos showing the planning of the patient’s hairline.
Left: Before Hair Transplant
Center: Position of Planned Hairline
Right: After One Hair Transplant Session
Top View
Norwood 4A pattern showing persistent forelock with grafts transplanted around and through it.
Left: Before Hair Transplant
Center-Left: Position of Planned Hairline
Center-Right: Placement of 1845 Grafts
Right: 15 Months After Transplant
See photo sets of other patients who have similar characteristics:
- Norwood Class 4A
- 1 Session
- Hair Character: Brown, Slightly Wavy
- Donor Density: 2.2 hairs/mm2
Additional Resources:
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- View Patient GKL's photo profile at Bernstein Medical
- View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class
- Visit the Bernstein Medical YouTube channel
- Read about Hair Transplant Surgery
- Norwood Class 4A
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Bernstein Medical - Center for Hair Restoration Patient SAE was a Norwood Class 4a with brown, slightly wavy hair who became a Norwood 6 over the five year period from his first procedure to the after photos, almost five years later. Photos shown were taken after three hair transplant sessions totaling 5,713 follicular unit grafts.
Click the thumbnails below for a larger view.
Before / After:
Left: Before Hair Transplant
Right: After 3rd Session
Detail of Hairline
Left: Before Hair Transplant
Right: After 1st Hair Transplant Session
See other patients with similar characteristics:
- Norwood Class 4A
- 3 Sessions
- Hair Character: Brown, Wavy
Additional Resources:
- View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class
- View Patient SAE's photo profile at Bernstein Medical
- Visit the Bernstein Medical YouTube channel
- Read about Hair Transplant Surgery
- Norwood Class 4A
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Bernstein Medical - Center for Hair Restoration Patient VUB is a Norwood Class 4A with wavy, dark brown hair and a donor density of 2.1 hairs/mm2. Results after two hair restoration procedures totaling 2,884 follicular unit grafts.
Click the thumbnails below for a larger view.
Before / After
Left: Before Hair Transplant
Right: After Hair Transplant
Top View
Left: Before Hair Transplant
Right: After 2nd Hair Transplant Session
For more information, schedule a physician consult online.
- View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class
- View Patient VUB's photo profile at Bernstein Medical
- Read Letters from Bernstein Medical Patients
- Visit the Bernstein Medical YouTube channel
- View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class
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Bernstein Medical - Center for Hair Restoration Patient FXZ is a Norwood Class 7 with salt and pepper, fine straight hair and a donor density of 2.4. Results after one hair transplant session of 2,290 follicular unit grafts. Note the low part, giving a “lift” to the hair. A second planned session will add hair to the patient’s right side so that the part can be raised. This will enable the patient to part his hair higher and have the effect of decreasing the lift to the hair.
Click the thumbnails below for a larger view.
Before / After:
Left: Before Hair Transplant
Right: After One Session
Top View
Left: After 1st Hair Transplant Session - Top View
- View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class
- View Patient FXZ's photo profile at Bernstein Medical
- Visit the Bernstein Medical YouTube channel
- Read more about Hair Transplant Surgery
- View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class
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Bernstein Medical Patient JCQ is a Norwood Class 6 with medium weight, slightly wiry hair and a moderately low donor density of 1.8 hairs/mm2. Results after three relatively small sessions of follicular unit hair transplantation totaling 2,833 grafts.
Click the thumbnails below for a larger view.
Before / After:
Left: Before Hair Transplant
Right: After One Session
Detail of Hairline
Note how the hairline was broadened slightly in the third session.
Left: Planned Position of Hairline
Center: After 2nd Hair Transplant Session
Right: After 3rd Hair Transplant Session
Top View
View after first two sessions.
Left: Before 1st Hair Transplant Session
Right: After 2nd Hair Transplant Session
- View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class
- View Patient JCQ's photo profile at Bernstein Medical
- Read Letters from Bernstein Medical Patients
- Visit the Bernstein Medical YouTube channel
- View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class
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Bernstein Medical - Center for Hair Restoration Patient FZI is an early Norwood Class 6, with dark brown, straight, medium fine hair and a donor density of 2.4. Results after two sessions of hair transplants using 1,786 and 1,764 grafts totaling 3,550 follicular units.
Click the thumbnails below for a larger view.
Before / After:
Left: Before Hair Transplant
Right: After Two Sessions
Detail of Hairline:
The hairline has been placed to complement his facial features and his age. Note the soft natural look after just one session of 1,786 grafts and final result after a second session of 1,764 grafts.
Left: Before Hair Transplant
Center: After 1st Hair Transplant Session
Right: After 2nd Hair Transplant Session
Top View of Hair Restoration:
Light, natural coverage after one session of 1,786 grafts. A second session adds more density.
Left: Before Hair Transplant
Center: After 1st Hair Transplant Session
Right: After 2nd Hair Transplant Session
Transition Over Two Hair Transplant Sessions:
Note the change in appearance over two sessions.
Left: Before Hair Transplant
Center: After 1st Session
Right: After 2nd Session
* View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class
* View Patient FZI's photo profile at Bernstein Medical
* Visit the Bernstein Medical YouTube channel
* Follow Dr. Robert M. Bernstein on Google+
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Bernstein Medical - Center for Hair Restoration Patient FVR is an early Norwood Class 6 with slightly wavy, light brown hair. His donor density is 2.0 hairs/mm2. Photos show the result of one hair restoration procedure of 2,941 follicular unit grafts.
Click the thumbnails below for a larger view.
Before / After:
Left: Before Hair Transplant
Right: After One Session
Detail of Hairline
Left: Before Hair Transplant
Center: Delineation of Proposed Hairline
Right: After Hair Transplant Session
Top View
Note how the hair transplant extends only to the vertex transition point. If the patient’s hair loss progresses further and he decides not to have additional surgery, this pattern will continue to look natural.
First: Before
Second: Position of Hairline
Third: Recipient Sites
Fourth: Results after 1 year
* View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class
* View Patient FVR's photo profile at Bernstein Medical
* * Read Letters from Bernstein Medical Patients
* Visit the Bernstein Medical YouTube channel
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Bernstein Medical - Center for Hair Restoration Patient FWB is a Norwood Class 6 with light brown, straight, medium fine hair and a donor density of 2.1. Results after two hair transplant sessions totaling 3,170 follicular unit grafts. The after photos were taken six years “after” the before photos. Patient FWB has written a letter to Dr. Bernstein which we have posted on our Letters from Patients page.
Click the thumbnails below for a larger view.
Before / After:
Left: Before hair transplant
Right: After 2nd hair transplant session
Detail of Hairline
Note how the density and softness increased from the first to the second session.
Left: Position of Hairline
Center: Recipient Sites
Right: After 1st Session
* View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class
* View Patient FWB's photo profile at Bernstein Medical
* Read Letters from Bernstein Medical Patients
* Visit the Bernstein Medical YouTube channel
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Bernstein Medical - Center for Hair Restoration Patient CKC is a Norwood Class 5 with fine, brown hair and a donor density of 1.8 hairs per mm2 which is slightly below average. CKC is a health care professional who had very definite ideas regarding how his hairline should be planned in his hair replacement procedure. His specific concern was that his temples would show enough recession for his age. Note how balanced and natural his final result looks. Photos taken one year after his second hair transplant showing younger appearance even now that he is older. CKC had 3,770 grafts over the first two sessions..
Click the thumbnails below for a larger view.
Before / After:
Left: Before Hair Transplant
Right: After One Session
Design and Graft Placement of 1st Hair Transplant Session
Head tilted slightly forward to show hairline with significant bitemporal recession.
Left: Position of Hairline
Center: Recipient Sites
Right: After 1st Session
Detail of Hairline
Hairline detail after first and second sessions.
Left: After 1st Hair Transplant Session
Right: After 2nd Hair Transplant Session
* View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class.
* View Patient CKC's photo profile at Bernstein Medical
* Visit the Bernstein Medical YouTube channel
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I know there are countless other threads, as acknowledged in my original post. The point of this thread is to bring them all together and get an answer for all the different shapes rather than, as you say, having countless threads dependent upon the shape of the hair being shed.
It would be good to have one resource where guys could come to and this thread could be the definitive shedding hair and worrying tread.
Any other guys want to share their thoughts?
Hi justgotfue,
The study that dreamermerlin was referring to is on the Bernstein Medical website along with a video showing results of the study. Grafts are secure at 9 days post-op. Here are links to the video and original study:
Video: Graft Anchoring After Hair Transplant Study | Bernstein Medical
Graft Anchoring in Hair Transplant Surgery (2006) | Bernstein Medical
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Hi rwj22,
Happy you are so pleased with the results. We have corrected the photos on the website!
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Bernstein Medical - Center for Hair Restoration Patient EVI is a Norwood Class 6 with medium fine, brown hair and a donor density of 2.5. The patient wore a hairpiece until his hair transplant. The plan for the first session was to connect his persistent forelock to the sides and add coverage to the top of his scalp. We used 2,044 follicular unit grafts. A second hair transplant session will be used to add density in the crown.
Click the thumbnails below for a larger view.
Before / After:
Left: Before Hair Transplant
Right: After Hair Transplant
Top View of Hair Restoration:
View showing forward weighting of first session. Note how the forelock has been integrated into the side hair completing the patient’s frontal presentation. A second session will “top off” the crown
Left: Before hair transplant
Right: After one hair transplant session
* View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class.
* View Patient EVI's photo profile at Bernstein Medical
* Like us on Facebook
* Follow Dr. Robert M. Bernstein on Google+
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Bernstein Medical - Center for Hair Restoration Patient GAQ is a Norwood Class 6. Although his donor density is slightly low at 2.0, his white hair reflects light and gives the appearance of significant fullness after only one hair transplant session of 1,648 follicular unit grafts.
Click the thumbnails below for a larger view.
Before / After:
Left: Before Hair Transplant
Right: After Hair Transplant
* View Hair Transplant Photos of more patients at Bernstein Medical. You can also browse our patient photo sets by Norwood Class.
* View Patient GAQ's photo profile at Bernstein Medical
* Like us on Facebook
* Follow Dr. Robert M. Bernstein on Google+
Dr. Bernstein / Patient w/Diffuse Patterned Alopecia (DPA) / 1 yr after 2,178 grafts
in Results Posted by Leading Hair Restoration Clinics
Posted
Bernstein Medical - Center for Hair Restoration Patient HNZ has Diffuse Patterned Alopecia (DPA), a type of androgenetic alopecia that manifests as diffuse thinning in the front, top and crown, but with a stable permanent zone in the donor area. He has medium-fine, straight, dark brown hair with a donor density of 2.0 hairs/mm2. The patient had one surgical hair restoration session of 2,178 follicular unit grafts. His “after” photos were taken one year after his procedure. Note the light coverage due to the patient’s low density, but still a very natural look after one procedure.
Overview:
Before / After:
Before Hair Transplant
After One Hair Transplant
Detail of Hairline:
Note the light coverage due to the patient’s low density, but still a very natural look after one procedure.
Before Transplant
Position of Hairline
Placement of 2,178 Grafts
1 Year Post-op
See patients with similar characteristics in the Bernstein Medical photo galleries:
Additional Resources: