-
Posts
111 -
Joined
-
Last visited
Content Type
Forums
Profiles
Store
Gallery
Articles
Blogs
Events
Downloads
Everything posted by Dr. James DeYarman
-
How many grafts would I need
Dr. James DeYarman replied to Dav7's topic in Hair Restoration Questions and Answers
You appear young. I would do a FUE and keep the number as low as possible. The crown can give you concern on graft distribution but can be done. -
Donor area pain after FUE
Dr. James DeYarman replied to eternaldenied's topic in Hair Restoration Questions and Answers
Do either of you know the size of the punch your doctor used to extract the grafts. It would be interesting if the size of the punch would make a difference in post-op pain. -
This 60 year man requested a crown transplant. My experience has shown that there seems to better growth in the crown if you do a FUE then a strip. I think it is because there is less trauma to the blood supply with a FUE procedure then a strip procedure. I am amazed how fast it heals. I used a .85 Harris punch and custom cut blades for the recipient sites. Note also I harvested up to the recipient area to help match the density with the donor area.
-
I posted a video on a discussion of the .8 verses the 1mm punch.
-
Achievable crown density
Dr. James DeYarman replied to MrSteele's topic in Hair Restoration Questions and Answers
Spanker I have been hair transplants long enough that I started out doing plugs and converted to strip. The large grafts grew in the crown better then follicular units do in the crown and I feel it is due to vascular damage when you remove the strip. Shampoo I depending on your age and the size of the bald spot would determine the amount. I have been using less grafts per square centimeter because there are a lot of multi-hair grafts. The second time you have to start balancing out densities between transplanted and un-transplanted hair. I have found 1500-2000 is needed the first time in the crown. I can do up to 2000 in a day and for 3000+ it is a two day procedure. -
Achievable crown density
Dr. James DeYarman replied to MrSteele's topic in Hair Restoration Questions and Answers
I think you are missing the point, the man is concerned about his bald spot and tell him not to treat means he is missing out on a good positive change. The trick is do the FUE procedure and not a strip procedure you will see a much better outcome. -
Achievable crown density
Dr. James DeYarman replied to MrSteele's topic in Hair Restoration Questions and Answers
I agree with Dr Beehner that the crown has to be treated with care. For the last several years people have been saying it is hard to grow hair in the crown. As you can see from Dr Beehner’s photo of the plugs, there seems to be no trouble with growth. The question is, why there was better growth back with the plugs and I think it is because there is was not as much destruction of the blood supply as with a strip procedure. I feel the best procedure is a FUE procedure with punches smaller then 1mm. Because of the small punch there is no vascular damage and the FUE grafts will have more hair giving more coverage. I start in the center of the whirl with ones and fan out following the patient hair direction. Finally you have to tell the patient there will most likely be another procedure in the future it will be obvious where to transplant as we are dealing with density. With the FUE you can match donor density to transplant density by thinning and transplanting, you cannot do this with strip procedure. -
While doing a FUE transplant a 6 hair graft was created. The punch was only .8mm yet there was no transection of the hair. The punch used was the Harris dull punch which works on the principle of blunt dissection. I was amazed how the graft was only .8 mm and yet produced such a large hair number graft. The photo represent a photo without magnification and one with a 50 times magnification and if you look close you see the sixth hair to the side in the telegen state.
-
Swelling after Hair Transplant
Dr. James DeYarman replied to Spectre's topic in Hair Restoration Questions and Answers
Swelling is due to the large amount of saline injected under the scalp during the procedure. I have my patient's apply a hot compress to the forehead then massage the forehead from the middle out to help get the fluid to migrate down the side of the face and into the neck. I have my patients massage the forehead once an hour for five minutes for the first 48 hours while awake. Since the swelling is due to the saline ice will make the swelling last longer. I advice my patients not to use ice on the face or forehead. -
This 34 old man had one procedure of 2836 follicular units transplanted from front to back. The donor area was closed with a trichophytic closure and staples. The scar was not visible enough to photograph. The grafts were placed in .84mm slits. The patient is very happy with the results. The patient has also been on finasteride which has helped his situation.
-
Bill Thanks for the kind words I will pass this on to the patient. Question Man I will attach of a profile photo with squares . There were about 50 square centimeters of area to treat. I usually transplant at 40 – 50 grafts per square centimeter and this will yield about a 50% density. After one year the patient wanted to add more density to the first procedure. If you would like to see these photos I can post. As far as how many grafts he will have left I have found that most people you can get up to 10,000 follicular units from a donor area over at least 25 – 30 years. He has not wasted any grafts and if NW6 happens we will deal with it.
-
Any Suggestions ?
Dr. James DeYarman replied to augustya's topic in Hair Restoration Questions and Answers
Augusta I can photoshop this for you. Draw in with a black wax pencil where you would like your hair line. Have someone else take the photos. Have them take a front, profiles and top and email them to me. I will add hair and email it back to you. My email address is drjbd@deyarmanhmedical.com DrD -
This patient had one surgery of follicular units of 5022 grafts plus PRP injected into area. I have posted his before plus ten day and one year later photos. I posted the 10 day photos to show how quickly the patient healed which I feel is due to the PRP injections. The patient is on no drugs and is very pleased with the result.
-
Apply Rogaine and washing hair soon after
Dr. James DeYarman replied to cimbom's topic in Open Hair Loss Topics
I'm sorry for not getting back to your question sooner. Rogaine was created from a drug called Loniten. It was a high blood pressure medication and the side effect was people would start to grow body hair. The strength of the pill was 100 mg. and started out at one pill per day. The active ingredient in Loniten is minoxidil and that is what was put into solution to create the first Minoxidil solution. The side effects from Rogaine can be skin rash, hair growth on the face and in some cases headache. Because of the amount being used it would be hard to get any lowering of the blood pressur using the medication topical. For minoxidil to be effective on the hair follicle it has to be massaged into the scalp and because of the small amount of minoxidil it is unlikly to have any affect on blood pressure. I hope this answers your questions.