Steven Gabel, MD, FACS

This patient is a 37-year-old male who desired to increase the density of his hair in the frontal zone of his scalp. He has been on medication to help stabilize his hair loss for several years. 

Examination revealed significant hair loss at the hairline, frontal zone of the scalp, and mid-scalp. The patient had moderate laxity in the donor area. His hair caliber was average in size. 

After a lengthy discussion with the patient concerning treatment alternatives including hair restoration via the strip harvest method and the follicular unit excision harvest techniques, he opted for the strip harvest technique. The patient had 2,938 follicular unit grafts placed in the frontal zone and mid-scalp. 

The photographs show the results after 3 years. The patient was in recently for routine follow up and refill of his medications. Overall, he is extremely happy with the results and the density from the hair restoration procedure. 

This patient is a 38-year-old gentleman who desired to increase density in the hairline and frontal zone of the scalp. He wanted this to follow his native hairline and not alter his appearance significantly.  He does not have a family history of hair loss and is currently on oral and topical medications to maintain his native hair. His desire was very conservative: he wanted to bring down the frontal hairline about 1 cm and increase the density in the frontal area. The hair quality in the donor area was excellent, and he had no intentions of shaving his head in the future. 

The patient had 1959 follicular unit grafts placed in the frontal hairline and frontal zone of the scalp. The strip donor harvest method was utilized. The photographs show the results at 14 months. His goals were met as the frontal hairline has been enhanced, the density in the frontal zone increased, and there is no evidence of a scar in the donor area with his hair at the length of using his shaver in a low setting. Overall the patient was extremely satisfied with the naturalness of the final result and the density. 

The patient is a 31 year old salon owner who wanted to increase the density and fullness of his hairline and frontal zone. He also wanted to be able to cut his hair very close to his scalp and so he opted for a Follicular Unit Excision (FUE) donor harvest method for his hair transplant. We transplanted 1371 ultra-refined follicular unit grafts into the frontal hairline area using a high-density technique at our Portland Hair Transplant Clinic as depicted in the photographs. The patient is extremely satisfied with his results and very happy with the density of the recipient area. The postoperative results in these images are 1 year from the hair restoration surgical procedure.

https://youtu.be/nkE95vo6W9Y

This 31-year-old male had 2084 grafts via the FUE (follicular unit excision) harvest method. He had spent much time in the past worrying about his thinning hair since high school. His main concern was the frontal zone of the scalp. We decided on the FUE harvest method since he likes to be able to trim his hair short in the back of his scalp for styling purposes. Additionally because of his age, we felt that the FUE harvest method would be in his best interest long term so he could style his hair shorter in the back of the scalp.

The patient had 2084 grafts performed 2 years ago. The photographs and video show the results and longevity of the procedure for which he is extremely happy.  At the 2-year visit, the patient stated, “Now, I don’t worry about what my hair looks like, in fact, I don’t think about it at all.” He is planning on returning on a yearly basis to follow the progress and growth of his hair.

This patient is a 42-year-old male who is 6 months out from 2342 grafts FUE hair restoration to the frontal hairline and frontal zone of the scalp. At this stage of the restoration process, he is extremely happy with the progress and is looking forward to the results at one year which we will present. He is also considering transplanting into the crown in the future, but now his main concern was the frontal zone.

Steven Gabel, MD, FACS

This patient is a 66-year-old transgender female who desired a more feminine appearance to her hairline, frontal zone, and fronto-temporal angles. She had 2771 follicular unit grafts placed 15 months ago at our Portland Hair Restoration Center. Her post-operative course was uneventful. She returned to show us her progress. Her hair is growing out very well and she is extremely happy with the results so far. This has drastically changed her appearance, and according to her, her life. When she is in the Portland/Seattle area in the future, she will come to the office, so we can check on her progress.

Steven Gabel, MD, FACS

Gabel Center Website

This patient is a 28-year-old male who we performed 1591 grafts to the frontal hairline 3.5 years ago. He initially had a hair transplant at another practice which had failed to deliver the desired result of a solid hairline. He felt many of the grafts did not grow, and that he had some irregularity to the hairline. Examination at the time revealed large spaces in the frontal hairline and poor density. It did appear that he had poor growth from the prior procedure. Additionally, there were several 2-hair grafts in the hairline which were giving an unnatural appearance.

We transplanted 1591 grafts into the very frontal hairline and frontal zone. The surgery was very meticulous as I did not want to disturb any existing hairs in the hairline at the same time packing the area with new follicular unit grafts. The surgery was highly successful and the patient has been extremely happy since.

He was recently in the Portland area and visited us. He has been on oral and topical medications to help minimize hair loss. At this point, I only recommended that he maintain his medical therapy as his hairline and overall scalp hair looks amazing. Next time he returns to Portland, he said he will visit the Gabel Center for an update. 

Dr. Steven Gabel

Portland/Seattle

Gabel Center

This patient is a 38-year-old male who desired to thicken and restore the hair in the crown area of the scalp. Although he still had a small amount of small, vellus hair, his main concern was to increase the density with thicker, terminal hairs.

The patient had 1823 follicular unit grafts placed in the crown. We utilized the FUE harvest method using a 0.80 hybrid punch system. The photographs show the results at 15 months after the procedure which demonstrates excellent density and coverage of the crown region. His results are accentuated by the fact that he keeps his hair longer adding additional coverage through increased volume of hair. He continues to stay on medical therapy to help maintain his natural hair density.

This 64-year old male had several hair transplants many years ago. His main concern was to add density in several specific areas of his scalp to increase the thickness and density. His donor area had several prior strip scars with significant scar tissue only allowing for a small amount of donor hair to be removed. On examination, he demonstrated diffuse pattern baldness with evidence of prior hair transplants, and significant scar tissue the fibrosis of the scalp.

I had a lengthy discussion with the patient and explained the limitations we had with the amount of donor hair I could obtain, and the diffuse nature of his balding. We discussed the fact that he would not have a dramatic improvement but a mild improvement since he wanted the grafts spread out throughout the frontal and mid-scalp zones. However, we planned to concentrate the grafts into specific areas that bothered him the most to make the best use of the hair we could obtain.

The patient had a strip procedure and we were able to obtain 1014 follicular unit grafts which were strategically placed in the most bothersome areas for this patient.  The postoperative photos taken 1 year later show a mild increase in density and fullness to the hairline and central scalp and improvement in the crown. The patient is pleased with his results so far and looks forward to seeing how his final results will look.

This case is important to demonstrate that not all cases are straightforward, and many patients do not have a significant amount of donor hair to work with. In this patient’s case, we were only able to harvest 1014 grafts, but we placed them in specific areas to satisfy the patient in the most troublesome areas. He is delighted with the results as it met and exceeded his expectations that he was looking for. If he desires more hair in the future, I will consider FUE.

This patient is a 28-year-old male with mild to moderate hair loss in the frontal region and hairline. He desired to fill in those zone via a hair transplant. After a detailed consultation, it was determined that he would be a good candidate for follicular unit excision (FUE) harvest techniques secondary to his short hair he likes to have in the donor area.

The patient underwent a hair transplant via FUE and had 2192 grafts placed into the frontal zone of the scalp in one procedure. Postoperatively, the patient has done very well. He is very happy and excited with his 1-year results as shown in the photos below.

This 33-year-old male desired to redefine his frontal hairline, and increase density in the frontal and midscalp zones.

He had 2939 follicular unit grafts transplanted via the strip harvest method. The photos show his results almost at 2 years after surgery. The patient is very happy with the results. Clearly, the results are enhanced as his hair is grown out some more, and the color contrast between his hair and skin - all favorable to him for a better result.

This patient is a 31 year old male who had 2084 grafts harvested via the FUE donor harvest method. This was a combined case with both Dr. Gabel and Dr. Konior at Dr. Gabel's Portland Hair Restoration Center. The patient is now 8 months after surgery and is thrilled with the results thus far. He continues to send in photographs from home, and we will continue to post them with his permission.

This patient is a 53-year-old male who desired to enhance his frontal hairline. He has excellent density throughout the rest of his scalp. The frontal-temporal angles had always bothered him with the recession he had. We transplanted 1600 ultra-refined follicular unit grafts into the frontal hairline in a high-density technique at our Portland Hair Transplant Clinic as depicted in the photographs. He is extremely happy with the results as shown in the video.

I see the patient didn't require shaving his head for the number of graphs he received (1238)...is there a graph limit that determines when its mandatory to save the entire head? Could say 2500 graphs be done to the frontal hairline and temples without having to shave the head bald? are there pros and cons to shaving vs not? Thanks.

MattyNJ1: I evaluate each case individually. There are some patients that I can do more grafts without shaving depending upon how difficult or how much time it will take. I don't want to sacrifice the survivability of the grafts with any case if it takes to long to plant the grafts. Even through we use specialized solutions to store the grafts, I still like to have them planted in a timely fashion. Also, if I am doing a large megasession, then I almost always shave the patient.

I hope that answers your question.

This patient is a 31- year old male who desired to restore the frontal hairline and frontal zone of his scalp. He is now 6 months following a hair transplant utilizing the follicular unit extraction (FUE) method for donor hair. He had 2084 grafts transplanted. The recipient sites are made with custom-cut blades, and the grafts are inserted by Dr. Gabel and his staff. The patient will return for his 1-year progress at which time we will post his results.

This patient is a 37-year old transgender female patient who is 11-months out from a hair transplant. She had 3166 grafts placed into the frontal region of the scalp. The procedure utilized the strip harvest method to feminize her hairline. She had an excellent result creating a natural,female hairline. Her results are also enhanced by her curly hair. The video shows the density achieved after one procedure.

"http://www.youtube.com/watch?v=YsQSCJJMJA8

This patient is a 33-year-old gentleman who desired tricopigmentation to the scalp to give him a full, shaved appearance to his hair. At this point, he is not interested in surgery, and likes to keep his hair very short.

The photos show before and after 2 sessions of tricopigmentation. The dots are very fresh, and the color will deepen over the next couple days. He will return in about 6 weeks for a touch up. The video shows the actual procedure being performed on the second day.

Video Link: Dr. Gabel performing tricopigmentation*

This patient is a 38-year old male whose main concern were the deep front-temporal recessions. The patient had 3872 grafts placed via the strip harvest method. The photographs and video show the 7-month results after the second procedure.

[img}https://gabelcenter.box.com/shared/static/vo4nybmwtq0dpl16yfjzw75cpozcxtu4.jpg[/img]

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I apologize if your email did not get answered. I start answering emails at 3:30 AM on most days and answer them throughout the day. I do my best to have all emails answered before I go to work at 6:00 AM.

If yours fell through the cracks, I apologize. I am trying to do my best since I answer all email inquiries personally. I will also check with my staff to make sure all the processes are in place.

This patient is a 34-year-old male who had 1951 follicular unit grafts placed into the frontal zone. We utilized the FUE (follicular unit extraction) harvest technique utilizing the hybrid motorized punch system with a 0.8 – 0.85 sized punch.

The results are 7 months after surgery showing excellent growth of the transplanted hairs in the frontal area. The patient is extremely satisfied even at this point, and he still has over a year until the final result is realized. The patient is from out of town, and plans to return in one year to show the final growth from the procedure.

This patient is a 39-year female who had deep frontotemporal recessions. She had always wanted to be able to wear her hair back in a ponytail, but since she had deep frontotemporal recessions, she covered that area up with hair.

We transplanted 2342 grafts into the frontotemporal angles. The photographs show her results at the 6/7-month point which has already been amazing for her. He is wearing her hair back, and looks forward to continued growth.

This patient had his original session of tricopigmenation in 2015. He recently sent me a photograph as he is still thrilled with the results and process.

This patient is a 37-year old transgender female who desired to feminize her frontal hairline. Prior to the transplant, she had deep frontotemporal angles and a higher hairline then she wanted.

3166 follicular unit grafts were obtained via the strip FUT method and transplanted into the frontal zone with the goal of lowering her hairline, filling in the frontotemporal angles, and feminizing her overall appearance.

The photographs depict her progress at 1 month, 2 months, 3 months (home photos), and at 7 months when she returned to the office. She is extremely excited with the results thus far and plans to return at the 12-month mark to further document the progress of the hair transplant.

This patient was in for his two week follow up. The patient asked me to post his photographs.

The recipient area shows the hairs are growing already. All the crusting is gone, and it is healing great. He is extremely happy with the shape and growth.

On examination, the FUE donor sites were almost completely healed except for a small amount of redness which is expected at this point.

Overall, the patient is progressing perfectly and we expect an excellent result.

Thank you pkipling and David.