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Posts posted by Steven Gabel, MD, FACS
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These are a little late in coming but here is Ken’s 2 month progress update. He had 2,569 grafts placed into the frontal aspect of his scalp and hairline. He has been coming to the office for photos and video so others can follow his experience month by month. At this point, Ken is starting to let his hair grow back in.
Ken's 2 month videohttp://www.youtube.com/watch?v=Ae2BU920zA4
At month 1, he shaved his head; at this point in month 2, the transplanted hairs have gone through the shedding cycle.
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Chris
Your hair is really growing well. I’m very happy with the progress.
Just wait, there is more to come as I have a lot of patients tell me their hair really thickens up during the 12 - 20 month range.
Hopefully I can see you when I’m up in Seattle next for consultations.
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Thanks all for the positive comments.
The great part about this is that he is only 6 months out; we expect further growth over the next 18 months which will be great for this patient.
Thanks.
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This patient is a 45 year old gentleman who desired hair restoration to the frontal aspect of the scalp. He had been slowly losing hair since his 20's. He is currently using finasteride and minoxidil.
He had a hair transplant 6 months ago transplanting 2510 grafts in one session:
1 hair grafts: 553
2 hair grafts: 1607
3 hair grafts: 348
4 hair grafts: 2
He is now 6 months out from the transplant and has had tremendous growth of the transplanted hairs. The photographs show the growth from various angles and the video shows the growth close up from the front, the sides and the midsection. All areas are seen close up on the HD video.
Given that he is only 6 months out from the procedure, he has had fabulous progress and we expect a lot more growth of the hairs that are just starting to grow, and we expect the hairs to gain a considerable amount of thickness to give a much fuller appearance in the next year then he already has. We look forward to presenting his results in one year.
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Awesome results!!
Great job Dr. Feller and Staff.
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Thanks Ziggy: we were all amazed at how much growth he had in such a short time.
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Dr. Alexander
Fabulous result. Keep up the great work.
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This is a very nice, natural result for this patient. Great job Farjo Clinic!!
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I recommend and give baby shampoo to my patients after surgery. I know it will not hurt the grafts as it is very mild. After doing hair transplants for greater then 10 years, I have never had a problem with growth so I know it is not doing any harm to the newly transplanted grafts.
I instruct them to use a plastic glass and pour a combination of water/shampoo over their entire scalp. They will allow the water/shampoo combination to rinse the grafted site, and with their finger, gently rub the donor area to remove any blood they may have accumulated.
They do the pour method for about 5 days, then they can use a low flow/gentle shower to rinse the shampoo out of their hair. If they have a strong shower, then they continue with the pour method for about two weeks.
After 3 weeks or once they shed, they can then go back to their regular shampoo.
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Dr. Lindsey - Excellent explanation.
It is in the genes 95% of the time- the hairs on the top of everyone's head are programmed to do what they do; either stay, or thin, change color, or atrophy and go away. Clearly, there are outside influences that change this like medical disorders such as thyroid problems, infections, traction alopecia - the list goes on. But, most of the time, it is in the genetic programming that people are born with.
In my own case, everyone in my family has thick hair, but my hair has gone down the path of male pattern baldness.
I hope this helps.
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Ken - thanks for sharing your experience. We are all looking forward to watching your progress.
Thank you all for your positive comments. I do feel this will be great for future patients to see the progress one patient has as he goes through this journey. During the consultations with my patients, I discuss the postoperative course; but seeing it with photos and with video is much more instructive then any words I can describe.
Looking forward to posting the 2 month results.
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Ken is now 1 month following his hair transplant. He had 2569 grafts placed into the frontal aspect of his scalp and hairline. He has been coming to the office for photos and video. He wants to show his monthly progress so patients can follow his experience. He stated that he will come start posting on the forums hopefully soon.
Here are his previous links:
10 days after surgery:
Initial Video
1 month video
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Vskp was in the clinic two weeks ago and asked that we post his photographs for the community. Vskp certainly has had significant growth in just less than 4 months and we are looking forward to following his progress over the next year.
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Here is Ken’s original post and video for comparison.
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Thanks Spex
I hope this is educational for patients so they can see the progress of this patient has it actually unfolds. Ken has shaved his head and this will be a great opportunity to watch it grow out. He’ll be back in 3 weeks for his 1 month follow up and video.
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As promised, here is a 10 day update of Ken's progress. He has a little redness to his scalp, very few/tiny crusts remain and the newly transplanted hairs have grown longer.
When Ken returns for his one month post-operative appointment, we’ll update the post.
Here is the link to Ken’s immediate postoperative photos and video post
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Typically, I like my patients to be off tobacco products 2 weeks prior and 2 weeks following a procedure. It is best is they quit all together as the negative overall effects of tobacco products has been well documented.
In terms of alcohol, I ask my patients to refrain while they are taking the pain medication as mixing narcotics and alcohol is not recommended. If they are off their meds, and would like to have a social drink (ie - a glass of wine, or a beer), I have no problem with that once they are off their meds. If they do drink, they need to be extra careful not to disrupt the graft sites.
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Mick
Excellent, clean work. Very refined with an excellent design. Keep up the great work.
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Dr. Alexander
Fabulous work as always. And at only 6 months, he can expect to fill in a lot more over the next 12 months.
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RC, Bill, Haircut
I appreciate the positive comments. This patient is so enthusiastic it will be really neat to watch the progress as it grows in. I’ll be sure to post his 10 day progress.
Thanks.
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We have an interesting case to present - monthly. This patient recently underwent a hair transplant at our center. As seen in the preoperative photos, he had only scant hair in the frontal scalp region, which he desired to fill in.
This patient was extremely enthusiastic about the whole process and he wanted to have us document it with monthly photographs and video. The video we have in this post is immediately after the procedure. As Ken returns to the office each month, we will be posting his video, photographs, and story so the community can watch his hair growth as it matures.
His reason for doing this is to tell others what the experience of hair restoration is like. He felt that the procedure itself was much easier then anticipated. He is also going to write up his experience and post separately on the forums. Ken told me he would start that as soon as the video and photographs were first posted.
We transplanted 2569 grafts in the frontal scalp. The breakdown is as follows:
1 haired grafts: 620
2 haired grafts: 1525
3 haired grafts: 414
4 haired grafts: 10
I want to publically thank Ken for doing this. He lives in Portland and will be stopping by the office to shoot video and take photographs each month as his transplanted hairs grow to maturity.
Steven Gabel, M.D.
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Dr. Lindsey and David - I appreciate the positive comments.
This patient has been absolutely thrilled with the results and has been great coming into the office for periodic checks and photos. It allowed me to show his progression and growth.
Thanks.
Steve Gabel, M.D.
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Othersyde
I put together some of the photos from your surgery showing your before and immediately after photos, photos of the grafts, and photos of the surgery.
Let me know if there are others you would like me to post.
Steven Gabel, M.D.
Gabel Hair Restoration Center
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This will be a very nice lookinig job when it finishes growing out. One question though, will his scalp always be pinkish? I notice his scalp hasn't returned totally to normal and I've seen that a couple times although rare.
Thanks for the positive comments.
In terms of prolonged erythema (pinkness), it varies between person to person. I’ve had some patients that the redness was gone by the time the sutures were out in 7 days; I’ve had others where it lasted several months. I wish I could predict who is going to have longer erythema and who is not, but I explain to patients that it all eventually fades away.
Dr. Gabel Patient: Ken’s HT Journey - 2 month update
in Results Posted by Leading Hair Restoration Clinics
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Spex and Corvettester
I appreciate the response.
We were a little late getting these up; Ken’s 3 month post will be up in a few days with video.
Its starting to come in.