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H & W Doug

Elite Coalition Physician
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Everything posted by H & W Doug

  1. This patient in his early 30’s from Vancouver was looking to restore the area of loss in the front. The plan was to reconstruct the hairline and frontal zone and any necessary areas of the mid-scalp. Dr. Hasson and team transplanted a total of 4375 grafts using the FUE method of extraction. 300 of those grafts were single hair grafts, 3611 were doubles and 464 were 3-4 hair grafts. A .85mm size punch was used in the extraction process. These photos were taken at the clinic just shy of 3 years post-op.
  2. Dr. Hasson had noted in early Feb that he was seeing lots of immature hair and wanted to give it another 4 months and then revisit. As always, he stands behind his work and if the result does not turn out as he expected, he will honor our guarantee and make it right. When he returns to the clinic next week, I will get his thoughts and update if necessary.
  3. Thanks for the comments guys! Britanium, As you may already know, numbers per square centimeter can be deceiving and several factors are involved. So a discussion about a general number can be less productive without all the other variables taken into account. A limited donor supply with a large area to cover can influence the density that should be attempted. The reverse (good donor, relatively small area to cover) will also influence ideal density. Another important factor is hair shaft caliber. Fine hair is more difficult to make look thick because you need large numbers and high density. Hair that is coarser will provide more volume in space and therefore will look denser when in fact it may have the same number of grafts or less per square centimeter than a patient with fine hair. In the end, a certain amount of density is required for the most natural result. Dr. Hasson estimates this patient’s transplanted density at about 90/cm2. In this and similar cases, his approach is to look at the surrounding hair and to try and match that density for optimal results. If you look at the post -op photo, it would appear this was accomplished here. In general, that is a very difficult density to achieve in one session but more routine for Dr. Hasson given his skill set.
  4. It has been quite some time since we have visited Italy and Hasson and Wong patient advisor Marco will be back again in Rome on April 3-4 and Milan on April 5-6. He has nearly 20 years experience working with the doctors and can assess your case and answer many of your questions. Consultations are available in the following languages: Italian – English – French – Spanish. To meet him and see if you are a good candidate for a hair restoration procedure at our clinic, reserve your spot here: https://hassonandwong.com/consultations-in-your-city/ You can also call 1-800-859-2266 Toll-Free or email us at info@hassonandwong.com.
  5. This Seattle patient in his mid-30’s desired to have his hairline restored back to a reasonable degree and have it look natural for as long as possible. His goals were realistic and he was comfortable deferring to Dr. Hasson’s best judgment on ideal hairline placement and design. Dr. Hasson and team transplanted a total of 3055 grafts using the FUE method of extraction. 300 of those grafts were single hair grafts, 2495 were doubles and 260 were 3-4 hair grafts. A .85mm size punch was used in the extraction process. These photos were taken at the clinic just over one-year post-op.
  6. After a long absence, I'll be back in Los Angeles on Mar 18,19. To meet me and see if you are a good candidate for a hair restoration procedure at our clinic, reserve your spot here: https://hassonandwong.com/consultations-in-your-city/ You can learn more about me, the process and my history with Hasson and Wong here: https://hassonandwong.com/hair-transplant-seattle/ You can also call 1-800-859-2266 Toll-Free or email us at info@hassonandwong.com.
  7. Hasson and Wong patient advisor James is back again in Florida Feb 29 through Mar 2. To meet him and see if you are a good candidate for a hair restoration procedure at our clinic, reserve your spot here: https://hassonandwong.com/consultations-in-your-city/ You can learn more about James, the process and his history with Hasson and Wong here: https://hassonandwong.com/hair-transplant-toronto/ You can also call 1-800-859-2266 Toll-Free or email us at info@hassonandwong.com.
  8. Hasson and Wong patient advisor Thomas is back again in Oslo Norway on March 3. To meet him and see if you are a good candidate for a hair restoration procedure at our clinic, reserve your spot here: https://hassonandwong.com/consultations-in-your-city/ You can learn more about Thomas and his history with Hasson and Wong here: https://hassonandwong.com/hair-transplant-story/ You can also call 1-800-859-2266 Toll-Free or email us at info@hassonandwong.com.
  9. Thanks for the comments guys! Ccd99, A 0.85 mm punch was used. I would say the graft/hair ratio is 2.1 hairs per graft. Here are the ratings on his donor hair:
  10. This US patient in his late 30’s had modest expectations and wanted to improve his hairline, frontal zone, and mid-scalp. He was initially less concerned with the crown. With his above average donor hair, Dr. Hasson was confident he could exceed expectations. 5,163 grafts via FUE were used to restore those areas of the hairline, frontal zone, and mid-scalp working back as far as possible. 300 of those were single hair grafts, 4055 were doubles, and 808 were 3-4 hair grafts. These photos were taken 16 months post-op just before his second procedure for the crown. 1 day post-op: Very pleased with the outcome, he decided to return to restore the crown. In his second procedure, 150 grafts were singles, 3375 grafts were doubles, and 525 were 3-4 hair grafts for a total of 4050. The FUE method of extraction was again employed. These photos of the crown are before the 2nd procedure and 1 day post op: Look for more photos, updates and details on this case in the coming months on our website.
  11. This Vancouver area patient in his late 20’s was wishing to rebuild a new hairline that would also reduce some of the recession in the corners. This goal was accomplished by a slight lowering of the hairline in the middle and more on the sides to reduce the frontal temporal angles. He was using finasteride prior to the procedure but Dr. Hasson suggested that given his modest estimated final hair loss pattern, medication was not deemed essential and the decision whether to continue or stop its use was up to him. Donor supply would most likely far exceed any potential future demand. Hair texture was medium and donor hair was above average. 2215 grafts using the FUE method of extraction were needed and 315 of those were singe hair grafts, 1,266 were doubles, and 634 were 3-4 hair grafts. These photos were taken 1-year post-op.
  12. This local patient in his early 20’s was searching the internet looking to get more information on hair transplants. He found Hasson and Wong to be highly rated and conveniently located right in his home city. After seeing impressive results online, he felt it was time to pay Dr. Hasson a visit to get his thoughts on the temporal recession he was starting to become concerned with. At the initial consultation, it was decided that at this stage medication should be tried to see if further recession could be prevented. Now getting closer to taking further action, another follow up visit the next year was scheduled and proved to be informative as to what the immediate post-op would look like. He was now more interested in a procedure and Dr. Hasson confirmed he would be a good hair restoration candidate. Slightly less than two years from his initial visit and now closer to his mid 20’s, his procedure was scheduled to restore a new lower hairline to eliminate the recession that had bothered him. It was determined that FUE would be the preferred method of extraction and 3,000 grafts were ultimately required to achieve the desired outcome. On the day of his procedure, he was welcomed by the staff at Hasson and Wong and prepped for his restoration. Twelve hours later the task of rebuilding his new hairline and the necessary areas of his frontal zone was complete. Those 3,000 grafts consisted of 300 single hair grafts, 1784 doubles and 916 were 3-4 hair grafts. 19 months after his hair transplant procedure with Dr. Hasson and team, the patient came back to the clinic for his follow up to show Dr. Hasson his results which exceeded his expectations. He was then happy to sit in for a photo shoot to capture his new hairline and share his result for those in a similar position who might want reassurance as to what a hair transplant with the right doctor and team can look like.
  13. This US patient in his mid/late 30’s was looking to transform his frontal zone recession into a lower hairline with high-density. Dr. Hasson and team performed his FUE procedure in March of 2022. His hair was straight, the texture was average. His donor hair density was average and overall, his donor hair was rated at just slightly below average. He also had some material retro grade loss. 2,700 grafts were harvested and placed in one day. 300 were single hair grafts, 1,683 were double hair grafts and 717 were 3-4 hair grafts. The procedure went according to plan with easy extraction and average insertion. Start to finish including breaks, the patient was at the clinic for a little over 10 hours. These photos were taken at the clinic 15 months post-op. Some water was added to the hair in photos 5 and 9. In the last 2 photos, the donor shots were taken on day 1 post-op and the placement shot was taken immediately post-op. All other photos have some styling product in the hair.
  14. Hasson and Wong patient advisor James is back in Florida from February 24 – March 3. To meet him and see if you are a good candidate for a hair restoration procedure at our clinic, reserve your spot here: https://hassonandwong.com/consultations-in-your-city/ In the drop down box from the USA tab, select your desired city. Choices include Tampa, Miami/Fort Lauderdale, Orlando, and others. You can learn more about James, the process and his history with Hasson and Wong here: https://hassonandwong.com/hair-transplant-toronto/ You can also call 1-800-859-2266 Toll-Free or email us at info@hassonandwong.com.
  15. Hasson and Wong patient advisor James will be traveling to Dallas November 11-13 after his Florida trip in October. To meet him in Dallas and see if you are a good candidate for a hair restoration procedure at our clinic, reserve your spot here: https://hassonandwong.com/consultations-in-your-city/You can learn more about James, the process and his history with Hasson and Wong here: https://hassonandwong.com/hair-transplant-toronto/You can also call 1-800-859-2266 Toll-Free or email us at info@hassonandwong.com.
  16. Hasson and Wong patient advisor James is back again in Ft. Lauderdale Florida next month Oct 28-30. To meet him and see if you are a good candidate for a hair restoration procedure at our clinic, reserve your spot here: https://hassonandwong.com/consultations-in-your-city/ You can learn more about James, the process and his history with Hasson and Wong here: https://hassonandwong.com/hair-transplant-toronto/ You can also call 1-800-859-2266 Toll-Free or email us at info@hassonandwong.com.
  17. stephcurry30, Kent, HappyMan2021, Thank you for your comments. shiba1985, You can call me Doug if you like. I would think an unbiased thread would be good. It was quite biased to begin with I’d say. Yes, I have had hair restoration procedures at Hasson and Wong. I personally would be ok with Dr. Hasson getting a photo of the finished surgery and watching it from home or office and just giving an A-Ok based on a high resolution photo. Why? Because I know he, his team and his results are world class. I’m not going to speculate on how he should go about getting the best result. I trust his process, that is why I would have picked him to begin with. I can see why some would like a more involved approach from the doctor but what I care about is my result. But in fairness, I saw it every day, I had the utmost confidence I was in good hands from the doctor down to the janitor. As we discussed others may have some anxiety and doubt. I don’t feel I’m diluting the honor of the medical profession at all. I would say some of the results I’ve seen we needed to repair diluted the honor of the medical profession though. Unfortunately, those doctors should have never been allowed to perform a hair transplant on a patient. You're assuming I don't tell the patient exactly what the doctor will do? If asked I explain in detail who does what and how much the doctor is involved. As earlier stated, we try to be as transparent as possible. If Dr. Hasson was to decide he needed to spend more time in the OR doing tasks better suited for other specialists, his results would suffer. Why would he want to do that to his patients and his reputation? That also does not allow him to spend as much time to attend to his other tens of thousands of patients. Then you’re talking about less after care. What about seeing patients in the office for initial, pre-op and post-op consultations during the day? Nope. Forget about a call with Nordstrr34. Dr. Hasson didn’t just wake up one day and say I’d like to spend less time in the OR. He has developed and refined his process over 20 plus years and over 10,000 procedures. There must be a cohesive and well thought out balance between potential, present and past patients. The doctor must allocate his time appropriately to all phases to be able to best serve the patient. The busier and more successful the doctor, the more demands on his time. Maximum hours spent in the OR is not sustainable. While it may not seem to be, to dense pack a frontal zone is physically taxing. The eye strain and fatigue is more than you might imagine. What about shoulder, arm and wrist strain? There must be some time away from the OR to recover and be able to deliver the same great results to the next patient. Doctors who are not dense packing and doing 3,000 plus incisions in a day times 2 mind you, will not have the same fatigue factor. They may be able to justify a little more time in the OR depending on their process, but I wouldn’t in general necessarily expect the same result as Dr. Hasson. Perhaps Hasson and Wong is not for everyone. Everyone has different goals and different things that they need to feel comfortable. Most of the patients I talk with put the result as their number one priority. Many have told me they don’t care how we do it, they just know we do and that is the result they want. And in many cases, they had the doctor who they thought was great and spent a lot of time in the OR with his 2 other assistants but the result was not what they had hoped for, hence the call to Hasson and Wong. Others may want a more involved approach by the doctor and that is fine too if they are willing to accept the limitations placed on an individual that does not have a large, talented, dedicated and experienced team to assist them. Melvin, funny you say: “I don’t see any issue with this either, high-def close up photos are as good, or even better than human eyes. I’ve seen things on high-def photos that I’ve never seen looking in the mirror.” Dr. Hasson was commenting on how well he can see the grafts in a high def photo when he can zoom right in on the work. In the end, doctors are going to have different approaches and different processes and different results. You need to do your due diligence and pick the doctor you think is right for you. Don’t focus too much on the how but focus on the result. Can that doctor deliver? If so, who cares exactly how he or she did it? Speaking of demand on time, I too have demands. While I would like to spend more time on the forums, I have many other patients and tasks to attend to. I have to allocate my time for my “operation” appropriately also. I will try and check in here and respond but if I spend too much time here, my other tasks and patients will suffer as well…. 😊
  18. Hasson and Wong patient advisor James is back again in Ft. Lauderdale Florida next month on Aug 14 and 15. To meet him and see if you are a good candidate for a hair restoration procedure at our clinic, reserve your spot here: https://hassonandwong.com/consultations-in-your-city/You can learn more about James, the process and his history with Hasson and Wong here: https://hassonandwong.com/hair-transplant-toronto/You can also call 1-800-859-2266 Toll-Free or email us at info@hassonandwong.com.
  19. Nordstrr34 Dr. Hasson thought he replied to your concerns promptly on the phone when you asked to speak to him. You did seem to be reassured at the time. I have also emailed you and you can respond if you like, and we can further discuss your case. We can also arrange another call with Dr. Hasson if necessary. It is quite normal for patients who have been through two long days of surgery and spent a lot of money to expect lots of reassurance and support from the entire clinic staff. To experience a degree of anxiety in the first few months before the hair starts to grow and thickens is also common. I know Dr. Hasson spends his energy, accumulated experience, and skill - on each patient he treats - knowing well that for each individual, that this is likely the most important and possibly expensive treatment in their life. I believe he tries to explain his rationale for doing exactly what he does so that the patient is informed. But for what ever reason in some cases perhaps the communication for both parties could be better. Dr. Hasson wants every procedure to be as completely transparent as possible. I did want to touch on a few things here to clear up some misconceptions. If there are some specific topics I missed that someone has questions on, I can address them if necessary. While there are some comments here that probably don’t merit a response, I will do my best. “I’m surprised to hear the clinic mixed up your day 2 extraction count.” There was no mix up. Going into the procedure, we initially estimated something in the 4,000-graft range. In the morning, it was determined that with the desired hairline placement and considering the additional weakness in the frontal zone, closer to 4,500 grafts would be required. This was communicated and agreed upon. The final total ended up being 4,600. It is common for numbers to be revised based on final hairline placement and game plan. “I'm a little surprised to hear that the clinic thinks your donor is tapped out already.” Not sure exactly how you got that perception, but the donor supply was not exhausted. In general, we do not consider it possible to take all the donor hair in one session in a virgin scalp case such as this. “Since the Dr. didn't stop by at the end of the procedure (I think this is something they should change as it just doesn't feel ideal that the Dr. doesn't check on it at the end)” – Understandable. In some cases, Dr. Hasson will stop by at various stages and the patient may be sleeping and he does not want to disturb them. There can be 3 technician shift changes in a 12 plus hour day and Dr. Hasson can’t be in the OR for all of that period of time of course. However, he can monitor the entire procedure at any time via camera and he can see and hear everything. If he is unable to be present for the final part of the procedure when the patient is finished, the technicians will send him high-definition photos of the result and he then looks to makes sure everything is perfect before he allows the patient to leave. If he sees something that needs his attention, he is minutes away. “They still did more temple work than I expected and harvested more hair than I think they intended to (seems they simply decided to put that extra hair to use doing a bit more temple work)” – In your case we did not harvest more than intended. When Dr. Hasson designs the hairline and temples, the line he draws is basically how the framing will look and the larger grafts will go close or up to the line. The softening of the hairline and temples comes with the incisions for the single hairs. These incisions will in many cases extent slightly over the line. In the case of temples, singles hairs are placed in front of the line to soften the transition. Therefore, the peak or point may appear to be more pronounced when the skin is red. Temples are technically difficult but necessary in many cases to create the proper framing and balance. While you can get a good sense of what things will look like immediately post-op, it is not always a good indication of what the final result will reveal. “I still feel they did more temple work than needed on day 2 because of the overharvest. This resulted in a more aggressive temple line than was desirable—they pulled the temples a bit further forward than I'd have liked & what was originally designed. This aggressive temple line is unbalanced relative to the hairline which was kept pretty high/conservative.” Again, no over harvest. In my opinion the balance is correct, and I think in the end you will like it. As stated, the “pulling forward” was a product of the transition with single hair grafts that is necessary to make the temples look as natural as possible. In reference to the donor area shot posted March 30 – I often ask for more detailed photos to present the doctor when a patient fills out the online consultation form. If a patient had sent me the photo you posted on March 30 of your donor hair, I would not have considered it was a post-op shot and I would have assumed the patient had no prior procedure let alone a procedure less than two weeks prior. I’ve seen plenty of overharvested areas in photos patients sent me and in person who had previous work at other clinics. This is a beautiful uniform harvest executed perfectly in my opinion. That photo says it all. “On that note, are any H&W reps active here and able to answer whether H&W fixes these issues free of charge like some other top docs do? This will likely be a valuable question to have answered here for prospective clients...” – We do and always have guaranteed our work. We stand behind our work. My patients are always welcome to reach out to me with any concerns or questions at any time during the process pre and post-op. I have emailed Nordstrr34 offering to set up a call. I would like to go over his concerns and help in any way I can to reassure him. In the end if he is not happy, we will make it right. “Honestly, without seeming to be negative, I really don't understand why they shaped the temples like that. Seems very unnatural to me.” I think the temples are going to turn out great. If there is something about the final result Nordster34 doesn’t like, Dr. Hasson can tweak the design to his liking as long as Dr. Hasson feels it will look natural. Even if it is not the design Dr. Hasson feels will bring out a patient’s facial features and make him look the most appealing, there are other options as far as placement and design that would still look natural. “TBH, I wouldn't have been at all upset if the Dr. said to me during the procedure "Look, we've filled in your temples per the plan and it looks like we have ~500-800 extra grafts. Let's discuss where you want them." I was more than happy to pay for all the grafts, after all, and I have. Instead, when Dr. Hasson finished the temple incisions to the plan, he sort of hesitated and stepped away from the chair for a bit and then came back and started going all around the temple edges and enlarging them. It was pretty obvious he was struggling to figure out where to put all the extra hairs.” What you may have perceived as him struggling to place extra hair was actually part of his preferred process. Dr. Hasson likes to go back in at the later stages of the process and fine tune the work by scanning the recipient area and adding additional grafts where appropriate to create the necessary and most uniform density. I think the 12 day post-op shot looks very good. Personally, if it was me, I would not have liked to have the 500-800 less grafts. Actually, if Dr. Hasson would have had more grafts to work with and all the factors were favorable, I believe he would have liked to use even a few more. “Very disappointing to hear the lack of service as well as lack of accountability by H&W here. They should stand by their name and bear any cost of repair, assuming you would trust them again.” As stated, we do and always have guaranteed our work. Repair? Not sure how to respond to that so I won’t 😊 “Dr Hasson deserves a chance to make good here before questioning his accountability? Nordster34 hasn’t yet reached out to Dr Hasson.” Agree. “I’d love advice from the community here as to the best way to reach back out to Dr. Hasson.” Respond to my email if you like and I can assist as mentioned. “So I guess my questions are whether I should be reaching out now to Dr. Hasson, waiting until month 12 to reach out, or even reaching out to some other docs now as a plan b…? “You can reach out to other top doctors if you like, I’d be curious to hear what they say about this work. On one hand they may be very concerned that if you didn’t like this work that they could make it better. Some doctors, but likley not the top ethical doctors might also like to put in a few grafts and then claim this result as theirs. While unethical and very deceiving in my opinion, it could be great for their business. It wouldn’t be the first time another doctor claimed our work to be theirs. In my opinion you just need to be more patient. “ I don't think it's fair to the doctor or to the accuracy of the review to draw any premature conclusions. If a close friend or relative called me tomorrow and asked for my recommendation, to be completely honest I would not in good conscience be able to recommend Dr. Hasson at this time.” I agree I think it is unfair, you should always wait to draw your conclusions until after the final result “Do folks think I should reach out to Dr. Hasson and request a follow up appointment (perhaps over zoom)? Does anyone else here have experience with H&W follow-ups?” – Again, if you feel the need to speak with Dr. Hasson, I am happy to help arrange that. “Agreed. I'm a huge fan of their work, but this seems unethical.” – As presented here initially, it may have seemed unethical but after hearing our explanations, I think it is clear nothing here is unethical. “Sorry for the double post. Are some people on here bought and paid for by H&W? Defending them after receiving all this info is utterly mind-blowing.” We have never paid people to post. See below “H&W have a great rep, but you have to be able to look at facts and adjust your opinions.” Agree . However, a fact is a thing that is known or proved to be true. Just because someone says something does not make it a fact. I too can be emotional and prematurely jump to conclusions. I try to be fair and balanced and gather information from both sides before I draw my conclusions. “I feel that most of the surgeons on hair restoration network could have given you a better experience with a much lower price.” – It is unfortunate Nordster34 did not have the experience he or we would have liked. There may be times when for whatever reason we may not live up to certain expectations even if we still deliver the result. I believe we do a great job of trying to make the experience a good one and that is reflected in most of the comments I receive. Perhaps another surgeon could have given you a better experience at a lower price but in my opinion not a better result. “Main thing I ask the clinic is to please respect my privacy here 100%. I am extremely careful about privacy so please, H&W, don’t post any pics or info that could identify me today or in the future (facial recognition software is only getting better, so please crop very aggressively).” We will never intentionally reveal your identity or post any photos that might without your permission. I’m not sure we need to post anything here but if we do, I will make sure there is a proper block. It is important to us how our patients feel about the whole experience, and we are not happy if the patient isn’t. In the end the result will speak for itself and hopefully change the perception. Nordstrr34 We expect in the end you will be happy as the full result grows in. From what we can see at this stage, it looks like it will turn out very good. I will look forward to hearing from you if you desire and updates on how everything is taking shape. A post like yours has a lot of value in that it chronicles the patient’s own experience including the feelings of doubt and anxiety. Continued updates as your result progresses will provide value to those forum members and help in their journey to achieve their hair restoration goals.
  20. Hasson and Wong patient advisor Thomas is back again in Oslo Norway next month on May 21. To meet him and see if you are a good candidate for a hair restoration procedure at our clinic, reserve your spot here: https://hassonandwong.com/consultations-in-your-city/You can learn more about Thomas and his history with Hasson and Wong here: https://hassonandwong.com/hair-transplant-story/You can also call 1-800-859-2266 Toll-Free or email us at info@hassonandwong.com.
  21. Thanks for the comments guys! I agree with Melvin that we’re looking at more than just the front third here. He may be approaching a stage 4a and there is some work in the mid-scalp also. There are many things to consider in this case not unlike any case for that matter. We first want to evaluate the present area to cover and the potential future loss as it relates to the total donor supply. And yes, in many cases you can predict with reasonable certainty someone's final hair loss pattern. In this case it was fairly clear to Dr. Hasson that this patient in his 40s who has no miniaturization in parts of his mid scalp and crown will likely not progress past a 4A. This doesn’t even factor in whether or whether not he will use medication. Given this conclusion, if donor reserves are adequate, we can be a little more aggressive with the density because we are not going to have to preserve a fair amount of grafts for future potential loss. We then want to find out what the patient’s goals are and if they're realistic. In this case the patient wanted an appropriate hairline and wanted to be as aggressive as possible with density and placement of the hairline. Dr. Hasson then determined that with his hair shaft diameter, relatively straight hair and stable tissue, he could pack at a high density. He also determined that based on the decided upon hairline, advancement of the temples would not be required and the balance and relationship between hairline and temples would be cosmetically pleasing with the temples left alone . He also notes the native density in the mid scalp and crown and surrounding areas and understands that matching that density or coming close will provide the best cosmetic impact if it poses no risk to attempt to do so. You can see the transition from transplanted hair to native hair is very seamless and you would not suspect that there's any drop in density from the crown/mid scalp to the transplanted mid- scalp/frontal zone. In an ideal transplant, you want that seamless transition and the density should be high enough that it gives the appearance that the patient had never lost any hair to begin with. If you consider that some may estimate a stage 6 has 230 to 240 square centimeters of bald scalp, a stage 5 may have 200, then it wouldn't be a stretch to say that the area that was covered on this patient was somewhere in the 60 to 70 square centimeter range. The estimated grafts per square cm of the transplanted hair might be in the low 80s. So, if we assume 60 square centimeters of bald scalp times 80 per square centimeters you're going to get around 4800 grafts so it is not an unreasonable number. Maybe the area is actually over 60? Maybe the density is actually more than 80? Most of our patients that come to us for these type of results have high expectations, high standards and they have seen other clinic results with perhaps lower densities and they do not feel it looks as good and that they would be happy with that lower density result. I would also add when patients inquire to our clinic, often times they state the previous doctor they chose did not achieve enough density to make them happy. I personally think that this is a spectacular result. I understand it is a little hard to put your arms around the numbers when most of the industry is not able to do this type of density and therefore the average number of grafts that you might encounter as an estimate for this area could be as much as half of this. Back to an earlier comment about this being a waste of grafts. It is my opinion that under these conditions of good donor hair, relatively manageable area to cover and minimal potential future hair loss, it's a waste not to use these grafts in this manner. Why save them for a day that's not going to come? They're way better suited where they are now than in the donor bank. And I can tell you this patient would not have been as happy with 2,500 to 3000 grafts in this area. If there's anybody out there that wouldn't want this hairline or density under these conditions, I would be surprised. However, everyone is likely to have varying expectations and perhaps some would be happy with something less dense which would it still have a fairly substantial cosmetic benefit. There is nothing wrong with that if the procedure is still well executed, especially if density behind is lower, donor reserves are more limited and final hair loss pattern is more aggressive. It all depends on your expectations and what you'd be happy with. For me? If it is possible, give me this hairline and this density in the appropriate areas every time.. 😊
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