H & W Doug

Thx for the comments guys! mikeyhwk: I’ve had the mullet conversation with him and he agrees it may be time to go. He’s had it so long that it’s hard to let go, I’m working on him… one day. I would be happy to then showcase the new cut!

Thx for the comments guys! HairlossPA: I think a #2 is a good guess. I’ll try and find out when he comes for his updated pics. I notice a lot of guys still go very short after a FUT procedure. Even with good healing and a good scar, you can see a faint outline but they don’t seem to mind. Andy_+_+: It appears that maybe his density is better than originally noted at the time of his first visit. Dr. Wong estimates another 5,000 grafts still left in reserve.

I think the answer is yes:) Vancouver area patient in his late 40’s with above average donor hair. Dr. Hasson and team moved 4656 grafts via FUT restoring the hairline, frontal zone, and mid-scalp up to the crown. 1312 singles, 3179 doubles, and 165 3-4 hair grafts were employed to create this high-density result. He started Finasteride at the time of the procedure and it looks to have improved the crown to this point. These photos were taken 8 months post-op.

Vancouver area patient in his mid 30’s with average donor density and coarse hair. Dr. Wong and team placed 6158 grafts via FUT to restore the hairline, frontal zone, mid-scalp and crown. The 6158 grafts included 2025 single hair grafts, 3253 doubles and 880 3-4 hair grafts. Photos were taken 6 months post-op. He is quite pleased at this stage with more to come. We hope to update at 1 year post-op. Immediately post-op: 2 weeks post-op:

jjsrader, Pretty good guess, late 30's:)

Thanks everyone for the nice comments! Harp10: I agree and thank you for the kind words. One of these days I will present my result with a little better detail. When are you going to add H&W or Dr. Hasson to your favorite FUE surgeons list? jjsrader Hard to say exactly. There are several factors that can affect the density and the appearance of density. A limited donor supply with a large area to cover can influence the density that can/should be achieved. Another important factor is hair caliber. Fine hair is more difficult to make look thick. Hair that is more coarse will provide more volume in space and therefore look more dense when in fact it may have the same number of grafts or less per square centimeter than a patient with fine hair. In this case the donor hair is good and the hair shaft caliber is average. I might guess 60 to 75 up front with a little drop off behind the hairline? But I don’t think it really matters. The doctors have a feel for what is necessary for each individual case. But in the end, a certain amount of density is required for the most impressive natural result and we historically have been able to deliver that. However, numbers per square centimeter can be deceiving and we don’t place a lot of emphasis on them. Wazaam; I want you to guess his age first then I will tell you:) Started meds at the time of the procedure and continues them. Not much if any temple work. HairlossPA: You can have H&W and have FUE. Why pick one or the other when you can have both? Pretty much. Estimate number required, estimate density of the donor, take out the strip of a length and width that will come close to yielding the estimated number. Grafts per cm2 x width x length = # of grafts

Vancouver area patient with average donor hair. Dr. Hasson and team dense packed 5044 grafts via FUT to restore the hairline, frontal zone and parts of the mid scalp. 5044 grafts included 1011 single hair grafts, 3670 doubles and 363 3-4 hair grafts. Photos were taken 10 months post-op

Vancouver area patient with average density and good texture hair. Two FUT sessions totaling 5105 grafts. Dr. Wong was able to harvest 3496 grafts in the first procedure which restored the hairline and provided coverage to the frontal zone and mid scalp. The second 1608 graft procedure addressed the crown and added density to some of the previously transplanted areas. 3496 graft breakdown: 646 single hair grafts, 1073 doubles and 877 3-4 hair grafts. 1608 graft breakdown: 249 singles, 872 doubles and 487 3-4 hair grafts. The last photo set represents the graft placement of the first and second procedures immediately post-op. The other photos were taken 11 months post-op from his second procedure.

Great comment guys, thx! stephcurry30, Here is an immediate post-op pic. Not too clear though, the first pic in the 3rd photo set (one day post-op) is probably better.

Thanks for the input guys. I can understand your take on these types of cases. For those with more extensive hair loss, it is easy to conclude these patients with minimal loss should not be concerned about their hair. But just like those of us with more loss, these patients too are adversely affected by what seems like inconsequential loss. For some, a receding and miniaturized hairline is not an issue. For others, as odd it may seem, this small amount of loss bothers them daily and adversely affects their lives. In these instances , it is not for us to determine what amount of hair loss should affect how a patient feels about oneself. It is however for us to offer a solution if it does not place the patient in any unenviable position now or in the future. Cheddar: If you recall a previous post, this was also discussed and my response included the following: "Just this small amount of work, while it was not game-changing, has created a nice polished framing. Prior to the procedure, he could not grow his hair out particularly in his hairline and style it without exposing some weakness in the corners. Perhaps most importantly, the patient was bothered by this and now is very happy. In years past when a patient would come to the clinic with minimal loss in the hairline, the doctors would suggest the hair looked fine and advise to wait until it gets worse. The doctors, of course, would get excited about seeing a stage 5-6 that they could completely transform and change the life of rather than a stage 2-3 with some minor hairline deficiencies. What they came to find out over the years was that these patients with minimal hair loss were extremely bothered by it and as happy with their results as the patients who were once stage 6’s who looked 10 years younger after a procedure. Because we can achieve a very natural looking hairline, these small cases are worthwhile in many instances". You can see the previous post here: http://www.hairrestorationnetwork.com/eve/187881-dr-wong-1267-grafts-fue-hairline-temples-months-post-op.html jjsrader: Your opinion does matter. So does the opinion of this patient and others like him. For many, these cases are relevant and useful. It is easy for us to feel someone with this much hair should not be complaining when “we” would love to have his head of hair, but we must consider his perspective. Also, I’m sure it’s possible you have something he wishes he had:) Thank you all for your comments and feedback. On behalf of Hasson and Wong, Happy Holidays!

HLS2015 You bring up an interesting topic. There are a few factors that can influence the decision on which method of extraction may be best suited for a patient’s second procedure. In most cases, the laxity is reduced from the harvest of the first procedure. This especially holds true in larger sized sessions. In some more rare cases, the patient’s laxity is very good after the first procedure. For these patients usually with a naturally loose scalp, the mobility returns and the next FUT procedure can produce essentially the same number of grafts as the first. When this patient came to the clinic for his second procedure, the plan was another FUT with the option to switch to FUE or perform a combo of both techniques. He wanted to maximize the yield and in order to achieve his goals, around 3,500 grafts would be required. His scalp was tighter than before as expected and with a harvest of around 2,500 via FUT, the numbers came up a little short of what was desired. So, in this case, the additional grafts needed were extracted via FUE the next day. The decision can also be influenced by other factors: Scenario #1: The scar healed extremely well and is barely noticeable. Therefore to preserve the excellent scar, FUE is performed. This may also be more appealing when a smaller amount of grafts is needed instead of an amap situation. Scenario #2: The patient likes the idea of not having to have another strip. The quicker healing and “newer technology” appeals to them and they want to have their second procedure via FUE. Scenario #3: Scalp is very tight and harvest via FUT would yield an insufficient number and closure of incision would be difficult. Therefore FUE only viable option. Scenario #4: Due to the favorable laxity and density of the donor, the patient has the option of either method for a second procedure and opts for another FUT.

This Vancouver area patient in his 30’s was bothered by the thinning of his hairline, particularly in the corners. He wanted the option to wear his hair very short on the sides and back which influenced his decision to choose FUE as the method of extraction. The game plan was to reconstruct the hairline at it’s existing location in addition to reducing the temporal angles. Very pleased with the outcome, he came back in 18 months post-op to show Dr. Hasson his result. 1310 grafts via FUE were used of which 184 were single hair grafts, 677 doubles and 449 were 3-4 hair grafts. A 0.8 mm punch was used.

Thanks guys. Here is a video with an additional view of his result and a few thoughts on his experience: https://hassonandwong.com/hair-transplant-results/patient-1931/?sf_paged=4#tab-video

Hasson and Wong patient advisor James is visiting Winnipeg for the first time. Prospective patients can reserve a consultation time for the newly scheduled upcoming Jan 26 & 27 dates. You can learn more about James and his story or to reserve your spot here: https://hassonandwong.com/hair-transplant-toronto/ You can also book an appointment by calling 1.800.859.2266 Toll Free or emailing us at info@hassonandwong.com. Or here: https://hassonandwong.com/consultations-in-your-city/

Hasson and Wong patient advisor James will again be in Calgary. Prospective patients who were unable to get in to see him on his last visit can reserve a consultation time for the newly scheduled upcoming Jan 19-20 dates. You can learn more about James and his story or to reserve your spot here: https://hassonandwong.com/hair-transplant-toronto/ You can also book an appointment by calling 1.800.859.2266 Toll Free or emailing us at info@hassonandwong.com. Or here: https://hassonandwong.com/consultations-in-your-city/

11 days left and a few spots still available but going fast. If you'd like to have a hair restoration procedure with us and want an evaluation in London next weekend, get in touch soon to reserve your spot! Book an appointment by calling 1.800.859.2266 Toll Free or emailing us at info@hassonandwong.com. You can also book directly from our site: https://hassonandwong.com/consultations-in-your-city/

________________________________________ Hasson and Wong patient advisor James is returning to Toronto. Prospective patients who were unable to get in to see him on his last visit can reserve a consultation time for the newly scheduled upcoming Dec 15-17 dates. You can learn more about James and his story or to reserve your spot here: https://hassonandwong.com/hair-transplant-toronto/ You can also book an appointment by calling 1.800.859.2266 Toll Free or emailing us at info@hassonandwong.com. Or here: https://hassonandwong.com/consultations-in-your-city/

Hasson and Wong patient advisor Thomas will be back in London on Dec 16 and 17 to see prospective patients. You can learn more about Thomas and read his story before your visit here: https://hassonandwong.com/hair-transplant-story/ There is also a post on his result here: http://www.hairrestorationnetwork.com/eve/186924-dr-wong-5328-grafts-fut-full-coverage-new-rep.html Book an appointment by calling 1.800.859.2266 Toll Free or emailing us at info@hassonandwong.com. You can also book directly from our site: https://hassonandwong.com/consultations-in-your-city/

Wazaan, We went to the motorized for a few reasons. 1. The quality of the grafts was at least as good if not better compared to manual. 2. Better yield, hybrid flat punch results in less transection. 3. Less user fatigue which allows for larger sessions and reduces the chance of user injury. We use the motorized for all FUE cases. Dr. Wong estimated 4,000 grafts via FUE left in reserve. Based on his projected final hair loss pattern, he will not need to exhaust his donor reserves to address any potential future loss.

Thanks for the comments guys! I agree the transformation is quite impressive. PeloDinero: Dr. Hasson estimates another 1,500-2,000 via FUE left in the bank. He would not do another strip.

The one-year post-op results from his most recent second procedure, a FUT/FUE combo. As mentioned, the second visit added some density to the frontal zone, reconstructed temple points and increased the density for the crown.

Vancouver area patient in his early 30’s. average donor average texture. Motorized punch, .85mm. Dr. Wong and team transplanted 2539 grafts. 268 were single hair grafts, 2044 doubles and 227 were 3 -4 hair grafts. These photos were taken 8 months post-op.

After a successful trip to Norway in June, Hasson and Wong patient advisor Thomas will be back in Oslo on Nov 5 and 6 to see prospective patients. You can learn more about Thomas and read his story before your visit here: https://hassonandwong.com/hair-transplant-story/ There is also a post on his result here: http://www.hairrestorationnetwork.co...e-new-rep.html View his great result in person and find out what Hasson and Wong can do for you. Book an appointment by calling 1.800.859.2266 Toll Free or emailing us at info@hassonandwong.com. You can also book directly from our site: https://hassonandwong.com/consultations-in-your-city/

This Vancouver area patient in his early 50’s had a small previous procedure to address his hairline back in 2000. It still looked fine but density and volume of the frontal zone had decreased over the years. Wanting to improve the area, he returned to have Dr. Hasson rebuild the hairline, frontal zone and temples with 4579 grafts via FUT. 1221 grafts were singles, 3279 doubles and 79 were 3-4 hair grafts. These shots were taken 8 months post-op

Thanks for the comments guys. While I see the point that he didn’t “need” to have a procedure, I tend to agree with Forgotpassword and JeanLucBergman. Just this small amount of work, while it was not game-changing, has created a nice polished framing. Prior to the procedure, he could not grow his hair out particularly in his hairline and style it without exposing some weakness in the corners. Perhaps most importantly, the patient was bothered by this and now is very happy. In years past when a patient would come to the clinic with minimal loss in the hairline, the doctors would suggest the hair looked fine and advise to wait until it gets worse. The doctors, of course, would get excited about seeing a stage 5-6 that they could completely transform and change the life of rather than a stage 2-3 with some minor hairline deficiencies. What they came to find out over the years was that these patients with minimal hair loss were extremely bothered by it and as happy with their results as the patients who were once stage 6’s who looked 10 years younger after a procedure. Because we can achieve a very natural looking hairline, these small cases are worthwhile in many instances.