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H & W Doug

Elite Coalition Physician
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Posts posted by H & W Doug

  1. Hasson & Wong Upcoming Free Consultations - Dallas Nov 10-11

     

    If you’ll be in Texas and you'd like to find out if you are a good candidate for a hair restoration procedure at our clinic, Hasson and Wong patient advisor James will be back in Dallas November 10-11.

    You can learn more about James and his story or reserve your spot here: https://hassonandwong.com/hair-transplant-toronto/ 

    You can also book an appointment here: https://hassonandwong.com/consultations-in-your-city/ or by calling 1.800.859.2266 Toll-Free or emailing us at info@hassonandwong.com.

    dallas-nov-10-11.jpg

  2. SammyD,

     

    Shaving the whole head is not required in a case such as this. In most cases, the top is shaved and the sides and back are not. Many European patients and especially Italians allow Dr. Hasson to shave the whole head which in some cases he prefers. This patient was not concerned with showing the staples and incision either so he allowed it. I’ve seen some patients with a good comb-over and if there is sufficient hair on the side to swing over, we’ll simply shave the top and leave the hair to comb over on the sides/top to remain to use as a camouflage. For FUE it may be a little trickier and each case may be different. For FUT there can be an area above the incision with good density that will allow the comb-over. For FUE, we may need to go into that area with the harvest so it could potentially limit the amount of comb-over hair that can remain unshaved. However, with FUE the need to keep the hair longer on the sides and back to hide the incision does not apply and the complete shave with FUE is often a better look than with FUT. Without an in-depth look, it is hard to say what we can do in your case. I would come to the clinic with the comb-over in mind and we can determine upon examination which option would be best and shave accordingly right before the procedure. In the end, I don’t think redness will be a big factor for you and your post-op may be easier than you anticipate.

  3. Hasson and Wong patient advisor James will again be in Toronto on Nov 3rd and 4th the weekend after his return from the Calgary consultations trip. Sign up for your free evaluation to find out if you are a good candidate for a hair restoration procedure and what we might be able to achieve.  

    You can learn more about James and his story or reserve your spot here: https://hassonandwong.com/hair-transplant-toronto/ 

    You can also book an appointment here: https://hassonandwong.com/consultations-in-your-city/ or by calling 1.800.859.2266 Toll-Free or emailing us at info@hassonandwong.com.

    toronto-nov-3-4.jpg

  4. Hasson and Wong patient advisor James will be in Calgary Oct 27 and 28.  Sign up if you're interested in finding out if you are a good candidate for a hair restoration procedure and what we might be to achieve. 

     

    To learn more about James and his story or reserve your spot here: https://hassonandwong.com/hair-transplant-toronto/

     

    You can also book an appointment here: https://hassonandwong.com/consultations-in-your-city/ or by calling 1.800.859.2266 Toll-Free or emailing us at info@hassonandwong.com.

     

    calgary-oct-27-28.jpg

  5. Hasson and Wong patient advisor Mike is back on the East coast this month. In Washington DC Oct 22-23 and Manhattan Oct 24-26. Find out if you are a good candidate for a hair restoration procedure at Hasson and Wong. To reserve your spot visit here https://goo.gl/ncjHhm Click the USA tab and select the desired city. You can also learn more about Mike, the process and his 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.

     

    washington-oct-22-23.jpg

    new-york-oct-24-26.jpg
     

  6. This Vancouver area patient in his mid-30’s came to the clinic to address his receded hairline and thinning frontal zone. Dr. Hasson and team used 2575 grafts extracted via FUE to restore the area and achieve the desired result. 302 were single hair grafts, 2017 were doubles and 256 were 3-4 hair grafts. These photos were taken just shy of 1 year post-op. 

    *At the time of his procedure we were experimenting with a white background, we have since gone back to blue. Apologies for the difference.  

    hair-transplant-before-after-2575-grafts
    hair-restoration-surgery-before-after-25
    hair-transplant-before-after-2575-grafts
    hair-restoration-surgery-before-after-25
    hair-restoration-surgery-before-after-25
    hair-transplant-surgery-before-after-257
    hair-restoration-surgery-before-after-25
    hair-transplant-surgery-before-after-257
    hair-restoration-surgery-after-2575-graf

     

  7. Thanks for the comments guys.

     

    Literalno,

    I agree it is impressive. The hair shaft caliber is above average. Assuming 50 microns is average, I would guess 80 microns, maybe more for this patient? As far as Joe Tillman. Joe has much finer hair (likely less than 50 microns), a more advanced hair loss pattern and therefore more area to cover. As I have eluded to before, one of this patient’s hairs might equal 2-3 hairs from a patient like Joe which can help explain the difference in result. Basically, to equal 7902 grafts with this type of hair, Joe might need 15,000 or maybe 20,000 grafts and may still not achieve this density and coverage. Very few have 15,000 grafts in the bank. Coarse hair can make up for deficiencies in other areas. This patient has the best of both worlds, high donor density, and large hair shaft diameter. Amazing things can be achieved with the right doc if he’s given these donor hair characteristics. But as I’ve said before, the best raw materials mean very little without the right surgeon and team to take advantage of them. You’re right garethbale ?

     

    Bless up,

    I don’t think the original placement shot posted shows as much of the crown.  If you look at the tip down shot I posted on Feb 6, 2017, you’ll see more of the crown and notice the thinning area is fairly substantial. See below for a better shot of that area taken 4 days post-op. Probably 3,000 or more grafts alone for that area. So if you couple, that with a high-density hairline and frontal zone along with the mid-scalp, it seems more reasonable. Usually, a frontal zone and mid-scalp restoration takes at least 4,000 grafts. In this case, if we plan for something in the 6,000 graft range and get closer to 7,500 – 8,000, the extra grafts will usually be used in parts of the mid-scalp and crown as the density up front is more of a fixed proposition and satisfied with the first 4,000 or so grafts.

     

    dr-hasson-sep-20-2018.jpg

     

  8.  

    As I mentioned some time ago, when I run across a previous post from a few years back with broken links, I will try and repost the pics. Here is such a case that I'm re-presenting.

    This patient came to Vancouver from Israel to have a procedure following in the footsteps of his son who had previously undergone a successful procedure with Dr. Wong a few years earlier. Dr. Wong and team transplanted 5496 Grafts in one session via FUT.  1562 were single hair grafts, 3317 were double and 617 were 3-4 hair grafts. The goal was to reconstruct the hairline, frontal zone and mid-scalp working back as far as possible. With a sufficient yield, some crown coverage would be possible and in this case, it was achieved. The result shown is only 7.5 months post-op.

    This patient is very happy and a strong advocate for the clinic. If you are in Israel and considering a hair transplant procedure with Hasson and Wong and would like to speak with this patient about his experience, get in touch with me and we'll connect you. 

    hair-transplant-before-after-5496-grafts
    hair-transplant-before-after-5496-grafts
    hair-transplant-before-after-5496-grafts
    hair-transplant-surgery-before-after-549
    hair-transplant-surgery-before-after-549
    hair-restoration-before-after-5496-graft
    hair-restoration-before-after-5496-graft
    hair-restoration-before-after-5496-graft

     

    • Like 1
  9. jj51702,

    Yes, I believe he has been on the standard dose.

     

    hdude46 / andy_+_+,

    If you ask us, there is no simple answer as to whether or not someone should use minoxidil. As previously stated, the doctors are not big fans of it primarily due to its effect on the tissue. More bleeding and difficulty while making incisions has the most to do with their less than favorable view. If not for performing procedures on patients who use it, they would likely have a more neutral stance. Over the years they felt Finasteride was a more effective tool in preserving hair and with these negatives in their opinion associated with minox, they would advise some patients stop it. However, if some patients could not take Fin and/or were getting favorable results with minox, they would say keep using it but stop in 4 weeks or more before a procedure and resume after. If a patient was projected to only lose the front and we were going to restore the front through a procedure, they would advise that there was probably no great benefit to using it.  If you have been using it for years with success, you can continue using it but without knowing the exact situation, it is hard to give a recommendation. For some it would irritate the skin, for others, the tissue would look fine. Some may be more sensitive to it than others. So as mentioned, no simple answer. Each case is different and ultimately the choice is up to the individual. I personally have never used it and it is unlikely I would need or want to consider using it.  

     

     

  10.  

    hdude46,

    The doctors have not been big fans of Rogaine over the years. While its impact can vary from patient to patient, for many who have used it we see some instability of the tissue. Without going into great detail, it can make the procedure more difficult and create some limitations.  It has been shown to affect the collagen and some premature facial aging can also occur. In the end, Dr. Hasson would likely not feel the benefit is warranted versus the potential negative effects on the tissue in this case.

     

    • Like 2
  11. Thanks for the nice comments guys!

     

    HairlossPA,

    Actually, no grafts placed in the crown but a few slightly behind the frontal zone. The majority in the hairline and frontal zone.

     

    densedream,

    I actually went back and compared how he aged as I thought he looked pretty good for 40?

     

    Wazaam,

    I would say both. Back in 05, Dr. Hasson had predicted a final hair loss pattern of a 3A. So little if any projected mid-scalp and crown thinning. Looking at him today I would say he was accurate. While not critical in his case, he was on Finasteride back in 05 and is taking it today.

     

    Melvin,

    As I mentioned regarding the 10-day post-op shot, we did not regularly take immediate post-op shots back in 05 and therefore don’t have graft placement pics.

     

    jj51702, 

    He stopped Rogaine just before his procedure and we would have advised not to continue using it.

  12. Hasson and Wong patient advisor Mike will travel from his San Diego’s consults to LA Sept 19-21. As usual, Los Angeles is a popular city so don't wait to sign up to see if you're a good candidate for a hair restoration procedure at Hasson and Wong. To reserve your spot visit here https://goo.gl/ncjHhm Click the USA tab and select Los Angeles. You can also learn more about Mike, the process and his 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.

     

    los-angeles-sep-19-21.jpg

  13. Hasson and Wong patient advisor Mike is back in San Diego Sept 17-18. Find out if you are a good candidate for a hair restoration procedure at Hasson and Wong. To reserve your spot visit here https://goo.gl/ncjHhm Click the USA tab and select San Diego. You can also learn more about Mike, the process and his 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.

     

    san-diego-sep-17-18.jpg

  14. The weekend after his visit to Calgary, Hasson and Wong patient advisor James will again be in Toronto on  Sept 15-16. There are still a few spots left. Sign up if you're interested in finding out if you are a good candidate for a hair restoration procedure and what result we might expect to achieve.

    You can learn more about James and his story or reserve your spot here: https://hassonandwong.com/hair-transplant-toronto/

    You can also book an appointment here: https://hassonandwong.com/consultations-in-your-city/ or by calling 1.800.859.2266 Toll Free or emailing us at info@hassonandwong.com.

     

    TORONTO-SEPT.jpg

  15. Patient in his mid to late 20’s traveled from New York to see Dr. Hasson about his hairline and frontal zone loss. Good donor with hair shaft diameter on the finer side. Dr. Hasson and team transplanted 4260 grafts to restore the hairline, frontal zone and a small portion of the mid-scalp.  938 were single hair grafts, the remaining 3322 were 2, 3 and 4 hair grafts. We did not always document and break down the singles from the larger grafts back in 2005. Still looking good nearly 13 years later as he approaches 40 years old.

    hair-restoration-before-after-4260-graft
    hair-restoration-before-after-4260-graft
    hair-transplant-before-after-4260-grafts
    hair-transplant-surgery-before-after-426

     

     

    Placement shot taken 10 days post-op, we did not usually take immediate post-op shots back in 05.

     

    hair-restoration-surgery-after-312-graft

     

    While his scar was good, he wanted to improve it even more. 312 FUE grafts were recently placed into it to further minimize. 18 were single hair grafts, 177 double’s, 117 were 3-4 hair grafts.

     

     

    hair-transplant-before-after-312-grafts-
    hair-restoration-before-after-312-grafts
    hair-restoration-surgery-before-after-31
    hair-transplant-before-after-312-grafts-

     

    • Like 1
  16. Hasson and Wong patient advisor James will be in Calgary on Sept 8-9. There are still a few spots left. Sign up if you're interested in finding out if you are a good candidate for a hair restoration procedure and what we might be to achieve. 

     

    You can learn more about James and his story or reserve your spot here: https://hassonandwong.com/hair-transplant-toronto/

     

    You can also book an appointment here: https://hassonandwong.com/consultations-in-your-city/ or by calling 1.800.859.2266 Toll Free or emailing us at info@hassonandwong.com.

     

    calgary-september-8-9.jpg

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