Wen-Yi Wu M.D.

This is a 36 y/o Chinese patient. He is suffering from hairloss in the frontal zone and midscalp.

The patient has been taking Finasteride for the 3 years prior to surgery.

One session FUT was done which consisted of 2513 grafts. Post -op pictures were taken 14 months after the procedure.

Spliting of the grafts:

1h 272

2h 1433

3h 262

1h cut to size 546

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow ISHRS

International Society of Hair Restoration Surgery

國際植髮醫學會 金章醫師會員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

Contact: Dr. Wen-Yi Wu

LINE : taiwanhair

Wechat: taiwanhair

What'sApp: +886972978333

This is a class 6 , 43 y/o Chinese male . He has only limited donor supply. In this case of severe hair loss, the temporal hair has receded and the lateral fringe has dropped. There is no temporal hairline for the lateral epicanthal line to intersect. Visualizing and recreating the 'lateral hump" gives us a helpful landmark to intersect. His new hairline is 9 cm from the glabella. The major areas of reconstruction are frontal zone, midscalp and the lateral humps. The patient is very happy after just one session.

Splitting of the grafts:

1 h : 1364 grafts

2 h : 1441 grafts

3 h : 61 grafts

Total 2866 grafts

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow ISHRS

International Society of Hair Restoration Surgery

國際植髮醫學會 金章醫師會員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

Contact: Dr. Wen-Yi Wu

LINE : taiwanhair

Wechat: taiwanhair

What'sApp: +886972978333

This 30 y/o female patient had a frontal temporal hairline recession.

She received one session FUT with 1756 grafts. The hair caliber is 80 um.

She did not have much hair shedding post-operatively. 4 months post-operative photos are shown.

Splitting of the grafts:

1h 300

1h cut to size 286

2h 935

3h 235

Total 1756 grafts

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow ISHRS

International Society of Hair Restoration Surgery

國際植髮醫學會 金章醫師會員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

Contact: Dr. Wen-Yi Wu

LINE : taiwanhair

Wechat: taiwanhair

What'sApp: +886972978333

This 36 y/o, class V Chinese patient received one session FUT. He was on Finasteride for 4 years prior to the procedure. Post -op pictures were taken 14 months after hair transplant. 3587 grafts were harvested.

Splitting of the grafts:

1 hair 1300

2 hair 1886

3 hair 361

DFU 40

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow ISHRS

International Society of Hair Restoration Surgery

國際植髮醫學會 金章醫師會員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

Contact: Dr. Wen-Yi Wu

LINE : taiwanhair

Wechat: taiwanhair

What'sApp: +886972978333

This 28 y/o Chinese male had Ludwig type II ( female type ) hairloss. He was not on medication.

One session FUT was done with 2183 grafts.

Splitting of the grafts:

1 h 1388

2 h 722

3 h 45

DFU 28

Post-op pictures showed one year and two years after the procedure.

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow ISHRS

International Society of Hair Restoration Surgery

國際植髮醫學會 金章醫師會員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

Contact: Dr. Wen-Yi Wu

LINE : taiwanhair

Wechat: taiwanhair

What'sApp: +886972978333

This is a 27 y/o patient with class III recession.

Hairline reconstruction by FUE was done.

A total of 1361 grafts (2183 hairs) :

1h 307 grafts

2h 574 grafts

3h 124 grafts

1h cut to size 356 grafts

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow ISHRS

International Society of Hair Restoration Surgery

國際植髮醫學會 金章醫師會員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

Contact: Dr. Wen-Yi Wu

LINE : taiwanhair

Wechat: taiwanhair

What'sApp: +886972978333

A 34 y/o Chinese patient with generalized thinning from frontal zone to vertex. He is on Minoxidil 5 % for the past several months.

One session FUT was done consisted of 3608 grafts.

Splitting of the grafts :

1h 329 grafts

2h 1711 grafts

3h 146 grafts

1 h cut to size grafts 1403

DFU 19 grafts

Total 3608 grafts ; or 5668 hairs

Post-operative pictures were taken 12 months apart.

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow ISHRS

International Society of Hair Restoration Surgery

國際植髮醫學會 金章醫師會員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

Contact: Dr. Wen-Yi Wu

LINE : taiwanhair

Wechat: taiwanhair

What'sApp: +886972978333

This 34 y/o female Chinese patient has a high hairline and mild bilateral fronto- temporal recessions. She wants to lower it down by 2 cm and more rounded appearance of the recessions. One session FUT with 1750 grafts was done. The post -op picture were taken one year after.

Splitting of the grafts:

1 h 476

2 h 1089

3 h 185

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow ISHRS

International Society of Hair Restoration Surgery

國際植髮醫學會 金章醫師會員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

Contact: Dr. Wen-Yi Wu

LINE : taiwanhair

Wechat: taiwanhair

What'sApp: +886972978333

Understood Dr Wu, you placed the graft where the patients wanted it. In my opinion, a slightly denser (even by another 200-300 grafts) hairline would've made the 1st session a knockout. Looking forward to the 2nd HT, I'm sure the hairline would be addressed, the patient looks like he's got the donor and hair caliber to have a great result.

 

 

better a wall than a picket fence

Agree Loags !

Another important point to consider in this patient is his young age and timing of vertex transplant.

When the crown area is still big and bald after the 1st session, most young patients as in this case will come back for the 2nd session ASAP , as planned initially. This is not a good thing either.

Many experts in hair transplant advocate crown transplant at least after 35 y/o; some even say after 40 y/o; for the fear that the crown will keep on expanding .

If the crown is transplanted at an early age and if a halo effect does occur finally; then the patient will have to come back for another repair at the risk of depletion in donor supply.

However,when the crown appears smaller in size after the first session, many patients would change their mind and might delay the second session for the crown transplant at a later time because the first outcome appears to be more ACCEPTABLE. This is actually my intention for this patient. To delay the 2nd session as much longer as possible; while maintaining a good coverage of the front and midscalp areas. I do not want him to come back too soon for the crown transplant when he is still young. I will be more comfortable when he comes back for the crown, let's say at 40 y/o.

Again, communication and mutual understandings is the utmost important step in order to have a happy patient.

Thank you Loag for sharing your fruitful comment.

I'll tell you what i think would've better.

Use of 3500 odd grafts for hairline and front 2/3rd of the scalp.

Forget about the crown for the first HT.

Also, this guy is not no meds so in 5 years he will look far far worse in the front than what he appears now.

People put too much value on crown coverage. Crown is overrated. Get a good permanent hairline so the viewer cannot see through you. I see the first stage did cover crown. Better that the 500-800 grafts gone into crown be used on hairline.

I do agree with Loags.

Frontal and midscalp should be the area of major concern for the first session in most situations.

Leave the crown for future sessions.

However , most patients nowadays want to cover as much area as possible in one session, which is difficult for class V patients.

After discussions with the patient, he agreed to have a high hairline, which is 9 cm from the glabella in this situation; and put the extra grafts as far back as possible.

With this high hairline design, we had some grafts to transplant up to the upper arc of the vertex. Thus the overall crown baldness appeared smaller. The patient is happy with this design and outcome.

To me, thorough discussions and understandings with the patient are more important .

Small adjustments of the principle and norms can be made as long as the outcome are still within normal range.

Thanks for your comment, Loags !

That's phenomenal. Do you have his hair caliber in microns?

Yes, I do agree with your thinking.

The importance of the hair shaft diameter cannot be overstated. It is the most important predictor of " coverage" in hair restoration surgery. The total volume of hair determines the visual impact. Doubling the hair density doubles the hair volume, while doubling the hair diameter quadruples the hair volume.

Most Asian patients have coarse hair caliber. Likewise, this patient's hair caliber reached almost 90 microns

31 y/o patient, Norwood class V, did not want Finasteride, only on Minoxidil for past one year.

We recommended two sessions. The first session would cover frontal and midscalp area. 2 nd session on the crown 2 to 3 years later.

Total number of grafts 3439 grafts

Splitting of grafts:

1 h 1585

2 h 1763

3 h 91

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow ISHRS

International Society of Hair Restoration Surgery

國際植髮醫學會 金章醫師會員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

8F, 21 Section 3, Nanjing East Road, Taipei, Taiwan

台北市南京東路三段21號8樓

Telephone: 886-225011383

email : wu@hair7838.com

www.hair7838.com

LINE : taiwanhair

Wechat: taiwanhair

What'sApp: +886972978333

A 33 y/o Chinese patient with generalized thinning in the frontal midscalp area; and vertex baldness.

He is on Finasteride for the past 2 years.

He wants one session as much grafts as possible .

One session FUT was done 15 months ago to fill up the frontal midscalp area ; and the upper arc of vertex.

The upper arc of vertex was transplanted primarily because we anticipate further hair loss in the crown at his age.

3254 grafts were harvested.

Spliting of the grafts :

1 hair 1201 grafts

2 hair 1610 grafts

3 hair 443 grafts

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow ISHRS

International Society of Hair Restoration Surgery

國際植髮醫學會 金章醫師會員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

8F, 21 Section 3, Nanjing East Road, Taipei, Taiwan

台北市南京東路三段21號8樓

Telephone: 886-225011383

email : wu@hair7838.com

www.hair7838.com

LINE : taiwanhair

Wechat: taiwanhair

What'sApp: +886972978333

33 y/o , Norwood 4, Chinese patient.

He was not on Finasteride .

One session FUT done 11 months ago.

Areas covered: frontal zone, midscalp, upper arc of the whorl.

Total number of grafts harvested 2435 grafts

Spliting of the grafts: 1-hair 826 2-hair 1334 3-hair 275

 

 

 

 

 

 

The patient received only 2300 grafts.

For most patients, transplanting the frontal and midscalp areas need about 2500 grafts to produce a good cosmetic result.

This patient is bald in the frontal zone , but only thinning in the midscalp. .He is very happy with just one session of 2300 grafts.

This case also illustrates the racial differences in hair transplant. Asians need much less grafts to produce a good outcome

28 y/o Chinese patient.

On Finasteride for more than 2 years prior to operation.

Good scalp laxity

Donor hair density 78/ cm2

Thick hair caliber.

Basically he is an ideal candidate for hair transplant.

Please guess how many grafts were delivered in one session ?

Let me know the answer , contact me through the followings:

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow ISHRS, FISHRS

International Society of Hair Restoration Surgery

國際植髮醫學會 金章醫師會員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

8F, 21 Section 3, Nanjing East Road, Taipei, Taiwan

台北市南京東路三段21號8樓

Telephone: 886-225011383

www.hair7838.com

email : wu@hair7838.com

LINE : taiwanhair

Wechat: taiwanhair

What'sApp: +886972978333

Since Finasteride is a DHT blocker , it would be reasonable to assume that DHT stimulates beard growth; blocking DHT (with finasteride) would tend to inhibit its growth. In practice, this does not seem to be the case, i.e. we don’t find that Finasteride has any affect on facial hair. The reason is not clear.

Some say that it is ideal to transplant patients at least above 25 y/o.

To me, transplanting or not transplanting, based on arbitrarily age limits, is unfair to patients and has little or no medical basis. As with all patients, young patients must have realistic expectations as to the ongoing nature of male pattern baldness, the limited amount of donor hair available, and how this will impact the future cosmetic appearance and extent of their transplanted areas.

Arbitrarily saying that under a certain age hair transplantation should never be done is wrong. Every situation is different and each one should be judged on its merits. Conservative surgery will be less harmful to these young hair loss sufferers than condemning them to many years of low self esteem.

I try to limit to one FUE session of no more than 2000 grafts.

Chinese hair are coarse in general and we need to use a bigger punch for harvesting.

Over harvesting will deplete the donor supply and create problems to the donor appearance; which is not easily to be corrected.

To Johnboy 71,

This is my typical FUT patient.

In my opinion, this patient is not suitable for FUE for some reasons.

He needs many grafts ( megasessions or gigasessions ) to cover the bald area.

He is still young and may need future sessions to cover other areas.

He is Chinese and the color contrast between scalp and hair are obvious.

If we end up with using a lot of FUE grafts, the donor area might end up with white walling, hypopigmentation or see-through effects. These complications are not easily corrected.

Thank you guys for the compliments.

Aside from FUT , I also do FUE in selected cases. To be an expert in hair transplantation, it is mandatory that the surgeon should master both technique. Ability to perform just one technique and not the other results in failure to provide the best treatment options to our patients.

To Johnboy 71,

I do perform FUE procedure. In my practice I try to limit to session 2000 grafts or below; and in mature patients in whom future sessions are not anticipated. In patients that need mega or giga sessions , FUE might end up with see-through effect, white walling or hypopigmentation of the donor areas. These complications are not easily corrected.

To Johnboy 71,

This is my typical FUE patient. I try to limit to session 2000 grafts or below; and in mature patients in whom future sessions are not anticipated. In patients that need mega or giga sessions , FUE might end up with see-through effect, white walling or hypopigmentation of the donor areas. These complications are not easily corrected.

32 y/o, Caucasian , Norwood IV .

Area to be treated : frontal zone and midscalp

Never on Finasteride nor Minoxidil.

Hair density 84 /cm2

Donor strip 28 cm X 1.2 cm

mild wavy hair

Spliting of the grafts:

Singles 925

2 hair 1423

3-4 hair 455

Total 2803 grafts

This patient is extremely happy after one session. Post-op picture taken after 11 months

Wen-Yi Wu M.D. FISHRS 吳文藝醫師

Fellow International Society of Hair Restoration Surgery

國際植髮醫學會 資深研究員

Diplomate ABHRS

American Board of Hair Restoration Surgery

美國植髮醫學會 專科認證

Taiwan Hair Transplant 台灣萌髮診所

8F, 21 Section 3, Nanjing East Road, Taipei, Taiwan

台北市南京東路三段21號8樓

Telephone: 886-225011383

Email: wu@hair7838.com

LINE ID: taiwanhair

What's App: +886 972-978-333

Wechat ID: taiwanhair

www.hair7838.com