destorius

Hey lileli,

 

Discussed on another thread. Dr. Hasson has no FUE results but is charging guys top dollar to practice on their head in my opinion. Basically riding the popularity of his FUT..

Sorry how do you know this? Are you working at the clinic? What you mean is that he hasn't published cases online. He might have done plenty of cases (which being a top surgeon I would expect) in private and even taken photos to show prospective patients. My point is you don't know so I suggest you don't make accusations.

I hope it works like that for me!

Should be a big improvement. I hope it works out well for you! Where are you from in the UK?

Have any pictures of the donor? What is the density of th donor? Is it expected you can get more?

Few fit nurses as well .

Lad!!

I know how some enjoy a good conspiracy theory:

 

 

Nice beat! Haha! Unless either more doctors come on here to give their opinion or a scientific study can be developed to test the theory, I would propose closing this thread - surely it has run its course?

I wrote an article that was published in our industry journal about the issue of sunburn.

 

In the nineties I had a patient who decided to play tennis for several hours between 10 am and 4pm at the start of the spring. He did so without a hat and received a massive sunburn. The works, hyper redness and swelling. Classic case. And like you he came to office in a panic worried that it might hurt his grafts.

 

Upon exam his skin was very red with very white dots representing where the grafts were placed. The skin was very tender to the touch and puffy with swelling. Almost as if he had just had a transplant within the last few days.

 

When your skin turns red in the sun it's not because you are baking like a turkey. The color change is a protective response to the sun. The heavier the tan, the greater the response. There are cells in the skin called Chromophores. These cells, when activated, create the color change. But after a hair transplant these cells are not active within the transplanted tissue. They are likely not even alive. So when the sun strikes the skin, the healthy skin around the transplants become red, but the graft tissue itself remains uncolored. This is why you should stay out of the sun for the first six months-because the grafts can't protect themselves from heavy sunlight like they could before the transplant.

 

That's the bad news, the good news is that new Chromophores will develop in the graft tissue and begin to start allowing even the grafted tissue to tan and protect itself.

 

Back to my patient from the nineties. So I gave him some oral steroids to help with the inflammation and sent him home. he visited months later and guess what... all his grafts grew with no problem at all.

 

So even with only 6 weeks of healing time the grafts endured a second degree sunburn and "laughed it off". So I should imagine that at 6 months your transplants are fine.

 

I'll post the article I wrote about it here after surgery today.

 

Hang in there and grow well.

 

Dr. Feller

What an informative post. Thank you.

Thank you, I hope so. Of course you can see some white dots when the head is shaven almost to the bone, but if the hair just has a little length to it, it covers it up perfectly and is not noticeable. You can check my other thread here, where it shows my donor looks very full when the hair is around 1 cm long. But again, I had a thick donor to begin with... I am also nervous to find out how it will look now after 9000 grafts

What are the back and sides cut prior to Op 2 in your pic? If you are happy to grow sides to 1Cm, what made you disregard FUT if you don't mind me asking?

Every innovation should be welcomed, it could be that MFUE is the bridging step. Time and results will tell.

While I'm on the subject ...

 

Would people be interested in some sort of rough checklist or scoring system they could go through to get a vague idea of how they may scar?

 

This is actually something I worked on in the past, but kind of put on the back burner because of a few other projects.

 

However, it could be a good motivator to finish it if I really thought it would help some guys out!

I think that is a great idea. In my mind, the next breakthrough in the field is working a way with or without something like ACELL (or whatever is flavour of the month at that time) to produce "grade a" strip scars each time. If you could get strip yield and still shave to a grade 2 in 99% of the attempts, we would be at the sweet spot until we can get donor regen. I know you will mention MFUE but you yourself still say this is detrimental to donor.

James/Des,

 

Thanks for the kind words! People seem to like the video format, so we'll keep making them! And let me apologize, in advance, for those who don't want to see our mugs that many times a month!

 

I agree that your comment is fair game and I'll absolutely address it. Unfortunately, Dr Feller feels the same way. And I wish it wasn't the case. But, it does make sense if you think about it: we, based on experience, studies, et cetera, believe that the quality and quantity of FUE growth is less reliable. The hairline is your money shot. Frankly, it's everything in HT surgery. I tell high NW guys daily that If I only recreated a solid hairline and re-framed your face, you essentially wouldn't look like a "bald guy" any longer. Obviously I don't actually recommend creating a floating hairline on these guys, but it's a good example of the power of the hairline. And this is why we need the powerhouse grafts here. I just can't risk missing pieces or unnatural growth up here

 

So, where and how do we do it? Despite the controversy, we actually do quite a bit of FUE. It's done in small sessions and meticulously done with all manual scoring, manual delivery, and microscopic inspection before anything is implanted. Don't tell anyone either, because I don't want it to ruin my rep, but I actually really enjoy doing it too!

 

Most of the cases we do are on patients who had FUE before and are looking to add density to certain areas. Again, not a jab at the procedure, but the reality of what we see. Because of this, we invariably end up placing some in the frontal scalp from time-to-time. We also have patients who are coming back for another pseudo-planned small session and end up doing the same. However, we never really start off this way. Most of where we end up placing FUE grafts are in the areas behind the hairline -- as this is more camouflaged and where you need more density than anything else. But we also place in the midscalp, vertex/crown, et cetera.

 

Frankly, I do think I have an answer to this problem. But that's another thread for another time. Hahah. PM me if you'd like to discuss it further.

 

Hope this helped!

Thanks for such an honest and informative reply. I can understand why you would take this view following your view on possibly variable yields on FUE. Bit disappointed from a personal perspective as this is where Dr Feller put 1010 FUE grafts into me in 2011! perhaps this view has evolved in the last 4 years.

Thanks again for giving me your input.

James

I see improvements since month 6. Keep your head up, plenty of time to finish off maturing!

 

2) Where the grafts were being placed.

 

I almost never recommend placing FUE grafts into the hairline. Why? It's the most visible region of the scalp, and I must be 100% confident of the growth and appearance of grafts in this region. FUE grafts are subject to lesser yields and have a greater tendency to grow "wiry" or "kinky," and I can't have patchy or unnatural growth in the front of the scalp.

Dr Bloxham, let me first thank you for another clear and informative video. I am concerned by the above comment. Considering that yourself and Dr Feller only consider FUE for small cases (typically under 1000 grafts) then when would you do it if it wasn't for hairline work? Does Dr Feller also follow this mindset? I am not trying to turn this into another FUE vs FUT thread but as you mentioned this, I see it as fair game.

Thanks

James

I prob wasn't especially coherent in my post. The right side (400 grafts) give in well and the left (600 grafts) not well. Whether it is my feeling of 50-60% or 75% can't really be concluded without examination. Dr Feller did indeed give me consent form ahead of surgery and did go over the possible difference in yield between FUE/FUT. I am confident the donor looks good from Dr Fellers work and the right side blends in well with my native hair.

The issue is that despite being on propecia, I have lost ground which means I am prob approaching a NW3 now. This is something people need to be aware of with either surgery... Unrealistic that drugs will stop the loss forever and HT planning is essential. I am undecided on another HT, I will prob shave to a 1 or 2 grade if I stop being able to conceal it.

I feel like sometimes people jump into HT now without really thinking about the commitment you are making, this is especially true for FUE as there is little downtime and the ability to do smaller procedures. Anyway, sorry for diverting the thread- I have made my point. Good luck to all.

Newbie... Sorry I corrected the post, I think you CAN get great results. Nothing in life is 100% though. I think a lot depends on your expectations. One thing I would say is that there is NEVER a rush to take the plunge. It can never be too late if you are on meds. Good luck!

Looks good to me. Enjoy your life.

What an incredible result

I have logged back in after 4 long years to give my opinion! I don't think you can get GREAT results with either FUE or STRIP but with going with strip it gives you better odds. I generally do see better, denser results on this forum with strip. That said, you take on the linear scar which will probably be fine but *could* stretch. You pay your money and take your choice.

I would imagine that impact of FUE on the donor is worse than strip but if you don't need much work done in your lifetime that might not matter. I have had FUE myself with Dr Feller (1010 grafts), the left side grew in ok but the left didn't. I would estimate (and I am in no way an expert) that it was in the 50-60% range. Was this Dr Fellers fault? No I shouldn't think so it could well be my physiology, who knows and to be honest it doesn't really matter now, it's done. From a personal perspective, Dr Feller came across as an exceptionally knowledgable surgeon and obviously can hold some strong views and comes across as defensive in the thread. This thread has been made into Feller vs. FUE which isn't really fair as if you look back over the last decade he has done more than most to try and progress things.

Isn't it nice that we have a number of experts who will give their view on this forum. Kudos to Feller, Vories & Bhatti.

I really like the video, really gives you an insight into the rationale behind how each piece of work is done.

Things look bang on schedule- I think you will be a happy man.

You are right at the beginning... Ride this out and you willbe ona much happier place in 6 months.

SMG's work always looks so good- I wish you all the best.

Corv- a well documented case and I'm sure it will produce a fantastic result. I don't always agree with some of your viewpoints on here, but the way you document your progress is a real asset to this community and is sure to help newbies.

That's alot of graphs but the result is astonishing! Well done to the doctor.

Hey! thanks for posting, hope all goes well and I look forward to following your results.