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Hair Transplant Clinic Information
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Hair Transplant Surgeon
Dr. Carlos Wesley
- Hair Transplant Network Recommendation Profile
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Hair Transplant Clinic Name
Dr. Carlos Wesley MD
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Primary Clinic Address
1050 Fifth Avenue
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Country
United States
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State
NY
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City
New York City
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Zip Code
10028
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Phone Number
844-745-6362
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Fax Number
646-918-6451
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Website
http://www.drcarloswesley.com/
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Email Address
info@drcarloswesley.com
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Provides
Follicular Unit Hair Transplantation (FUT)
Follicular Unit Extraction (FUE)
Eyebrow Transplantation
Body Hair Transplantation (BHT)
Prescriptions for Propecia
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Dr. Carlos Wesley's Achievements
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It's not uncommon for patients to feel pretty nervous about the initial appearance of their transplant about a week or two after the procedure. Stubbly hair shafts - a few of which may have already begun to fall out - don't really give the appearance of an impressive result. It's important to know that there are many variables that will ultimately allow those to generate the desired look of fullness and to not get too nervous about this early appearance. The caliber, number of hairs per bundle and placement of the grafts to optimize the aesthetic density all factor in. Imagine how pessimistic this patient in the attached images must have felt at the one week postoperative mark! Well, he ultimately became one of our surgical team's biggest advocates. I spoke with washingtondc and he understands this process a bit better now. The donor, as well, will be all filled in with an FUE session once that heals. When you sign on with a team, you sign up for a result. It's our commitment to get him there even if it takes an extra step.
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Thanks for your comments. The results are real and nobody is being "duped". I've posted a close-up before and after of this patient's crown. In it, you can see that miniaturized hairs were indeed present. I strongly encourage everyone to take a look at the Grand Rounds Lecture I gave regarding the efficacy of PRP on genetic hair loss. While PRP is certainly not the answer for all patients, it can have a positive impact on the right type of patient. We are continuing to monitor patient outcomes after PRP to determine the ideal hair characteristics for this procedure. This patient has NOT taken Propecia. However, HGB (our hair growth blend) does contain a topical finasteride component. It is described in a bit more detail on this page.
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Thanks @Spanker and @Sean, for your comments. While platelet rich plasma (PRP) treatments are certainly not a replacement for hair transplantation, they can provide help to patients that would otherwise not benefit from surgery (e.g. patients with a very high percentage of miniaturized hairs and/or diffuse thinning). We have certainly seen patients benefit from PRP in areas that underwent shock loss (it's a common treatment for women after pregnancy to prevent shock loss). The key is the presence of miniaturized hairs that can benefit from increased caliber, length, and number of hairs per bundle. So, @aWidowsPeak, your observation of darker hair is not uncommon. It's not, however, due to hair dye but rather reactivation of melanocytes. This feature especially helps patients being treated for alopecia areata and patchy loss of hair coloration. The best I can do for you in terms of "real proof" is refer to the Grand Rounds Lecture I delivered to an NYC dermatology department recently in which I detailed the pros and cons and findings of PRP thus far. I've also included magnified images of the patient seen in this thread. Hopefully, this is helpful.
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Thanks for your comments! I'll track down the specifics on how the beard and scalp grafts were "reaccommodated" and have our team post the details shortly.
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CARLOS K. WESLEY, MD (NYC)
Images added to a gallery album owned by Dr. Carlos Wesley in Member Albums
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While every patient is different and every clinic generates different results, it has been demonstrated that after two (2) platelet-rich plasma (PRP) treatments spaced a few months apart, the benefit from the PRP sessions last for approximately 17 months.
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Thanks, Bill & hsrp10, for your comments. Interestingly, this patient claimed that the majority of his grafts never "fell out", but simply grew from the outset. While I'm not sure this was actually true, it may be an indication of less "shock" to the follicles during the transplantation process.
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Despite the important function that this social network provides in terms of vetting the various physicians and surgeons who treat hair loss, there still exist plenty of places that have unlicensed personnel performing surgeries both in the United States and abroad. Even as recently as June 2016, the state of Florida's Board of Medicine issued a declaratory statement related to the legality of this practice. For those interested, please read…
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Thanks for your comments. It should have been pointed out that this patient was a revision surgery after previously having an FUT at another hair clinic. Therefore, his FUT procedure with us included not only an increase in recipient area density, but also a revision of his prior FUT scar. Importantly, I take out the prior FUT scar and reduce it rather than creating multiple scars in the donor area. I have included images (distant and close) of the patient's donor area a few months after his FUT procedure with me.
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The solutions in which the transplanted hair follicles are stored when out of the body can have a profound impact on the ultimate procedural result. Here is a an example of a patient who had two FUT ("strip") procedures at a different surgical practice in NY before having an FUE session with our group. Clearly, his results and graft survival were not consistent with the findings of this investigation.
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The work of a respected physician in our field, Dr. Michael L Beehner, may provide the most objective data yet comparing the yield of grafts using follicular unit transplantation (FUT) versus follicular unit extraction (FUE). While I still believe that there are numerous methods not used in his investigation to optimize growth, the effort to minimize the number of variables that may influence survival rates of grafts was considerable. Ultimately, it’s important that physicians are proficient in both methods (FUT and FUE) in order to provide patients with unbiased and objective information regarding both methods of surgical hair restoration.
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@Spanker. Thanks for your kind comment. This guy happened to be a big fan of Roger Federer, the tennis player, and wanted a hairline just like his!
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Thanks for your comments, everyone. We really appreciate them. @bitethebullet. Regarding your wavy hair comment: it's not uncommon for transplanted hair to initially grow in just a bit curlier. Yes. This is certainly something that can aid in overall coverage. Over time, however, the curliness does tend to fade and take on the original hair characteristics. Some believe that the initial "curl" results from the mild trauma or shock that the grafts undergo as they are transplanted from one part of the scalp (donor area) to the recipient area and spend a brief time period out the body. Again, thanks for your comments!
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