Billena

This patient illustrates the importance of minimal color contrast between the hair and the skin. A 2567-graft session to the frontal half of his scalp can be seen before, during, and 18 months after treatment. Because the 35-year-old patient traveled a great distance to reach Dr. Wesley's center, the "after" images that he volunteered were taken in his own home.

Beginning just over two years ago, this gentleman had a session to the frontal third of his scalp followed by a session addressing his thinning mid scalp. In total, he had 4020 grafts with about 2600 grafts dedicated to the frontal third of his scalp.

A 25-year-old male returned two years after over 2600 grafts were transplanted throughout the frontal half of his scalp. He met with Dr. Carlos K. Wesley because he was frustrated with the continued progression of his hair loss (especially in the front) despite taking Propecia.

Before surgery patient often ask, "Do I need to shave my head?" In Dr. Wesley's practice, patients are not required to shave their heads for a traditional strip harvest approach to hair restoration surgery. Instead, they are encouraged to wear their hair at a minimum of 3/4" in length. However, Dr. Wesley is able to achieve an effective camouflage of sutures in the donor area in patients with even shorter hair length. Although hair that is slightly longer in the donor area makes it easier to perform the surgical donor closure, this video demonstrates how - before (left image) and two weeks after (3 pictures on the right) - the donor area can already appear very normal. This allows patients to comfortably return to work, school, or social activities.

Softening a "pluggy" appearing hairline can be achieved in a single session. This 42-year-old male had previously undergone two hair transplants that left him with an unnatural appearing hairline. Dr. Wesley effectively softened his hairline with 2000+ grafts and, after only seven months, the patient was already beginning to benefit from this repair session.

Here's an update on this FUE patient of Dr. Wesley's who recently returned for a follow-up...

Patient returned five months after the repair session... ...his early growth, coupled with the softening of the plugs in the crown, has allowed him the freedom of not always having to wear a baseball hat in public. Now, he only wears it when the Yankees win!

This patient returned 6 months after a second session of 2,546 FU focused on strengthening the temples and mid scalp as well as covering areas of future loss. At 6 months, the early growth can be most appreciated in his temples. The video above starts with his consultation and continues to show his current appearance after a total of 4,937 grafts. More to come!

This patient had undergone multiple transplants (including an unsuccessful repair attempt) prior to consulting with Dr. Wesley. Our focus was to reduce the donor scar and soften the "pluggy" looking hairline from his prior transplants. His improvement from his repair session with Dr. Wesley can be viewed in the video montage.

Based on recent peer-reviewed articles and publications, this video provides an overview of chest and abdominal hair to scalp follicular unit extraction (FUE). Highlights include statistics related to graft survival, beard hair caliber (versus that of scalp), and length of transplanted hair (beard versus scalp).

Based on recent publications, this video provides an overview of beard to scalp follicular unit extraction (FUE). Highlights include statistics related to graft survival, beard hair caliber (versus that of scalp), and length of transplanted hair (beard versus scalp).

FUE can also serve as a "cherry on top" after a strip harvest. This patient had already had prior hair transplantation at a different clinic and desired a 1) more refined hairline with a 2) more comfortable experience. FUE using sections of his virgin donor scalp was the choice. Beard FUE was also performed. The grafts were placed throughout the hairline as well as into the prior linear scar from a previous session. A total of 1283 FU were used to treat this patient. This approach enables patients to wear their hair at a longer length immediately after an FUE session. In general, each section should be about 75% as wide as the donor hair is long.

While some patients are tremendous candidates and others not candidates at all, there are many patients within that spectrum. This 35-year-old male had a permanent "safe donor area" that was limited to the back of his head (the area just behind his ears was too thin to harvest because and it did not likely include permanent hair). A video montage of the procedure can be viewed here. Despite his limited donor area (resulting in 1897 FU), he had enough to frame his face and lightly cover his frontal half (including areas of future loss). This would leave a patch of thinning in his crown that looks natural. Later in life, if he choses, he can return to address that area with another session. However, harvesting too many grafts in his case would likely produce a wider scar than his limited donor area could cover. He returned at 9 months for follow-up pics and a smile on his face.

Using a total of 4,176 FU, the patient was able to address both areas that bothered him most: the crown and the recessions along his hairline. Video: Treating Both Crown & Frontal Scalp In addition to the coverage of his balding crown (see previously), this 34-year-old patient was able to fill in his fronto-temporal recessions as seen in the attached pictures as well as the accompanying video montage.

This 65-yr-old man had a transplant by a different physician nearly 20 years before presenting to our practice. Since that initial session, his pre-existing hair continued to thin, exposing the original pattern designed by that surgeon. A session of 2007 micrografts throughout the frontal half of his scalp provided a dramatic improvement in density. The hair characteristics of this patient prove quite desirable: wavy, great density in the donor area, and salt and pepper coloration. These combined features serve to most effectively provide scalp coverage.

This gentleman had undergone two procedures at a "no-longer-existing" hair institute approximately 20 years ago. The strikingly unnatural appearance of the resulting plugs around his crown forced him to wear a hat at all times. Using a combination of excision and punch site closure, the crown plugs were removed. In addition, he had a 1938 FU pattern designed throughout his mid scalp (to be shown in about 6-9 more months!) to provide hair that will more naturally cover his treated vertex. The patient returned 3 months later and - for the first time in YEARS - didn't have to wear a hat. Still, a focused treatment with microderm stimulation was performed by Dr. Wesley (after the "post" pictures were taken) to further smooth out the appearance of his vertex. Combined, Dr. Wesley's treatments will help "reverse" this patient's less-than-ideal hair transplant from years before.

Here's an image of the patient's donor scar after the FUT with Dr. Wesley.

Yes. The $100 consultation fee is also applied towards surgery.

A 57-year-old man received a total of 3889 FU throughout the frontal third of his scalp over 2 sessions. He returned with a broad smile approximately one year after treatment for follow up pictures:

The true extent of donor scarring is revealed when clipping the hair above and below the scar. This patient returned for a follow-up session to a different area. So, his donor scar can be viewed in its entirety.

<iframe src="http://player.vimeo.com/video/44754201" width="400" height="300" frameborder="0" webkitAllowFullScreen mozallowfullscreen allowFullScreen></iframe> The video link's up again. Though, we're now a step closer to being YouTube converts once more!

This 43-year-old male underwent a 2710 FU session of follicular unit extraction (FUE) in order to cover the frontal half of his scalp (including hairline). This video illustrates the early postoperative recovery following a large FUE procedure. It may help patients considering this approach by demonstrating the length hair in the healing donor area. Any residual scabbing in the recipient area can be cleansed with simple soaks and gentle shampooing.

Here are images and a of a 30-year-old patient who returned to our office approximately 3 years after a session of 2566 FU with Dr. Wesley. The session addressed his progressively thinning hairline. The video can be viewed at:

This illustrates the postoperative progression over the first 3 days following an session of FUE in our office. A fine 0.8mm punch was used to harvest this 1825 FU session. 1s = 472 2s = 1079 fine 2s = 6 3s = 259 fine 3s = 9 The penultimate and final donor images in this series are from postoperative days 1 and 3, respectively. To view video of the sequence, please use http://vimeo.com/44252719.

This patient returned to our office to say "hello" and we were able to gather a few more detailed photos of his transplanted hairline. Dr. Wesley transplanted this hairline at a density of 30FU/cm2. In addition to these photos, an updated video of his progress can be viewed at: The patient then followed with a 2450 FU-session to treat the thinning mid scalp.