Billena

In order to repair a poorly-executed transplant performed by another surgeon, this 41-year-old man underwent a combination of two approaches with Dr. Carlos K. Wesley: 1) a follicular unit extraction (FUE) session in which a total of 2483 grafts (from both scalp and beard) were placed followed by a skin micro pigmentation (SMP) procedure to the donor area.

His hair follicles were incubated in autologous (his own) platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs.

Rather than a larger FUE punch used by a robotic approach, Dr. Wesley used a smaller caliber hand-held motorized punch to performed the donor harvest. This approach better enabled the capture of donor hair roots that are slightly curved beneath the skin surface. Upon completion of the harvest, the patient’s donor area was treated with PRP and ACell in order to not only minimize scar tissue formation, but also encourage partial regeneration of donor hair follicles.

The patient returned 16 Months after his procedure and images of the patient can be seen below.

Thank you- yes the results were very good! The patient was very happy!!!!!

Thank you all for your kind comments. It is very rewarding for all of us in the office to be part of such a transforming experience for this 14 year old!

Thank you for the positive responses-this patient was truly happy with the results! It was exactly what he wanted!!!!

For those interested in the current state of platelet rich plasma (PRP)scalp treatment for hair loss…

The Dermatology Department of The State University of New York Health Science Center at Brooklyn (SUNY Downstate Medical Center) recently featured Carlos K. Wesley, M.D. as their Grand Rounds lecturer. In addition to providing a general overview of the mechanism of the PRP treatment and how it stimulates hair growth, Dr. Wesley lectured to dermatology residents and seasoned attending physicians about the technical variables of the procedure itself that can optimize the benefit to patients.

An abridged version of the lecture can be viewed here. The full-length presentation for physicians is found on Dr. Wesley’s PRP page. While PRP may not work for every patient, the benefit our practice is seeing from this non-surgical approach to treating hair loss has been encouraging.

As we look towards 2017, our office would like to reflect on this past year. Here is a brief montage of a few of our cases over the past 12 months. Included are: Follicular unit extraction (FUE), Follicular unit transplantation (FUT), Platelet rich plasma (PRP), Scar revision, Scalp deformity repair, SMP and more.

We must also pay tribute to a few of the great musicians who left us in 2016.

A jolly 51-year-old man had prior transplants from another clinic that left him with a pluggy hairline and a very tight scalp. One fantastic donor hair resource that had not previously been used was his long, white beard - akin to that of Old Saint Nick. He, therefore, opted for a follicular unit extraction (FUE) session in which a total of 981 grafts were harvested from his beard and within his scalp donor region. He also requested that Dr. Carlos K. Wesley NOT shave his entire donor region for the FUE graft harvest. Therefore, a long-haired FUE session was also performed.

The patient returned one year after his procedure and images of the patient can be seen below.

The patient’s hair follicles were incubated in platelet rich plasma (PRP) throughout the duration of the procedure.

This 20-year-old man had grown frustrated with his hair thinning throughout the frontal half of his scalp. He was averse to taking Propecia or Rogaine and sought advice from Dr. Wesley.

He underwent a combined treatment involving platelet rich plasma (PRP) mesotherapy coupled with 2-3 times weekly use of a 2% ketoconazole shampoo with caffeine. No other interventions were made.

The young man can be seen before and four months later.

Even five years after her initial hair restoration surgery with Dr. Wesley and his team, this female patient still has the hair fullness that she enjoyed when the newly-transplanted hairs initially grew in.

With time, the transplanted hairs begin to take on the characteristics of their surrounding hairs. This “recipient dominance” means that the transplanted hairs soften over time - often becoming less “wirey”. This is especially true with FUE procedures.

Without lowering his hairline, this 29-year-old man wanted to improve the density within his current hair pattern. He underwent a follicular unit transplantation (FUT) session in which a total of 2019 grafts was done with Dr. Carlos K. Wesley.

He had been told by other doctors that it was not possible to work within and between his current hairs. He was relieved that this was not an issue while increasing the density throughout the frontal half of his scalp. As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 7-10 days of his procedure.

The patient returned one year after his procedure and images of the patient can be seen below.

A 36-year-old man underwent a follicular unit transplantation (FUT) session in which a total of 2292 grafts were done with Dr. Carlos K. Wesley. His primary desire was to “frame his face” more effectively by increasing the density throughout the frontal half of his scalp.

The patient returned one year after his procedure and images of the patient can be seen below.

As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 10 days of his procedure.

A 14-year-old boy underwent reconstructive ear surgery. Unfortunately, it left him with massive scarring alopecia throughout the right side of his scalp. This deformity left him very self conscious and often prevented him from taking part in water activities that would expose his unsightly scar.

As a proud physician/surgeon member of Little Baby Face Foundation, a non-profit organization dedicated to performing reconstructive surgery for children with facial birth deformities, Dr. Wesley and his staff performed a follicular unit transplantation (FUT) session at no cost to this young man’s family.

A total of 1331 grafts were used to fill in both the linear scar atop his head and the two large hairless regions surrounding his right ear. The boy’s hair follicles were incubated in platelet rich plasma (PRP) throughout the duration of the procedure.

The Little Baby Face Foundation helps cover transportation and housing costs for families in need. Participating physicians/surgeons donate their time and surgical facility to perform pro bono cases to children in need.

Happy Holidays!

A 38-year-old man underwent a follicular unit extraction (FUE) session in which a total of 2068 grafts with Dr. Carlos K. Wesley. He wanted to bring his hairline down slightly in order to more effectively frame his face.

The patient returned one year after his procedure and images of the patient can be seen below.

The patient’s hair follicles were incubated in platelet rich plasma (PRP) throughout the duration of the procedure.

Thank you David. Yes, the patient felt the same-that his transformation was quite impressive!

A 45-year-old man underwent a follicular unit transplantation (FUT) session in which a total of 2538 grafts with Dr. Carlos K. Wesley. His desire was to not only “frame his face” more effectively by increasing the density throughout the frontal half of his scalp, but also provide a light amount of hair coverage throughout his bald crown.

The patient returned one year after his procedure and images of the patient can be seen below. Within the next week, will also post a video displaying his crown one year after this procedure.

As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 10 days of his procedure. The patient’s hair follicles were incubated in platelet rich plasma (PRP) throughout the duration of the procedure.

Thank you all for your kind words- the patient was so very happy with his results!!!!!

A 23-year-old man was losing self confidence in part due to his markedly-thinning hairline. While valid arguments exist for avoiding any surgical hair restoration treatment in young men, the impact from a healthier facial framing can also lead to a more positive self perception. He underwent a follicular unit transplantation (FUT) session in which a total of 2379 grafts were used in the design.

The patient returned one year after his procedure and images of the patient can be seen below. As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 10 days of his procedure.

All surgical dates have now been filled. However, patients may still sign up for in-person consultations with Dr. Wesley on Wednesday, October 19th if they would like to consider one of the procedures listed above during his team's next tenure in Los Angeles.

Patients often ask about effective ways to conceal any donor scar after follicular unit transplantation (FUT). Two popular options are follicular unit extraction (FUE) from either donor scalp, beard, or chest or skin micropigmentation (SMP). Here are a couple examples of both for you to decide for yourself.

Dr. Carlos K. Wesley will be conducting in-person consultations, PRP treatments, and surgeries (both FUT and FUE as shown below) the week of October 17, 2016 in Los Angeles, CA. Currently, all surgical dates have been filled by patients except for one date.

Please call our appointment secretary, Barbara, at 844-745-6362 to schedule or to confirm your appointment.

A 42-year-old man wanted to refine his markedly-thinning hairline. He underwent a follicular unit transplantation (FUT) session in which a total of 2266 grafts were used in the design.

The patient returned one year after his procedure and images of the patient can be seen below. As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 10 days of his procedure.

This 38-year-old man sought many consultations in and around NYC regarding the design of a new hairline. Some felt that his hairline should be lowered dramatically with a broad, flat arc that completely filled in the recessions as well as his temples. Ultimately, he opted for a more conservative pattern that - while providing more density throughout his frontal scalp - preserved mild recessions. He liked the fact that this pattern would not draw attention to itself and simply frame his face.

He can be seen before and 10 months after a 2042 graft follicular unit transplantation (FUT) session with Dr. Wesley. During the procedure platelet-rich plasma (PRP) was used as a holding solution for the hair follicles.

Yes, the change is pretty impressive. Thank you for your kind words!

A 49-year-old wanted to have a full head of hair to celebrate his upcoming 50th birthday. A combination of follicular unit transplantation (FUT) coupled with both scalp and beard follicular unit extraction (FUE) was deemed the best approach.

The patient can be seen before and about two years after his two sessions. A combination of over 4000 grafts were used to fill in his crown and add fullness throughout the caudal portion of his scalp. In addition, his hairline was slightly advanced in order to ensure that all of his scalp was addressed. As with all of our patients, this patient was not required to shave his hair within the recipient area. This enabled him to return to work and social activities sooner.

A 45-year-old man had an ambitious goal: to advance his hairline nearly 3cm. After careful examination of his donor area, a 2014-graft follicular unit transplantation (FUT) procedure was deemed the best approach for achieving his vision.

The patient can be seen before and one year after his session. In addition to creating a new hairline, areas of future hair loss were filled in to blend in with his pre-existing hair pattern. As with all of our patients, this patient was not required to shave his hair within the recipient area. This enabled him to return to work and social activities sooner.