Dr. Patrick Mwamba1530039577

Thank you

Our young patients was a Norwood 2 with receding temples . His goal was to build back his hair line . We urge him to commit to medical therapy based on a combo of anti DHT ( propecia) + anagen stimulators ( rogaine + Help Hair protein) .This measure is important due to his young age ( high probability of extensive hair loss in the future) and because it will slow down hair loss progress . For naturalness and balance of the face , we also decided to graft the temple pointes. His grafting density in the hair line was around 60 fu/cm2 .

This patient came to us after 2 strip surgeries.He was disappointed because he had: -2 big scars in the donor area -poor coverage (light density) in the front -pluggy look in Frontal hair line. He was worse than before his hair transplant surgery. The first strip scar was above the nape area: unsafe zone for a strip because tissue elasticity is high in this zone. Also, most of the time, the scar will stretch back ending with wide scars like in this case. Scar can be as wide as 2 cm. The only possibility to treat it was to graft the scar. In this case we chose to use BHT because we needed scalp hairs for the recipient area on top. We didn't want to waste scalp hairs in the back where they wouldn’t make any cosmetic impact. The second scar, on the upper left side was in the safe zone. We decided to excise it to correct it and to get some extra grafts from it. At the same time, we harvest the right side with a strip. We were cautious not to take a big strip (we limited ourselves to harvest a 1.2mm wide strip). Because wide strip can increase the tension on the edges of our suture line and increase the probability of stretch back and make a wide scar in the end. With the small strip size we could not get the number of grafts we wanted to cover the top with a decent density. To reach the desired number of grafts, FIT patchy shaven was the perfect complementary technique. For final touch up, we removed some plugs in the frontal hair line for naturalness. Remember that plugs have a lot of hairs in them and can provide great coverage. One just needs to surround them with normal follicular units. That's why you don't have to remove all the plugs but only those in the frontal hair line. The following set of pictures illustrate our work:

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Dear David, Thank you! We enjoy working with our patients to meet their goals!

Thanks!

:)This patient was a Norwood 6 who aready had a surgery with the technique less is more to fill the top. For his treatment, we brought up the possibility of using body hairs as an alternative source of hair donor because the aim of the patient was to lower his hair line. Then the patient asked us if we could also transplant his beard on a patchy spot in his cheek that was bothering him.We told him it was possible as it was a transfer in the same area (here beard to beard) as we do in hair transplant (scalp hairs to scalp hairs). The interesting report we had from this patient was that beard hairs didn't shed in the post op as we observed in scalp hairs. We need to compare with others patients' experience to see if this is an exception or the rule! And 2 years and 8 months later the patient kept the same benefits as showed in the following pictures: By mywhtc at 2012-05-16 During his last visit, he came for a big session of BHT (beard and chest) to cover the vertex. He took the opportunity to do another session of BHT to BHT (beard to beard,) and we wanted to illustrate this procedure with close up pictures of the donor and the recipient areas. By mywhtc at 2012-05-16 In summary, we just want to say that transfer of hairs from the same area seems to produce better results than hairs coming from different sources in the body because the first criteria that plays is naturalness that you get because hairs match together. And we do not need high density to produce great coverage which depends on factors such as: -hair caliber -Hair color or pigmentation -hair angulation -and of course hair density . In our patient , the beard was coarse, a mixture of dark brown and red, implanted at flat angle (0 to 5 degrees) from the skin, at low density. The results are in the following pictures: By mywhtc at 2012-05-16

By mywhtc at 2012-06-12

:)This patient had 1867 grafts to fill in the frontal zone. We did not change his hair line location but refined its shape. To make it more natural, we built back the temples pointes (crucial factor in hair line design, especially when you are building low hair line in some patients). The point I want to highlight in this patient is the flexibility he got for combing his hairs from left to right because of gain in volume. In hair transplant surgery, we want to achieve a good illusion of coverage. Even though we may not maximize our focus in high density, gaining volume in the center part is a key element that could allow patient to get a better coverage. Patients will have the flexibility of playing with hairs in order to achieve a comb over effect. The new hairs may also serve as a support or base for products such as toppik to increase the illusion of coverage. The goal in all of this is to achieve naturalness (respect hair angles and direction) and undetectability. By mywhtc at 2012-05-29