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Yeah, but how would you verify that rickshaw puller isn't performing surgery. There's no equivalent of a medical board or medical association to certify credentials - this does not refer to Dr. Madhu btw just in general. On a lighter note, I thought your old charge of 50 cents a graft could be used in some video by 50 cent advertising your services. But with a dollar menu charge charge now, not so much although still very reasonable for overseas patients. Roundtrip airfare from Houston to Hyderabad is $1336 as of today. This assumes the dollar doesn't completely collapse.

Definitely subtle improvement.

Congrats on the recommendation and perhaps coalition status in a year or so possibly replacing rhymes with Bassman. Going through your album, your grafts appear quite finely cut by your techs allowing you to plant quite densely it seems? There doesn't appear to be much excess tissue surrounding the bulbs. I did not do any rotations in India but I had several friends that did about 5 to 10 years ago. They always remarked how dirty and unsanitary medical facilities were over there - they wouldn't let anyone touch 'em with a needle much less have any surgical procedure performed. No OSHA, state medical boards etc. to verify cleanliness. They would see instruments get wiped off with alcohol and get re-used and not get sterilized properly. It does seem your facility does adhere to more stringent American standards just looking superficially at your surgical album. Could you comment on your facilities' sterilization protocols?

Awesome!

Echo what Emperor said. This is one situation you may want to go to one of the Head & Neck guys that does hair transplantation. That would be Dr. Lindsey or Dr. Konior. You don't have much room for error but they should be able to take care of it. With that wide of a scar, that suggests to me it wasn't closed properly. With proper closure, you should have a much improved appearance and FUE into that narrower scar if needed.

This 50 cents per graft deal may be more economically feasible for many alongwith the work Dr. Madhu has been producting.

Forehead reduction is nothing new or novel. It is a version of the pretrichial browlift in reverse. This would be the version of the browlift where the incision is placed at the level of the anterior hairline and the forehead is elevated and muscles released underneath. There is a scar usually because of placement along the hairline but anterior facial scars rarely become hypertrophic or keloid compared to posterior scalp scars. Also easier to dermabrade these scars to level out so not an issue usually. In this surgery the elevation has to occur so the muscles are released otherwise there will be some stretchback. But Dr. Kabaker is not doing anything revolutionary here - it is quite commonly performed by most plastic surgeons and may be an adjunct to women with naturally high foreheads. It's essentially a reverse browlift.

If the length of your strip is 20 cm and the width is 1 cm and you have average density 100 follicular units per sq. cm, then that strip would give you 2000 grafts. If you were to double that width to 2 cm (increase risks on donor scar) then that would give you 4000 grafts. If you were to lengthen the strip to 25 cm with a 2 cm width, then that would be 5000 grafts. But around the turn of the head, I think 2 cm would be quite wide so strip may narrow there. Of course laxity exercises could reduce chances of a widened donor scar but I think more of a risk nonetheless.

I absolutely concur with his recommendation. His results have been extremely good thus far. One very slight concern of mine would be his donor closure technique - if you are using a continual horizontal mattress stitch, there should be no need for these intermittent nylon sutures. Two external stitch closures are superfluous and possibly a little asphyxiating. I would presume that he places a subdermal absorbable layer before skin closure.

Thank you Dr. Beehner for those hard numbers of which I've been hard pressed to find on PubMed.

This is excellent work Dr. Madhu. I love your results thus far.

Seems ok result but maybe his hair is very thin. Very large area to cover.

"One night in Bangkok and the world's your oyster. The bars are temples but the pearls ain't free." Try to get that song out of your head now.

I think his receded hairline may have been more noticeable to him and me b/c of his receded chin. Your eyes carry to his hairline and you can see that imo. So packing grafts there to tidy it up and bring it down a little I think improves his looks greatly. If he had a strong chin, I don't know if it would be as eye catching to me at least. Excellent work.

Pakistan travel warning: http://travel.state.gov/travel...pa_tw/tw/tw_930.html "Pakistani military forces are currently engaged in a campaign against extremist elements across many areas of the Federally Administered Tribal Areas (FATA) and parts of the Northwest Frontier Province, including the Swat Valley. In response to this campaign, militants have vowed to step up attacks against both civilian and government targets in Pakistan's cities." Dr. Mohmand seems to be a great surgeon but caution I think would be advised traveling to Pakistan. Last thing I would want to see is one of us on a video saying cut off of my hands, feet but not my GRAFTS! But seriously, if you do travel there, I would go in eyes wide open.

You're a better man than me. Fingernails on a chalkboard reaction.

I would avoid the N1H1 shot but you should be ok with the H1N1 shot.

I would not go off Dut.

What a nice result and great documentation. Contrast this with GIR.

FYI. Most plastic surgeons don't like doing hair. Lot of work for less money say compared to facelift, tummy tuck, breast aug, etc. In addition, results more certain with those procedures compared to plastic surgeons dabbling in hair transplantation.

The one variable to change would be choice of surgeon going forward. If you didn't grow then, I believe you could safely assume your scarring has precluded growth.

I think 50% would be generous here. Seems easy enough to figure out.

This is a good approximation of where the hairline should start: http://www.utmb.edu/otoref/Grn...5/Aesthetic-0005.pdf

Good luck going forward.

Exellent reply Dr. Konior. I don't believe GIR was counseled completely regarding possibly needing a second procedure.