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Michael Vories, MD

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Michael Vories, MD last won the day on September 25

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About Michael Vories, MD

  • Rank
    Senior Member

Hair Transplant Clinic Information

  • Hair Transplant Surgeon
    Michael Vories, MD
  • Hair Transplant Network Recommendation Profile
  • Hair Transplant Clinic Name
    Carolina Hair Surgery
  • Primary Clinic Address
    498 Wando Park Ste 400
  • Country
    United States
  • State
  • City
    Mount Pleasant
  • Zip Code
  • Phone Number
  • Website
  • Email Address
  • Provides
    Follicular Unit Extraction (FUE)
    Eyebrow Transplantation
    Prescriptions for Propecia
    Free In-depth Consults

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  1. I believe the greatest advance from a surgical perspective to hair transplant surgery is not the development of FUE, but rather the increasing use of implanter pens for graft placement. This allows for no trauma to the dermal papilla (bulb of the graft), and gives consistent and reliable growth.
  2. I understand your concern, but keep in mind that temporary shock loss is going through the same hair cycling as the transplanted hair. This means that when your transplanted hair begins to grow is when the donor area shocked out hair begins to grow in.
  3. Larger punches such as 0.95 mm and 1.0 mm are more likely to cause temporary shock loss.
  4. This 48 year old male came into the clinic today for his 6 month follow up after receiving 4000 FUE grafts in a two consecutive day session. 1500 grafts were focused in the crown, and the remaining 2500 grafts in the midscale, frontal forelock, and hairline. He is not taking finasteride as his hair loss has been stable for over 10 years.
  5. Our practice is a little unusual in that I like to do all of the extractions and placement myself. My assistant counts and collates the grafts as they are coming out, and during graft placement is loading the implanter pens as I do the insertion. For most cases I only use one assistant. For this reason we can only perform one procedure per day.
  6. Yes it is difficult when patients with advanced hair loss, since most look best with very short hair. On exam he was a Norwood 6.
  7. This patient came in for his 6 month follow up after receiving 4000 FUE grafts over a two consecutive day session. 2500 grafts were placed in the frontal forelock/hairline, and 1500 grafts were placed in the midscalp. Patients with fine hair and extensive hair loss often present challenges with coverage, but with this patient the lack of contrast between the skin color and hair color helps with the illusion of density. All grafts were harvested and placed by the physician. Full facial images are shown with the consent of the patient.
  8. Actually we like the zinc in head and shoulders to help with healing.
  9. Hair transplants are already quite expensive without adding all of this stuff. We give patients (do not charge extra) that includes a saline spray, head and shoulders shampoo, and a surgical sponge for sponge washing the first week post-op. As mentioned generic finasteride is dirt cheap, and minoxidil is relatively inexpensive as well. Clinics that charge extra for additional products are taking advantage of patients in a vulnerable position to add to the bottom line without any evidence that it improves the results of the procedure.
  10. We need to keep in mind that the patient is a vulnerable state, and should not be asked to make decisions once the procedure has begun. On the morning of the procedure I explain that if we are short grafts, then the patient is refunded the difference, and we have extra grafts, they are placed without charge.
  11. This is not a before/after. This is simply a patient we performed a two day, 5000 FUE graft case last week. The reason I am presenting this is that this patient previously went to a local plastic surgeon who had just obtained an ARTAS machine, and is marketing heavily here in the Charleston, SC area. During his consultation with the ARTAS clinic, he indicated he wanted coverage both in the crown and frontal area, and was told by the consultant (not the plastic surgeon), that complete coverage could be obtained with 1500 grafts. Looking online afterwards, he realized this was an absurd quote, and ended up coming to us. The point is for prospective patients to do their research before (and after) a consultation because there is some inaccurate information being given out, and just because someone has a machine does not make them qualified to perform the procedure.
  12. There is a wide variability in total donor capacity. However, for most patients with no prior procedure with what we consider “good” donor (around 80 follicular units/cm2) we can safely extract between 7000-9000 FUE grafts.
  13. From the photos 3500-4000 grafts seem like overkill. I would estimate from them that 2000 grafts would be plenty to fill in the apex areas and hairline.