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It can fluctuate but around 70 percent FUE, 30 Strip.

Before Surgery. Graft breakdown 1s 399 2s 736 3s 342 Loss due to traction alopecia. AFTER

Nice transformation.

Very informative reply. Thanks for posting so others can benefit also.

2613 FUE, comprising of 2013 Scalp and 600 Beard Scalp Hair 1. 649 2. 940 3. 340 4. 84 Beard Hair 1. 173 2. 427 PRP Therapy was used on both recipient and donor Patient had two previous poor surgeries, Strip and 2mm Plugs. leaving poor regrowth and scarring in the recipient and donor Work in Progress, Post Op 5 Months & 10 Months 10 Month update on this case.

PRP patient came for a second round of treatment. Photos taken in the clinic at approx 8 months from initial treatment.

Age: 37 Density: 65/70/80 Medium coarse hair Finasteride and minoxidil before surgery Graft breakdown 1s- 591 2s- 1037 3s- 1200 4s- 96 Total: 2924 Goal: Establish hair line and cover the frontal third. All post op photos supplied by patient. 2 months 4 months 6 months 0-7 months 8 months

Before and 19 months Post Op 4393 FUT/Strip surgery. A new hair line was created, keeping it conservative and then placement back through his miniaturised hair until the crown, the density placed reduced by the time we reached the crown. BEFORE AND POST OP PLACEMENT 19 MONTHS POST OP GROWN OUT RESULT

Hi Jonny It is via injections and post surgery as you say. We take blood, it is then basically spun to separate the platelets and the PRP is then injected.

Hi Mickey Thank you for the comments. There are not many PRP only results out there and I am happy we were able to share this result. As said on another forum, most for whatever reason will not wish to share results be it PRP or transplantation so we hope this case can encourage others and we look forward to seeing the patient in the flesh in the clinic for us to take photographs also in the same conditions as pre-PRP administration and also give a second treatment in the coming months. We do not use Acell as such so have no data on that. Dr.Bisanga believes in using a manual punch, he feels it gives him more control and sensitivity as to what he is doing and is happy with the type of tools he uses and indeed the sizes used. Doctors will have personal preferences and some will prefer motorized punches and are more comfortable with that approach so each to their own really. I can say years of manual punching has given him extremely strong hands though! I will update this case as and when we see the patient again.

Indeed, and I believe we have you down for PRP also so will be good to see how you respond. Certainly this case is really good and we hope others can post PRP results themselves or allow them to be posted by the clinic. There is a lack of cases but really trying to get them out there because I know they can encourage people who are not transplant candidates such as this patient here.

Thank you for the comments. This was one treatment only, the patient will return for another one soon. When we saw the initial photos of the patient we ruled out a transplant really due to the diffused nature of the loss. The traditional donor area is also suffering from loss and miniaturisation and therefore would not be a safe or wise place to harvest from. This can be the nature moreso of female loss and have seen this also in Asian patients more commonly. PRP alone was administered and I can say this patient has responded well and it is great to see this result for her and to see what further treatments will do. For male sufferers, mostly we administer PRP in conjunction with surgery, so it is hard to evaluate how much the PRP per se has worked and especially so if in the same area as the transplant. We have had some encouraging results with females and they certainly do seem to respond well. I am in contact with male patients and seeing if I can get updates also from them so we can have more data on male/female and also on ethnic groupings.

Female Asian Patient. Diffused thinning, treated with PRP. These are 7 months updates. Special thanks to the patient for allowing us to post these results so far. Before PRP Post PRP 7 Month update. Photos provided by the patient. We will get some new clinic shots in the coming months when she returns for another treatment.

Many thanks Levrais for your well documented case and being willing to share.

Nice improvement.

I think any clinic is interested in developments in the hair transplantation field, some come and go as quickly as they came, so it is important to have the clinical evidence and over a range of patients, skin types, size of surgeries and then gain empirical data in the first instance. Presently we are not seeking to change protocol but open to genuine improvements and presentations. Dr.Bisanga does go to and participate in relevant meetings as well as talking to peers so is well informed on all potential changes. Whether we adopt them would be as said down to his satisfaction and believing that the change is demonstrable and beneficial to patients. This method is still as said undergoing trials so will be interesting to see.

Average density but good laxity documented which allowed for the Strip to be slightly wider (1.6cm) taken and easy closure according to medical notes. This enabled the number of grafts to be taken safely.

Hi tacolinowest I've asked for the information on this patient from the advisor who dealt with him, because due to nationality he is not a patient I have dealt with personally so as soon as I get it I will be able to give the data we have from the consultation and medical notes.

When it comes to patients sending in photos (as in this case) it is hard for them to replicate the lighting that the clinic has. We would love to have the same lighting conditions and angles as pre-surgery but for most it is not replicable and they send updates in good faith to simply show their progression and we cannot really put too many demands on them as they are already being willing even to share their cases, which is in the minority for most patients regardless of how good the result is. Many send updates from camera phones that are not usable at all for public display, but at least the camera here used seems decent. Pretty much all of our patients are international and coming to the clinic is not feasible for them due to the time and expense they would incur. When they do then we will have the same conditions and comb the hair to expose hair lines and scar closures, but for the most we are reliant upon what the patient is kind enough to send and willing to allow to be seen by others. So, although not perfect conditions, we hope that the photos provided will give an idea of the result so far if not a perfect reflection. We do hope to get updates on this case also post 12 months and will see if lighter conditions can be also represented and will update accordingly.

Age: 32 Meds: Propecia PRE SURGERY DESIGN PLACEMENT STRIP CLOSURE POST SURGERY 10 Months Comparison photos

I agree with Bobilero. I've had this pain once only after my first op back in 2006 and it was very painful at night, throbbing, and eminated from the occipital area outwards. It prevented sleeping also and at the beginning I also thought I had an infection but it was just nerve pain. The pain kicked in at about a week and lasted a couple but what helped was painkillers for nerve pain, applying cold aloe vera and massaging the donor and also I took plenty of B Vitamins to calm the nerves also. Not many patients do actually get it, under 10 percent from experience so not overly common but something that can happen and good to be aware of.

Hi James Not yet on this forum, I am seeing the doc soon for a meeting so he can photo where I am at and plan the next stage. I know I sound hair greedy but being picky I would like a bit more and long time since my last op and largely due to other issues i've not been back in the hot seat. But yes, my personal journey has been a long one so far and I will put it here also at some stage.

Hi Hariri No secret as such, skill of the doctor and the team from inception of the surgery, from harvesting the grafts carefully, slivering and dissecting the grafts, separating into groups, holding them in the petra dishes and placing them. Skill, dedication and being careful along with correct handling and placing will bring about the best results. All parts of the chain are important from start to finish. The white that you see if flesh that surrounds the grafts, some will remain outside the recipient site area as the graft is placed and as the team spray during placement then it will become white and somewhat soggy. It will of course be washed off in due time but does not effect the surgery outcome. So, no secret solutions or techniques to declare. I must add that the patient also has a large bearing on the outcome of surgery and following post op instructions with regards to what can and cannot be done is of paramount importance and I know modenese has really taken this seriously and gone over and above the call of duty to really get the best outcome and really deserves the best result.

Amazing what 2 months can make in terms of growth difference. A lot of people get a renewed confidence and it manifests in clothes, gym, hobbies, work, relationships etc. Many thanks for updating.

Average donor hair density 70 FU cm2 Hair: Medium Coarse Laxity: Average Grafts breakdown: 1 Hair 551, 2 Hair 1368, 3 Hair 1210, 4 Hair 629. Total Hair Count 9433 Average hairs per unit 2.51 Before and placement 7 Month update Update at 30 Months Comparisons