Melvin-Moderator

His results are real, I’m his patient, I’ve documneted my entire journey on this forum.

Dr. Devroye, thank you for your continued participation and long-term support of our community. This is an excellent case presentation. How many grafts were used in the lateral humps near the crown, as you can see there was significant thinning in the midscalp and crown area. I would like to know how many grafts were approximately used to thicken up the lateral portion of the crown?

Great hair pre and post op, I’m glad everything worked out well. Warm regards-Melvin

I think you’re setting yourself up for failure. There will always be conditions in which scalp will be revealed. When your hair is wet, greasy, not styled properly etc. Hair restoration does not bring back non-balding density.

I think you're setting yourself up for failure thinking about childhood density. Most people are born with around 50,000 follicular units on their head. The typical Norwood 6 may lose up to 25,000 follicular units. Now I recall you're a Norwood 3V going to 4. You've probably lost around 10-15K follicular units. There is no way 4,000 grafts will bring back the original density. I say this, because as patients we have to be realistic and understand the limitations of surgery. Surgical hair restoration is all about creating an "appearance" of density, it will never bring back original density. Doesn't matter how thick your hair is this is just the reality.

You're overthinking it, the hairs are shed with the bulbs, these are dead hairs which are in the telogen (resting phase), in a few months they will be the anagen (growth phase). Be patient and try not to overthink or unnecessarily stress yourself out.

Combining both procedures ensures that every possible hair in the donor area is extracted and can be transplanted to the balding areas. There should not be a FUT vs FUE mentality, but a FUT+FUE mentality. If a patient wants to maximize their donor they will have to opt for both procedures, because both procedures produce more hair than just one. Warm regards- Melvin

You would need a minimum of 4,500 grafts, can you post pictures of your donor?

What are your goals? If you want to maximize your donor, you should opt for FUT first then FUE. Using both procedures will ultimately give you the most grafts. With that said, I had nearly identical hair loss as you and I’m happy. However, is it perfect? No, I can still see scalp when it’s wet and have some weak areas. But with toppik I have an appearance of a full head of hair. So it just depends on your specific goals. When I went in to hair restoration my goal was to have enough hair to style and not look completely bald. Now I can style my hair anyway I want and appear to be not balding at all with concealer. But that’s not the route that everyone wants to go, which is understandable, but hair restoration has its limitations.

Are you a good candidate? No, but why? That’s for two reasons: 1. You have a large area to cover 2. You don’t have a lot of viable donor hair. Now does this mean you’re not a candidate at all? No, but you will have to be realistic in your expectations. I’d say any coverage to the crown is out of the question, a very high hairline with the lateral humps reconstructed and slight coverage in the midscalp is possible. However, the density will not be great. You can get decent density with some coverage, but you will always be thin and have a bald spot. You can however, try a partial system for the crown or get very light coverage in the crown and use concealer. That is of course if your donor permits. Warm regards-Melvin

At that hair length in the video the hair behind the corners would easily cover the corners, I’d say 4-5 inches is enough.

You can reach out to Spanker, he’s Dr. Konoirs online rep and he’s also had his hairline done by him, I’m sure he’s willing to chat with you and connect you with other patients.

You’re fine, it’s normal for your transplanted hairs to shed. Your hair took longer than usual, but it’s part of the process. The hair is already under the scalp and will flourish in another 2 months. Warm regards-Melvin

Norwood 1.5 doesn’t exist,it’s either a 1 which is essentially no hair loss just slight corner recession or 2 no major loss and corner recession. Either one could easily grow their hair this way. I’m confused cause this hairstyle is quite obvious that it could be done with minor hair loss. Did you mean Norwood 3V?

Very well said.