Dr. Rahal

Hi everybody, The patient is 37 and from Canada. He is just 7 months post-op from Rahal FUE and is ecstatic about the results. He has not styled his hair like this in years! As you know, he can expect additional density/thickening in the coming months, so the best is yet to come. Please note that the patient emailed the after photos. If you have any questions, please let us know. Patient Information Months Post-Op: 7 months Norwood Scale: 4 Procedure Type: Rahal FUE Treatment Areas: Front Graft Count: 2818 Hair Count: 6061 Country: Canada

Patient Information Age: 50 Months Post-op: 9 Months Norwood Scale: 3 Procedure Type: FUT Treatment Areas: Hairline, Mid-Scalp Graft Count: 2946 Country: Canada

Dear Follically-Challenged, We're sorry that you're not satisfied with your progress at this moment. Dr. Rahal has seen the thread and hopes to have a conversation with you. He is traveling out of country (returning next week) but wants to address all of your concerns. Patient Care is reaching out to you now to schedule a call. We will find a solution to make you happy.

Patient Information Age: 45 Norwood Scale: 5 Procedure Type: FUT Treatment Areas: Hairline, Mid-Scalp Graft Count: 3321 Hair Count: 6796 Country: Canada

Patient Information Age: 45 Months Post-op: 15 Months Norwood Scale: 4 Procedure Type: FUT Treatment Areas: Hairline, Mid-scalp Graft Count: 3321 Hair Count: 6655 Country: Canada

Patient Information Months Post-op: 12 Months Age: 41 Norwood Scale: 3 Procedure Type: FUT Treatment Areas: Hairline, Mid-scalp Graft Count: 4284 Hair Count: 9694 Country: Israel Note: Photos submitted by patient.

Patient Information Age: 34 Months Post op: 6 Months Norwood Scale: 3 Procedure Type: FUT Areas Treated: Hairline, Mid-Scalp Graft Count: 3724 Hair Count: 6849 Country: USA Note: Photos submitted by patient.

Patient Information Age: 43 Norwood Scale: 3 Procedure Type: FUT Treatment Areas: Hairline, Mid-Scalp Graft Count: 2936 Hair Count: 6098 Country: Canada Note: Photos submitted by patient.

Patient Information Months Post-op: 12 Months Year of Birth: 1972 Norwood Scale: 5 Procedure Type: FUT Treatment Areas: Hairline, Mid-Scalp, Crown Graft Count: 5672 Hair Count: 11647 Country: Canada

In order to have an even visual outcome, you need to distribute the grafts in such a way to put more into areas with less existing (or no) hair and less grafts into areas with more native hair. Also keep in mind, that the density of single hairs planted in the hairline will be higher than 50 grafts/cm and lower density in the back where the 3 hair grafts are used. Also, note that the hairs in front top, behind the hairline, are miniaturized and are on their way out. You may not appreciate it with the photos, but def. with the feel and closer look in person. So the contrary to transplanting into those areas, is to leave them alone. This will mean a 2nd surgery will be needed in the very near future. This discussion whether to or not to, did take place between Dr Rahal and the Patient. It is always controversial whether to or not go into a forelock that has existing hair with a pattern of loss around it. This always comes down to a judgment call during the planning stage. You are kind of damned if you do and damned if you don’t.

the area covered was 71 cm making this an average of 48.3 grafts/cm density, all into a miniturized area that hasn't responded to meds.

Patient Information Months Post-op: 9 months Year of Birth: 1971 Norwood Scale: 2 Procedure Type: FUT Treatment Areas: Front Graft Count: 1970 Hair Count: 3750 Country: Canada

Patient Information Months Post-op: 12 Months Year of Birth: 1990 Norwood Scale: 3 Procedure Type: FUT Treatment Areas: Hairline. Mid-Scalp Graft Count: 3430 Country: Canada

Patient Information Post-op: 12 months Age: 38 Norwood: 5 Procedure: FUT Treatment Areas: Hairline, Mid-Scalp, Crown Session 1: 2735 grafts Session 2: 3137 grafts Country: Canada

Thank you for your consideration of Dr. Rahal. I'm responding to your post because some of your comments are inaccurate and I'd like to address some of the issues you brought up. You stated that you are concerned about the number of grafts being recommended for your case by Dr. Rahal when compared to the number of grafts recommended by Dr. Reddy. Every doctor will have varying estimates but this can be due to a few reasons. 1.) Ability to dense pack. It is well known that Dr. Rahal is a recognized premiere doctor for high density so this alone requires that more grafts are to be used in a single session. The recommendation was based on what you stipulated as being your desired result so the estimate reflects the number of grafts necessary to achieve this result. Harvesting and transplanting 2000 to 3000 grafts in one day is not unusual as most of the better FUE clinics can and do perform these sized procedures every day. Popping can be an issue if done incorrectly but this actually has more to do with one's physiology than the density placed. If the patient has scalp tissue that is "oily" or "greasy" then even the lowest density transplant will have plenty of popping of the grafts being placed. However, there are some tricks of the trade that are employed to address this popping that prevents it from being an issue. Every clinic has cases where popping occurs so if someone has told you otherwise then you should question their integrity. 2.) Total area of intended coverage. The recipient area can and often does vary based on what your doctor perceives as being your requirements. Many times follicular units must be placed into the native hair behind the target recipient zone so that the result will blend with the native hair for the most natural result possible. I am not aware of who you are specifically but your profile indicates that you are a NW3v. The general rule of thumb is that for each level one is positioned on the Norwood hair loss chart they'll need approximately 1000 grafts to get adequate density and coverage. Our estimate, assuming you are a NW3 (based on your profile), would be in line with this rule but it is not a rule without exceptions. Regardless, it does not appear that the estimate would be pushing the boundaries for density. Having too few grafts placed will leave the density lacking thus meaning more procedures along with an increase in expense. 3.) Differences in aesthetics preferences. This is a big factor to consider as it will greatly separate one estimate from another. If the hairline is lower and more aggressive in design then logically more grafts will be necessary to achieve the desired result compared to a higher more conservative hairline which would require fewer grafts. Our use of a technician for extraction of grafts is not unusual and Dr. Rahal works with the technician during the procedure to make sure the grafts are being safely extracted with no problems. Many doctors use technicians for extraction of grafts and this is not unusual. Any doctor that is worth considering will acknowledge that the procedure is only as good as their technicians and that it is a team effort that gets the job done efficiently and reliably. Each technician is highly specialized in our clinic and they do their job exceptionally well. In fact, we are working on a special project to showcase just how good Rahal FUE has become. It is very impressive and we are anxious to share what we can do. We wish you luck with your procedure with Dr. Reddy and we hope that you document your procedure online for the benefit of all.

Note: Patient emailed photos. Patient Information Months Post-op: 12 Months Age: 31 Norwood Scale: 3 Procedure Type: FUT Treatment Areas: Front Graft Count: 2980 Hair Count: 6041 Country: CANADA