Dr. Lupanzula Emorane

Dear all, Many thanks for your kind comments, really appreciated! Following Ernie's comment we'd like to inform that, for this particular case, Dr. Lupanzula performed the surgery free of charge. Sincerely,

Good day everyone, Today we'd like to share a new result with you. The case below is the result of transplanting 3106 follicular units via FUE technique. Dr. Lupanzula scored and extracted each of the follicular units himself with manual hand held sharp punches. Detailed pictures and surgery technical data will follow shortly as usual. We hope you enjoy this result. If in the meantime you have any questions please do not hesitate to ask. Sincerely,

PATIENT'S BACKGROUND - Age: 25 y.o. - NW: III - IV - Medicaments: Minoxidil 5%, twice per day - Donor area density: - 100 FUs/cm2 in the occipital region - 90 FUs/cm2 in the parietal region - 85 FUs/cm2 in the temporal region - Recipient area surface: ~70 cm2 RECOMMENDED PLAN & TREATMENT A 3300-3600 FUs procedure with FUE technique with the purpose of restoring the patient's hairline and adding density to the frontal area. SURGERY TECHNICAL DATA 3384 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 603 Single FUs * 1828 Double FUs * 890 Triple FUs * 63 Quadruple FUs Average Hair/FUs: 2.12 Dr. Emorane Lupanzula PREVIEW IN DETAIL

Dear Bill, Thanks a lot for your kind words, much appreciated. We would like to take this opportunity to update this thread with technical data and some detailed pictures of the surgery, hoping that it will be useful to better comprehend the procedure process. PATIENT'S BACKGROUND - Age: 33 y.o. - NW: IIIa-IVa - Medicaments: None - Recipient area surface: ~50 cm2 RECOMMENDED PLAN & TREATMENT 2300-2600 FUs procedure with FUE technique with the purpose of restoring the patient's hairline and adding density to the frontal area. SURGERY TECHNICAL DATA 2445 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 388 Single FUs * 666 Double FUs * 1258 Triple FUs * 133 Quadruple FUs Average Hair/FUs: 2.46 Dr. Emorane Lupanzula PREVIEW IN DETAIL

Good day to all of the Hair Restoration Network members, Here we have another pleasurable result from Dr. Lupanzula and his team. 2433 Follicular Units were transplanted in one procedure via FUE technique. Dr. Lupanzula scored and extracted each of the follicular units himself with manual hand held sharp punches. The result shown is at the 12th post-operative month. Be sure to enable HD mode to see as much details as possible. Detailed pictures and information about the procedure will follow shortly. We hope you enjoy this result. If you have any question do not hesitate to ask. Sincerely,

Hi wibbles180, Thanks for your appreciation and for your query. Actually every situation is different and the possibility of a hair transplant must be evaluated case by case, whether or not the patient is on medication. As a general principle, Dr. Lupanzula avoids intervening on patients below 25 years old. Best wishes,

Good day to all of the Hair Restoration Network members. Today we'd like to share a new video result from Dr. Lupanzula and his team at MeDiKemos Clinic in Brussels. The case below is the result of transplanting 2445 follicular units via FUE technique. Dr. Lupanzula scored and extracted each of the follicular units himself with manual hand held sharp punches. In this video we are using high definition video shot with our Nikon DSLR camera. The hairline and entire frontal zone are thoroughly combed through to allow you to have a detailed inspection. Details and pictures of the surgery will follow shortly. We hope you enjoy this result. If you have any question do not hesitate to ask. Best wishes,

PATIENT'S BACKGROUND - Age: 27 y.o. - NW: Not Classifiable - Cicatricial Alopecia - Medicaments: None RECOMMENDED PLAN & TREATMENT This 27 years old young man came to visit Dr. Lupanzula for the first time in September 2013. During this first visit, he was wearing a hairpiece but the Doctor immediately perceived from his look that this was not a case like the others. In fact, when he asked him to remove the wig the bitter truth showed itself: at 1 year old, the patient’s scalp burned to a 3rd degree because of a gas explosion. This resulted in a very extended scarring (cicatricial) alopecia, affecting the patient’s frontal area and mid-scalp. This very problematic situation was worsened again by the wig the patient had been wearing for years, making his already damaged and scarred skin gluey and not transpiring correctly. In this situation, Dr. Lupanzula decided to propose him an operative strategy divided in two separated sessions: the first procedure, consisting in approximately 2800-3200 FUs, with FUE technique, in order to repair the burnt tissue in the frontal area, while rebuilding the patient’s hairline and adding density in his front up to the mid-scalp. The second procedure, of about 800-1200 FUs, still with FUE technique, with the purpose of restoring the scarring, burnt tissue left in the right side of the patient’s mid-scalp. It is also important to note that the patient had previously undergone a first FUT hair transplant in another clinic, leaving him with a 1x10 cm scar in his donor area and with a pluggy hair and very poor result as shown in the pre-operative pictures. Eventually the patient underwent both proposed surgeries, for a total of 3765 FUs, with Manual FUE technique, and we are pleased to show below the details of the two surgeries and next the related pictures. PS: Thanks to the excellent outcome on this extremely difficult case, Dr. Lupanzula has been recently awarded at the 6th ABCRC Congress to recognize his proven experience in repairing cicatricial (scarring) alopecia by means of FUE technique: http://www.hairrestorationnetwork.com/eve/185207-congratulations-dr-lupanzula-awarded-6th-abcrc-congress.html SURGERIES TECHNICAL DATA 1st surgery - Hairline / Front / Mid-scalp (October 2013) Recipient area surface: ~64 cm2 2820 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 547 Single FUs * 1346 Double FUs * 843 Triple FUs * 84 Quadruple FUs Average Hair/FUs: 2.16 2nd surgery - Mid-scalp (August 2014) Recipient area surface: ~28 cm2 945 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 137 Single FUs * 493 Double FUs * 292 Triple FUs * 23 Quadruple FUs Average Hair/FUs: 2.21 Dr. Emorane Lupanzula PREVIEW IN DETAIL Before the Surgeries 1st Surgery // 2820 FUs Manual FUE 10 Months Post-Op 1st Surgery // Pre-Op 2nd Surgery 2nd Surgery // 945 FUs Manual FUE FINAL RESULT - 3765 FUs Manual FUE 18 Months Post-Op 1st Surgery // 8 Months Post-Op 2nd Surgery

Hi wibbles180, Thanks for your appreciation and for your queries. At the moment of the pre-operative consultation Dr. Lupanzula suggested the patient to start a Finasteride treatment, but the patient refused for personal reasons. Consequently, he was informed that this choice could result in the need of additional surgeries in the future, given that the Doctor could already foresee a loss in the vertex area. The patient eventually accepted this approach, also considering that his donor capacity was assessed as approximately 7500 FUs, amount that guarantees the resources for a future coverage of the vertex and of the mid-scalp too if needed. Sincerely,

PATIENT'S BACKGROUND - Age: 34 y.o. - NW: III - Medicaments: Finasteride 1mg, started 1 month after the surgery - Recipient area surface: ~55 cm2 RECOMMENDED PLAN & TREATMENT 2800-3200 FUs procedure with FUE technique with the purpose of restoring the patient's hairline and adding high density to the frontal area (Dense-Pack). SURGERY TECHNICAL DATA 3111 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 663 Single FUs * 2087 Double FUs * 356 Triple FUs * 5 Quadruple FUs Average Hair/FUs: 1.97 * Please note that the result pictures were sent by the patient Dr. Emorane Lupanzula PREVIEW IN DETAIL

Dear all, Many thanks for your kind comments and appreciations about this presentation. Dear andy, As you say, the patient is extremely satisfied with the result already achieved. He considered the usage of toppik but he actually prefers to keep a more natural appearance without the usage of additional products. Dear delancey, Thanks for your query. Definitely yes, wearing a hair system can negatively affect both native and transplanted hair; as you say, this is mostly due to the glues used, which don't allow the skin of the scalp to perspire, to "breathe" in a correct way. This could turn out in a poor regrowth after a hair transplant, or in a more significant hair loss in a normal situation. Sincerely,

PATIENT'S BACKGROUND - Age: 32 y.o. - NW: IV - Medicaments: Minoxidil 5%, twice per day, started 5 months before the surgery - Donor area density: - 100 FUs/cm2 in the occipital region - 90 FUs/cm2 in the parietal region - 90 FUs/cm2 in the temporal region RECOMMENDED PLAN & TREATMENT 2800-3200 FUs procedure with FUE technique with the purpose of restoring the patient's hairline and adding density to the frontal area up to the mid-scalp. At the moment of the consultation, Dr. Lupanzula also suggested a second procedure of approximately 2000 FUs in order to restore the patient's vertex area. SURGERY TECHNICAL DATA 3175 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 540 Single FUs * 1439 Double FUs * 1029 Triple FUs * 167 Quadruple FUs Average Hair/FUs: 2.25 Dr. Emorane Lupanzula PREVIEW IN DETAIL

Being a world leading, state-of-the-art hair restoration surgeon requires a constant and devoted will to be always up-to-date about the latest news in the field. This will most often translate into the participation at international congresses, such as the one which took place in Curitiba, Brazil, from the 24th until the 27th of August 2016, organized by the ABCRC (Brazilian Association of Hair Restauration Surgery - ABCRC – abcrc.com.br). More than 250 people including subscribers, ABCRC members and international hair restoration surgeons attended the conferences, presentations and debates held during the four days of the congress. The international Lecturers’ team who attended the congress consisted of, among others, Dr. Alex Ginzburg, Dr. Jerry Wong, Dr. Jos? Lorenzo, Dr. Ronald Shapiro, Dr. Alejandro Chueco and, last but not least, Dr. Emorane Lupanzula. During the four days of the congress the attendees have examined and debated about a multitude of aspects related to hair restoration, ranging from more general topics such as the never-ending diatribe around FUE vs FUT, the importance of a medical treatment before and after the surgery, or the analysis of donor and recipient areas, to more specific debates concerning for instance eyebrow transplant using body hair, how to differentiate scarring vs non-scarring alopecia or the limits between the safe and unsafe parts of the donor area. In this context of highly sophisticated and qualified debates, we are proud to announce that, thanks to his presentation "Burned scalp: Repair by Manual FUE", Dr. Lupanzula has been awarded with the prestigious Marcelo Gandelman prize - instituted to honour the best scientific work - to recognize his proven experience in repairing cicatricial (scarring) alopecia by means of FUE technique. O 6? Congresso Brasileiro de Restaura??o Capilar, em Curitiba, foi um sucesso! – ABCRC – abcrc.com.br Congratulations, Dr. Lupanzula!

PATIENT'S BACKGROUND - Age: 40 y.o. - NW: VI - Medicaments: Finasteride 1g, since 8 years - Donor area density: - 90 FUs/cm2 in the occipital region - 85 FUs/cm2 in the parietal region - 75 FUs/cm2 in the temporal region - Donor capacity: ~8000 FUs - Recipient area surface - Front/Mid: ~80 cm2 - Recipient area surface - Vertex: ~80 cm2 RECOMMENDED PLAN & TREATMENT When the patient met Dr. Lupanzula for the first time was wearing a hairpiece and wanted a similar density as the wig he was wearing (reason for which his operation was refused by another clinic). Dr. Lupanzula made him understand that his expectations were unrealistic and proposed him the following approach: Given the extended hair loss the patient suffered (NW VI), Dr. Lupanzula recommended a strategy consisting in two separated sessions. The first one, 3500-4000 FUs, aiming at restoring the patient's hairline and adding density in the frontal area until the upper part of the mid-scalp. The second one, 3000-3300 FUs, with the purpose of restoring and adding density in the vertex. Finally the patient underwent both surgeries, one three months after the other, and we're glad to show below the final result of the two surgeries - respectively at the 12th and 9th post-operative month. Moreover, as soon as we will meet the patient again, we will post an update showing the final result. SURGERIES TECHNICAL DATA 1st surgery - Hairline / Front / Mid-scalp 3819 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 593 Single FUs * 2127 Double FUs * 1012 Triple FUs * 87 Quadruple FUs Average Hair/FUs: 2.15 2nd surgery - Vertex (3 months after the first surgery) 3275 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 731 Single FUs * 1856 Double FUs * 643 Triple FUs * 45 Quadruple FUs Average Hair/FUs: 2.00 Dr. Emorane Lupanzula PREVIEW IN DETAIL

Good point wibbles180! We are indeed planning to come to the UK next year for consultations, we'll update as soon as we'll officialize the date. Regards,

Hi again, You're welcome! Yes, since the patient lives in Lyon, France, he came to visit us in our Medikemos Clinic in Brussels. Unluckily we didn't have the opportunity at that time to check the regrowth percentage. His hair caliber was assessed as 65 micron - good diameter - and for the moment he's not planning any other procedure. Regards,

Hi wibbles180, Hi bitethebullet, Many thanks for your appreciation! The surgery was performed in one single session, 2 consecutive operation days. Please find below some pic of the donor, pre-op & just after the surgery: We can't retrieve any pic of the donor in the post-op, however we will post soon a video in which you can better perceive the status of the donor. Also, please note that the result pics were taken "just" at the 7th post-op month, so we're looking forward to updating this thread with more details of the real final outcome! Sincerely,

PATIENT'S BACKGROUND - Age & Ethnicity: 38 y.o., Caucasian - NW: III - IV - Medicaments: Finasteride 1g, since 6 months before the procedure - Donor area density: 100 FUs/cm2 in the occipital region; 90 FUs/cm2 in the temporal region - Donor capacity: ~7500 FUs - Recipient area surface: ~80 cm2 RECOMMENDED PLAN & TREATMENT 4000 - 4500 FUs with FUE technique with the purpose of restoring the hairline and temples, while adding density until the first third of the scalp. SURGERY TECHNICAL DATA 4039 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 504 Single FUs * 1635 Double FUs * 1729 Triple FUs * 166 Quadruple FUs * 5 UF Quintuple FUs Average Hair/FUs: 2.00 Dr. Emorane Lupanzula PREVIEW IN DETAIL

Hi wibbles180, That scar tissue may have been originated by a wrong execution of the incisions in the recipient area. In this case, we hided that bad appearance/discoloration by implanting hair follicles all around and on the scar tissue itself. Another solution to this problem could have been a tricopigmentation of the affected tissue. Regards,

Bill: mikeyhwk: garethbale: wibbles180: HRSN1: Dear all, Many thanks for your comments. Coming to your questions: the patient's donor density, after his FUT surgery, was assessed at around 6000-6500 FUs. After this FUE procedure, his donor capacity is approximately 3500-4000 FUs. And, as soon as we retrieve his hair caliber data, we'll update you. Concerning the scar: before it was indeed visible with a buzz cut 2 or 3, while now you should not perceive it at all. We'll ask to the patient to send pictures of his donor if and when he will cut his hair very short, so hopefully we'll have the visual proof! Best,

PATIENT'S BACKGROUND - Age & Ethnicity: 27 y.o., Caucasian - NW: III - Medicament: Minoxidil 5% once per day; Finasteride 1g until the procedure - Donor area density: 90 FUs/cm2 in the occipital and temporal regions - Recipient area surface: ~33 cm2 - Donor area scar surface (previous FUT surgery in another clinic): 18 cm x 0.5 cm RECOMMENDED PLAN & TREATMENT 2100 - 2600 FUs procedure with FUE technique in order to restore the hairline and temples, while adding density around the existing plugs. Among these, 200 - 300 FUs will be used to repair the scar in the donor area, originated from a previous FUT surgery. SURGERY TECHNICAL DATA 2472 FUs extracted by Manual Punch, diameter 0.9mm. Incisions realized with Lateral Slit technique. Among these, 316 FUs have been used to repair the scar in the donor area. N° of Hair per Follicular Unit * 414 Single FUs * 1732 Double FUs * 319 Triple FUs * 7 Multiple FUs (Quadruple) Average Hair/FU: 1.96 Dr. Emorane Lupanzula PREVIEW IN DETAIL

Hi wibbles180, Thanks a lot for your comments, much appreciated! Videos will be posted soon! About this patient's donor capacity, it was assessed as around 7000 UFs during the pre-operative consultation. Given that 2360 UFs have already been transplanted, the remaining donor supply is around 4500 - 5000 UFs. Sincerely,

PATIENT'S BACKGROUND - Age & Ethnicity: 29 y.o., Caucasian - NW: IV v - Medicament: Minoxidil & Finasteride - treatment started just before the surgery - Recipient area surface: ~ 46 cm2 RECOMMENDED PLAN & TREATMENT 2300 - 2400 FUs intervention with FUE technique in order to restore the receding hairline and temples. A second, future intervention of ~3000 FUs is suggested to cover the vertex. PS: Please note that the 3000 UFs evaluation to cover the vertex took place when the patient was just starting his Finasteride treatment. As you can see in the post-op photo showing the donor area, after 15 months the vertex has considerably improved, therefore it is plausible that the future estimation of the UFs necessary to restore this area will be decreased. SURGERY TECHNICAL DATA 2360 FUs extracted by Manual Punch, diameter 0.9mm. Incisions realized with Lateral Slit technique. N° of Hair per Follicular Unit * 295 Single FUs * 1273 Double FUs * 730 Triple FUs * 62 Multiple FUs (Quadruple) Average Hair/FU: 2.23 Dr. Emorane Lupanzula PREVIEW IN DETAIL

PATIENT'S BACKGROUND - Age & Ethnicity: 44 y.o., Caucasian - NW: IV - Medicament: No - Donor area density: 110 UF/cm2 in the occipital region, 90 UF/cm2 in the temporal region - Recipient area surface: ~ 52 cm2 RECOMMENDED PLAN & TREATMENT 2200 - 2500 FUs intervention with FUE technique to restore the receding hairline and add density to the first third of the scalp SURGERY TECHNICAL DATA 2308 FUs extracted by Manual Punch, diameter 0.9mm. Incisions realized with Lateral Slit technique. N° of Hair per Follicular Unit * 301 Single FUs * 627 Double FUs * 1002 Triple FUs * 378 Multiple FUs Average Hair/FU: 2.60 Dr. Emorane Lupanzula PREVIEW IN DETAIL