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Dr Blake Bloxham

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Dr Blake Bloxham last won the day on August 5

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About Dr Blake Bloxham

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    Senior Member

Hair Transplant Clinic Information

  • Hair Transplant Surgeon
    Dr Blake Bloxham
  • Hair Transplant Network Recommendation Profile
  • Hair Transplant Clinic Name
    Feller & Bloxham Hair Transplantation
  • Primary Clinic Address
    287 Northern Blvd, Suite 200
  • Country
    United States
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  • City
    Great Neck
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  • Provides
    Follicular Unit Hair Transplantation (FUT)
    Follicular Unit Extraction (FUE)

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  1. Thank you for watching and commenting. Thank you for the kind words as well. Absolutely. I actually try to include a scar comb-through in all of my FUT videos. I did not film this one myself, so it looks like I did not get scar footage. I will share some if he comes back, and do look out for pictures and video in future presentations.
  2. Good observation. Sometimes these little "tweaks" can make such a difference. And framing the face with hairline work is always key.
  3. Thank you for the kind words. I typically make the incisions and then place the grafts. Sometimes "stick and place" if there are unanticipated grafts or if I want to very carefully beef up the density in a specific area. FUE is $8-10 a graft at our office. You can use the consultation feature through the site here or obtain our contact information from our website.
  4. I have heard most doctors quote 5-15% difference between FUT and FUE. I honestly think it is a little higher. Probably 20-25% on average. The best way to honestly describe the "difference" is in terms of variability. FUE is simply more variable. Some patients just have the right characteristics for it and their grafts will accept a little more excitement, and others simply will not. Some people grow excellent with it and you can barely tell the difference between FUT and FUE, whereas others get decreased yield and some even character changes to the hairs themselves. The trick is screening and being able to stop the case or recommend switching to a different method if you do not believe it is going well. And still even then, sometimes it all seems to go well and still just does not grow as well as I believe it would have with a strip.
  5. It absolutely is a lot of work. But, I believe it is worth doing. I really do think true manual FUE done slowly and meticulously like this gives the grafts the best chance. However, this does not mean there are not other good ways of doing it that may suit some patients well, and I am always up for trying new devices and techniques.
  6. Thank you for the kind words. I did this patient in one (long) sitting. Since then, I have actually switched to only doing 500 - 800 manual FUE grafts in a sitting. For any decent size case, I break it up into multiple sittings. I feel like doing it this way allows me to take that nice, meticulous manual approach without feeling rushed and resorting to speed over quality, and it also greatly reduces graft out of body time. Thanks for good question.
  7. Hi Everyone, Today's presentation is a nice little FUE hairline case. The patient is a gentleman in his late 30's with otherwise excellent hair aside from some classic hairline thinning. He was set on FUE and initially wanted to go very aggressive in the front. After reviewing everything, we decided the most natural, strategic approach was to start a little more conservative. So, we did a 1,500 graft case to rebuild his hairline. I removed all the grafts manually using a 0.9mm Feller Medical Punch (a punch Dr. Feller patented many years ago). Extraction went very well. I saw the patient back 12 months later, and both he and I were very pleased with the results. Since he grew well with the FUE and the back seemed to heal up nicely, we decided to do a little more and close in the corners a bit. I will update with the results of this second procedure in the future. Here are a few "teaser" comparison shots with both dry and wet hair. As usual, I include only a few of these because I encourage all researching patients to watch the result video, which features both educational content and a much more detailed "comb-through" of the results. And here is the video: Thank you for reviewing. Look forward to the upcoming discussion. Dr. Blake Bloxham Feller & Bloxham Medical www.fellermedical.com
  8. Interesting. I wonder if there is any data about this out there? Anyone who has objectively analyzed and compared the percentage of "balding" people in different generations. Could lead to some very interesting theories. Thanks for sharing.
  9. Great case! Kudos to Dr. Arocha and team. Smart planning from the get-go and good use of the donor. The patient must be very pleased.
  10. Good thread. Not to alter it too much or stand on a "soapbox" here, but this is why I often encourage younger patients who are set on surgery to consider FUT. Regardless of how far a patient progresses, an individual with true androgenic alopecia should always keep that safest part of the safe donor region. Even in advanced cases. The very advanced cases (like a NW VII) are often very familial and we see strong signs early, but even these individuals can still be conservatively served with what they have back there. If the entire donor area thins, then the patient likely has some other type of loss and should never have been offered surgery in the first place. But I do find this is pretty rare and typically somewhat obvious from an early stage. If a doctor has global donor concerns, he/she should advise the patient not to move forward now. However, we see too often today doctors taking from "safER" regions in the "expanded donor" on young patients. As mentioned several times here, this area may not be truly safe and only appears that way because the patient is young and early in his journey. So, this thread is a good reminder to act conservatively, treat the donor as finite and sacred, and maximize for the long-term.
  11. It depends on the region of the scalp. In the frontal hairline region, you can expect new hairs to start popping through around 3-4 months, start to get visible and longer around 5, and then pretty decent transformation with the caveat that they are still thinner shafts with extra "frizz" by month 6; month 6 through 9 they continue to thick and normalize, and then typically between month 9-12 the texture really starts to calm down and they mostly resemble the native hairs. Anywhere behind the "frontal band" region really can take longer to mature. And if this is the crown? Definitely give it 18 months to cook. Of course you always have to keep in mind that all patients are different. People mature at different rates and everything is "all good" as long as the end result is good. It may take some people a little bit longer to cross that finish line, but it's finishing strong that counts.
  12. Hi Pedro, 1) Yes, it can be done before an HT. Obviously don't do them too close together because it would be a bit traumatic for the scalp. The only thing I warn patients about when it comes to doing SMP before the HT is that we are probably going to mess up the nice SMP work with our incisions. SMP is placed at a different level in the scalp compared to the grafts, but we have to get through that layer first. So chances are we may ruin some of the SMP you just for. Because of this, it may be better to wait until after (if you are sure you want to do both). 2) A lot of people do temporary SMP which does fade. 3) I believe the average is 24-36 months (though an SMP guru may correct me there). 4) Much less compared to a surgery. I think it is in the hundreds or low thousands of dollars. Maybe Erik from Ahead Ink will come put in his two cents. He's the one I always bounce SMP questions off of! Hope this helps.