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ArochaHair

Elite Coalition Physician
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Everything posted by ArochaHair

  1. Sunset Dune and all, that is correct the sites were made following the patients angles and directions. His hair lays down when he does not use products in his hair. The beauty of artistic hair restoration is to create a natural hair restoration outcome. This gives the patient many options in personal hair styling. The photos show that his hair is matted from all the styling gels/wax that he uses. This allows him to "spike" his hair, but wet hair looks a little thinner. Hope this helps. Best regards, Dr B. Arocha, MD,ABHRS, Fellow ISHRS
  2. Thank you for taking the time to view this patient’s results. His goal was not a large thick beard. He desired a more subtle outcome. Sure, 1200 grafts, sounds like a lot to you, but keep in mind that an eyebrow can require about 400 grafts and more for thicker ones. The 1200 in this beard restoration employed only 600 on each side. Observe also how much bigger, this nice gentleman’s restoration was. My goal was to make my patient happy by delivering a natural looking smaller beard enhancement! Mission accomplished!! Sorry for the long reply, but I wanted to help you have a better understanding. Kind regards, Dr Bernard Arocha
  3. Greetings HTN community, This is Dr Arocha. I have been hearing from patients that their facial hair had thicken after their prp for about a decade. At first, I laughed and told them, I had not gone near their facial hair. But after witnessing a few cases, I figured that prp often produces some swelling,.. that the swelling travels down the face to be absorbed at the cervical lymphatic chain. That started to make sense.
  4. Hi transplantedphil, Having a few questions is fine but you seem to be kicking a dead horse here. We explained that the placement did not simply involve lowering the hairline but rather the point was to thicken the frontal zone and slightly lower the hairline. Comparing this case to the one you referenced by Dr. Konior is fairly inaccurate as the logic behind the differences is sound. The Dr. Konior patient has a clearly defined area of loss in the temples. Our patient did not. He had thinning and a slight recession. When you have bald scalp as the Dr. Konior patient had, more grafts are necessary to create density so that is why he had 55% more grafts in an area of placement that was (maybe) 20% larger than what our patient received. Secondly, when you have bald scalp and fill it with hair, the cosmetic impact will obviously be higher due to the fact that if someone was bald, having hair makes the biggest night and day different. In the case of our patient, the majority of the grafts were placed into existing hair, so the effect isn’t as dramatic. I hope this explanation puts this issue to rest. Regarding the “plan”, I’m not aware of one year of medical treatment being a standard. If it is, please show us the professional reference. It is beneficial, of course, and we encourage medical therapy for all of our patients but we cannot make them take medication of any type. Further, the patient’s family history reduces the likelihood of aggressive future loss. This was discussed at length especially because the patient is in his mid-twenties. However, the good thing is that (as mentioned in the original post) he is now on Propecia, to which he is responding well, because he wishes to keep the look he has now and to reduce the chances of more surgery. This is the sensible approach and we’re pleased that he has chosen it. Ultimately, while beauty is always in the eye of the beholder, there is a reason we posted this result. It’s because the patient is happy and was more than willing to allow us to document his result to share with the group. Sometimes, a result does not need to be a night and day change to be a success. It need only make enough of an improvement that the patient can stop worrying about their problems and enjoy their life and that is all that some members are looking for.
  5. Hair Transplant Sessions: 3 Grafts Implanted: 8700 Baldness Class: 6 Surgical Procedure: Follicular Unit Transplant (FUT/Strip) This gentleman in his 60s with NW 6 wanted to restore as much of the frontal to midscalp/crown area as possible. The head size was large so we performed three procedures: 1.) 4900+ FUT, and 2.) 2800+ FUT (one year later). The 3rd procedure was a 1000 FUE procedure (5 years after his first procedure). Before: After: Before: After: Before: After: Before: After: Before: After: Before: After:
  6. Thanks, Steeeve, The hairline is very age appropriate. Both Dr. Arocha and patient agree to the design of hairline before they move forward with a procedure. While some choose to go a more aggressive route, this patient wanted to keep it natural for his age. He's aging gracefully with some help from Dr. Arocha.
  7. Hi Jonzi, Point taken, although, next time we hope you might be a tad more considerate in how you comment. I always would rather share a complete set of a before/after angle with you than an incomplete set. For that particular angle, I didn't feel like the blurry photo obstructed your view to the extent to which you reference in your post. The other photos are actually quite nice. If you have an actual question about the patient or case - I am happy to answer.
  8. This patient has had great results so far using Minoxidil 5% (2x day) and Laser Therapy. Before: After: Before: After:
  9. This patient had 3000 grafts FUE and has had great results at 4 months with the help of Finasteride, Monoxidil, P.R.P., and laser treatments. Before- After- Before- After- Before- After- Before- After-
  10. 3000 graft FUE-This patient has had an amazing result at 4 months with the help of Finasteride, monoxidil, P.R.P., and laser treatments. Before After Before After Before After
  11. Hey guys, I felt compelled to share my results. This is 5 months of Finasteride (1mg a day without missing a day) I have had no side effects and have used no other therapy, just Finasteride. At Arocha Hair Restoration we strive to help all those with hair loss find a solution whether it be surgery or a medical regiment. This is Blake, I am one of Dr. Arocha's patient educators, at 27, bummed about my hair thinning. It has been gradually getting thinner over the past 3 years. Most people did not notice, but I noticed and it bothered me. I will add more therapies and keep you posted but I wanted to share my results which I and Dr. Arocha think are pretty good. Dr. Arocha recommended Finasteride before having a procedure to hopefully avoid a procedure. Before: After: Before: After: Before: After: Before: After: Before: After:
  12. This patient has had great results with the help of Finesteride. Only 5 months post-op. Before: After: Before: After: Before: Before: Before: After: Before: After:
  13. As always, we appreciate everyone's comments and opinions. This case represents one that is fairly common for Dr. Arocha and our clinic to deal with, which specifically involves patients that require a more subtle improvement that is not so visible as what many of you are used to. When patients have a degree of thinning that forces them to use hairstyles they normally would not want to use, or they just feel and see that the density is not what it used to be, it can be quite a source of anxiety. If you look at this image previous posted more closely, you can see the thinning behind the frontal hairline: Dr. Arocha and his team placed approximately 2000 grafts into the frontal hairline, and several centimeters into his frontal zone, to add density. Here are the immediate post photos. The hairline from this angle also shows placement well into the frontal zone. The remaining 1000 grafts, give or take, were placed into the crown region for additional density as well. I hope this clarifies the issue and better explains the approach.
  14. https://www.hairrestorationnetwork.com/profile/288-takingtheplunge/ We at ArochaHairRestoration miss you, and wish you all the best now and always! Hope Michael is far away or not existent to you!!
  15. Greetings Hair Transplant Network community, I would like to thank all of you for taking the time to support our patient. Hair restoration surgery has always been a team sport. The amount of work involved is too great for one person to do it all. There is an ideal amount of time that tissue should be out of body, not to mention that it is best for the patient to have the work completed as efficiently as possible. There are four full time hair techs in my office. Their main task is to trim tissue under microscopes, and to place the grafts. Not one of them has ever “punched” donor tissue in an fue procedure. Harvesting donor tissue in an fue surgery is performed only by a licensed certified practitioner. I personally stand 100% behind the work performed at Arocha Hair Restoration. Due to HIPPA stipulations, I cannot discuss any patient’s medical information, without their permission nor can I confirm or deny that a patient is mine without said permission. I will say however that while obtaining this permission is usually not difficult, there are very rare instances when such permission is requested but is subsequently denied. One can only speculate as to why. Therefore, I can only speak to how our procedures are carried out, generally speaking. My approach is to create a natural hairline that maximizes the framing of the face, while following short and long-term guidelines based on the individuals condition, donor/demand ratio, and hair characteristics. Of course, the transition zone is build with one hair grafts, ideally with finer caliber in the forefront of the hairline; and larger caliber as we progress toward the define zone. A patient with coarse hair is challenging, as even a one hair will appear bold. This issue is only exacerbated further when the coarse hair is black and on fair skin. However, using only nape of the neck and retro-auricular follicles will usually yield finer caliber hairs. A two hair graft placed in the forefront of the transition zone can be softened by using a tiny punch to remove one of the hairs, or by working in front with the finer one hair grafts available. Touch-ups are sometimes needed; when they are, it is prudent to allow enough time for the transplant to grow out. It commonly takes 12-18 months for not only all of the grafts to emerge but for the fullness, the texture and overall characteristics of the hair transplant to fully mature. Thank you all, and have a good weekend!
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