ArochaHair

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

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

It sure is, JohnCasper! Glad you continue to have benefit after 7 years!!!!

Thank you so much, Mavigo!

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.

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.

Thank you, Dr. Bloxham! Much appreciated.

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:

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.

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.

This patient has had great results so far using Minoxidil 5% (2x day) and Laser Therapy. Before: After: Before: After:

Thank you, Pete! I really appreciate it.

👍👍 Glad to hear you're having a great response so far! Keep it up.

Thanks for sharing Shifty! Keep us updated with your results.

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-