DavidAnderson

Different clinics have very different views on such maters but Dr Ball is a firm believer of the benefits of using this post op. Below is the reason why we use it. We feel Liposomal ATP is an important new application to hair restoration surgery due to its healing and graft survival properties. Especially with FUE procedures where the grafts are finer and more fragile . At The Maitland Clinic, we feel it is vital to use Liposomal ATP spray during the post op period to ensure maximum survival of grafts. Liposomal ATP is a solution that contains ATP in liposomes. It is used to deliver ATP to tissue deprived of oxygen and blood supply during surgery while grafts are out of the body and as the graft are planted back into the recipient area. After transplantation, the follicles exist in a state of ischemia that persists until angiogenesis restores oxygen tension in the wounded area. Liposomal ATP has several major effects: It supplies cells ATP to maintain the energy charge of the cell, and thus allow follicles to remain viable during the post-transplant period, ATP is a potent vasodilator on dermal arterioles, which increases scalp blood flow to the area being treated,The lipid vesicles, once internalised by the cell, are an ideal energy substrate for proliferating cells. We provide this solution to all patients to use the first 48 hours after surgery. We feel that it significantly helps increase the survival rate of grafts and expedites the healing process.

Congratulations on your surgery and for a detailed write up. Agree with you that the staff at H&W are excellent and Elena deserves special credit, she is great. Good growth to you and please keep us posted.

The number of grafts you need will depend on where you wish or the Doctor suggests you place your hairline and how aggressive you wish to be with the temple points. You age, hair loss pattern, donor density and use of medication should determine the numbers as much as what can be done. I agree it is important to restore the sides if you are going to bring the hairline down. Hasson and Wong are doing some great FUE work you should pay them a visit if you haven't already as they are in your great city of Vancouver.

As others say it might just be some shock loss and hopefully hair will grow back in the next few months to help. The extraction pattern is poor even for a small number of grafts they should have taken from a bigger area to avoid this.

ntheory, Thank you so much for your detailed and kind write up of your recent surgery with Dr Edward Ball of the Maitland Clinic. Sorry I didn't get much of a chance to chat with you on the day but I see you were well looked after. Look forward to following your progress and please shout if you need anything at any stage.

I think doing some more conservative at this stage makes a lot more sense. If you restore a mature hairline with 2000 grafts with FUE as you say then you have a back out plan. You will not have over harvested the donor area and financing it will be easier on you. If you wish to go FUT I would wait longer and make sure the meds are working, if you want to get something done sooner then FUE with a smaller session. If the meds don't work and you loose more hair and decide to call it a day you can still buzz your hair short and have some facial framing that will look appropriate.

Looks like a really big improvement. Happy for you, congrats.

Congrats Mav! Really happy for you. Looking forward to seeing the progress in photos soon.

Hi Rashid, It is possible but long term if you have extensive loss and sides recede and drop then the front will look top heavy and there will be gaps between permanent transplanted hair and donor. Another surgery will be neccessary to reconstruct these areas.

I would agree with Spex. With your level of loss 6000 grafts is going to take out most/all of your donor with FUE if the meds don't work for you then you are going to loose a lot more hair in the future. If you are set on going ahead then at least give the meds a bit of time so you know you can tolerate them and don't get side effects. I would also be cautious about the hairline design that your Doctor proposed if you don't tolerate meds and keep the hair in the mid scalp and crown and you are relying on just the transplanted hair it is going to be very thin in years to come. A hairline like that might be ok once you know the meds are working but as a starting point I don't think it is a good idea. If you move the hairline up to similar to where it is now you can get more coverage/density in these areas and have something that looks appropriate should you loose your native hair. You ask about natural in 15 years which is why I make my comments a low full hairline with a very thin crown is not something that you see in nature.

It is going to limit your donor for sure and if you were requiring a large session you might be advised that it would not be possible to acheive the results that you are hoping for, however 500 grafts into the temples will most likely be possible even with a NW7 and retrograde. All the best.

Glad to hear that you reached out to your Doc. This antibiotic is used for foliculitus so you have no worries. Hope you get sorted ok.

Agree with others, Doxycycline is not just associated with Chlamydia. But you do need to email the clinic to let them know that you are going to be using it so they have a record of this and are happy for you to do so. It should have no adverse effect with your results but check with your clinic as it is so soon after surgery.

Deb1982, Happy to help and all the best for your procedure I look forward to following your progress you are in very good hands.

Thank you very much to you all for your kind comments it is really appreciated to have your support.