DrTBarghouthi

Yes anything near border is singles. I keep the doubles for the mid section usually as it gives more density but is also mixed with singles.

We only prescribe a very short prophylactic dose on the day and two days after.

Keep it dry and just apply the ointment once or twice as it keeps it moist and protected that way.

I don’t believe there will be any growth implications in the future. In some cases if an increased density is done in an area with slightly less blood supply, the healing can be delayed or the area can scab for longer giving increased crusting. Once the wash is done, that crusting reveals raw looking skin underneath so it looks more red with maturing granulation tissue. I would still cover it with antibiotics just in case as such areas with possibly delayed healing are more prone to getting infections etc.

An Update Of the above case at 13 months.

Thanks for tagging. Have you applied Fucidin on these prior to taking photos? Are there traces of it on the skin that might make it look different. If anything there might be a localized reaction or infection or even simply delayed healing giving some granulation tissue look. I would stick to their advice for now and it should be ok.

When these things are tested, they need proper medical supervision starting with the reason for extraction, anesthesia, allergic reactions, adverse effects and ofcourse documentation for follow up results.

Thanks for the mention. Please share with us some photos if you don’t mind. Hair systems come in different forms and shapes and can vary in how natural they blend. There might also be hope for some limited repair options in your case. Would be happy to assist.

Dear community, This is a 36 year old gentleman who had an FUE procedure done in September 2021 . His main concern is an incomplete and rather sparse beard over both cheeks and an obvious contrast between both cheeks and the chin area. He also had a main concern with how natural it can turn out and hence wanted a very limited number so as not to appear overly dense or obvious. He also wanted us not to elevate the superior border of the beard and remain within his current shape. Around 1200 follicles were extracted, but considering that only singles and doubles are preferred to be used, we trimmed all 3 and 4 hair grafts into singles and doubles too. A total of 1629 (1 and 2's) were transplanted on both cheeks. Results shown are 5 months after the procedure (Photos taken February 2022) Surgical details: Total : 1629 single and double grafts 1's 690 2's 939 Average 1.57 hairs/graft Sites made using 0.9 mm and 1.2 mm Sapphire blades. Before and Planning photos: Immediately after: 7 days after: 5 months after: Donor area 7 days after and 5 months after : Comparisons:

Great transformation. Well done!

It's amazing how removing those transforms the overall look. Great work.

Beautiful result!

It's good that your pattern is stabilising at this stage on finasteride. It does seem that you have a moderate loss in the frontal/ Ms and crown areas. I would believe that around 2200-2500 grafts for the FZ and MS would improve things a lot depending on how the hairline is drawn. The crown would also require around 1200-1500 grafts. Your donor looks good and hair texture is also favourable based on photos alone.

I tend to use a combination if olive or almond oil, aloe vera and in severe cases anti histamines. Also avoid minoxidil for 3-4 weeks. If flakes appear then a ketoconazole or anti dandruff shampoo also helps a month after.

Dear forum members, This is the case of a 65 year old gentleman with a NW 6 MPHL who underwent a 2674 Grafts transplant in October 2021. He was a bit concerned about the naturalness of his outcome given his age. His donor was of average density and his donor had mostly 2 hair grafts. Given his case, we decided to tackle the frontal and midscalp regions initially and to wait for full growth before deciding on whether to stage the crown later or whether he will decide to add more in the front given his hair density and his average hairs/ graft ratio. The results are 8 months after and it seems that we will be able to look into crown addition in the future. He is still deciding as he feels it gives him a more age appropriate look not to have it all filled yet. He is currently on Finasteride tablets on alternate days. I personally feel his donor area currently is better than before surgery and could be related to Finasteride. His donor before surgery somehow tricked me into being more conservative in his case with the numbers and coverage areas. TOTAL: 2674 GRAFTS 1:549 2: 1188 3: 937 GRAFTS/HAIR RATIO : 2.14 EXTRACTION: 0.9 4 Mm punch SITES: 0.8/1.3 AREAS:HL/FZ/MS Photos before: After 8 Months Donor area currently: Donor area before:

Absolutely. This is a photos immediately post op day 2 (procedure was done over 2 consecutive sessions given it was over 2000 grafts). Considering the pattern, I did see that there was no good “value” in targeting the entire native dense areas for the time being and so we just went for the definite bald regions.

Dear forum members, This is the case of a 38 year old gentleman who had an atypical pattern of male pattern hairloss. It resembles female pattern loss to some degree. He was concerned about the noticeable contrast in his hair, with some areas looking particularly dense and then others completely bald. He underwent 2766 FUE grafts 12 months ago. He is currently on compounded finasteride/minoxidil spray. Total grafts: 2766 1's: 230 (Did not require a lot of hairline work. 2's: 910 3's: 1143 4"s: 483 Hairs/graft: 2.68 Photos:

Great result!! What a change.

Thank you for the mention. Kindly share some photos to evaluate the matter. We do a good number of beards regularly as geographically a beard is quite in demand. Happy to help in anyway.

I guess we couldn’t know unless some calculated trial is made.

If they are scattered these can be removed and re implanted. Also adding density might disguise some of these and make it all hidden.

Those irregularities are most likely grafts placed flushed with the skin so that when skin heals, it contracts and gets pushed in further. That’s only one assumption. Skin type and even incision technique can cause it. I think a proper repair is what’s needed. Removing unsightly ones and adding density. Part of what you see is due to it being “see-through” and that’s what makes any skin irregularities obvious.

Yes it will be this month once we confirm the patients.

Thanks @Melvin- Moderator @Dickie Do you have immediate post surgery photos you can share? It may well be a skin type of thing or a graft placement technique. I’d like to see.

Given your age and diffuse loss I would definitely consider oral finasteride and possibly Low level light home therapy.