L0ke

Hi @WildBlueberry and @follically challenged

Attached a few donor pictures (preop shaven 1st, 2nd and 3rd FUE).
Have a nice day!

After 2 FUE’s ex domo with 3205 FU:
3 FUE’s performed on a 40-year old Caucasian male with

• NW II-III
• Donor density of 84 FU/cmÇ occipital, 80 FU/cmÇ parietal, 76 FU/cmÇ temporal
• Hair diameter of ~ 44-54 microns

Treatment plan
1. FUE to attain an aesthetic reconstruction of the frontal hairline.
2. FUE to attain an aesthetic reconstruction of the midhead and crown area.
3. FUE to optimize the density of the midhead and crown area.

Performed procedures
1. FUE (September 16, 2019)
Follicular Unit Extraction with 2810 FU

2. FUE (July 9, 2020)
Follicular Unit Extraction with 1811 FU

3. FUE (March 22, 2021)
Follicular Unit Extraction with 2804 FU

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0,85-0,95 mm).
Extraction performed by WAW-system with a 0.90 mm serrated trumpet punch.
No microscopic preparation of the follicular unit grafts.

Dr. Bijan Feriduni

FUE performed on a 55-year old patient with
• a congenital high forehead through female frontal fibrosing alopecia (FFFA)
• Donor density of 88 FU/cmÇ occipital, 84X FU/cmÇ parietal, 80 FU/cmÇ temporal
• Hair diameter of ~ 52-64 microns

Treatment plan
Surgical Hairline Advancement and Follicular Unit Extraction to lower and attain an aesthetic reconstruction of the hairline.

Performed procedures
1. SHA-Lift (June 30, 2020)
2. FUE (October 20, 2020)

Follicular Unit Extraction with 2078 FU:
* 592 single hair FU
* 1041 double hair FU
* 445 triple hair FU
HGI: 1,9

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0,8-0,95 mm).
Extraction performed by WAW-system with a 0.80 mm serrated trumpet punch.
No microscopic preparation of the follicular unit grafts.

Dr. Bijan Feriduni

FUE performed on our patient (30) with

• NW II-III
• Donor density of 92 FU/cmÇ occipital, 86 FU/cmÇ parietal, 84 FU/cmÇ temporal
• Hair diameter of ~ 52-62 microns

Treatment plan
Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline.

Performed procedure
FUE (December 11, 2019)

Follicular Unit Extraction with 3427 FU:
* 400 single hair FU
* 2089 double hair FU
* 938 triple hair FU
HGI: 2,2

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0,7-0,9 mm).
Extraction performed by WAW-system with a 0.90 mm serrated trumpet punch.

No microscopic preparation of the follicular unit grafts.

16 hours ago, hairlossPA said:

any chance we can see pics of the scar revision when its healed and grown?

also sorry if I missed it, but do you know how many grafts went into the scar?

Hi @hairlossPA
Yes of course, we will post an update after 9-12 months!
And thank you for your question; we've used 394 FU for the scar.
 

FUT, FUE and scar correction performed on a Caucasian man (40) with
• NW II Class N
• Donor density of 96 FU/cm² occipital, 92 FU/cm² parietal, 88 FU/cm² temporal
• Hair diameter of ~ 52-58 microns

Treatment plan
1. Follicular Unit Transplantation to attain an aesthetic reconstruction of the hairline.
2. Follicular Unit Extraction to increase the density of the frontal hairline.
3. Follicular Unit Extraction to increase the density of the mid section and scar correction in FUE.

Performed procedures
1. FUT (January 3, 2011) 
Follicular Unit Transplantation with 2180 FU:
* 500 single hair FU
* 1176 double hair FU
* 504 triple hair FU
HGI: 2,0

2. FUE (October 10, 2013)
Follicular Unit Extraction with 799 FU:
* 162 single hair FU
* 383 double hair FU
* 254 triple hair FU
HGI: 2,1

3. FUE (November 24, 2020)
Follicular Unit Extraction with 1744 FU:
* 44 single hair FU
* 1190 double hair FU
* 510 triple hair FU
HGI: 2,3

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0,7-0,9 mm).

1. Extraction performed with a 0.8mm Titanium Manual Punch Handle.
2. Extraction performed with a 0.8mm FUE punch with CIT Manual Punch Handle.
3. Extraction performed by WAW-system with a 0.90 mm serrated trumpet punch.

No microscopic preparation of the follicular unit grafts.

Dr. Bijan Feriduni

On 12/11/2020 at 11:57 PM, DrTBarghouthi said:

Excellent result! Was this done over one or two days? 

Thank you, @DrTBarghouthi
This FUE was performed in 1 day.

14 hours ago, Curious25 said:

Very nice result.

Almost 4000 grafts done via FUE in one session is pretty unusual to see - what were the reasons Dr Feriduni felt confident pursuing this approach? 

Thank you @Curious25
Dr. Feriduni has 15 years of experience in FUE.
Since 2015 he is performing on a daily basis FUE cases between 3000 and 4000 FU's if necessary, depending on the patient's hair characteristics, hair/FU-density per cm2 and hair caliber. 
This is a slow process in increasing the amount of FU over the years.

On 11/22/2020 at 9:37 AM, WildBlueberry said:

Hi @L0ke when is it appropriate to use a serrated trumpet punch vs non serrated?

Hi @WildBlueberry
I've attached 4 images that explain the difference.
Thank you for your interest.

Have a nice day!
 

19 hours ago, Babou1410 said:

@L0ke Woaw really impressive work, as always with Dr Feriduni

Quick question when counting the number of FU's I came to a total of 3467, could the delta be for grafts above 4 ?

The number of FU was a missing from our side; they're correct now.
Thank you for noticing, and the kind words to us  

FUE performed on a 34-year old Caucasian male with

• NW IV-V
• Donor density of 80 FU/cmÇ occipital, 88 FU/cmÇ parietal, 85 FU/cmÇ temporal
• Hair diameter of ~ 52-62 microns

Treatment plan
Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline.

Performed procedure
FUE (December 2, 2019)

Follicular Unit Extraction with 3934 FU:
* 467 single hair FU
* 2739 double hair FU
* 728 triple hair FU
HGI: 2,0

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0,8-0,9 mm).
Extraction performed by WAW-system with a 0.85 mm serrated trumpet punch.
No microscopic preparation of the follicular unit grafts.

Dr. Bijan Feriduni

FUE performed on anAfrican-American female (47) with

• NW I-II
• Donor density of 62 FU/cmÇ occipital, 62 FU/cmÇ parietal, 56 FU/cmÇ temporal
• Hair diameter of ~ 62-72 microns

Treatment plan
Follicular Unit Extraction with macrolines to lower the hairline.

Performed procedure
FUE (January 9, 2020)

Follicular Unit Extraction with 2029 FU:
* 401 single hair FU
* 828 double hair FU
* 200 triple hair FU
HGI: 1,3

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0,8-1,0 mm).
Extraction performed by WAW-system with a 0.90 mm serrated trumpet punch.

No microscopic preparation of the follicular unit grafts.

Dr. Bijan Feriduni

Scar correction and FUE’s performed on a 35-year old Caucasian male with

• 1 FUT ex domo
• NW V-VI, Class N
• Donor density of 80 FU/cmÇ occipital, 92 FU/cmÇ parietal, 92 FU/cmÇ temporal
• Hair diameter of ~ 46-58 microns

Treatment plan
1. Follicular Unit Extraction to reconstruct the hairline and remove wrong-placed and -directed FU and scar correction in Trychophytic Closure technique.
2. Follicular Unit Extraction to restore the crown area and scar correction in FUE.

Performed procedures
1. FUE (June 17, 2019)
Follicular Unit Extraction with 4395 FU:
* 612 single hair FU
* 2506 double hair FU
* 1073 triple hair FU
* 204 extracted FU from FUT ex domo
HGI: 2,1

2. FUE (September 14, 2020)
Follicular Unit Extraction with 3100 FU:
* 335 single hair FU
* 2051 double FU
* 720 triple hair FU
HGI: 2,1

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0,8-0,9 mm).
Extraction performed by WAW-system with a 0.90 mm serrated trumpet punch.
No microscopic preparation of the follicular unit grafts.

Dr. Bijan Feriduni

SHA-Lift, scar correction and FUE performed on a 32-year old Caucasian female with

• 2 FUT’s ex domo
• Donor density of 84 FU/cmÇ occipital, 84 FU/cmÇ parietal, 76 FU/cmÇ temporal
• Hair diameter of ~ 52-62 microns

Treatment plan
1. SHA-Lift to lower the hairline and extraction of wrong-directed and wrong-placed FU from FUT’s ex domo.
2. Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline and scar correction of FUT's ex domo.

Performed procedures
1. SHA-Lift + extraction wrong-directed and wrong-placed FU (February 25, 2019)
2. Scar correction with Trichophytic closure + FUE with 1581 FU (August 14, 2019)

Follicular Unit Extraction with 1581 FU:
* 639 single hair FU
* 613 double
* 329 triple and quadruple hair FU
HGI: 1,9

Parallel incisions in custom-sized blades technique.
Extraction performed by WAW-system with a 0.85 mm serrated trumpet punch.
No microscopic preparation of the follicular unit grafts.

FUE performed on a 31-year old Caucasian male with

• NW I-II
• Donor density of 84 FU/cm² occipital, 80 FU/cm² parietal, 72 FU/cm² temporal
• Hair diameter of ~ 52-64 microns

Treatment plan
Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline. 

Performed procedure
FUE (December 17, 2017)
Follicular Unit Extraction with 1889 FU:
* 437 single hair FU
* 911 double 
* 541 triple and quadruple hair FU
HGI: 2,1

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0,75-0,90 mm).
Extraction performed with a 0.8 mm FUE punch with CIT Manual Punch Handle.

No microscopic preparation of the follicular unit grafts.

FUE’s performed on a 47-year old Caucasian male with

• NW NW VI, Class N
• Donor density of 92 FU/cmÇ occipital, 88 FU/cmÇ parietal, 76 FU/cmÇ temporal
• Hair diameter of ~61-67 microns

Treatment plan
1st Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline and midhead region.
2nd Follicular Unit Extraction recently performed to rethicken the crown area.

Performed procedures
1st FUE (July 22, 2019) - hairline
Follicular Unit Extraction with 4756 FU:
* 429 single hair FU
* 2107 double hair FU
* 2064 triple hair FU
* 156 quadruple hair FU
HGI: 2,41

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0,75-1,0 mm).
Extraction performed by WAW-system with a 0.90 mm serrated trumpet punch.

2nd FUE (March 9, 2020) - crown area
Follicular Unit Extraction with 3862 FU:
* 200 single hair FU
* 1794 double hair FU
* 1757 triple hair FU
* 111 quadruple hair FU
HGI: 2,46

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0,75-1,0 mm).
Extraction performed by WAW-system with a 0.85 mm serrated trumpet punch.

No microscopic preparation of the follicular unit grafts.
An update on the crown area will follow.

Donor preservation is always our first goal. 
The upper part (zone 4 and 5) is placed in high density, the lower part is filled in with low/medium density.
This in order to create a natural degree of density.
Hair loss occurs downwards and indeed, @Melvin-Moderator as the hair is grown out, it will cover that area.
We have also discussed a potential rethickening surgery with our patient after 1 year, when necessary.

Attached an example of similar case.

FUE’s performed on a 49-year old Caucasian male with
• NW III - IV Vertex
• Donor density of 88 FU/cmÇ occipital, 88 FU/cmÇ parietal, 80 FU/cmÇ temporal
• Hair diameter of ~50-58 microns

Treatment plan
1st Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline.
2nd Follicular Unit Extraction recently performed to rethicken the crown area.

Performed procedures

1st FUE (January 14, 2019) - hairline
Follicular Unit Extraction with 3420 FU:
* 518 single hair FU
* 1855 double hair FU
* 1047 triple hair FU
HGI: 2,15

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.9mm).
Extraction performed with a 0.85 mm FUE punch with CIT Manual Punch Handle.

2nd FUE (January 7, 2020) - crown area
Follicular Unit Extraction with 2647 FU:
* 181 single hair FU
* 1280 double hair FU
* 1060 triple hair FU
HGI: 2,35

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.9 mm).
Extraction performed by WAW-system with a 0.90 mm serrated trumpet punch.

No microscopic preparation of the follicular unit grafts.

* Follow-up 2nd FUE online soon *

FUE performed on a 60-year old Caucasian male with
• NW V Class N
• Donor density of 72 FU/cmÇ occipital, 80 FU/cmÇ parietal, 80 FU/cmÇ temporal
• Hair diameter of ~56-62 microns

Treatment plan
Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline and midhead region.

Performed procedure
FUE (November 26, 2018)
Follicular Unit Extraction with 1690 FU:
* 270 single hair FU
* 1420 double + triple hair FU
HGI: 2,26

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.85-0.95 mm).
Extraction performed by WAW-system with a 0.9 mm serrated trumpet punch.

No microscopic preparation of the follicular unit grafts.

FUE performed on a 47-year old Caucasian male with

• NW V Vertex
• Donor density of 88 FU/cmÇ occipital, 88 FU/cmÇ parietal, 80 FU/cmÇ temporal
• Hair diameter of ~50-58 microns

Treatment plan
Follicular Unit Extraction 1 to attain an aesthetic reconstruction of the hairline and 2 to rethicken the crown area.

Performed procedures
1st FUE (April 27, 2017) - hairline
Follicular Unit Extraction with 3015 FU:
* 512 single hair FU
* 1580 double hair FU
* 923 triple hair FU
HGI: 2,14

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.9mm).
Extraction performed with a 0.85 mm FUE punch with CIT Manual Punch Handle.

2nd FUE (October 2, 2018) - crown area
Follicular Unit Extraction with 2541 FU:
* 181 single hair FU
* 1280 double hair FU
* 1060 triple hair FU
HGI: 2,35

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.9 mm).
Extraction performed by WAW-system with a 0.85 mm serrated trumpet punch.

No microscopic preparation of the follicular unit grafts.

FUE performed on a 34-year old Caucasian male with

• NW III vertex Class N
• Donor density of 92 FU/cmÇ occipital, 88 FU/cmÇ parietal, 84 FU/cmÇ temporal
• Hair diameter of ~60-64 microns

Treatment plan
Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline and rethicken the temporal peaks.

Performed procedure
FUE (March 20, 2018)
Follicular Unit Extraction with 2520 FU:
* 429 single hair FU
* 2091 double + triple hair FU
HGI: 2,32

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.9 mm).
Extraction performed by WAW-system with a 0.85 mm serrated trumpet punch.

No microscopic preparation of the follicular unit grafts.

3 hours ago, jj51702 said:

Good eye

4 hours ago, Spanker said:

Looks like the pt has a brow lift scar?

Good guess but no, this is a scar from a previous head injury.

On 8/14/2019 at 11:52 PM, Mycroft said:

Were the previous two FUTs also performed at your clinic, or elsewhere?

 

Very nice work.

The previous two FUTs were performed by someone else at another clinic, not by Dr. Feriduni.

Dear Gasthoerer,

Attached a few more pictures of the patient 1 day postop.

Kind regards,

FUE performed after 2 FUT ex domo (2014 and 2015) on a 48-year old Caucasian male with

• NW III vertex Class N
• Donor density of 92 FU/cmÇ occipital, 88 FU/cmÇ parietal, 84 FU/cmÇ temporal
• Hair diameter of ~60-64 microns

Treatment plan
Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline and rethicken the midhead section.

Performed procedure
FUE (June 11, 2018)
Follicular Unit Extraction with 3369 FU:
* 448 single hair FU
* 2921 double + triple hair FU

HGI: 2,32

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.9 mm).
Extraction performed by WAW-system with a 0.85 mm serrated trumpet punch.

No microscopic preparation of the follicular unit grafts.