L0ke

FUE performed on a 37-year old Caucasian male with

• NW III Vertex
• Donor density of 84 FU/cmÇ occipital, 80 FU/cmÇ parietal, 72 FU/cmÇ temporal
• Hair diameter of ~52-56 microns

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

Performed procedure
FUE (June 26, 2018)

Follicular Unit Extraction with 2760 FU:
* 1104 double hair FU
* 1656 triple hair FU

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

No microscopic preparation of the follicular unit grafts.

On 5/30/2019 at 12:13 PM, Gasthoerer said:

Looking great! Any pics directly post op from the donor showing the extractions and from the incisions?

P.S. for me this is more a Norwood than a Ludwig type of loss (even for a female).

Thank you, here are some more pictures we have (only one from the donor directly postop).

FUE’s performed on a 39-year old Caucasian male with

• Norwood V, Class T - P
• Donor density of 96 FU/cm² parietal, 88 FU/cm² temporal
• Hair diameter of ~54-58 microns

1. Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline and the midhead section. 
2. Follicular Unit Extraction to restore the crown area.

Performed procedures

1. FUE (December 3, 2015) with 2852 FU
* 500 single hair FU
* 976 double hair FU
* 1376 triple hair FU

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.85 mm).
Extraction performed with a 0.8 mm FUE punch with CIT Manual Punch Handle.

2. FUE (June 5, 2018) with 3016 FU
* 457 single hair FU
* 1437 double hair FU
* 1122 triple hair FUE

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. 

Medical therapy with Finasteride 1 mg from 2015 to 2017.
No microscopic preparation of the follicular unit grafts.

FUE performed on a 38-year old Caucasian female with
• Ludwig I - II
• Donor density of 84 FU/cm² occipital, 80 FU/cm² parietal, 72 FU/cm² temporal
• Hair diameter of ~52-56 microns

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

Performed procedure: FUE (April 27, 2018)
Follicular Unit Extraction with 1616 FU:
* 499 single hair FU
* 1117 double and triple hair FU

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

No microscopic preparation of the follicular unit grafts.

A selection of 8 different cases performed by Dr. Feriduni - reconstruction Norwood Classification 0 - II.

Thank you.
This pictures attached show an update of the front, 1 year and 4 months postop.
 

Update of our patient now 6 months postop.

FUT performed on a 52-year old Caucasian female with

• Ludwig I - II
• Donor density of 76 FU/cmÇ occipital, 76 FU/cmÇ parietal, 68 FU/cmÇ temporal
• Hair diameter of ~48-54 microns

Treatment plan
Follicular Unit Strip Transplantation to attain an aesthetic reconstruction of midhead section.

Performed procedure
FUT (October 15, 2015)
Follicular Unit Strip Transplantation with 1733 FU:
* 700 single hair FU
* 1033 double hair FU

Trichophytic Closure technique in double layer suture.
Combination of parallel and perpendicular incisions in custom-sized blades technique (Cutting Edge blades of 0.8-0.9 mm).

Dear Paddy,

We have different variations and methods for FUE.
We use the manual CIT-punches in different size from 0.8 to 0.95mm.
The hybrid punch shares the advantages of both sharp and blunt punches in one. Therefor we can work deeper, faster and with less trauma to the surrounding areas. The cutting edge is on the outside of the tip. With the support of the motorized hand piece we can adjust the oscillation speed and angulation freely by means of an app.

Attached two pictures of both punches.
For more information: 
https://www.coleinstruments.com/
http://www.devroyeinstruments.com/

Have a nice day!

FUE performed on a 46-year old Caucasian male with
• Norwood III Vertex Class T
• Donor density of 96 FU/cm² occipital, 100 FU/cm² parietal, 80 FU/cm² temporal
• Hair diameter of ~62-64 microns

Treatment plan
Follicular Unit Extraction Transplantation to attain an aesthetic reconstruction of frontal hairline and crown area. 

Performed procedure
FUE (May 3, 2018)
Follicular Unit Extraction Transplantation with 3705 FU:
* 545 single hair FU
* 1700 double hair FU
* 1264 triple hair FU
* 196 quadruple hair FU

HGI: 2,29

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.8-0.9 mm).
Extraction performed with a 0.85 mm FUE hybrid punch with WAW System. 

No microscopic preparation of the follicular unit grafts.

With large sessions like these it is important to avoid getting gaps in the midhead region and therefor the hairline can be slightly higher. We always work from back to front, not from front to back.

Thank you for the nice comments, we are looking forward to the next months for an even better result.

FUE performed on a 41-year old Caucasian male with

• NW V, Class N
• Donor density of 92 FU/cm² occipital, 88 FU/cm² parietal, 74 FU/cm² temporal
• Hair diameter of ~54-60 microns

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

Performed procedure
FUE (April 19, 2018)
Follicular Unit Extraction with 4109 FU:
* 933 single hair FU
* 1750 double hair FU
* 1268 triple hair FU
* 158 quadruple hair FU

Double, triple and quadruple FU prepared before implanting.

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.80 mm).
Extraction performed with a 0.85 mm hybrid FUE punch with WAW System. 

No microscopic preparation of the follicular unit grafts.

FUE performed on a 33-year old Caucasian male with
• NW II vertex, class N
• Donor density of 92 FU/cm² occipital, 88 FU/cm² parietal, 76 FU/cm² temporal
• Hair diameter of ~52-56 microns
 

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

Performed procedures
1^st procedure (September 12, 2016)
Follicular Unit Extraction with 2643 FU
* 300 single hair FU
* 372 double hair FU
* 1972 tripple hair FU

2^nd procedure (January 31, 2019)
Follicular Unit Extraction with 496 FU
* 30 single hair FU
* 466 double hair FU

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.85 mm).
Extraction performed with a 0.8 mm FUE punch with CIT Manual Punch Handle. 

No microscopic preparation of the follicular unit grafts.

We use both techniques, depending on the patient needs. The WAW-system with trumpet punch we use especially in cases with curly or frizzy hair. As we need no single FU’s (crown area), Dr. Feriduni decided to work with the WAW-system. Please check breakdown FU first and second OP.

FUE performed on a 54-year old Caucasian male with
• Isolated Vertex hair loss pattern
• Donor density of 76 FU/cm² occipital, 76 FU/cm² parietal, 68 FU/cm² temporal
• Hair diameter of ~48-54 microns

Treatment plan
Follicular Unit Extraction to reconstruct the crown area. 

Performed procedure
FUE (November 17, 2017)
Follicular Unit Extraction with 763 FU
* 763 tripple hair FU

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.80 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 49-year old Caucasian male with

• NW V-VI, Class N
• Donor density of 92 FU/cmÇ occipital, 88 FU/cmÇ parietal, 80 FU/cmÇ temporal
• Hair diameter of ~54-60 microns

Treatment plan

1. Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline and the midhead section.
2. Follicular Unit Extraction to restore the crown area.

Performed procedures

1. FUE (November 21, 2017) with 3531 FU

* 841 single hair FU
* 200 double hair FU
* 2490 triple hair FU

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.85 mm).
Extraction performed with a 0.8 mm FUE punch with CIT Manual Punch Handle.

2. FUE (September 10, 2018) with 2678 FU

* 278 single hair FU
* 2400 double hair FU

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

No microscopic preparation of the follicular unit grafts.

 

Note: follow-up 2nd FUE will be updated after 1 year

No problem.
Attached you can find some more pictures (preop 1st FUE, preop 2nd FUE, 1 year postop 2nd FUE).
Unfortunately we do not have a picture preop of short hair, therefor also a picture intra-op of the first FUE.
The microscopical view with the DermLite shows the Y-shaped scar in detail.

If you have any more questions, please do not hesitate to contact us.
Glad to help!

The superior Y-shaped scar had a width of 2-14 mm. The inferior scar had a width of 2-6mm.
The goal was to reduce the visibility of the punch grafts in the hairline and midhead region and also to have a short hair cut of 6mm.
After the first surgery the scars were invisible at a haircut of 12mm*; after the second surgery we succeeded in our goal of 6mm.

* Attached a picture of the patient with a haircut of 12mm as a result after the 1st FUE.

Scar correction in FUE performed on a 42-year old Caucasian male after FUT Minigrafts ex domo.

• NW VII, Class N

• Donor density of 76 FU/cmÇ occipital, 80 FU/cmÇ parietal, 68 FU/cmÇ temporal

• Hair diameter of ~50-54 microns

Treatment plan

Follicular Unit Extraction to correct the scars on the back of the head.

Performed procedures

1. FUE (October 19, 2016)

Scar correction in Follicular Unit Extraction with 636 FU

* 636 hair FU (mix single, double and triple hair FU)

2. FUE (October 18, 2017)

Scar correction in Follicular Unit Extraction with 512 FU

* 102 single hair FU

* 410 double hair FU

Perpendicular incisions in custom-sized blades technique (Cutting Edge blades of 0.8-0.9 mm).

Extraction performed with a 0.8 mm FUE punch with CIT Manual Punch Handle.

No microscopic preparation of the follicular unit grafts.

FUE performed on a 46-year old Caucasian male with

• NW V vertex, Class N
• Donor density of 88 FU/cm² occipital, 82 FU/cm² parietal, 80 FU/cm² temporal
• Hair diameter of ~52-56 microns

Treatment plan

1. Follicular Unit Extraction Transplantation to attain an aesthetic reconstruction of the hairline and midhead region. 
2. Follicular Unit Extraction Transplantation to restore the vertex area.
3. Medical therapy with Finasteride 1mg since June 2016.

Performed procedures

1^st procedure (April 27th, 2017)
Follicular Unit Extraction Transplantation with 3015 FU
* 400 single hair FU
* 1035 double hair FU
* 1580 triple and quadriple hair FU

2^nd procedure (October 2nd, 2018)
Follicular Unit Extraction Transplantation with 2541 FU
* 181 single hair FU
* 2360 double and triple hair FU

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.85 mm).
Extraction performed with a 0.8mm FUE punch with CIT Manual Punch Handle. 

No microscopic preparation of the follicular unit grafts.

FUT’s performed on a 35-year-old African-American female with

• Donor density of 40-48 FU/cmÇ
• Hair diameter of ~60-68 microns

Treatment plan
• Follicular Unit Transplantation to attain an aesthetic reconstruction of the hairline after traction Alopecia.

Performed procedures
Procedure 1 (January 13th, 2014)
Follicular Unit Transplantation with 1840 FU
* 770 single hair FU
* 1070 double hair FU

Procedure 2 (August 17th, 2016)
Follicular Unit Transplantation with 1691 FU
* 521 single hair FU
* 570 double hair FU

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.8-0.95mm).

FUE performed on a 45-year-old Caucasian male with

• NW III, Class T

• Donor density of 80-84 FU/cm² occipital and 76-80 FU/cm² temporal

• Hair diameter of ~58-62 microns

Treatment plan

• Follicular Unit Extraction Transplantation to attain an aesthetic reconstruction of the hairline. 

Performed procedure

Procedure (December 21st, 2017)

Follicular Unit Extraction Transplantation with 3022 FU
* 622 single hair FU

* 2400 double hair FU

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

No microscopic preparation of the follicular unit grafts.

FUE performed on a 34-year old Caucasian male with

• NW II vertex, Class N

• Donor density of 84-96 FU/cm²

• Hair diameter of ~60-64 microns

Treatment plan

• Follicular Unit Extraction Transplantation to rethicken the vertex area. 

Performed procedure

Procedure (September 25th, 2017)

Follicular Unit Extraction Transplantation with 1486 FU

* 300 single hair FU

* 1186 double, triple and quadruple hair FU

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.85 mm).
Extraction performed with a 0.8mm FUE punch with CIT Manual Punch Handle. 

No microscopic preparation of the follicular unit grafts.

FUE performed on a 26-year old Caucasian male with

• NW II vertex, Class N
• Donor density of 84-96 FU/cm²
• Hair diameter of ~60-64 microns

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

Performed procedure (March 11th, 2016)
Follicular Unit Extraction Transplantation with 2911 FU

Day 1
* 351 single hair FU
* 618 double hair FU
* 1530 triple hair FU

Day 2
* 156 single hair FU
* 256 double hair FU

Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0.7-0.85mm).
Extraction performed with a 0.8mm FUE punch with CIT Manual Punch Handle. 

No microscopic preparation of the follicular unit grafts.

That's right.
And as we already mentioned, we haven't received any updates from our patient as from the 18th day postop until now.