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Everything posted by Mycroft

  1. I feel the graft count may actually be justified based on the patient's goals and consultations I've had thus far with a few clinics. It's a bit hard to tell what the final outcome is though because as mentioned the hairline itself is not really visible in the after pictures. The only area we can see is part of the corners just above the temple.
  2. Looks great, and very natural based on the pictures. I'll bet most people you run into have no clue you had any work done.
  3. Firstly, your hair is still better than it was in the original photos and it's important to keep that perspective. You could be experiencing synchronized shedding, and you're certainly around the right time frame for it. Are you still using the minoxidil? How long ago did you start/stop that?
  4. Looks to me like the front half was pretty thin in the before pictures with that tuft around the forelock hanging on a bit better than the rest of the hair. That thin area behind the forelock looks like it has largely been filled, and the forelock seems like it has a bit more density/fullness as well. Curious about the graft placement breakdown for the two procedures.
  5. I have used a roller, a stamp, and a pen which is basically a motorized stamp. While I believe they are all effective, I think the pen is the superior option. 1. If you're rolling or stamping it is hard to be consistent with your pressure. A pen takes that and a decent chunk of the physical labor out of the equation. 2. Stamping, with a pen or a regular dermastamp, is less likely to snag and pull out existing hair compared to a roller. Other than accidentally pulling out some hairs, this also makes it more frustrating to go over your scalp in areas with more hair. 3. Theoretically the stamp may be performing the same micro wounding with less risk of tearing, which can cause damage to the tissue and hurt your follicles. This is highly variable on the individual and their technique, but I would rather be safe than sorry. And for what it is worth I think my pen hurts way less than the roller did and takes me about half as much time.
  6. I agree that the transition from front to back is very well handled. Great cosmetic improvement while the patient weighs his options on any possible work further back on his scalp.
  7. Looks like the PRP and meds have done a nice job boosting the mid scalp and crown. Hairline work is pretty impressive given the small number of grafts and the severity of the thinning in the before picture.
  8. So at the moment it looks like the scar is not going to be too bad, although I'm not an expert. Still very fresh but it doesn't look terribly large and even the shock loss isn't too bad. Barring some major change I'd say it looks like it will heal nicely.
  9. The Acell is a definite benefit based on my experience because it increases the longevity of the treatment as well. Recipient area looks great so far. I started seeing improvements from PRP alone around the three month mark, and there was still a decent amount of native hair left in your case as well. Based on Steve's one month photos I think he may be on track to see some early improvements.
  10. Interesting case. A modest number of grafts but it definitely solidified the patient's facial framing and seems to have done a very good job of reinforcing against future loss. Was it only the frontal area that was worked on or were some grafts placed in the midscalp as well?
  11. You've had some great results thus far. Even if you end up undergoing a surgery you will probably need a fraction of the grafts to achieve your goals with a much better end result. Are you just looking to increase density or were you thinking you might reshape/lower the hairline also?
  12. I have read the same thing about the scar. Honestly, some doctors quote even longer. Looks like there isn't too much redness lingering in the recipient area and native hair looks to have weathered the transplant pretty well. I am always impressed by doctors who manage to produce good results without shaving the patient's head. Even with the infection I doubt most people would give your head a second glance right now, which is awesome.
  13. What? The area the doctor worked in was limited to the frontal area from the looks of it, and there is a large amount of barren area that now looks fuller than any of his native hair.
  14. I really appreciate the chance to see differing hairline designs on different patients side by side to see how their patterns and head shape impacted design choice. I'd love to see more of this sort of thing.
  15. Very obvious improvement in the temples. The PRP worked very well for me in that area as well and I'm still seeing growth at the six month mark. I am particularly impressed that the patient managed to achieve this without Finasteride. Any idea if he is using Minoxidil?
  16. Thanks for the temple shot. The scar looks pretty good prior to the FUE, so I have to imagine the revised result is impressive. I assume a few hundred grafts went into the donor and the rest was the temple work?
  17. Yeah, this is the one I found. Awfully steep pricing at nearly $100 for 300ml and they want you to use it twice a day. That seems like it would get extremely expensive very quickly, especially in comparison to Minoxidil.
  18. I had to Google this after you mentioned it, so of course I have no firsthand experience. Initial reading indicates it isn't statistically superior to Minoxidil, but what's interesting is that the self reports for Adenosine seem more favorable, with subjects reporting thicker, stronger hair. Hard to say if this is just wishful thinking or not, but it would be interesting to see if this was the case. Unfortunately, I wasn't able to find a great source for the stuff other than an Asian import on Amazon that seemed to cost a pretty penny. If anyone knows something I don't, please let me know.
  19. I think you absolutely can based on my own consultations, but I agree with Spex that an ethical surgeon will insist that you've been on medication for a bit first unless (barring side effects). I also think, as a patient in this scenario, that you'd want to choose a surgeon with a solid history of working on diffuse thinners. Some surgeons seem to have no issues working with this kind of patient, but I've seen others shy away from diffuse thinning because avoiding transaction makes a difficult procedure that much more complicated.
  20. This. The idea that you would stop taking the medication because you find the idea of taking a small pill daily to be a hassle seems a bit silly.
  21. I had some very good results from Dr. Arocha's PRP alone, so I'm very interested to see how your transplant progresses. Based on what I have seen, the PRP could lead to earlier growth and possibly a quicker disappearance of scalp redness. Keep an eye on your native hairs and areas where no hair was translated to see if you can gauge how well you are responding to the PRP itself.
  22. Why are you looking to stop the meds? Have you been experiencing unpleasant side effects?
  23. Speaking of the donor, unless I'm misunderstanding some of these grafts went towards scar repair. Are there 5 month pictures of the repair job or is this a bit early for the results due to implanting into scar tissue?
  24. If you're in Houston, call Dr. Arocha for a consultation. I responded to your private message as well, but just to reiterate I would strongly recommend at least consulting with him since I can actually vouch for his PRP technique and his main office is right in your backyard.