Wendell

On 6/1/2019 at 3:18 PM, BeHappy said:

Your plan sounds reasonable, but you really just have to wait it out and see how everything heals and how much density you get in the area already transplanted to get a better idea of how to proceed with the second transplant. If it turns out you can only get 1200 more, you may want to put 800 into the crown and use the other 400 to thicken up the area that was just done. It really depends on how it turns out, but I'm thinking that's probably be where you will be. Just chill for about 6 months and then start taking a good look at it.

 

Thanks for your comment, i wii

2 hours ago, DrTBarghouthi said:

Thanks for the great video Melvin. Realistic /ethical is a big one. I am sure most surgeons who see a lot of hair consults can give you a figure of how many patients they refuse performing surgery on because of unmatched expectations. We do see a lot of advanced NW or poor donors that we reject simply because their expectations are high and can not be changed. It says a lot when a surgeon turns down a case because they think it is not going to deliver the client their desired results.

Ofcourse the other points are extremely as important

Clients expectations must be considered while understanding the doctors credict and fame

6 hours ago, BeHappy said:

 

While that is certainly true, there has been a lot of the opposite happening as well. The patient has done some research and decides to get a higher hairline in order to conserve grafts for the future, but the Dr convinces or pushes the patient to go with a lower, more aggressive hairline and insists that the patient will turn out fine and has plenty of donor available. Then later the patient is unhappy with the density and perhaps even the low placement of the hairline or the lack of any recession at the corners which makes it not look age appropriate. The only way to correct it is to either remove some grafts or implant more grafts which uses up more donor hair that they planned to save for later, not to mention they are now paying a lot more money then they planned on and having to go through another session that should not have been necessary. We have seen a number of these cases on this forum.

 

Yess, the overall medical étnitics is not being assummed as it dues to in every specific cases. Sometimes better work can be done and doctor justifies the missing by saying its not possible to take more grafts from there or we have to keep more hairs left for the future but in deed what he or she is looking for is for another proceduce for more money jjj

24 minutes ago, pavlov said:

Thankyou for the reply. I accept there can be descrepency in numbers due to other factors on the day, my only concern is if there is a large discrepency then surely there is an obligation to explain it.

 

Pavlov

I had 2800 they toldos me. Now its been 22 days and I have a lot of scabings 

19 hours ago, BeHappy said:

Your plan sounds reasonable, but you really just have to wait it out and see how everything heals and how much density you get in the area already transplanted to get a better idea of how to proceed with the second transplant. If it turns out you can only get 1200 more, you may want to put 800 into the crown and use the other 400 to thicken up the area that was just done. It really depends on how it turns out, but I'm thinking that's probably be where you will be. Just chill for about 6 months and then start taking a good look at it.

 

I think sticken the implanted área is no necessary because i had a good density so all grafts found will be for te next procedure

1 hour ago, BeHappy said:

Your plan sounds reasonable, but you really just have to wait it out and see how everything heals and how much density you get in the area already transplanted to get a better idea of how to proceed with the second transplant. If it turns out you can only get 1200 more, you may want to put 800 into the crown and use the other 400 to thicken up the area that was just done. It really depends on how it turns out, but I'm thinking that's probably be where you will be. Just chill for about 6 months and then start taking a good look at it.

 

Ok

Hi, its my 8th day of my HT. Every thing was fine. I had 2800 grafts done from a Norwood 6. I need like 1200 grafts more to cover the crown but low density just to have my hair cut at number 1 cut because as you can see on the pics that I am going to send my donor scalp area is clean and the tiny holes are invisible maybe because my skin does not scar. For that reason I think I can get 600 beard grafts  from below the chin and 600 grafts more from the 1 cm2 per 30 cms2 in upper part of the occipital area which was not taken any grafts from. I know its a low density but thats ok because I dont want any SMP (micropigmentation) neither an artificial parch in the crown. Is my plan possible according to my view so that I can wait 10 months for a new HP.

THanks 

18 minutes ago, Wendell said:

Hi, its my 8th day of my HT. Every thing was fine. I had 2800 grafts done from a Norwood 6. I need like 1200 grafts more to cover the crown but low density just to have my hair cut at number 1 cut because as you can see on the pics that I am going to send my donor scalp area is clean and the tiny holes are invisible maybe because my skin does not scar. For that reason I think I can get 600 beard grafts  from below the chin and 600 grafts more from the 1 cm2 per 30 cms2 in upper part of the occipital area which was not taken any grafts from. I know its a low density but thats ok because I dont want any SMP (micropigmentation) neither an artificial parch in the crown. Is my plan possible according to my view so that I can wait 10 months for a new HP.

THanks 

 

 

Whats the best approach to complete the HT???????????

Pics

Hi, its my 8th day of my HT. Every thing was fine. I had 2800 grafts done from a Norwood 6. I need like 1200 grafts more to cover the crown but low density just to have my hair cut at number 1 cut because as you can see on the pics that I am going to send my donor scalp area is clean and the tiny holes are invisible maybe because my skin does not scar. For that reason I think I can get 600 beard grafts  from below the chin and 600 grafts more from the 1 cm2 per 30 cms2 in upper part of the occipital area which was not taken any grafts from. I know its a low density but thats ok because I dont want any SMP (micropigmentation) neither an artificial parch in the crown. Is my plan possible according to my view so that I can wait 10 months for a new HP.

THanks 

I think fue is more density condumer, so to say, than fut even though in fut or strip one or two cms are taken. In fue a large number of holes in a large area allows a better donor and recipient balance than that one in the fut procedure in individuals like me with a low donor density  (like 56 grafts per cm2).

Are beard hairs safe for the scalp affected area? Can they last permanently or just for 10 or 20 years?????

Hi, I have been reading about FUE. What I found about your topic was the so called modified FUE (mFUE) but not everyone is talking about mFUE. I dont know the reason because I am just a humble HT candidate. For me as a teacher and a HT CANDIDATE I think in my case it is good because I have many locks of hair like african caucasican hair and maybe as my hair growth pattern is like that a fut strip is not proper for me. So I am planning to talk to my doctor about having FUE first and then that mFUE or FUT as convient.

Thats interesting brother. I have read that grafts dont grow after a HT because they are incorrectly hasvested  (traumatized) but I dont know any other reasons

2 hours ago, Dr Blake Bloxham said:

The average width of a strip is probably around 1.0 - 1.5cm (so 10-15mm). Sometimes you can and do go wider; other times it is more advantageous to go more narrow; and there are certain areas of the scalp where you always want to "taper" it down a little regardless of how wide you are going on the strip in general. 

Scar healing is typically good, but much of it is affected by your own physiology. Some people are simply prone to healing a little wider than others. I would say the average FUT scar is 1.5 - 2mm. Many times we get the perfect "razor blade" line or "pencil thin" scar; other times you get more of like a "marker line" (2mm or so) in patients who are just prone to a little more "stretch." I tell my patients that anything within this range is considered normal healing and can be concealed all the way down to a #3 on the buzzer -- which is around 1/4th of an inch or 6mm. 

Thank you so much Dr. Blake Bloxham for your attention 

Ok

Interesting conversation!!!!

The same happens to me

I am wondering if someone can tell me whats the normal everage size (wide) of the STRIP scar in milimeters and how long in milimeters o centimeters should I wear my hair in that area for the camouflage of the linear scar.

8 minutes ago, Wendell said:

Good job doctor.  I want to go through fut fue method or only fue alone. I am planning to have a FUE PROCEDURE  done soon. My average donor density is 58 grafts per cm2 curly hispanic hair. 42 years old and a 6 class alopicia. Just willing to implant hairs in the crown and midscalp: a60 cm2 area = 2000 grafts. My question is CAN I GET MORE GRAFTS WITHOUT AFECTTING MY DONOR?????? OR DOES THAT 800 STRIP FUE GRAFTS MORE COMPENSATE THAT DONOR DENSITY  LINESCAR CAMOUFLAGE (my hair is not straight)????

DO YOU RECOMMEND THAT COMBINED FUT FUE OR FUE ALONE????

 

Good job doctor.  I want to go through fut fue method or only fue alone. I am planning to have a FUE PROCEDURE  done soon. My average donor density is 58 grafts per cm2 curly hispanic hair. 42 years old and a 6 class alopicia. Just willing to implant hairs in the crown and midscalp: a60 cm2 area = 2000 grafts. My question is CAN I GET MORE GRAFTS WITHOUT AFECTTING MY DONOR?????? OR DOES THAT 800 STRIP FUE GRAFTS MORE COMPENSATE THAT DONOR DENSITY  LINESCAR CAMOUFLAGE (my hair is not straight)????

DO YOU RECOMMEND THAT COMBINED FUT FUE OR FUE ALONE????

Good job!!!!!!. That was like a 50 square centimeter density area, right?????????

I mean like fist of hairs. Would you share a before pic??

Best approach is to have the STRIP then the FUE in low density cases. IS THAT POSSIBLE TO HAVE STRIP AND FUE AT THE SAME TIME OR FUT FIRST THEN ONE WEEK FUE????????????????????????????????????????????????????????????????????????????????????????

I think that because of that 3000 and my low density, I must go first into a FUT then into a FUE one. That the best approach. What do you all think about that???????????????????????????????

3 hours ago, Wendell said:

I am getting now a little bit clear. The problem is that I want to wear my hair short but there is an important issue respect the FUT technique that when somene go into the strip procedure he must wear long hair in the back  to camouflage the FUT  line scar and you go into the FUE that will not be necessary. As long as you can see density in the recipient area needs to be contrasted to the donor one. The issue is in the contrasting of both FUE donor and recipient density contrast as a final result of the procedure  versus STRIP donor and recipient density contrast as a final result of the procedure. And the answear is in the patients   decision not for yield reason.

I wanted to post this as a topic because I am so confused about choosing FUE or FUT due to the lack of surgeons that can perform both FUE and STRIP technique . Please help me think according to you expertise, experience and knowledge 🙏

 

Last topic someone said that for me to have a low density the in my hole in the crown and more in the mid-scalp  (7cm2×7cm2=49cm2×20grafts=980 grafts) 1600 grafts are not enough density. He said that almost nothing. Its like 3 peanut seeds in the mouth.

Sorry, its 150 cm2 area in total 3000 grafts needed

Answearing this issue I become clear and not seem confused to the surgeons here in the Dominican Republic. I measured my affected area. See the formula above.

I am getting now a little bit clear. The problem is that I want to wear my hair short but there is an important issue respect the FUT technique that when somene go into the strip procedure he must wear long hair in the back  to camouflage the FUT  line scar and you go into the FUE that will not be necessary. As long as you can see density in the recipient area needs to be contrasted to the donor one. The issue is in the contrasting of both FUE donor and recipient density contrast as a final result of the procedure  versus STRIP donor and recipient density contrast as a final result of the procedure. And the answear is in the patients   decision not for yield reason.

I wanted to post this as a topic because I am so confused about choosing FUE or FUT due to the lack of surgeons that can perform both FUE and STRIP technique . Please help me think according to you expertise, experience and knowledge 🙏

Last topic someone said that for me to have a low density the in my hole in the crown and more in the mid-scalp  (7cm2×7cm2=49cm2×20grafts=980 grafts) 1600 grafts are not enough density. He said that almost nothing. Its like 3 peanut seeds in the mouth.