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Kulakarn

Certified Physician
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Posts posted by Kulakarn

  1. Patient’s information

    - 67 years old (Asian) woman, She has progressive hair loss bilateral recession for many years, slowly since her menopause. She had the hairline tattoo on both recessions. The tattoo turn out to be unnatural, and she would like to cover it with hair transplantation.

    - Previous treatment:  Tattoo

     

    We performed Non shaven FUE hair transplantation. The grafts were put to the front to the vertex area and as well as the temples peak.

     

    The number of grafts breaks down into

    1 hair unit x 200 FUGs

    2 hair unit x 777 FUGs

    3 hair unit x 166 FUGs

    Total number of grafts = 1,143 FUGs

    Average hair: graft  = 1.97

     

    The photos reveal 1 year result after our non shaven FUE procedure.

     

     

    Medication treatment

    None

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  2. Patient’s information

    - 52 YO Caucasian male with AGA Class 5-6.

     - Underlying medical history: Nil

    We performed shaven FUE procedure. Using the MAMBA device and graft insertion was done with implanters. The additional PRP was done intraoperation.

     

    The number of grafts breaks down into

    1 hair graft x 468

    2 hair graft x 1,909

    3 hair graft x 598

    4 hair graft x 34

    Total =  3,009 FUG

    Total follicles = 6,216

    Ratio of hair per graft = 2.06

     

    The photos show 4 months, 12 months/ 1 year after hair transplantation.

     

     

     

     

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  3. Patient’s information

    - 59 YO Asian male with AGA Class 6. He was looking for a hair transplantation without shaving the donor area. We planned to do the non-shaven FUE technique for him. Concerning some medical condition, we split to 2 separate days of surgery.

     - Underlying medical history: Hypertension with good control.

    We performed non-shave FUE procedure. Using the MAMBA device and graft insertion was done with implanters.

     

    The number of grafts breaks down into 1. The frontal hairline 2. The vertex and crown area

    Day 1 : The frontal hairline

    1 hair graft x 268

    2 hair graft x 813

    3 hair graft x 143

    Total =  1,224 FUG

    Ratio of hair per graft = 1.89

     

    Day 2 : The vertex and crown area

    1 hair graft x 454

    2 hair graft x 1,115

    3 hair graft x 438

    Total =  2,007 FUG

    Ratio of hair per graft = 2.0

     

    Grand total 1,224+2,007 = 3,231

    The photos show 1 year after hair transplantation.The patient does not take hair loss medication.

     

     

     

     

     

     

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  4. Patient’s information

    - 40 years old (Asian)) He has progressive hair loss with androgenetic alopecia.

    - Previous treatment:  Finasteride 1 mg per day.

     

    We performed FUT hair transplantation. The grafts were put to the front to the vertex area and as well as the temples peak.

     

    The number of grafts breaks down into

    1 hair unit x 1,188 FUGs

    2 hair unit x 1,891 FUGs

    3 hair unit x 582

    Total number of grafts = 3,661

    Average hair: graft =  1.83

    Total number  follicles = 6,716

     

    The photos reveal 1 year result after our FUT procedure.

     

     

    Medication treatment

    Topical 5% Minoxidil continuously until 1 year after.

    Finasteride 1 mg per day

     

     

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  5. Patient’s information

    - 60 YO Asian male with AGA Class 6. He refuse the medical treatment for hair loss and look for hair transplantation and options other than medicine.

     - Underlying medical  history: Hypertension with well control. Some spots of seborrheic dermatitis on both parietal area.

     

    We performed shaven FUE procedure and PRP[ Platelets rich plasma injection]. The machine usage was Trivellini’s MAMBA. The punch size was 0.95 mm, flare tip. The implanting method by implanters.

    The hairline was drawn in adult maturing fashion as the patient reached his 60’s already.

    At the number of 3k, we focus mainly on the half front.

     

     

    The number of grafts breaks down into

    1 hair graft x 478

    2 hair graft x 1,978

    3 hair graft x 578

    Total  = 3,034 FUG

    Ratio of hair per graft =  2.03

     

    The photos show 1 year after hair transplantation. He returned to schedule the later session to cover rest of the crown area. 

     

     

     

     

     

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  6. Patient’s information

    - 29 years old (Asian) Female with receding hairline. She wants o rebuild the hairline to softer feminine look.

    We performed FUE hair transplantation to rebuild the frontal hairline as she wishes.

    The number of grafts breaks down into

    1 hair unit x 257 grafts

    2 hair unit x 1,286 grafts

    3 hair unit x 689 grafts

    Total number of grafts = 2,162 FUGs

    Average hair: graft = 2.26

    Total number 4,896  follicles

     

    Medication treatment

    None

     

     

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  7. Patient’s information

    - 28 YO Asian male with mild receding hair line and sparse eyebrow since birth. He was looking for the eyebrow transplantation.

     

    - Previous treatment:  He had one eyebrow tattooing 2-3 years ago. The color fadeed out with time.

    We performed non shaven long hair FUE to extract scalp hair follicles to implant onto the eyebrow.

    We design The shape of the eyebrow he desired was as figures. The previous tattoo fades out but still can be visible lightly.

    The number of grafts breaks down into

    Right eyebrow             1 hair unit x 100

                                        2 hair unit x 170

    Left eyebrow              1 hair unit x 102

                                        2 hair unit x 169

    The photos show 10 days recovery phase after long hair FUE for eyebrow.

    We also performed the nasal tip-rhinoplasty to fix the deviated tip of nose. This was done right after eyebrow transplantation. 

    The donor was not shaven so the patient could return to work very soon. The long hair shaft allow us to implant the follicles in the right direction and angles.

    This is the early phase after eyebrow transplantation and the color is still dark. 

    However, the color goes ligther later with time.

    The number of grafts breaks down into:

    1 hair unit x 986

    2 hair unit x 2,780

    3 hair unit x 701

     

     

     

     

     

     

     

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  8. Patient’s information

    - 45 years old (Asian) with male pattern hair loss class 5/6  

     

    - Previous treatment:  None

     

    We performed FUT or SLE [ Strip excision method]- hair transplantation to rebuild the frontal hairline as well as to add on the density from the top to crown area.  The result is shown after 12 months of surgery. The patient had some postoperative effluvium along the FUT line at the donor area which recovered in 6 months.

     

    The number of grafts breaks down into

    1 hair unit x 986

    2 hair unit x 2,780

    3 hair unit x 701

    Total number of grafts = 4,467 FUGs

    Average hair: graft = 1.93

    Total number  8,649 follicles

    The photos reveal of 1 year result after our FUE procedure.

     

     

    Medication treatment

    Finasteride 1 mg OD

    5% Minoxidil 1 cc x 2 times a day.

     

     

     

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  9. Patient’s information

    - 29 years old (Caucasian) He has progressive hair loss including frontal receding and the vertex area. [ AGA Class 5-6]

     

    - Previous treatment:  Finasteride 1 mg/day

     

    We performed FUE hair transplantation to rebuild the frontal hairline as well as to add on the density from the top to crown area.  We also put some hair graft to augment both temporal peak. This small temple extension give a continuation with his sideburns.

    The number of grafts breaks down into

    1 hair unit x 550

    2 hair unit x 1,516

    3 hair unit x 1,053

    Total number of grafts = 3,119

    Average hair: graft = 2.0

    Total number 6,741 follicles

    The photos reveal of 1 year result after our FUE procedure.

     

     

    Medication treatment

    Finasteride 1 mg/ day + 5% Minoxidil Lotion twice daily

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  10. Patient’s information

    - 61 years old (Asian) Male with Frontal receding and crown alopecia. He also had sparse eyebrow. He looked for the frontal hairline enhancement altogether with crown area. And he request for eyebrow transplantation to improve his Chinese Wu Xing.

    We acknowledged to him regarding the natural course of eyebrow transplantation and after care. The patient agreed to get the eyebrow done in the same session with hair transplantation.

    His scalp laxity was moderately stretch. Paul-Mayers Scale was 25%

    We performed FUT harvesting by open refined technique. All layer’s scalp closure with trichophytic method. The sutures were as figures.

    We selected the pigmented hair from the central part of the donor ,where we left the hair long,  for eyebrow transplantation.  The number breaks down into:

    The number of hair grafts ;

    1 hair unit x 991

    2 hair unit x 1,351

    3 hair unit x 312

    Total for hair transplantation 2,654   We implant 1,200 FUGs to the frontal hairline and another 1,484 to the crown area.

    The number of eyebrow grafts ;

    Left eyebrow      1 hair unit x 160  and  2 hair unit x 122  

    Right eyebrow   1 hair unit x 160  and  2 hair unit x  120

    Total for Eyebrow  = 562 FUGs

    The photos reveal of 1 year result after our FUT hair transplantation and EBT

     

    Medication treatment

    5% Minoxidil lotion daily.

    Complications   Postoperative effluvium was there along the donor strip line. However, the hair grow back in 4-5 months and fulfilled the area in 1 year.

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  11. Patient’s information

    - 37 years old (Asian) Male with Androgenetic alopecia Class 5

     

    - Previous treatment:  Vitamins

     

    We performed FUE hair transplantation to rebuild the frontal hairline as well as to add on the density from the top to crown area. 

    The number of grafts breaks down into

    1 hair unit x 310

    2 hair unit x 1,501

    3 hair unit x 947

    Total number of grafts = 3,055 FUGs

    Average hair: graft = 2.01

    Total number 6,153 follicles

    The photos reveal of 1 year result after our FUE procedure and expose the scar of mass excision on the crown.

     Scalp Nodule Well defined mass on the crown persists more than 5 years. Soft consistency. Initial diagnosis is lipoma. The mass excision was performed in the same setting of hair transplantation.

    Pathological report; Lipoma

     

    Medication treatment

    Minoxidil 2.5 mg oral per day.

     

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  12. Patient’s information

    - 62 years old (Caucasian) Male with Androgenetic alopecia Class 6.

     

    - Previous treatment:  He had been taken medication for hair loss for many years and now he would like to discontinue the medicine. He stopped taking Finasteride and Minoxidil 2 years before surgery. He did not realize any change after discontinuing the medicine.

     

    We performed FUT hair transplantation to rebuild the frontal hairline as well as to add on the density from the top to crown area. 

    The number of grafts breaks down into

    1 hair unit x 1,156

    2 hair unit x 2,720

    3 hair unit x 734

    Total number of grafts = 4,610 FUGs

    Average hair: graft = 1.75

    Total number 8,046 follicles

    The photos reveal of 1 year result after our FUT procedure and expose the scar line.

     

     

    Medication treatment

    None

     

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  13. Patient’s information

    - 28 years old (Hispanic-Caucasian) He was looking for extending boundary for his beard and as well as to add on the density of his beard especially on the cheek and the chin area.

     

    - Previous treatment:  None

     

    We performed FUE hair transplantation transferring from both SCALP and beard hair [ under the chin area] to rebuild the larger shape of the beard.  

     

    The number of grafts breaks down into…

    SCALP hair :

    1 hair unit x 236

    2 hair unit x 393

    Total SCALP hair = 629

     

    Beard Hair :

    1 hair unit x 664

    2 hair unit  x 49

    Total beard graft = 713

     

    Total number of graft = 1,342

     

    Anesthetic method ; Local injection with 1% Xylocaine+ Adrenaline

    Field block for the recipient area

     

    No medication

     

    The photos reveal the consequences after Day 0 , Day 7 and 9 weeks. The patient did not come back in person, however sent us the photos of the change after 9 weeks.

     

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  14. Patient’s information

    - 45 years old (Asian)) He has progressive hair loss including frontal receding and the vertex area. The front is receding and the vertex is thin.

     

    - Previous treatment:  None

     

    We performed FUE hair transplantation to rebuild the frontal hairline as well as to add on the density from the top to crown area.  

    The number of grafts breaks down into

    1 hair unit x 526

    2 hair unit x 2,202

    3 hair unit x 350

    Total number of grafts = 3,078

    Average hair: graft = 1.94

    Total number 5,980 follicles

    The photos reveal of 1 year result after our FUE procedure.

     

     

    Medication treatment

    None

     

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  15. Patient’s information

    - 57 years old (Half-blood Caucasian-Asian)) He has progressive hair loss including frontal receding and the vertex area.

     

    - Previous treatment:  None

     

    We performed FUT hair transplantation to rebuild the frontal hairline as well as to cover the top to vertex area.  The FUT technique is open refined dissection.

    The number of grafts breaks down into

    1 hair unit x 729

    2 hair unit x 2,046

    3 hair unit x 1,227

    Total number of graft = 4,002

    Average hair: graft = 2.12

    Total number 8,502 follicles

    The photos reveal of 1 year result after our FUT procedure.

     

     

    Medication treatment

    None

    He refused to use the medicine.

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  16. Patient’s information

    - 34 years old (Caucasian) with Androgenetic Alopecia

    - Previous treatment:  Previous hair transplantation in his country. He had FUT surgery at 900 grafts with his local doctor 1 year. He had the linear scar from FUT surgery. His original hair color is light brown.

     

     

    We performed FUE hair transplantation to add on the density and make more refined hairline the same time correct the FUT scar with small number of FUE graft.

    The number of grafts breaks down into

    1 hair unit x 597

    2 hair unit x 1,926

    3 hair unit x 598

    Average hair: graft = 2.0

    Total number 6,243 hair

     

    We put 200 of 2 hair units to the scar line.

     

    The photos reveal of 1 year result after our FUE procedure.

    The patient is kind to allow us the shave the hair and show the scar improvement.

     

     

    Medication treatment

    The patient has used Finasteride 1 mg per day continuously 6 months before and after surgery.

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