Adam Hair Dr Clinic Leeds

9 hours ago, follically challenged said:

Looks good! Are there any videos available as opposed to a GIF...? Would love to see. Thanks!

The full video is posted on the clinics instagram page @hair_dr_clinic

Forgot to add this one. 

12 months post operative comb through result 

Hi, 

We would like to present this case of a young lady who suffered an area of hair loss in her hairline due to trauma as a child. This always affected her confidence and she was very conscious of it. She attempted to cover the area up but because it was in the central frontal hairline it proved difficult. 

Sometimes it can be difficult to predict the growth of the grafts when there is a traumatised area but she got a very good yield from the 399 grafts implanted and she is very happy with the result.

15 hours ago, BackFromTheBrink said:

Thanks Adam! The clinic have been great, starting with you calming me down on the day of the procedure just about a year ago. I'm due to come back at some point soon for my annual check up so I can say thank you in person when I do 🙂

Will be great to see you for the 12 month follow up! and I am glad you had a good experience. 👍

Regards

Adam

Hi @BackFromTheBrink

Congratulations on your successful hair transplant. Your transformation is truly remarkable and very natural. 

Regards

Adam 

Thank you for all the feedback, it is appreciated.

I have had a chance to discuss this with Dr Arshad. 

@Gatsby totally agree that over time the scarring can get less. Obviously this is dependent on the individuals biology and ability to heal. At the moment the patient is just relieved he can go out in public again and move on with his life. Continuing to apply bio-oil may improve the appearance further and he can always apply some concealer/foundation on the scarred skin. 

In terms of scalp advancement flap/forehead reduction surgery, Dr Arshad stated that this would only be an option if his male pattern hair loss was stable over a number of years and as a last resort if the scarring was an issue that persisted over time. 

In terms of the details of forehead reduction surgery, essentially the zone of scarring (shown in black) from the extracted grafts would be excised as per the picture below. This would involve making a zig-zag incision in the hairline, raising the scalp flap, advancing the scalp and anchoring to were the forehead skin has less scarring (lower line of the zone coloured in black). The closer of this linear wound would be using a trichophytic technique so hair follicles can grow through the scar.  Essentially, the larger black area zone of punch scars would be exchanged for a finer linear scar hidden within the hairline. As a result of this, of course, the hairline would move around 1.5cm lower (depending on scalp laxity). Prior to doing the punch extractions across the full region of the botched previous hairline (in order to salvage as many grafts as possible) these future options were discussed by Dr Arshad in depth with the patient. 

In any case the patient is now enjoying his new hairline and further intervention can be considered only if and when required. 

I hope this information is useful, thanks again.  

Regards

Adam 

Hi, 

I would like to share this case with you. This 26 year old male had an FUE hair transplant (not in UK) several years ago. Since then he had further male pattern hair loss and developed a large recessed area between the hairline that had been implanted and his native hairline (which had moved further back, particularly in the frontal temporal areas). 

He was quite distressed with the unnatural appearance, he struggled to cover the receding areas and found the new hairline to be unnatural (with poorly directed hairs). After multiple consults he spoke to Dr Arshad on several occasions and options to repair his hairline were discussed in depth. He then underwent punch extraction of the previous hairline and FUE from scalp donor to reconstruct a more natural hairline. 

Some points to note about this case are: 

• the hairline that was previously implanted was too low and into the region of the frontalis muscle, these can be removed through various means, punching out these grafts has certain risks for example scarring, and regrowth of hairs. The patient was keen to punch out all of the previous hairline so these same grafts could be used further back. 
• the punch extractions was difficult as the hairs were very misdirected
• the patient has some regrowth of the punched out grafts which he plucks and trims, he has some scarring and induration in this area 
• because of the regrowth of some of the previous grafts in the hairline, the options of further punch out extractions was discussed with the patient. But he is worried about further scarring in this area. Also the option of excising this area and raising/advancing a forehead flap was also discussed with the patient, as he is now happy with the density at the front of his new hairline and is on finasteride, therefore after a period of observation (to ensure stability of his male pattern hair loss) such a forehead reduction procedure with Dr Arshad is an option for him in the future. 

Graft breakdown:

- Punch outs from previous hairline 395

- Singles - 110, doubles 40, triples 1,139

Total number of grafts implanted = 1684

I hope you enjoy reviewing this case. 

Regards

Adam 

__________________

PRE OPERATIVE

AFTER EXTRACTION OF PREVIOUS GRAFTS AND IMPLANTATION OF NEW HAIRLINE

AFTER 10 MONTHS

Your hair is looking incredible @Thebaldingman

I like the way you have had it cut and styled 🙌

Regards

Adam

21 hours ago, JohnCasper said:

Great crown work.  Such a difficult area to cover.  Congrats.

Thank you @JohnCasper

Yes the crown is always a tricky area to address often requiring higher number of grafts and a longer time (up to 18 months) to fully evolve. 

Regards

Adam  

23 minutes ago, GoliGoliGoli said:

Lighting appears much darker in the after pictures.... Really wish clinics would keep it the same for the before and after

Thanks for pointing that out, I agree and I noticed this too. We have recently moved our hair transplant clinic into Leeds Private Hospital and so the lighting in the room has changed from the before picture (which was taken in our old clinic). I am going to move the studio into a room with no natural daylight and just LED white flash lights as that is more consistent in terms of reproducing similar lighting conditions to the before pictures. This patient is attending for follow up again in a few months so i'll post more pictures on this thread. 

Regards

Adam 

1 hour ago, Pbaird98 said:

Nice comb through, now has a very good head of hair for someone 60+

Yep, he is a very happy with the progress. 

Hi,

This patient (aged 61) is 10 months post FUE hair transplant on his crown area with Dr Arshad.

The crown can take up to 18 months before reaching maximum maturity. We are pleased to see the patient has had an incredible improvement in hair coverage in just 10 months.

We look forward to sharing his 18-month result with you in due course!

Surgical Details:
Total = 2,020 grafts
singles = 292
Double hair follicles = 513
Triple hair follicles = 1215

Regards

Adam

Thanks for kind words @Jon Goodall

I am very happy for you.

I have posted some of your before pictures below taken at the clinic for comparison and a couple with your hair combed back that you sent in to us (showing the hairline). 

Enjoy. 

Hi,

Fine, light, blonde hair can lead to a requirement of multiple surgeries in order to achieve a denser result. However, depending on the graft quality/number of hairs per follicle a denser result can be achieved in some cases with one pass. This patient has coefficient of 2.77 hairs per follicle in the extracted grafts, which meant he has got a good coverage already at 6 months. Many factors can affect the outcome of hair transplant surgery, the hairs per follicle coefficient is one such factor. Hair graft growth after a hair transplant is unique to each individual and no two journeys are the same. This patient is very happy with his progress so far.

After 1 month 

2 months

4 months

6 months 

Hi, 

This is a patient that is post procedure 5 months only. He has favourable hair characteristics (dark coarse hair). His operation was in May 2022. He sent the after picture into us today.  

He also sent a video, which I've added as a GIF, will upload onto Youtube shortly. 

He had 3000 FUE grafts by Dr Arshad. 

Regards

Adam 

Immediately post-op  

After 5 months:

Thanks for the comments guys. He is very happy and he told me at a recent family event some of his relatives could not believe how natural it appeared. 

I've uploaded the video below. 

Regards

Adam

On 10/3/2022 at 4:37 PM, hairman22 said:

grear work

temple points would help alot

Yeah agree, he is considering that as part of the 3rd surgery. 

Hi everyone,

This is a recent patient of ours. He is late 30's and is tall (6'7). He has large head circumference and advanced hair loss. But his donor area is very dense and thick hair calibre. We performed 5122 grafts over 2 sittings. 

Surgical details:

Singles - 738

Doubles - 1351

Triples - 2439

Fours - 594

He is very happy with progress and we are planning a third surgery to add more to the crown. We have a comb through of his hair also which I will upload onto youtube and link here.

Dr Arshad wanted to relay some important information via this case: 

- the surface area/head circumference has an impact on the amount of grafts required to create density 

- the type of hair (thickness/tone) has an impact on the perceived density 

- the amount of intra-operative bleeding/popping can influence how close the grafts are implanted 

- it is much safer to build up density over several sittings rather than try and overpack in one go

- there are no strict hard and fast rules about the number of grafts that are required to create a density the patient is happy with. For this patient and many others we will likely end up doing 8000 grafts (his donor availability allows this). Most patients with advanced hair loss end up having multiple sittings depending on what their expectations are. 

Hope you enjoy!

Regards

Adam, The Hair Dr Clinic (Leeds Private Hospital, Red Hall Manor, Red Hall Lane, Shadwell, Leeds, LS17 8NB)

________

Before: 

After:

Hair wet and hairline combed up:

Hi guys, 

I want to share with you some pictures of our patient, that he recently sent to us. He had his surgery in January of this year with Dr Arshad. He is in his early 40's. He is not taking oral finasteride but is using min/fin topical spray that we supply.   

Surgery details, FUE:

Immediately post surgery:

After 8 months (pictures taken by patient):

Hello, 

Please see below video result and comb through. The after pictures and videos have been taken by the patient himself. He is planning for follow up review at the clinic at 12 months. 

Graft breakdown:

- soft singles = 40

- normal singles = 307

- 2's = 391

- 3's = 1099

- 4's = 676

total = 2513

Regards, 

Adam from The Hair Dr Clinic (Leeds Private Hospital, Red Hall Lane, Leeds, LS17 8NB)

Thank you all for the generous comments!

15 hours ago, Dr. Suhail Khokhar said:

Amazing result. The patient looks at least 1 decade younger. Thank you for sharing. Completely natural appearance too

Yes, he does look much younger - he actually took up marathon running following his procedure and has a much healthier lifestyle. He felt as he reached the age 50 milestone he wanted to look and feel his best!

Regards

Adam 

49 year old farmer from Carlisle. 

Images show the transformation from before to 13 months after procedure. 

Surgical details: 

Total number of hair follicles = 4177

Soft singles = 128

Normal Single hair follicles = 1319

Double hair follicles = 1942

Triple hair follicles = 788

Medication: 

Finasteride 1mg per day, Minoxidil 5% (twice daily applied directly to scalp), Biotin. 

Surgeon: Dr Arshad (The Hair Dr Clinic/Leeds) 

Dear forum members/viewers,

This patient is from London and underwent FUE hair transplant by Dr Arshad in our West Yorkshire surgery centre. The results below are shown 9 months after surgery. This patient is happy to share his experience and has posted his journey on his Instagram account ( @pearcemcdonough )along with a comb through video that he has taken himself. 

Graft count:

Soft single FU - 74

Medium single FU - 223

Large single FU - 43

Double hair FU - 1604

Triple/+ hair FU - 1000

Total = 2944 

Meds - Finasteride 1mg / Minoxidil 5%

PLEASE NOTE:

Individual patient results and the onset/rate of growth from transplanted grafts may vary considerably between patients. The overall yield and appearance of density from a hair transplant is dependent on many factors including but not limited to:

• The extent of surface area that requires grafting (most patients with advanced hair loss will require 2 surgeries to reach reasonably good density). 
• The blood supply to a particular area of the scalp (this varies from patient to patient).
• The extent and duration of the inflammatory response of the scalp post operative (this varies from patient to patient, in patients with persisting perifollicular erythema post operatively we recommend use of Ketoconazole 2% Shampoo).
• The texture, size and colour of the hair (large hair calibre provides better coverage, lighter skin to darker hair colour contrast requires more grafts for appearance of density). 
• The innate ability of the hair follicles to withstand the trauma of surgery (this varies from patient to patient & also from different regions of the scalp within the same individual). 
• The use of medications pre and post operatively (oral and topical DHT blockers, finasteride, Minoxidil and other anti-androgens). 
• External factors such as environmental stresses/smoking etc. 

Regards, 

The Hair Dr Clinic