Julius

Thanks thana, considering the result that makes sense, but at what density was your ht? I would call anything over 45 grafts per cm2 dense packing and super dense packing anything over 60 grafts per cm2. Density also obviously depends on the numder of hairs in each graft.

Dr Paul Shapiro has said in a previous post that dense packing should generally only be performed on people who are at least 30 and are unlikely to go beyond a Norwood 5. I was wondering do all coalition doctors have this standard. And if there are any forum members who have had dense packing and are less than thirty years of age? Cheers

I was just reading an article by a renowned hair restoration surgeon and he implied that better ht results occur on type A Norwood patients. I was wondering if anyone can confirm this.

Hi Mike, I have been following your story for a long time now and you have certainly undergone an impressive transformation. I think the colour looks natural on you and really improves density, lucky Scandinavians I wish I could get away with it! However if I had your hair to skin contrast I would probably only undergo a small strip strip procedure to improve density at the hairline. I think using up part of your reserve 2k or so fue hair at this stage is a little premature. I'm pretty sure a top clinic could get at least another 2 500 grafts out using strip. Your crown is not really that bad, I would just keep on meds and give it some time to see how things pan out, but if it really bothered and you did touch the crown at this stage you probably wouldn't need too many grafts for a great result, though as Imissthebarber said you would then be commited to it and obviously it would be uncertain if it would hold up for another five years. Cheers

Will do, thanks again.

Hi there I was just wondering if applying minoxidil on transplanted hairs will make it dependent, so once discontinued it will fall out? I am only asking because I am thinning on top and have a few native stragglers left behind which I would like to keep once I have a ht performed in this area. Cheers

I read somewhere that most hair transplant clinic use normal saline while some use tissue holding solutions which contain buffers, nutrients, and antioxidants which have been shown to reduce storage and ischemia-reperfusion injury. My question is do all coalition doctors use tissue holding solutions?

Hairline 45-50 FUTs cm2 and head 55-60 FUTs cm2.

Kudos to SMG for their transparency and thanks for clearing that up Bill it's very reassuring.

Why don't hair transplant clinics name the assistants who are placing the grafts and their experience since they play such a pivotal role in the results?

Hi I was wondering if PRP should be given before , mid or post ht for the purposes of increasing graft survival? Although I know it has not been proven yet I don't think it will do any harm. Also does H&W offer it yet? And if one wanted to go to them for a ht would they first need to go to say Feller before to get the injection or should they go after? Cheers

Thank you all for your replies.

It depends on how much it bothers you I suppose, you seem to have nice thick hair, but also seem to have a line of hair loss running down your scalp, which I also do and has made me reluctant to undergo the procedure. I hope some senior forum members or a doctor may be able to explain this phenomenon, but my thinking is that how far the line goes will be how far I bald. Definitely go to a coalition doctor if you do go for it and best of luck.

Hi there I was wondering how far from the eye brows can a hairline be before it starts to look odd on a Caucasian male? I know it is probably different on each person according to their cranium, but I found an article concerning Da Vinci's Vitruvian man who is supposed to have ideal human proportions, saying ???the distance from the hairline to the eyebrows is one-third of the length of the face???, which apparently Dr Armani uses this on his patients. I am mostly wondering because a high Vince Vaughn type hairline I believe would save grafts allowing for dense packing which I think is a good idea. Cheers

Hi I agree with Petchski. In regards to your modeling contract being rejected because of your hair loss, it seems that a ht can hold up to the high standards of the modeling industry, though only if it is densely packed. Another person in a similar situation to you was 21ukheregoes, it might be helpful looking into his story. Cheers

I was just wondering if anyone is seeing results who is using this RU58841? There was alot of jargon in the article that giants provided the link to but it seems to suggest it should be used in combination with minoxidil, in which case the benefit of only applying it once a day unlike minox is negated.

For the sake of transparency which is what this forum is all about it was Dr Brad Limmer; who is a coalition surgeon producing truly fantastic results with this approach. To put it into context it was in response to this post I made: 'In the past I have been told that a density of 50 grafts per cm2 should not compromise graft survival, though was wondering would transplanting at 55 grafts per cm2 or 65 grafts per cm2 compromise vascularity or hair growth yield? And if any graft survival is compromised at all leading up until natural density? Cheers.' This was Dr Glen Charles, another great coalition surgeons' reply: 'I agree that the answer really depends on what clinic/doctor you go to. Some doctors have the capabilities of placing higher numbers of grafts in smaller spaces and still obtaining a high yield percentage. There have been a few recent studies showing very high success in the range of 90-100 FU's/cm. Here is an example of a common dilemma/question . Would you rather have 60 FU's/cm and get 50 FU's grow or have 45 FU's/cm and get 43 FU's grow. Most would choose the latter based on the percentages of successful yield. The bottom line is that there are countless variables that go into the equation, and it will always be a hard decision.' And this was Dr Limmer's reply: 'Julius: I agree with what has been said regarding percentage yield at various densities and Dr. Charles points out a most important point regarding this question, 'there are countless variable that go into this equation.' Some are patient dependant and some are clinic/technique dependant, so the outcome can be different between patients even though they go to the same clinic. We have typically approached the problem of yielding densities higher than 50 f.u./cm ?? by a 2 pass approach. While more conservative than some (who produce nice results), I feel it minimizes 3 important risks to the patient: 1. less than optimal growth 2. potential for ridging (dermal fibrosis below the skin ??“ which is basically scar tissue resulting from the multiple recipient sites create in such a small area) 3. permanent neovascularization (redness that won't go away ??“ resulting from capillary proliferation during the healing process) Sorry for the diversion from your question, but the problem of lower yield can often be easily addressed. Ridging and redness can be permanent. Granted this is not always going to occur at high densities, but this had not been seen with f.u. micrografting until ultra high densities became more common. It was a problem seen years ago with plugs/minigrafting but is now occasionally being seen again. So while not an absolute contra indication, at least be aware of the possible risks.'

Thanks both B spot and Drew. Apparently Dr Feller uses lateral.

Awesome result, congratulations.

Hi there I was wondering if anybody could tell me if H&W, SMG and Feller use lateral or sagitals or a combination of both? Cheers

Hi there I was just Dr Hasson's profile on The Hair Transplant Network and he is apparently "recognized for his 'one pass approach' that achieves desired density for the patient in one procedure instead of two or three" to reduced scarring, although I was speaking to another coalition doctor who said that he uses the 'two pass approach' to achieve the exact same thing and also for a better yield. I was wondering if I could get some more opinions on whether it is better to take a one or two pass approach for high density hts in regards to yield and scarring? Cheers

Thank you, doctor.

Thank you very much for your reply doctor, I will indeed be using a two pass approach now. Would it be possible to generalise at what FU's/cm the percentage of yield is most successful? Cheers

I am also form OZ and would be greatly intrested to hear from anyone living here who has had work done with SMG, H&W or Feller. Cheers.

Thank you for your reply doctor. But say that I wanted to achieve a density of about 65 grafts per cm2, would I have a higher percentage of yield by doing a procedure at 40 grafts per cm2 than another twelve months later to the same area at 25 grafts per cm2, or just one procedure at 65 grafts per cm2? Also I will definitely be using a coalition doctor for my ht, but if the doctors agree that I don't have the right characteristics for my goals I won't be getting one at all.