Dr. Felipe Pittella

On 1/30/2024 at 7:55 AM, mr_peanutbutter said:

doing gods work

amen

On 1/18/2024 at 6:57 PM, jjalay said:

From these photos i really cant tell if he has patches on the back of his head or not. This needs to be documented much better. With better lightning on the donor area and with the camera pointing upwards, not downwards to his head at the donor.

Patient sent the photos i asked, including the camera poiting upwards in the occiptal area as you sugested. 

On 1/18/2024 at 6:45 PM, jjalay said:

You have to show the donor area on the back with proper lightning and with the right angle.

On 1/18/2024 at 6:57 PM, jjalay said:

From these photos i really cant tell if he has patches on the back of his head or not. This needs to be documented much better. With better lightning on the donor area and with the camera pointing upwards, not downwards to his head at the donor.

On 1/19/2024 at 12:46 PM, hairman22 said:

i rate dr pitella very highly but look at the color of his neck. The lighting isnt the same

Hello guys, I understand the worries about his donor area. I should indeed have posted more photos of the donor. Here you go, photos with different lighting and taken by the barber, by patient's wife. Btw the patient never complained about his donor even if the previous FUT scar is slightly more visible. 

I've also asked him specifically photos of his donor.

Click Below and Watch this video (Combthrough and 360º)

Age: 48yo
NW: 6
Donor Area: POOR
Total Number of Grafts: 8128 (875 FU From Beard)
Surgical Plan: First session: frontal and midscalp; Second session: midscalp and crown (beard mixed);

1)3401 + 660B  - 4061
2)2525 + 667B  + 875B - 4067

Rx: Topical and Oral Minoxidil, clobetazol and ketoconazol Shampoo, biotin (NO FINASTERIDE or any other 5-ARI)

2 minutes ago, Dr. Felipe Pittella said:

The most important point in hair restoration is not the size of the bald area, but whether the patient has donor resources to cover it.

actually this is a good quotation 🤓 

If I die, please write this on my grave: 
✝️ "The most important point in hair restoration is not the size of the bald area, but whether the patient has donor resources to cover it."

14 hours ago, Grouse said:

@Dr. Felipe Pittella would this result still be possible if the patient refused minoxidil, and instead did dutasteride mesotherapy or topical finasteride?

absolutely... same reason before...

On 9/25/2023 at 3:57 PM, Fox243 said:

Would you say its possible to have a result like this if you're only willing to take topical minoxidil and not oral minoxidil if you're NW7?

absolutely.

I like to tell my patients that:

The most important point in hair restoration is not the size of the bald area, but whether the patient has donor resources to cover it.

On 7/24/2023 at 7:20 PM, Grouse said:

Most on this forum would have told this person to shave and never consider a transplant. Really goes to show how important the surgeon skill + a conservative hairline is

This is one of the most important comment so far.

On 9/13/2023 at 10:31 AM, OliverAtom said:

How is this going? Any updates? Would love to see some photos!

8 months:

Just woke up:

back front the gym:

night hot tub (wet hair):

crown view:

posing: 

He says "he's a younger friend, but look the difference" 

I've asked some photos of the beard for feedback on scarring (he just said theres absolutely no scars and the skin feels good quality on the harvested area). It seems that the extraction from face and beard using a small punch may act as a "skin peeling" procedure. All patients refer improvement of skin quality on harvested areas.

soon more updates

6 months:

Age: 41 yo

NW: 6

Donor Area: GOOD

Total Number of Grafts: 10.433 (3.129 from the beard)

Number of Sessions: 2 DAYS 

Surgical Plan: High density on front and middle scalp; good density on crown area

Rx: Topical and Oral Minoxidil, clobetazol and ketoconazol Shampoo, biotin (NO ioFINASTERIDE or any other 5-ARI)

On 5/28/2023 at 6:21 PM, Fox243 said:

Would love to see if there's an update on this.

On 7/17/2023 at 1:37 PM, For80 said:

Hi @Dr. Felipe Pittella hope you are doing well! You mentioned you lowered this patient hairline, so I'd love to see an update of the new procedure if possible. Thanks!

He sent me those photos from Spain: Now with only 5 months

density still improving 

Beard healing

I'll ask more photos 

3 minutes ago, Melvin- Moderator said:

This is gonna be one of the hall of fame transformations 

On 1/27/2023 at 7:49 PM, mister_25 said:

One of the Best Norwood 7 results Ive seen. Top 5 for sure. Would be very interested to see his 4th surgery.

Lets go! Finally. We are now 5 months from the 4th procedure. 

I'll post the strategy here first. video first and photos below.

STRATEGY
Increase density on these areas and advance little bit the hairline. BHT beard leftovers as donor, plus sideburns and chest and abdominal hair.

leftovers from beard (notice no scars from previous procedures)

INTRAOP

Increasing density by transplanting in between previously transplanted grafts

IMEDIATE POSTOP

SECOND DAY POSTOP (notice fast beard recovery)

On 5/28/2023 at 10:11 PM, Prof101 said:

@Dr. Felipe Pittella 

This is an impressive result. Congrats. 

I cannot help but ask: Usually body and bear hair does not look great on scalp, I have seen only very few exceptions.  Did you feel comfortable with him doing so because of specific characteristics of his body/bear hair? 

He beard hair looks relatively straight. 

 

Thanks 

Yes and I do BHT with beard as donor on every high norwood classes (in the PRECISE scale a class 5 or higher). I do not chose certain types of beard as a pre requisite to BHT. I mean, I do it regardless of the kind of the beard. Of course the expected result should take this into account though

On 6/19/2023 at 7:19 PM, Digs49 said:

All in all, I made a trip out of it and it was an incredible experience. Vitoria and Rio are both amazing cities.

It is really worth it. Try to do the trip BEFORE the surgery though 😅😅😅😅😅😅😅. How is everything going @Digs49 ?

17 hours ago, Gavinlee said:

I’d have to change in Rio, but that’s ok. If it’s in Linhares, would that be of the clinic’s choosing or the patients?

It's a 40 min flight from Rio to Vitória. If you're willing to visit Rio, I'd advise you to do it before the surgery, so that you don't need to avoid sun exposure. As for the clinic, don't worry your procedure will be performed in Vitória. 

Hello @Gavinlee and @Pelange I apologize for that. Please DM me with your contact so that I can hasten the consultation for you. 

On 3/19/2023 at 11:46 PM, lunch_owl said:

Dr, in this particular case, is it possible to lower the hairline 10-20mm?

Yes it is and I did it in this last procedure 1 month ago. I'll post updates soon 

15 hours ago, BeHappy said:

I was on it a long time ago for about 11 years, but I was still thinning, although probably slower than I would have been without it. Being a NW 7 and no useable scalp donor left I knew I needed to use a lot of body hair and Finasteride was thinning my body hair, so I stopped using it. I’ve since had over 6500 body grafts transplanted to my scalp. I will never go back on Finasteride because at this point it wouldn’t be worth thinning out the body hair grafts that were transplanted to try to improve the natural scalp hair. 

Very interesting case. You would benefit a lot by the use of oral minoxidil because it'll increase the diameter of your body-hair and therefore the diameter of the transplanted grafts. Helping your future HT and also your performed ones.

On 2/20/2023 at 5:22 PM, mrmane85 said:

Looking forward to seeing more results @Dr. Felipe Pittella

long time no posting right, my friend? I've been very busy though. Lot of good cases to post but no time. I'm preparing for a presentation on the 2023 World FUE Institute in Bangkok so really no time. Hope soon to post. Thank you for asking though 

I'm doing his surgery TODAY. If you want to follow it closely, look at my Instagram page. I'll post details of the strategy on the stories and soon a review of the case

 https://www.instagram.com/dr.felipepittella/

Hello, guys. Look who is back for the forth procedure!

He came from Spain, staying a couple of weeks here in Brazil. His surgery will be next week. If wanted I can add the surgery details. 

Took the chance to photograph his crown, donor and front with rooms harsh lighting.



Also he sent me these nice photos with longer hair.

If you want to see some specific detail of the procedure, just let me know!

On 11/9/2022 at 1:21 AM, Melvin- Moderator said:

please post the photo of that area in harsher lighting, so we can get a better comparison.

Those were taken just before surgery.
Long-hair and harsh lighting: 

Photos bellow were taken by the patien 5 months before surgery
(shorter haircut and darker setting)

Dear Community, 

Thank you for tagging me here. 
First and foremost, I’m indeed sorry for not reaching the full expectation of the patient. However, as I told him in our last video call, we are not yet done. I’m willing to work with him to achieve the best result possible for him. Taking into account the patients expectations and claims combined with the real possibilities that can be offered by the FUE technique. So I offered him and I’m offering again, the possibility of a touch-up and further refinement of the areas of concern with no cost. This is not a privilege of this particular case, this is how I would treat any patient who’s expectations haven’t been fully met by my work. Fortunately, this is the first one, in almost a decade. 

As for the strategy, allow me to clarify. The patients forehead was larger than I have estimated in our video call and in the photos submitted for evaluation. Thus, the 4500 grafts I initially estimated was not going to be enough to meet my standards of density and coverage. So, with the patients consent we decided to transplant a higher number of grafts with no additional costs to the patient. The additional grafts were free. The complete details of this strategy with the precise area covered and density applied can be found in the description below in the photos.

So, the total area to cover was 170cm². The areas were divided as described below.

The density placed in each area and the amount of grafts implanted was:

Front: 50 to 60 (55) grafts/cm² -> 67cm²x55g = 3685 grafts

Temples: 16 grafts/cm² -> 22cm²x16g = 352 grafts

Middle: 10 grafts/cm² -> 39cm²x10g = 390 grafts (***implanted only 250)

Crown: 35 grafts/cm² -> 42cm²x35g = 1470 grafts

TOTAL GRAFTS IMPLANTED: 5758

From the upper perspective:

From the Crown perspective:

Anterior perspective:

I hope you understand that if i'd transplanted any amount of grafts under the amount I've actually transplanted it would grow out low density areas and the result would be even further from the patients expectations. To be honest I'd like to put a higher density in the crown and temple areas but for that I would need even more grafts... 

In regards of the periauricular area (left and right), if wanted I can also post some photos to show how it was before the extractions (long hair and harsh light). 

Anyways, I'd like to reaffirm that I'm willing to try to reach the patients expectations with any further refinements necessary in order to reach the best result possible for him. 

Feel free to ask any question regarding this strategy. 

On 10/14/2022 at 4:50 PM, uu777 said:

Hi doc, do you have a whatsapp number? I cant seem to find youir website info or how to contact you for an online consultation.

Hello there. Sorry for the late reply. Hopefully you've already contacted our team through instagram DM ou Whatsapp. Our Whatsapp number is +55 (27) 98119-0577. If you prefer, you can contact us through instagram's DM.

Could you do it?