Dr. Felipe Pittella

that's it. This simple clinical treatment is AS IMPORTANT AS the HT itself. ALSO a conduct of the utmost importance is to AVOID certain substances that may hasten the native hair thinning process (speed up the AGA) SUCH AS: steroids, testosterone replacement therapy, some gym supplements (CREATINE, Tribulus terrestris, maca peruana, etc)

considering the laxity of the neck skin, and also the small size of the punch used to harvest beard it won't result in any visible scaring. The same principles can be considered for harvesting safely the beard from the face. As I operate plenty of advanced NW classes, I'm often using face beard and in none of those cases noticeable scars have arrived in a long term follow up.

Minoxidil (preferably oral + topical), ketoconazol and clobetazol shampoo, and biotin

Usually 0.9 to 0.95. For beard 0.85 to 0.9. Indeed my strategy on this case involved intentional over-harvesting in order to achieve an homogeneous distribution of hair and same density all over. Please check my IG profile. There a post daily surgeries I perform and also plenty of results. https://www.instagram.com/dr.felipepittella/ If you're interested in an appointment for check up and surgery, please message me here in the forum.

You should be wearing oral minoxidil 2.5mg and topical minoxidil. Also biotin and ketoconazol shampoo

Depends on what he will allow us to take from beard areas. From neck area (white) I estimate around 4k+ if i empty it. From noble areas (pink) same amount or more. Notice that this is just a rough estimate. It may be less than this (or even more).

I may be able to get 3.5k max 4k (notice the area will look even more depleted).

i like what i see 🤩

I agree. The reason why I don't perform FUT is that there is no situation in which I'll get a better result doing FUT than FUE. And here I'm stating about my own medical practice, considering only my own surgical skills.

Hello there. 1) I do not do FUT surgeries. I only perform FUE. 2) I've just elaborated about it on the previous answer. Please check above.

I meant how many grafts a surgeon can harvest in a single session. But I ALSO believe that performing ONLY FUE one can harvest more than FUT + FUE combined. This is because whit ONLY FUE, one have the alternative of intentionally perform several degrees of over-harvesting in order to achieve an uniform distribution of hair all over the scalp. Whereas performing FUT + FUE this strategy might not be possible without exposing to much the linear scar hence resulting in a unnatural look at the donor area (linear scar detectable). IDK if I made myself clear enough...

There is no easy journey in hair restoration, my friend. 😊 Of course the patient must be aware of the limitations of his results. I mean, he should never expect an Elvis Presley's hair after his HT.

Very rich topic. Thanks for tagging @SLA and @Melvin- Moderator I appreciate it. First and foremost we should keep in mind that the main objective of hair transplantation is naturalness. If a surgeon is capable of reaching a natural result, i.e., with density, enough amount of hair, natural hairline (according to patients anatomical limits), uniformity and etc, it doesn't matter whether he is doing FUT or FUE. The question is: "is it possible to reach a natural result with a linear scar in the donor area?". In the hands of a good surgeon "yes" it is possible. A well performed FUT with trichophitic suture will leave an almost undetectable scar even with a short hair stile. On the other hand a poorly performed FUE will ruin the donor and may leave plenty of large white dots. Notice that I'm not advocating in favor of FUT. Despite the fact that my early masters are 2 FUT expertises***: Dr Marcelo Pitchon (2021 ISHRS golden follicle award), and Dr Roberto Trivellini (2021 ISHRS platinum follicle award), I myself won't perform a FUT in none of my patients. In regards of amount of follicles, I disagree when they say that it is possible to harvest a higher amount of grafts with FUT+FUE than only with FUE. But of course this amount will largely vary from surgeon to surgeon. In my opinion the current trend is scoring more and more FUE grafts in only one sitting. The number are already high. And I bet they'll rise. ***Dr Pitchon created the FUT "preview long-hair technique" (in which the follicles are transplanted without trimming. A masterpiece. Probably the future on HT in FUE). And Dr Trivellini lately changed to FUE and developed the MAMBA Device.

Thanks for tagging @J.A.C Guys.. Look at his neck... I see valuable source of grafts for a good result. Plus, I assume that he has plenty of chest hair. With a well planned hair restoration, it is possible alright to reach a fair result. Recently I've posted a similar case with a larger head (link below). Although in the present case he also have a retrograde alopecia. Briefly, I'd use the scalp donor hair to restore the hairline and blend beard and chest hair in other areas. Dr. Pittella • Norwood 7, Large head, Poor donor, Thin Hair: Come and see (WET)

Here you go: First surgery Second surgery:

😅

for lifetime. Oral minoxidil has a main role in my clinical treatment as i don't prescribe finasteride or dutasteride.

of course. i'll put them here ASAP.

thank you my friendo. I feel flattered

yes, already planing something special for the hairline and temples.

Thankyou my friend

indeed 😃

thank you Z, where working on that

Age: 44 yo NW: 6 OR 7 Donor Area: AVERAGE Total Number of Grafts: 8633 (1104 FU From Beard). Number of Sessions: 2 Surgical Plan: First session: front, temple (subtle) and midscalp; Second session: midscalp and crown (beard mixed) 1) 4630 2) 2899 + 1104B Rx: Topical and Oral Minoxidil, clobetazol and ketoconazol Shampoo, biotin (NO FINASTERIDE nor any other 5-ARI)

Glad to hear that. He is from spain, coming next year to BHT to increasing density. I'll keep up to date