Dr. Felipe Pittella

On 5/27/2022 at 12:40 AM, mrmane85 said:

Oral and topical min

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)

On 5/19/2022 at 4:51 PM, irontriangle said:

Hello OP,

Is there any scarring where the grafts were extracted from your beard? I h. a thick beard underneath my chin and I might have to go the same route. However, I am a touch worried about scars on my face. Thanks.

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. 

On 5/19/2022 at 2:57 PM, Antlor said:

Beautiful work @Dr. Felipe Pittella!

If don't require your patients to be on finasteride, what is your protocol to ensure your patients from future hair loss due to androgenic alopecia? Thanks.

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

On 4/14/2022 at 9:08 PM, Min12 said:

What punch size is used and can you extract to the outer limits of the donor area if requested by the patient? The only other surgeon that I’ve seen do this is Dr. Zarev.

This way the donor thinning is spread out much more and isn’t visible even with short hair.

Also how do I book a consultation, do you have a website with results?

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.

17 hours ago, oppositeset said:

Is there any medication I can take in the meantime that will help with donor area hair growth?

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

On 4/12/2022 at 4:01 PM, SLA said:

Also, how many beard grafts do you estimate are harvestable here?

 

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).

On 4/12/2022 at 4:01 PM, SLA said:

Curious how many scalp grafts you feel you could harvest from this individual if you were to push it to it's limits?

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

On 4/12/2022 at 12:40 PM, oppositeset said:

i like what i see 🤩

1 hour ago, Curious25 said:

still believe there is no straight answer to this

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. 

On 4/12/2022 at 11:14 AM, Curious25 said:

 

Hi Dr, 

Would you be able to further elaborate as to why, for each of these two points ? Very interested to head your take on this, 

Thanks

 

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.

On 4/12/2022 at 10:45 AM, SLA said:

regards to what one can harvest in a lifetime?

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...

1 hour ago, J.A.C said:

With dropped sides, retrograde alopiceia and a unknown amount of chest or even beard hair it would be a very difficult journey IMO. Too many variables involved, thinning out the donor area even more? Are we even sure it’s going to be a reliable source? Ok so let’s see the chest and beard areas by all means. 

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) 

On 3/24/2022 at 12:00 AM, mrmane85 said:

Excellent result @Dr. Felipe Pittella

Could you please share some pictures directly post op so we can see the graft placement?

Thank you!

Here you go: 

First surgery 

Second surgery: 

8 hours ago, HugoX said:

I like how you comb the air in the before video 😂, great result

😅

3 hours ago, piruka said:

Wow it actually made me wonder if it was the same guy 😄
Amazing job!!

@Dr. Felipe Pittella is the Minoxidil prescribed for the post op only?

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

8 hours ago, mrmane85 said:

Excellent result @Dr. Felipe Pittella

Could you please share some pictures directly post op so we can see the graft placement?

Thank you!

of course. i'll put them here ASAP. 

10 hours ago, kirkland said:

@Dr. Felipe Pittellathis is another remarkable outcome from your clinic. I love seeing the amazing work that you are doing! Please keep posting more patient results. I know I give lots of love to Eugenix but you are deserving of great praise as well. You are part of the next gen of surgeons who have innovated FUE surgery. So excited for high Norwoods and their future in the hands of clinics like yours and Eugenix.

thank you my friendo. I feel flattered

2 hours ago, Curious25 said:

Certainly done well with coverage. 
 

Any plans for round 2, and to refine and soften the hairline ? 

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

2 hours ago, Melvin- Moderator said:

Absolutely mind blowing 😮 

Thankyou my friend

1 hour ago, J.A.C said:

literally taken years off this guy

indeed 😃

51 minutes ago, Z-- said:

Hope we can see more patients from the forum visit too!

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)

On 3/20/2022 at 12:37 AM, Z-- said:

Insane. Didn't think he would even be a candidate. One of the best results I've seen - well done, doctor!

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