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Dr. Felipe Pittella

Elite Coalition Physician
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Posts posted by Dr. Felipe Pittella

  1. On 3/12/2022 at 8:41 PM, SLA said:

    the height in cm of the hairline above the glabella

    Hello there, I'm not sure right now though I guess a little bit more than 9. Maybe 9.5

    I talked with him recently and he is very happy, trying new hairstyles. He also scheduled another HT to increase density with beard and chest. I'll keep this case updated and also check the distance you asked.

    • Like 1
    • Thanks 1
  2. A Norwood Class 4 to 5 baldness. Wavy hair with standard donor area.

     

    SURGERY VIDEO POSTED 1 YEAR AGO

     

    PATIENTS INSTAGRAM`S PROFILE

     

    Age: 44 yo

    NW: 4/5

    Donor Area: average (wavy hair)

    Total Number of Grafts: 5549 grafts

    Number of Sessions: 1 

    Surgical Plan: Front area and  midscalp priority with high density. Degrade to crown area.

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

     

    1740826443_LAYOUTANTESEDEPOIS02_Prancheta1copia12.thumb.jpg.4197a7003518eb52ee1e03a7df92789d.jpg283236846_LAYOUTANTESEDEPOIS02_Prancheta1copia3.thumb.jpg.3d4d243b0af9de7851d2ec81e19442aa.jpg660904528_LAYOUTANTESEDEPOIS02_Prancheta1copia13.thumb.jpg.a356d89308d1a3424dd3bb7a37a167c5.jpg1277671260_LAYOUTANTESEDEPOIS02ACERTO_Prancheta1copia.thumb.jpg.1f85dc4896112048208268e1dbda84dd.jpg1189372444_LAYOUTANTESEDEPOIS02ACERTO_Prancheta1.thumb.jpg.f67313ed39df848fa0779971c1866f26.jpg199008349_LAYOUTANTESEDEPOIS02_Prancheta1copia9.thumb.jpg.9f5e0242d55d370478fc2815dbdf2bf7.jpg1210718879_LAYOUTANTESEDEPOIS02_Prancheta1copia6.thumb.jpg.808b1c65efad7e19905cad8e415b8d5c.jpg1970708170_LAYOUTANTESEDEPOIS02_Prancheta1copia11.thumb.jpg.0f39878c641053d6d326f0617cb98bc4.jpg1910870320_LAYOUTANTESEDEPOIS02_Prancheta1copia7.thumb.jpg.b5f19456095450d4b147086a6a45da97.jpg183197741_LAYOUTANTESEDEPOIS02_Prancheta1copia10.thumb.jpg.56d8d2d306ba221e6c5b6073e2030725.jpg813528524_LAYOUTANTESEDEPOIS02_Prancheta1copia2.thumb.jpg.6b3bfa7ec7fbe96886fedcc349b1ce41.jpg2068311089_LAYOUTANTESEDEPOIS02_Prancheta1copia4.thumb.jpg.2ba658920e27858ebfd63ec5357db885.jpg1568620973_LAYOUTANTESEDEPOIS02_Prancheta1copia5.thumb.jpg.4fb480e6d3fc2834ef1e1389cbe9dc4c.jpg863877904_LAYOUTANTESEDEPOIS02_Prancheta1copia14.thumb.jpg.d1740b720096cb3751149882fa555beb.jpg630665580_LAYOUTANTESEDEPOIS02_Prancheta1copia8.thumb.jpg.71827d66867e991973994a45c712aeb4.jpg

    • Like 5
  3. 4 hours ago, Curious25 said:

    I also notice you prescribe oral minoxidil quite frequently, so you often times notice much regrowth in patients with this ?

    Oral minoxidil to all.
    I don't expect any regrowth. I just want to avoid the progression of the baldness to higher norwood classes.
    Oral minoxidil is the treatment closest to finasteride in terms of result we can get. Even so it is pretty inferior.

    • Like 1
  4. 1 hour ago, Curious25 said:

    I’ve noticed a few of your patients not on any 5ar inhibiting medications, is there a particular reason for this? 

    That is correct. I do not prescribe 5-ARI (finasteride, dutasteride) to my patients. The reason for that is because those medications MAY cause (in a small percentage of patients) sexual dysfunctions, such as libido loss or decrease in ejaculatory volume. The patient needs to use baldness medication for the rest of their lives. And if at any moment he feels a decrease in libido, he will abandon all the treatment. I know this is a controversial conduct though this is my medical opinion. I understand that finasteride and dutasteride are excellent in hair growth, and as I do not prescribe them, I need to rely only on my surgery skills in order to achieve a good result. I cannot count on 5-ARI to reach any goal. 

    • Like 6
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  5.  

    SURGERY VIDEO POSTED 1 YEAR AGO

     

    PATIENTS INSTAGRAM`S PROFILE

     

     

    Age: 43 yo

    NW: 5?

    Donor Area: Good (Thick hair)

    Total Number of Grafts: 5159 

    Number of Sessions: 1 

    Surgical Plan: Midscalp and crown priority (see video). High density on bald region and degrade to front area and hairline.

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

     

    29998146_28_Prancheta1copia14.thumb.jpg.c12d13b2d64a048b03cc37fac9c23c35.jpg1646061245_28_Prancheta1copia13.thumb.jpg.8990fc9d3aaf942dc73041a17a563bbf.jpg68153368_28_Prancheta1copia6.thumb.jpg.0a9aa82a125f4ab45b46378bbb69e6be.jpg1040161133_28_Prancheta1copia12.thumb.jpg.fc7bd6cdaec39b0575a43a6f4e3be56e.jpg1071326519_28_Prancheta1copia7.thumb.jpg.eac7ae515e32c620bf8d78a66e9fa099.jpg930482907_28_Prancheta1copia8.thumb.jpg.8bdcf390e7ee1bbcde180a9fe966dcfd.jpg513461674_28_Prancheta1copia4.thumb.jpg.5e29089149deca024cd4b4c607e0546c.jpg1604138523_28_Prancheta1.thumb.jpg.4ccae450d9571e774c7760750da63742.jpg830135403_28_Prancheta1copia3.thumb.jpg.432c1d00729fbd625dd94aeffcd61591.jpg1071319106_28_Prancheta1copia10.thumb.jpg.a49e93b0bf068c8ed524bf4f349fcea4.jpg

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    28_Prancheta 1 cópia 5.jpg

    28_Prancheta 1 cópia 9.jpg

    28_Prancheta 1 cópia 11.jpg

    28_Prancheta 1 cópia.jpg

    • Like 3
  6. 17 hours ago, kirkland said:

    @Dr. Felipe PittellaGreat result. Makes a dramatic difference in his look.

    Was this a single day of surgery? And can I ask what the purpose of the red arrows are on the patient's forehead?

    Yes, single day.
     

    The purpose of the arrows is to guide me during the pre incisions so that I can get the correct angle and direction of the implanted hair (in this care, to the right side, 40 degrees from skin surface). 

    F1D518E0-755D-4CF2-B967-1EABA92F389F.thumb.jpeg.53a2372ba0331c5346a8973a8a58c8da.jpeg

    • Like 1
    • Thanks 1
  7. On 1/24/2022 at 7:12 PM, Melvin- Moderator said:

    Fantastic work, you definitely deserve getting approved for our recommendation. This is a great example of how you should treat diffuse hair loss patients. I would ask if you could post some graft placement pictures, that would be fantastic.

    Thank you. I'll soon post a video here with a graft placement using DNI 

  8.  

     

    PATIENTS INSTAGRAM`S PROFILE 

     

    SURGERY DAY VIDEO POSTED 1 YEAR AGO - INSTAGRAM

     

    Age: 39 yo

    NW: 4/5

    Donor Area: Average (Thin hair)

    Total Number of Grafts: 5280 

    Number of Sessions: 1 

    Surgical Plan: Frontal and temples priority (see video). High density on frontal region and degrade to midscalp and crown area.

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

     

    MARKINGS (see video for crown area)

    2096001154_PHOTO-2021-02-02-20-07-337.thumb.jpg.c6adcec381d44c14f6bf814075eedff9.jpg47223732_PHOTO-2021-02-02-20-07-339.thumb.jpg.4f876b9d1b42d4ffda55a3dae4af50bc.jpg826159125_PHOTO-2021-02-02-20-07-338.thumb.jpg.b6553b00d193ab9765bd2730291e606c.jpg

     

    IMMEDIATE POST-OPERATIVE

    1398823587_PHOTO-2021-02-02-20-07-336.thumb.jpg.aeb94134ce082ba0adc583873ac3cbc2.jpg1525959485_PHOTO-2021-02-02-20-07-335.thumb.jpg.5a85ba1f5276fd2c33ed81cc09b7eae9.jpg1536694648_PHOTO-2021-02-02-20-07-332.thumb.jpg.179cf2e3ca81307d98fad3112386d3e1.jpg571652454_PHOTO-2021-02-02-20-07-333.thumb.jpg.9af9b1ba8f79695de43ef2f70047ac0b.jpg

     

    ONE YEAR AFTER

    85132492_27COMTARJA_Prancheta1copia5.thumb.jpg.7cb292b292bc116e2877f397e2285ff4.jpg150192801_27COMTARJA_Prancheta1copia12.thumb.jpg.94a5cedf5794c2e9a7f63ca70e4ae4cc.jpg1995921495_27COMTARJA_Prancheta1.thumb.jpg.e88e37cf54cdeef6ffd1c7222e06e6f8.jpg65037037_27_Prancheta1copia11.thumb.jpg.4bf5bc86bf92ab9c28a4147a8776be54.jpg2026238285_27COMTARJA_Prancheta1copia4.thumb.jpg.0054cd3768fdbcdd029b782fddaf1976.jpg456117963_27_Prancheta1copia6.thumb.jpg.10f6d43c1706271d44722ddfba066508.jpg109269329_27_Prancheta1copia9.thumb.jpg.97f37de21e6bdca8286470ddb76a408d.jpg1227067509_27_Prancheta1copia10.thumb.jpg.7b16f90d59ee23021cfee99bf797d762.jpg505690762_27_Prancheta1copia2.thumb.jpg.8975c2088e91218f26c0fb10778539a3.jpg529065824_27_Prancheta1copia.thumb.jpg.223b7318a0f0248f05ce8c7144dfc3d2.jpg

     

    27_Prancheta 1 cópia 7.jpg

     

     

    • Like 3
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