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Dr. Raymond Konior

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Dr. Raymond Konior last won the day on February 10

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About Dr. Raymond Konior

  • Rank
    Recommended Physician

Basic Information

  • Gender
    Male

Hair Transplant Clinic Information

  • Hair Transplant Surgeon
    Dr. Raymond Konior
  • Hair Transplant Network Recommendation Profile
  • Hair Transplant Clinic Name
    Raymond Konior, MD.
  • Primary Clinic Address
    1s280 Summit Avenue, Suite C-4
  • Country
    United States
  • State
    IL
  • City
    Oakbrook Terrace
  • Zip Code
    60181
  • Phone Number
    (630) 932-9690
  • Website
    http://www.premierehairdoc.com
  • Email Address
    drkonior@sbcglobal.net
  • Provides
    Follicular Unit Hair Transplantation (FUT)
    Follicular Unit Extraction (FUE)
    Eyebrow Transplantation
    Prescriptions for Propecia
    Free In-depth Consults

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  1. This 36 your old patient requested density enhancement in his centralized frontal and midscalp thinning zones. A total of 1918 grafts were used to boost density in his priority zones. Presented are sixteen month postop photos. Preop Front Preop Right Preop Left Preop Top Postop Front Postop Top Postop Right Postop Right Tilt View Postop Right Comb-back View Postop Left Postop Left Tilt View Postop Left Comb-back View Density Inspection Right-of-Center Density Inspection Center Density Inspection Left-of-Center Immediate Postop Graft Placement 4-Day Postop Back Donor Area 4-Day Postop Side Donor Area
  2. This 38 year old patient requested density enhancement in his thinning frontal and midscalp regions. His exam revealed a diffuse thinning pattern throughout the male pattern zone. The donor area showed low caliber hair and evidence of retrograde alopecia. He underwent a 3088 graft restoration of the frontal and midscalp regions. Presented are fourteen month postop results. These include part views in the graft zones that demonstrate his density enhancement. Preop Front Preop Top Preop Right Preop Left Postop Front 1 Postop Front 2 Postop Top Postop Right 1 Postop Right 2 Postop Right 3 Postop Left 1 Postop Left 2 Density Inspection Center Density Inspection Front Density Inspection Right Density Inspection Left Postop Donor Area Immediate Postop Graft Placement
  3. Dr. Raymond Konior

    FUE on grey hair

    Why are you dying the hair? It's going to be clipped with a zero guard. A responsible surgeon will dye it to the extent that extraction quality will be maximized.
  4. Dr. Raymond Konior

    FUE on grey hair

    The patient should not be worrying about dying the hair if the plan is for a buzz-cut FUE harvest. Dying long hair that will be clipped is pointless as the hair will continue to grow after it is dyed. If the procedure is a few days after the dye, all that will be left for the surgeon to see will be a white stubble. Also, even professional dyes have a hard time getting to the base of the hair shaft. The surgical team should dye the white stubble after buzzing and before harvesting. This easily colors the stubble to show hair direction and angle, thereby making extraction as easy as with dark hair. The attached file shows snow-white hair which was dyed immediately prior to the harvest. The hair shafts are quite easy to see.
  5. Dr. Raymond Konior

    Manual punch vs Micromoter FUE

    What is my opinion on clinics that utilize technicians for extracting grafts? Hmm… Answer these three questions: 1) Would you allow a tech to remove a brain aneurysm on your mother? 2) Would you allow a tech to perform coronary artery bypass on your father? 3) Would you allow a tech to remove a testicular cancer on you? If the answer is “yes” to any of these questions, you should do nicely in a tech-driven hair restoration facility. If, on the other hand, you answered “no” to all questions, then ask yourself why you would allow a technician to perform a surgical procedure on your scalp. Also, if you answered “no” to all questions, and you decide to use a facility that uses technicians for graft extraction – without direct supervision by the operating doctor – ask your doctor why he or she is not performing the procedure, but rather uses the service of a technician to perform what I deem to be a surgical procedure. Questions I would direct to the physician if he or she uses technicians for graft extraction without direct doctor supervision: 1) Do you use a technician because you have poor eyesight? 2) Do you use a technician because you have a tremor? 3) Do you use a technician because you will be in another room maximizing your profit for the day? 4) Do you use a technician because you don’t believe patient care and supervision is important? 5) Do you use a technician because you are lazy and prefer to surf the web or check your stock portfolio? 6) Do you use a technician because you lack surgical skills and believe the technician is capable of delivering a better quality graft than you would be capable of delivering? 7) Do you believe harvesting grafts is a “simple” component of the surgical procedure or that harvesting grafts is “no big deal” such that it can readily be delegated to a technician? The bottom line is that I believe hair restoration is a surgical procedure that should be performed by a doctor. It is not a mundane and simplistic task that is capable of being delegated to the technician level. Face it, most technicians have little to no formal education, i.e. they receive “on the job” training. Who is training them and who is supervising them? We in this practice respect the doctor-patient relationship and feel that the patient is entitled to the doctor’s presence in the operating room from beginning to end.
  6. Dr. Raymond Konior

    Manual punch vs Micromoter FUE

    The mostly useless topic of manual versus motorized should be relegated to the trash heap. It may have held relevance at some point in time, but it means little today. Patients should also be leery of dogmatic statements made about how an individual conducts his or her practice as the only person who can provide definitive detail as to what is done and how it’s done is the surgeon himself. The fact is that I use multiple devices for extracting grafts, with the device of choice depending on the situation at hand. There are days when a motorized technique is best and days when a manual technique is best. There are days when a straight-wall trephine is best and days when a flared-wall trephine is best. There are days when a straight-edge trephine is best and days when a serrated-edge trephine is best. This argument reminds me of guys arguing which is better, a straight-edge screwdriver or a Phillips screwdriver. Of course the answer is that it depends on the situation at hand. Also remember, there are some talented surgeons who can use every technology effectively and some who, despite having the best of the best instruments, can’t extract quality grafts on a consistent basis. When it’s all said and done, it’s not the instrument that matters as much as the surgeon choosing the instrument to use for the situation at hand. If you place the world’s finest and most expensive Steinway piano in front of most people, very few would be able to generate a beautiful song. On the other hand, place one of the world’s top five pianists in front of a Walmart special keyboard and you will probably hear some darn good tunes.
  7. My experience shows 300 grafts to be an average amount needed for average strip scars in need of camouflage. There are definitely cases needing fewer and some needing more, but this is a good estimate for most. It is interesting and encouraging that most patients burdened with visible scars can eventually opt for fairly short hair styles if enough grafts are used. I find two staged sessions are needed for most larger scars when one wants to go with the shorter hair styles.
  8. This 34 year old patient presented with a history of three prior hair restoration procedures that were performed by three different surgeons. He was unhappy with the lack of density and patchy appearance in the prior transplant zones. The patient also expressed concern about the visibility of his strip harvest scar. His examination revealed very low frontal and midscalp density which was of concern in light of him having undergone three prior procedures. Restoration of the density deficient frontal and midscalp regions, as well as the donor strip scar, was performed using a total of 1940 grafts that were obtained using an FUE harvest. The scar was treated with 300 grafts and the frontal/midscalp regions were managed with 1640 grafts. Presented here are preop and postop pics which demonstrate the final frontal/midscalp density and donor scar camouflage that was accomplished. Preop Front Preop Right Donor Preop Center Donor Preop Left Donor Postop Front Postop Top View 1 Postop Top View 2 Postop Top View 3 Postop Top View 4 Postop Right View 1 Postop Left View 1 Postop Right View 2 Postop Left View 2 Postop Right View 3 Postop Left View 3 Postop Center Donor Postop Right Donor Postop Left Donor Graft Placement Zone - 5 Days Postop Donor Scar Graft Placement - 5 Days Postop
  9. The circle was a reminder to remove a small skin tag that was a cosmetic nuisance for the patient. Thanks for the upbeat comments.
  10. This 39 year old male requested frontal hairline restoration. His exam revealed an isolated frontal hairline recession with excellent hair characteristics elsewhere. An FUE harvest was recommended to accommodate his desire to sport different hairstyles which included short hair. A total of 945 grafts were used to enhance density and shape at the frontal hairline. Presented here are one year postop pics. Immediate graft placement pics, one-day and one-week postop pics and density inspection views of the graft zone are included. Preop Front: Preop Tilted View: Preop Right Preop Left Postop Front 1 Postop Front 2 Postop Front 3 Postop Front Comb-back Postop Left 1 Postop Left 2 Postop Left Comb-back Postop Right Postop Right Close-up Intraop Planned Graft Zone Immediate Intraop Graft Placement One Day Postop Graft Zone One Week Postop Graft Zone Donor Site Day of Surgery Donor Site One Day Postop Donor Site One Week Postop Density Inspection Center Density Inspection Left
  11. This 29 year old patient requested reinforcement of his frontal hairline. A total of 2204 grafts were transplanted using a non-shave, stick-and-place approach. Presented here is his eighteen month postop result.
  12. This 48 year old patient presented eight year earlier hoping to boost density throughout his thinning frontal and midscalp regions. His history was significant for progressive thinning over the previous decade. He began using oral finasteride and experienced decent stabilization, but wanted to strengthen density in the remaining weak zones. A total of 2550 grafts were transplanted throughout the frontal and midscalp zones with distribution being prioritized based on the relative degree of thinning in the various zones. Presented are eight year follow-up photos, including part views, which show the density gains achieved. The value of ongoing finasteride treatment for maintaining density in the preexisting, genetically-susceptible follicle population is implied from the long term density gain that has been realized.
  13. This 42 year old patient had a prior frontal hair restoration using FUE harvesting. He was dissatisfied with his final density and complained of some pit formation in the frontal graft zone. His main donor area showed evidence of moderate density reduction resulting from his initial procedure. His main desire was to boost density in the immediate frontal hairline so that his hair could be styled back. A small preliminary procedure was used to remove several of the deeper pitted grafts in the frontal region. A secondary session of 1580 grafts was performed at a later date using FUE harvesting and graft insertion with a stick and place technique. Graft harvesting was focused more to the side donor areas in order to minimize the risk of over-depleting his previously harvested donor areas. His eleven month postop photos are presented here along with immediate graft placement photos and two week postop photos.
  14. Gasthoerer quotes: "Nape hair might be one solution (at least I think so). That is why I am so interested why Konior promotes the useage of it...," and "...cherry picking with FUE for fine singles doesn't exist." The comment that “cherry picking with FUE for fine singles doesn’t exist” is incorrect and would be something expected from someone who has no actual intraoperative experience using FUE or someone who lacks ownership of high-power magnifying loupes. Variations in hair caliber - which exist throughout the donor region - will be clearly apparent with loupe magnification, the variations more and more apparent with higher powers. Be clear that I do not promote nape hair for every case, but this is a great tool for those patients who will benefit when the need calls. Most patients with average hair, skin and healing characteristics do well with centrally harvested hair. However, it is not uncommon to see an occasional less-than-ideal hairline that results when higher caliber hair - which was not anticipated to be a factor in the predicted end result - demonstrates itself to be a bit less natural and a bit more detectable. In these cases, a secondary finessing procedure can be performed with lower caliber nape hairs. For the occasional patient where stalky hair can be anticipated ahead of time, lower caliber hair from the nape can be preemptively placed at the hairline. Included is a pic which show caliber variations in the nape region and a pic which shows caliber variations between the nape and higher donor area. These variations stand out quite clearly under high power magnification. A final pic shows the glaring contrast in size between upper level donor area follicles and follicles selectively harvested from the nape. I don’t have to point out which is which, and one should be able to appreciate how the finer hair would “soften” a “heavy” hairline. Finally, there is a very short video clip that shows the selective incising of very small caliber nape hairs with FUE. Here I am scanning the entire harvest zone to select the lowest caliber hairs. In summary, cherry picking specific follicles to select for certain characteristics is possible. Short Nape Harvest Video
  15. This patient presented with a request to strengthen a receding frontal hairline. His exam was unremarkable except for isolated frontotemporal recession. A session of 1328 grafts was performed to boost density within the weak recessions. Presented are four year postop views. Included are part views through the graft zones to demonstrate the density that was achieved and immediate postop graft placement views.
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