Dr. Raymond Konior
Elite Coalition Physician
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Everything posted by Dr. Raymond Konior
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This is a 41 year old patient who requested enhancement of his receding frontal hairline. He underwent a session of 1880 grafts harvested using follicular unit extraction. Presented here are 15 month postoperative photos. Also shown are pics representative of graft placement and donor site healing.
- 9 replies
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- chicago fue
- chicago hair institute
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SADbutTrue - I've added a couple of immediate postop graft placement pics as requested. Thanks to all for your comments.
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This 55 year old male presented with a request to solidify his recessed hairline, enhance midscalp density, and soften the balding appearance in the crown region. He was not able to shave his scalp for the restoration procedure. A total of 3194 grafts were used with a stick-and-place insertion technique. Density transitions were prioritized in a front-to-back fashion so as to maximize his frontal appearance. Presented are one-year postop photos.
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This patient first presented at the age of 62 with a request for hairline restoration and coverage throughout the rest of his balding scalp. His restoration consisted of 4681 grafts which created a new frontal hairline and distributed a thinner but natural coverage over his midscalp and crown. He returned to the office almost 5 years later for a follow-up exam. He is now almost 67 years of age and here are photos from his most recent visit.
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This is a 60 year old male who requested frontal density enhancement and a better defined hairline. He underwent a 3100 graft frontal hairline restoration using a stick-and-place method for graft insertion into the recipient site. Presented here are 14 month postoperative pictures along with immediate graft placement views.
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This is a 7 year follow-up report on my patient who recently visited the office for a scalp exam and to discuss his overall hair progress. His original frontal restoration consisted of 2953 grafts (see beginning of thread). Patients often ask about the longevity of hair restoration and the role of finasteride as a complement to the restoration process. The patient has been compliant with the use of finasteride over the years and this appears to have held much of his miniaturization in check. This was confirmed with high power loupe examination of his donor zone, graft zone and the surrounding scalp. Several part views along the hairline are presented here which demonstrate good preservation of density in the graft zone and surrounding areas.
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This is a 52 year old male who first presented to my office 6 years earlier with a prior history of frontal restoration using minigrafts. He described the result as being “pluggy” and requested density enhancement and camouflage of his unnatural appearance. He underwent a single session of 3397 grafts using a staged strip harvest to assure maximum graft viability. Grafts were distributed throughout the frontal and midscalp regions. He recently visited my office to show off his 6 year postop result which is presented here.
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HTsoon and mosd: It is incorrect to assume that one can emphatically quantitate a potential graft load without defining the state of the donor site microanatomy and the specific microdissection goals for the restoration at hand. One has to have a clear understanding of the terms “Graft”, “Hair” and “Follicular-Unit” in order to get a grasp on the question, “How many grafts are left?” FUE offers the surgeon opportunity to look at a multi-hair follicular-unit as an entity with the potential to produce various graft/hair combinations. Look at the case of a four-hair follicular-unit. With strip harvesting and precise microscopic dissection a single four-hair follicular-unit can potentially result in the following five graft combinations: 1 four-hair graft 1 three-hair graft + 1 one-hair graft 1 two-hair graft + 2 one-hair grafts 2 two-hair grafts 4 one-hair grafts Using FUE as the harvest option, the surgeon – with the assistance of high power magnification – can theoretically visualize a single four-hair follicular-unit with these same potential graft combinations. I refer to these as “potential” combinations because the complex variables associated with microdissecting a single follicular-unit using FUE may not allow all combinations to be created. However, the safe splitting a follicular-unit into a graft that is essentially a “sub-follicular-unit” is possible when appropriate surface microanatomy is present. The point here is that removing a single hair from a multi-hair follicular-unit will generate a one-hair graft and leave what will appear upon final healing as a three-hair follicular-unit. In this example - as was the situation with my patient who required a significant load of single-hair grafts for temporal point restoration and hairline refinement - there are many more potential grafts available for the future. Thus, suggesting that too many grafts were removed is flawed as many were left behind using this microdissection strategy, which is why the donor pics show good residual coverage. All patients have both short term and long term plans discussed prior to and on the day of surgery. The discussion above summarizes why the short term goals for aggressive hairline and temporal point restoration in this patient were balanced with any possible long term need for additional restoration.
- 19 replies
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- chicago fue
- chicago hair institute
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This 36 year old male requested frontal hairline and temporal point restoration. A staged restoration was performed to accommodate his desire for well-defined temporal points and a high density frontal hairline.The first stage consisted of an FUE harvest in which a total of 2815 grafts were used to establish a new hairline and to reinforce his temporal points. A second stage was performed 8 months later at which time FUE harvesting was utilized to obtain 1379 grafts for additional density enhancement within the previously grafted areas. A total of 4194 grafts were used for the entire restoration. Postop photos show his final 8 month result. Also included are pics from his first stage and part views in the hairline which reveal the density match that was obtained between the grafted area and the adjacent scalp.
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This is a 72 year old patient who requested frontal hairline restoration. He is a very active professional writer and public speaker who hoped a hairline restoration could enhance his image in print media and during speaking engagements. He underwent a single session of 2536 grafts using a stick and place insertion technique into a buzz-cut recipient site. Presented here are 13 month postop photos.
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This young man requested density enhancement throughout his thinning frontal hairline. His exam revealed intermediate to advanced miniaturization throughout the frontal region with the greatest volume loss in the frontotemporal recessions. He underwent a 2350 graft frontal restoration. Presented are 9 month postop photos.
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This is a long term follow up on a 74 year old patient who first presented 16 years ago at the age of 58 with a request for frontal hairline restoration. He underwent a 1200 graft session at that time and was content with his density until 8 years later when he presented once again at the age of 66 requesting a further boost of his hairline density. Another 1200 graft session was performed and here is presented a 16 year follow up to his first office visit. He continues to maintain a very active lifestyle and hopes to keep a strong hairline.
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This 33 year old patient requested a high density restoration for his receding frontal hairline. He underwent a dense-pack hairline restoration using 2926 grafts.Presented here are 9 month postoperative photos.Included are immediate postop graft placement photos and views with the hair being parted to demonstrate his graft zone density compared to the preexisting density in the midscalp region.
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This is a 52 year old patient who requested frontal hairline restoration. He underwent a session of 2077 grafts. Presented are 11 month postop photos.
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This is a 31 year old patient who requested frontal hairline density enhancement. He underwent a single session of 2371 grafts.Presented are 2 ? year postop pictures.
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This 35 year old patient underwent a 2049 graft hairline restoration. Grafts were harvested using FUE.Presented are 18 month postoperative photos which include part views to demonstrate his density gain.
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This is a 47 year old patient who requested reinforcement of his receding frontal hairline and enhancement of density in his thinning midscalp and crown regions. He had a history of one previous session 12 years before presentation to my office. His examination revealed intermediate to advanced miniaturization throughout the regions of concern. A total of 2,248 grafts were transplanted using a non-shave, stick-and-place method. The graft distribution consisted of 1,107 grafts for creating a new frontal hairline and 1,141 grafts to strengthen the weak midscalp and crown regions. Presented here are 9 month postop photos which include parted hair views to better appreciate his density gain in the thinning central scalp.
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harryforreal - The patient does not have wet hair. He presented to the office with a hair mousse product that produced the spiky look he apparently favors. The patient did provide a history of what he described as a low yield transplant several years earlier.
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This 38 year old male requested hair transplantation. His primary objective was to define the frontal hairline and create a more balanced density match with the surrounding areas. A total of 1600 grafts were harvested using FUE (follicular unit extraction) and planted using a stick-and-place technique. The patient presented to the office for his follow-up exam with his hair styled using a mousse product to produce the spiked look he seems to favor. Presented here are 14 month postop results.
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This is a 42 year old male who underwent frontal hairline restoration using 4,301 grafts. Graft placement extended from the frontal hairline into the midscalp. Presented are 14 month postop photos. Also presented is a 2 month post op photo which shows a normal looking scalp and what would be considered a normal progress report, i.e. no apparent growth at this time.
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Presented is a one year postoperative result of a 2800 graft frontal hairline restoration.
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This 41 year old patient received 3108 grafts for his frontal hairline restoration. Presented here are 11 month postoperative photos. Postop comb-back pics provide a detailed look at his hairline. Also included is his immediate postop graft placement.
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This female patient presented at the age of 61 with a long history of progressive thinning throughout her hairline and the top of the scalp. She was diagnosed with thyroid deficiency years earlier and was taking thyroid replacement medication for maintenance. She complained of difficulty finding a suitable hair style which would hide her hair loss because the thinning had progressed to such a significant extent. Cosmetic concealers, which once helped camouflage the thinning, were no longer effective because of the loss. The patient underwent a restoration consisting of 2049 grafts. The restoration was staged into two small sessions separated by one year to help minimize the risk of shock loss in what was determined to be a high risk recipient site. Graft allotments were evenly divided for each session. Graft placement was strategically designed to maximize the aesthetic outcome by focusing distribution into the visually vulnerable central part and hairline regions. Presented are one year postoperative photos which demonstrate the density enhancement along the central part line.
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This 40 patient underwent staged restoration of his thinning frontal and crown regions. He first received 2100 grafts for his frontal hairline restoration. He returned 3 years later for a 2000 graft crown restoration. Presented here are 3 year postop photos from the frontal restoration. Also shown is an immediate postop taken on the same day following his crown procedure.
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This is a 40 year old patient who had an unsuccessful hair transplant in his early 20’s. He was disappointed by his density gains from that session. He underwent a 1200 graft procedure with me at the age of 25 to reestablish density along his frontal hairline. He continued to slowly lose density in the midscalp region over the next 10 years and underwent another session of approximately 1600 grafts to further enhance that lost density. Presented are photographs 14 years following his initial procedure with me.
