Dr. Bernardino Arocha

ZZ_toth,

This patient is an expert with style and styling hair. We just love the fire in our patients eyes, as they feel so much better after the hair recovery. That increase confidence and wellbeing is invigorating!

Pete-from-Fargo,

Thanks for your kind words.

Irishsailor,

That is a lot of service to your country!I am sure you are highly regarded in your home town. It is great to see people that are willing to sacrifice for their country.Thanks for your kind kudos!! Let me know if your travels bring you to Texas!

Thank you fortune11, irishsailor, David-Moderator, Pete-from-Farjo, PupDaddy, DancesWithHair, and Squatch for taking the time to view and comment. We appreciate your kind words!

fortune11

He is in his mid-twenties and yes as with all our patients we recommend medical therapy.

irishsailor

Are you back to civilian life? Hope all is great with you!

David-Moderator

Thanks for all you do!

Pete-From-Fargo

Are you or Mick going to Chicago?

PupDaddy

Good observation. It is always a challenge to soften the look of coarser caliber hair, but we love the volume that comes from painting with it!

DancesWithHair

Thanks for the kudos again.

Squatch

Thanks again.

Have a superlative weekend all!:cool:

Thanks johnboy71,win200, and JohnCasper! We appreciate your kind words and effort involved in viewing and commenting.

johnboy71,

The dry photos do not reflect the whole picture. The thinning is in a NW3 distribution, for which 2000 FU is not a large number.

win200,

Thanks,that is correct donor area is not detectable of scarring on close examination because the manual. .8 mm extractions leaves scars so small you cannot see them!

JohnCasper,

Thank you for your kind words! Best regards to my friend Dr. V.

To the whole HTN community: Happy July 4th!

Dr Cooley,

Congratulations to you and the patient on achieving such a natural and significant improvement over such a large area for the number of grafts available. I have definitely noticed significant benefit from PRP/Acell use in both male and female pattern hair loss patients as a sole therapy in my practice. Happy July 4th!

johnboy71 and win200: thanks for your kind words. I am sure that the patient and of course we appreciate you taking the time to view and post on our results.

To the entire HTN community Happy July 4th weekend!

voxman , and paddyirishman:

Thanks for taking the time to view our results and commenting. We appreciate your kudos!

Thanks scooter,

This is an example of our .8mm manual motorized FUE. For truly not visible scaring. It also heals very fast.

Dr. Bernstein,

Congratulations to you and the Team for such a natural looking result with a small number of grafts. Hair/complexion low contrast is of prime benefit in small cases! Thanks for posting!

This gentleman came into Arocha Hair Restoration to restore his hairline and frontal region. Dr. Arocha performed a FUT procedure of 3005 FU's. The AFTER photos are taken 1 year after surgery.

Hi Lookatthehairman,

We have had very good results on African American patients with both FUE and FUT procedures. I would encourage you to visit our Google + Page to see more results for African-American patients. Please select the link below https://plus.google.com/u/0/b/113471281672648815982/+ArochaHairRestorationHouston/posts

Feel free to contact me at 713-526-4247 if you have any questions about our procedures.

Hello fellow members of the hair restoration community! Thank you so much for taking the time to comment on our post! As you can see, hair restoration does work on African-American hair. We have had some great outcomes on African-American hair and will be bringing more patient photos in the future! Stay tuned!

Below you will find a picture of this patients donor site. Free feel to contact me with any questions about our FUT or FUE procedures.

Hair2there,

Yes he is! The fire in his eyes, says it all!! What's more he really appreciates the work.

Hair2there,

Thanks for your kind words!

Hello Harin,

Arocha Hair Restoration is a full service, 100% hair restoration only practice. We perform all kinds of alternative aesthetic hair restoration including eyebrows, eyelashes, and of course facial hair! Thanks for your interest.

Thanks Irishsailor!

We have always appreciated your taking the time to view and post on our patients. Hope all is going great for you.

Thanks Questionmark, BUSA, HairStudmuffin, and scooter for taking the time to view and comment! Questionmark is correct in stating that similar lighting, background, hair style, wet, dry, etc… should be present in the before as the after results. However, this is really rarely possible. We have no control in whether a patient cuts, dyes, or exposes his hair to sunshine and develops summer highlights.

With regards the video edited by Charela in my office,True Density in One Pass, she included the wet hair examination because this patient had diffuse thinning. The visible threshold for detection of hair thinning is about 50% lost of the hair mass. This patient had no hair in the crown but the mid-scalp and frontal areas were characterized by diffuse thinning. To wet the hair is part of the physical exam in evaluating hair loss. Sorry that it was not labeled wet, she thought that it was so obvious.

Gram,

Thanks for viewing and commenting! It sure is one week after a 3500 FUE procedure. Hair transplanted into scar usually grows well, but requires special approach. One also needs to monitor vascular supply to the scar tissue carefully. This was a scalp donor case, and the scar require a few hundred FUs. Have an excellent weekend!

Thanks BUSA and Pete-from-Farjo. Have a great weekend everyone!

Hello Gentlemen,

Thanks to Scooter, BUSA, Pete-from-Farjo and Questionmark for taking the time to view and post. This gentleman is very pleased with his hairline and temples. The size of the canvas(hair loss area) was large, exacerbated by marked recession of the temples. To lower the hairline further would have been irresponsible. The final result would be the build out of an excessively lower hairline or penthouse without the supporting infra-structure to hold it up.He is planning to increase his density by coming back to our office for a second procedure, at that time we will revisit whether we can lower the frontal-temporal area or focus on density and extending coverage backwards. Keep in mind that he is 50, not 20. Thank you all and a very happy and prosperous New Year 2015 to all.

Gentlemen,

This is a good conversation, but the focus on the number of follicles transplanted is misplaced and one-dimensional. That’s understandable, since you don’t have necessary context on which to form your opinions. All of the following has previously been communicated to the patient, and prior to the procedure we carefully explained that the limited availability of donor follicles would require us to prioritize how we approached the transplant.

There are several contributing factors in this case:

1. The canvas is large. The larger the head size the more grafts needed for coverage and density.

2. Hair loss is chronic and progressive. A regimen of treatment with proven medication was recommended and it was not followed. Therefore, the hair on the area transplanted shown in the before photos has probably been lost or further thinned, diminishing the overall results of the transplant.

3. The brush is small. The smaller caliber of the transplanted hair renders a thinner wash effect. This may thicken over the next year, as studies have shown that there can be further maturation of the hair shaft from 1-2 years post-op.

4. The patient has low density follicular units. The average density of the follicular units ranges between 2.1 and 2.5. The patient’s came in at 1.96 hairs/FU.

5. Another factor contributing to low density with this patient was the low number of hairs per FU. Most Caucasians have two and three hairs per FU, the patient had mostly one and two hairs per FU;

6. In consideration of the preceding, I elected to use 500 DFU in the frontal core area and behind the hairline, the remaining single follicular units were transplanted into the hairline and frontal areas. This had the greatest positive impact on the look of the hairline.

As I said, I think this is a valuable discussion, because managing patient expectations is a big part of hair restoration. Some are focused on the number of follicles transplanted – and for good reason, since that’s the way the costs of procedures are typically calculated – but the strategy for how and where those follicles are placed can be more important. And, of course, if you don’t follow your doctor’s recommendations for medical treatment, you jeopardize achieving the maximal result or improvement.

As I assured the patient, I will assure the rest of the community here: we transplanted the promised number of follicles. The total number was 2915 FU, however, 250 DFUs were placed in central forelock, 125 DFUs were placed behind the left and right hairlines. That is a total of 500 DFU employed to decrease see-through effect when viewing the hairline from front and sides.

Hair loss is a formidable foe. It is progressive and unrelenting. It has no scruples or conscience. It is also cruel in the sense that patients with the most hair loss have the least donor follicles. Our focus is entirely on hair restoration surgery, we strive to produce the best possible outcome for all our patients. Remember that the outcome of this procedure is entirely dependent on many factors including hair characteristics, genetic pattern inherited, compliance with medical regimen and of course, and the skill of the surgical team (doctor and surgical assistants). Most of these factors are individual dependent , that is they are unique to the patient. It is not possible to generalize 3000 FU procedure results since these factors can and do vary. A 2500 FU transplant with fine hair will not produce as full a result as a 2500 FU with coarser hair (please see the hair characteristics slideshare presentation.) Most results can be improved by a second session to work between the frame-work of the prior transplant.

BUSA,

The number of grafts is only one variable. The size of the area is also very important. 4000 FU in a smaller area might yield nice density, but in a larger head (like here)not as much. His hair was also clumping together, it looks fuller when combed through. Thanks for viewing and asking questions.

We are happy to report that our web site is back up; http://www.arochahairrestoration.com

Thank you!

Thanks KO, David-TakingThePlunge, justanotherguy, Number47, and Irishsailor we appreciate you taking the time to view and post. This is a very interesting case where a combination of lower level laser therapy and 3500 FUT procedure gave the patient a very nice result. Without the laser benefit, or relying on transplantation alone would have required 6,000 to 8000 FU. He may still need a second session but it will be much smaller. Those post-op jpegs are post TP and show the placement of the graphs and of course the hair is always wet, since we wash all our patients hair after surgery.

Hello friends and fellow members of the HTN community,

Here is a video featuring results from Dr. Arocha of Artistic Hair Restoration of the hairline. We sincerely hope that you enjoy it as much as we enjoy producing it!

Best regards,

Bernard Arocha