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Dr. Jean Devroye

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About Dr. Jean Devroye

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  1. Dr. Jean Devroye

    Dr Devroye : anterior area - FUT

    Concerning the scar: unfortunately we do not have any pictures taken at the clinic other than the immediate after surgery. Since the patient lives abroad, I didn't have the opportunity to see him in a post-operative consultation so far. However, I can share with you the pictures the patient posted in a French hair loss forum while sharing his experience. Please find them below. Pre-Op / Immediate Post-Op: +37 days: +69 days: +103 days (haircut 9mm): The asymmetrical hairline design was indeed intentional and agreed with the patient. I translate below his comments on the subject (original comment located on the first page, first post of the following thread: http://www.international-hairlossforum.com/tomish-4575-fut-devroye-2015-t3776.html) : "As you can see in the pictures, Dr. Devroye has drawn my original hairline, asymmetrical and slightly conservative. I told him that it's perfect, because I always had this asymmetry, it's part of me and I didn't want to change it."
  2. PATIENT'S DETAILS ✓ 36 years old. ✓ No medications. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Low % of hair in telogen phase. RECOMMENDED TREATMENT This patient started to lose his eyebrows hair since his childhood as a result of unfortunate family circumstances that provoked very severe stress periods. The loss continued until stabilizing during his adolescence. Unfortunately, by time, the eyebrow hair hasn’t grown back. The patient has therefore found himself in the unpleasant situation visible in the pictures below until 36 years of age, when he gathered the courage to contact me to explain and attempt to correct his difficult situation. We therefore decided to perform an FUE procedure of approximately 500 grafts (taking his scalp hair as donor area) with the aim of rebuilding the eyebrows original shape with a good density. The final grafts count states 510, exclusively single (+/- 250 for each eyebrow). The regrowth of transplanted grafts has been relatively fast and the patient is fully satisfied with the results obtained. In general, the eyebrow transplant uses the same technique as for a classic hair transplant : we graft hair or, when it’s possible, body hair (coming from armpits or the pubis for example). It is mandatory to use exclusively single grafts (containing just one hair) in order to guarantee natural results. The incisions must be made in a very tangential way and the natural hair orientation must be necessarily respected. SURGERY DETAILS ✓ 510 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Grafts Breakdown: ☞ 510 Single FUE grafts ✓ Total number of Hair: 510 ✓ Average Hair/Graft: N/A Dr. Jean Devroye
  3. Dr. Jean Devroye

    Dr Devroye : anterior area - FUT

    Thank you for your appreciation hairlossPA. It will be my pleasure TrixGlendevon.
  4. Dr. Jean Devroye

    Dr Devroye : anterior area - FUT

    TrixGlendevon, thanks for your comment. Yes, I confirm that the patient is on medication, taking Finasteride since the surgery. He was also applying Minoxidil 5%, nevertheless he has stopped the treatment some months after the procedure because he was bothered by the greasy and oily hair texture caused by the lotion. As agreed with the patient, we have performed a FUT ASMAP (As Much As Possible) procedure with the first objective of covering the frontal and midscalp areas with a maximal density so that, even if he will lose his hair in the future, these areas will be permanently stable. Depending on the final numbers of grafts included in the strip, we reserved the possibility to reinforce also the vertex area, which was starting to thin as well (as noticeable in the pre-operative pictures). We finally managed to extract 4575 grafts, therefore we had the opportunity to add coverage to the vertex as well. The patient has been informed prior to the surgery and is perfectly aware that he may need a further procedure in the vertex area in the future, if his hair loss will continue. His family hair loss history shows however very limited cases of baldness. Specifically : his father has lost his temples corners and is slightly thinning on the vertex area; his grandfather (paternal side) lost his vertex; no hair loss problem detected on his maternal side. In general, I consider these as positive indications in regards of the patient's future hair loss. Nevertheless, the patient donor area can still supply several thousand of grafts if a further procedure will be needed - via one or even two additional FUT procedures, plus a FUE complement if necessary.
  5. Dr. Jean Devroye

    Dr Devroye : anterior area - FUT

    In details + 2 years post-op update
  6. Dr. Jean Devroye

    A very nice vertex work again!

    Melvin, JohnCasper, Thank you for the kind comments. Indeed, it is always very challenging to cover the crown with a maximal density. This, for two main reasons: on the one hand, hairs in this zone follow a spiral pattern (unlike in the frontal area, where hairs go towards the same direction) and this consequently reduces the apparent density (that is the effect given by a certain quantity of hair). On the other hand, the surface to be covered is higher than that of the anterior area. As you say, the angle of the incisions and the grafts placement orientation as well play a key role in getting good cosmetic results. On the contrary, I would not mention a poor blood supply as a general reason why results are often subpar when treating this area. It could be true in some cases but, if a patient presents a poor blood supply, this should theoretically affect the whole of his scalp and not merely the vertex area.
  7. PATIENT'S DETAILS ✓ 32 years old. ✓ No medications. RECOMMENDED TREATMENT One of the most frequent questions I get asked from people interested in a beard transplant is : "How my beard donor will look after the procedure? How long will it take to recover?" I recently had the opportunity to closely follow-up one of my patients after his beard transplant. I'm glad to share below his photographic documentation as it can be instructive and clarifying in regards to what one can expect both in terms of donor management and actual results. Since always, the patient was bothered from the lack of beard hair, noticeable especially on his cheeks. We therefore decided to perform a FUE procedure, using his same beard as donor area (particularly the area under the chin and the neck). The patient received 1011 single FUE grafts. As can be seen in the photos below, the beard donor healing process was already advanced just 3 days post-op, while 2 weeks after the surgery the signs of the extractions were no longer visible. Concerning the results, the patient is extremely satisfied since we reached his goals just 5 months after the procedure. Generally, the beard transplant presents a main peculiarity : the beard follicle is always constituted by a single thick hair (rarely two). On the contrary, hair follicles can grow naturally in groups of 2, 3, 4 or even more hair. This is one of the main reasons why I always prefer to use beard hair when performing a beard transplant procedure (when possible) : same hair structure, no need for grafts dissection. In fact, the follicles resulting from a strip (FUT) or a FUE (from the scalp donor) must be subdivided in order to obtain one-hair grafts, because only single hair should be used in order to ensure natural results (with the exception of some double grafts that can be used to increase the density throughout the central areas). The beard present also an advantage compared to the hair: the beard hair density is less strong than the density of the scalp. So, it relatively easy to reach an original density in a single session. SURGERY DETAILS ✓ 1011 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Grafts Breakdown: ☞ 1011 Single FUE grafts ✓ Total number of Hair: 1011 ✓ Average Hair/Graft: N/A Dr. Jean Devroye
  8. Many thanks for your kind words delancey !
  9. Melvin, Spanker, I appreciate your comments, thank you.
  10. Melvin, Pelo Dinero, Dhananjay, Thank you kindly for your comments. The daily usage of Nizoral has indeed helped to improve the dandruff condition the patient was suffering from, but it doesn't have any effect on hair loss. The flakes and scabs visible on the 9 months PO FUT II pictures are actually the consequence of the severe dandruff I was mentioning on the post. The patient started using Nizoral after that and, as you can see in the 2 years PO FUT II pictures, the usage of the shampoo has almost completely solved the issue. The patient already had a tendency to develop big dandruff flakes, as can be seen in the first pre-op pictures. That's the reason why I have recommended the usage of this specific shampoo. Unfortunately, we are talking about a recurring illness.
  11. In October 2015 the patient underwent a second FUT surgery with a view to covering the vertex area. He received 2720 grafts which, added to the first 3708, make a total of 6428 grafts transplanted in two sessions. Please note that the patient started a Minoxidil 5% treatment since the first surgery. Just before undergoing the second surgery, he had also started taking Finasteride - nevertheless he had to stop the treatment after less than one year because of side effects (symptoms of depression). The patient also experienced a quite severe dandruff which obliged him to wash his hair everyday : the usage of Nizoral shampoo has considerably helped to improve the situation. SURGERIES DETAILS: 6428 FUT (3708 + 2720) 1st Surgery - July 2014 ✓ 3708 grafts ✓ Technique: FUT ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 724 Single FUT grafts ☞ 2200 Double FUT grafts ☞ 667 Triple FUT grafts ☞ 117 Quadruple FUT grafts ✓ Total number of Hair: 7593 ✓ Average Hair/Graft: 2.05 2nd Surgery - October 2015 ✓ 2720 grafts ✓ Technique: FUT ✓ Incisions: 35-40/cm2 ✓ Grafts Breakdown: ☞ 573 Single FUT grafts ☞ 1712 Double FUT grafts ☞ 435 Triple FUT grafts ✓ Total number of Hair: 5302 ✓ Average Hair/Graft: 1.95 Dr. Jean Devroye
  12. Thanks for your comment Melvin, greatly appreciated.
  13. PATIENT'S DETAILS ✓ 37 years old, NW IV, losing hair since the age of 20, with a hair loss history in his family (father and brother, same condition). ✓ Taking Finasteride 1mg/day since the surgery. ✓ Thin/Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT This 37-year-old gentleman came to visit me in order to find a solution for his hair loss, that was affecting him since the age of 20. He wished to restore a large part of the thinning areas and wanted to be able to wear his donor hair short after the procedure : for these reasons, we agreed to perform a 3600-3800 FUE surgery in 2 consecutive days. In July '17, the patient eventually received 3723 grafts in order to rebuild his hairline, cover the frontal area and fill the midscalp. Just after the surgery, he has also started a Finasteride treatment in order to maintain his native hair and increase its quality. We present below some pictures showing his results 6 and 10 months after the procedure. The patient is currently considering a second surgerywith the aim of adding density to the vertex area. We'll keep you updated as usual in case he will proceed with it. SURGERY DETAILS ✓ 3723 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 1055 Single FUE grafts ☞ 1273 Double FUE grafts ☞ 1385 Triple FUE grafts ☞ 10 Quadruple FUE grafts ✓ Total number of Hair: 7796 ✓ Average Hair/Graft: 2.09 Dr. Jean Devroye
  14. PATIENT'S DETAILS ✓ 27 years old, NW IV, losing hair since the age of 21, with a hair loss history in his family (brother, same condition). ✓ Had taken Minoxidil 5% during 2 years when he was 23, then stopped because of side effects (palpitations). Has started again the treatment approximately 1 month before undergoing the surgery. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT Despite the quite advanced and aggressive hair loss the patient suffered (NW IV stage, heading to NW VI), he presented a very rich donor area that made him a suitable candidate both for FUT or FUE procedure. Given that the patient didn't like the idea to get a permanent linear scar in his donor zone, we decided to perform an FUE procedure. In September '17, 3444 FUE grafts were harvested and implanted during two consecutive days in order to rebuild his hairline and cover the frontal and midscalp areas. The patient submitted then the pictures we display below, showing his progress two weeks, three, four, six and eight months after the surgery. He is very satisfied about the outcome and we hope to have the opportunity to welcome him at the clinic in the next coming months to update this thread with his final results. SURGERY DETAILS ✓ 3444 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 35-40/cm2 ✓ Grafts Breakdown: ☞ 856 Single FUE grafts ☞ 1646 Double FUE grafts ☞ 927 Triple FUE grafts ☞ 15 Quadruple FUE grafts ✓ Total number of Hair: 6989 ✓ Average Hair/Graft: 2.03 Dr. Jean Devroye
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