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Dr. Jean Devroye

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Dr. Jean Devroye last won the day on August 7

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About Dr. Jean Devroye

  • Rank
    Senior Member

Basic Information

  • Gender
    Male

Hair Transplant Clinic Information

  • Hair Transplant Surgeon
    Dr. Jean Devroye
  • Hair Transplant Network Recommendation Profile
  • Hair Transplant Clinic Name
    Dr. Jean Devroye
  • Primary Clinic Address
    HTS - Clinic , 36 Avenue de Tervueren
  • Country
    Belgium
  • State
    AL
  • City
    Brussels
  • Zip Code
    1040
  • Phone Number
    0032 2 880 70 60
  • Fax Number
    0032 2 880 70 61
  • Website
    https://www.hair-transplant-surgery.com/en/home
  • Email Address
    info@drdevroye.com
  • Provides
    Follicular Unit Hair Transplantation (FUT)
    Follicular Unit Extraction (FUE)
    Eyebrow Transplantation
    Body Hair Transplantation (BHT)
    Prescriptions for Propecia
    Free In-depth Consults

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  1. PATIENT'S DETAILS ✓ 28 years old, NW III, losing hair since the age of 25, no hair loss history in his family. ✓ No medications. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Average % of hair in telogen phase. RECOMMENDED TREATMENT This 27-year-old patient presented a moderate hair loss and wanted to address his receding temples and hairline. Although his family showed no hair loss history, I suggested him to reinforce his forelock and the whole anterior zone as well, so that this area will be stable even if he will continue to lose hair in the future (he wasn't willing to take any medications to prevent further hair loss). In June 2015, an FUE consisting of 2671 grafts was performed. The patient recently came back to the clinic for a check-up and we had the opportunity to take the pictures and videos below, three years and three months after the procedure. SURGERY DETAILS ✓ 2671 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: ☞ 444 Single FUE grafts ☞ 863 Double FUE grafts ☞ 1105 Triple FUE grafts ☞ 259 Quadruple FUE grafts ✓ Total number of Hair: 6521 ✓ Average Hair/Graft: 2.44 Dr. Jean Devroye
  2. Dear forum members, I think that this discussion can be resumed in an evident miscommunication at the time of the preoperative consultation. The reason why we didn't implant any grafts in the very first hairline is included in the patient's first post and we did so following (what we thought to be) his wishes and expectations : "I basically tried to explaining how I liked the initial appearance and placement of my hairline area (created by my first HT doctor), and that I wanted to add density behind it." Now, this is exactly what has been done in this case : reinforcing the density of the thinning areas behind the hairline, with a major focus on the midscalp and vertex, the areas not grafted during the patient’s first surgery. Regarding the number of grafts harvested : I do not think that 2583 grafts can be considered a megasession – on the contrary, in this specific case, I find this number perfectly appropriate to achieve a homogeneous density on the thinning areas, which represented a quite important surface. Based on the pictures posted, I honestly don't see any issue related with donor overharvesting or visible FUE extraction signs. Someone can argue that the overall donor density has diminished, but this phenomenon is intrinsic to FUE. Also the FUT scar seems fairly covered by the grafts we implanted in it – not to be misunderstood with the indented nature that a number of FUT scars have. This cannot be corrected. It is important to underline that the donor area had been physically inspected and the areas of the scalp to be implanted were marked (these areas didn't include the hairline) prior to the procedure, as for every procedure in my clinic. I want also to point out that the patient has benefitted from a one-week follow-up at the clinic (unlike "standard" patients, who normally benefit from a post-operative check-up in the morning following their surgery, before their departure), since he didn't leave Belgium until the week after the procedure was performed. He came to the clinic several times and if in just one occasion he had told me directly and clearly that he was not happy about the procedure, there would have been absolutely no problem to perform a small touch-up in order to match his expectations. However, nothing was mentioned and the patient left Belgium apparently happy – until three weeks after the procedure, when he started to complain about his hairline – all the rest came subsequently. On a side note, I want to clarify that I always stand by my patients and take their follow-up very seriously, in fact I send a post-operative email to all of them at certain times after their procedure to receive some news. In this patient's case, these emails were not sent since he contacted us on his own initiative just before the time due to send them. I am truly regretful that the patient isn't satisfied about his outcome and the general proceedings of the surgery, even though I have the feeling that he is upset rather with himself for not having been able to clearly explain his goals and expectations at the due time. However, I invite the patient to contact my secretariat to fix a date for a free touch-up procedure, at his best convenience. Jean Devroye
  3. As anticipated in the previous post, the patient came back in April to undergo his second surgery with the aim of covering the vertex and reinforce the density on the adjacent areas. The procedure consisted in a Combo FUT + FUE, during two consecutive days, thanks to which we have been able to harvest a total of 3602 grafts (2550 FUT + 1052 FUE). The patient has recently reached his 6th post-operative month and has sent in a set of pictures showing his current results. He is enthusiastic about the regrowth rate and the cosmetic improvements achieved so far. On a side note, it is interesting to notice how the lighting conditions can significantly alter the perception of density (cf. the last two pictures at 6 months post-op, taken with flash, with the previous ones, taken under natural light). SURGERY DETAILS ✓ 3602 grafts ✓ Technique: Combo FUT (2550 FUs) + FUE (1052 FUs) ✓ 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: ☞ 369 Single FUT + 472 Single FUE = 841 Single grafts ☞ 1633 Double FUT + 445 Double FUE grafts = 2078 Double grafts ☞ 548 Triple FUT + 130 Triple FUE grafts = 678 Triple grafts ☞ 0 Quad. FUT + 5 Quad. FUE grafts = 5 Quadruple grafts ✓ Total number of Hair: 5279 (FUT) + 1772 (FUE) = 7051 ✓ Average Hair/Graft: 2.07 (FUT) + 1.68 (FUE) = 1.87 Dr. Jean Devroye
  4. 12 months post-op / Photographic and video update
  5. Dr. Jean Devroye

    A very nice vertex work again!

    Thank you all for your kind comments, I really appreciate.
  6. Thank you wazaam and TrixGlendevon for your comment and questions. The punch used was an external 0.9. We can notice how small the holes are and how fast the healing process has been. There should probably remain between 1000 and 2000 grafts according to if I extract in the most lateral areas or not. And if I use beard, this number can increase from 500 to 1000 additional grafts. As far as the distribution of the 4600 grafts is concerned, the vertex must, in total, have been transplanted about 2000 grafts and the rest was added in the front and on the midscalp for the second procedure.
  7. Thank you Sean for your comment. Really appreciate!
  8. I don't have any experience with a SMP treatment on an inflamed area and I wouldn't like to risk a try, but this has probably been tested by others. However, the use of Toppik or any other keratin-containing product is not an issue given the neutral character of the product (which moreover remains external).
  9. Melvin, thanks for your kind words. It is not easy to answer precisely to your question. As you can see, the vertex area was implanted with a slightly less strong density than the midscalp. The two lateral areas you have mentioned probably represent 300-350 grafts per side.
  10. Thanks for your appreciation. To be honest, I do not see an important difference between the two sides of the scar. In any case, that was not intentional and the patient didn't present any laxity issue. Concerning the scar pictures : unfortunately we didn't receive any until now, but my secretariat has contacted the patient and we will provide you with some pictures as soon as they'll be available.
  11. I've never prescribed this specific medicament to my patients so I would tend to not give a definitive answer about it. However, I consider that in general it is always preferable to perform surgery on a less inflamed area - even if the patient is on medical treatment.
  12. This is a very interesting question and I congratulate for your keen sense of observation. That boundary zone can be treated in accordance with two philosophies : the first is the "prudent", the most orthodox, taught everywhere and which consists in leaving one or two centimetres not exploited between the donor and recipient areas. There are two main reasons to act in this way : to not use hair potentially unstable and, furthermore, to not create scars in a zone potentially balding. This modus operandi presents however a big inconvenient, mostly when performing a second (or further) FUE : in fact, it creates a no man's land between the donor and recipient areas having an original density - which is often ungraceful, especially when the patient wears his hair very short - that resembles a halo all around the skull, often called fringe. The second philosophy, which I tend to apply when the patient wears his hair very short and/or it is about a second (or further) surgery, consists in ending the extraction in a progressive way, approaching the recipient area as much as possible. Obviously, it is difficult to be certain about the boundaries between the donor and recipient areas. However, at worst, we will have transferred a limited amount of unstable grafts. In this specific case, we were practically obliged because of the patient's safe donor limitations (more than 5000 FUE grafts already extracted). I never had the need to treat a scarring issue in that area but, if it happened, it would be simple to solve by transplanting some hairs taken from the lower area. Thank you for your comments, much appreciated. Medrol was prescribed to this patient.
  13. PATIENT'S DETAILS ✓ 27 years old at the time of the first surgery (Test 2015) ✓ In 2012, he had a previous procedure done in another clinic, 2300 FUE grafts. ✓ Treatments : to be confirmed. ✓ Medium caliber hair. ✓ Fragile follicular units. ✓ Normal % of hair in telogen phase. RECOMMENDED TREATMENT This patient presented for the first time to my office in October 2013, one year and a half after undergoing a 2300 FUE grafts procedure in another clinic. This previous procedure ended up with poor results and, worse still, two weeks after the surgery the patient started to develop a severe shedding due to psoriasis and dermatitis. This condition (never experienced before) affected him to a great extent both physically and emotionally, so much so that he didn't dare to go out without wearing a cap anymore. During this first consultation, I suggested him to start a treatment based on Nizoral and corticosteroids in order to mitigate the shedding. In March 2014, the patient showed important improvements in regards to the skin diseases. However, I suggested him to wait further before performing a hair transplant procedure, since the dermatitis was still present at that time. In February 2015, the patient informed that the symptoms were reduced, nevertheless still evident. Despite that, we agreed upon performing a small test (+/- 100 FUE grafts) in order to check the regrowth rate and if the psoriasis/dermatitis would develop again after the transplant (hence to verify the viability of a more important procedure). In July 2015, the test was performed - 78 FUE grafts implanted in the vertex area. The test proved to be successful. Nevertheless, I suggested him to wait again for a complete healing before performing an important procedure: analysing his evolution, the symptoms were likely to develop quite rapidly and unforeseeably. In December 2015, the patient announced that his skin lesions had completely disappeared. So, in February 2016, we were finally able to perform a first procedure to restore his hairline, frontal area and a part of the midscalp - using 2903 FUE grafts. I also suggested him to continue to wear his hair very short after the procedure, since I found that UV rays had a positive impact on the skin disease. The patient was extremely pleased with the results obtained and decided then to perform a second surgery in order to restore the vertex area. In August 2017, we managed to transplant 1437 FUE grafts (because of his limited donor resources). The last pictures sent by the patient show the current situation, nine months after the second surgery. The regrowth appears satisfying, the density acceptable : if he wish to further strengthen it, we could consider a BHT complement in the future. SURGERIES DETAILS 1st Surgery (TEST) - July 2015 ✓ 78 grafts ✓ Technique: FUE ✓ Incisions: N/A ✓ Grafts Breakdown: N/A ✓ Total number of Hair: N/A ✓ Average Hair/Graft: N/A 2nd Surgery (FUE I) - February 2016 ✓ 2903 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: ☞ 1042 Single FUE grafts ☞ 1698 Double FUE grafts ☞ 159 Triple FUE grafts ☞ 4 Quadruple FUE grafts ✓ Total number of Hair: 4931 ✓ Average Hair/Graft: 1.70 3rd Surgery (FUE II) - August 2017 ✓ 1437 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system. ✓ Incisions: 25-30/cm2 ✓ Grafts Breakdown: ☞ 147 Single FUE grafts ☞ 936 Double FUE grafts ☞ 339 Triple FUE grafts ☞ 15 Quadruple FUE grafts ✓ Total number of Hair: 3096 ✓ Average Hair/Graft: 2.15 Dr. Jean Devroye
  14. PATIENT'S DETAILS ✓ 31 years old, NW IVa, losing hair since the age of 24. Hair loss stabilized since two years. No available data about his family hair loss history. ✓ Started taking Finasteride 1mg after the surgery. Treatment currently suspended. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT This 31-year-old patient presented with a NW IVa hair loss degree: an almost completely bald anterior area, a thinning mid-scalp and obvious signals of loss in the vertex area. We agreed upon performing an FUT procedure of approximately 3500 grafts in order to rebuild his hairline and cover his frontal and midscalp areas - leaving the vertex untouched for a potential, second procedure. The proposed hairline, slightly conservative and drawn following the patient's original one, will guarantee a suitable look also in the long-term. In January 2018, the patient eventually received 3757 FUT grafts. The 3rd and 5th post-op month pictures show an early regrowth and already remarkable improvements. During the next 7 moths we expect the results to further improve, especially regarding the hair density and texture. As usual, we'll not hesitate to update this case as soon as new photographic material will be available. SURGERY DETAILS ✓ 3757 grafts ✓ Technique: FUT ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 519 Single FUT grafts ☞ 2573 Double FUT grafts ☞ 644 Triple FUT grafts ☞ 21 Quadruple FUT grafts ✓ Total number of Hair: 7681 ✓ Average Hair/Graft: 2.04 Dr. Jean Devroye
  15. 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."
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