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Dr. Jean Devroye

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Everything posted by Dr. Jean Devroye

  1. PATIENT'S DETAILS ✓ 37 years old, losing hair since the age of 18 (peak at the age of 26). ✓ Had undergone a FUT procedure elsewhere in the past. ✓ No medications. ✓ Thick caliber hair. ✓ Normal follicular units. ✓ Low % of hair in telogen phase. RECOMMENDED TREATMENT This 37-year-old gentleman came to my office to find a solution for his situation. He had undergone a previous FUT procedure elsewhere, that resulted in an extremely sparse, pluggy and unnatural result, as can be noticed in the pre-operative photos. Since he wished to cover all the thinning areas - other than correct his hairline and anterior section as a priority – in this case I felt that a combo FUT + FUE was the best way to proceed in order to maximize his donor resources. In fact, thanks to the combination of the two techniques, I would have been able to correct the existing FUT scar - by including it in the new strip - and enhance the amount of available grafts via the complementary FUE. The patient has undergone the surgery in June 2019, when he received 4510 grafts during two consecutive days. The patient recently came back for a check-up consultation and is enthusiastic about the results achieved so far (9 months after the surgery). His hairline is now very natural and the other areas show a remarkable increase in density. During the upcoming months we expect the results to further improve, especially regarding hair density and texture, as the hair matures. As usual, we'll not hesitate to update this thread as soon as new material will be available. SURGERY DETAILS ✓4510 grafts ✓ Technique: Combo FUT (3510 FUs) + FUE (1000 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. ✓ Grafts Breakdown: ☞ 751 Single FUT + 177 Single FUE = 928 Single grafts ☞ 2195 Double FUT + 426 Double FUE = 2621 Double grafts ☞ 440 Triple FUT + 259 Triple FUE = 699 Triple grafts ☞ 124 Quadruple FUT + 138 Quadruple FUE = 262 Quadruple grafts ✓ Total number of Hair: 6957 (FUT) + 2358 (FUE) = 9315 ✓ Average Hair/Graft: 2.06 Dr. Jean Devroye
  2. PATIENT'S DETAILS ✓ 30 years old, losing hair since the age of 20, with a family hair loss history (father advanced NW). ✓ No medications. Had tried Finasteride and Minoxidil in the past - stopped because of side effects. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT This 30-year-old patient underwent a FUT procedure in January 2019. The goal was to harvest as much grafts as possible in order to rebuild the patient's hairline and restore the frontal and miscalp sections. The number of grafts we eventually reached - 3920 - allowed for treating a small portion of the vertex as well, even though at a lower density. The pictures taken at the clinic during his one-year follow-up show a very good coverage and natural results. The donor scar is almost undetectable. The patient is actually very satisfied with the outcome of his procedure. SURGERY DETAILS ✓ 3920 grafts ✓ Technique: FUT ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 905 Single FUT grafts ☞ 2230 Double FUT grafts ☞ 718 Triple FUT grafts ☞ 67 Quadruple FUT grafts ✓ Total number of Hair: 7787 ✓ Average Hair/Graft: 1.98 Dr. Jean Devroye
  3. Thank you all for your comments. That actually was SMP. Generally speaking, SMP doesn't alter skin tissue structure, nor influence grafts survival and regrowth.
  4. PATIENT'S DETAILS ✓ 37 years old, NW III, losing hair since the age of 24, with a hair loss history in his family (father). ✓ No medications. ✓ Underwent two SMP sessions elsewhere in 2017 and 2018. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Low % of hair in telogen phase. RECOMMENDED TREATMENT This gentleman came to my office to find a solution for his receding hairline. He had previously undergone two SMP sessions elsewhere (in 2017 and 2018) but was not satisfied with his look. We therefore decided to proceed with an FUE surgery in order to rebuild his hairline and temple corners. Considering that the patient wasn’t taking any medications to prevent further hair loss (and wasn’t willing to start to), we decided to increase the number of grafts to reinforce the forelock and the posterior, adjacent area as well. This was done in order to stay ahead of the potential balding of these areas, that may have required the patient to undergo another procedure at some point in the future. 2950 FUE grafts were eventually extracted and implanted. I have used an important number of single follicular units to restore his hairline and temple corners, in order to give a natural but at the same time dense look. 2s, 3s and 4s grafts have been progressively placed behind the hairline to give fullness and coverage and to reinforce the anterior area. The patient is very happy with his results. The pictures he sent in one and two years after the procedure actually show a very natural and dense outcome. SURGERY DETAILS ✓ 2950 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: 45-50/cm2 ✓ Grafts Breakdown: ☞ 527 Single FUE grafts ☞ 1081 Double FUE grafts ☞ 1259 Triple FUE grafts ☞ 83 Quadruple FUE grafts ✓ Total number of Hair: 6798 ✓ Average Hair/Graft: 2.30 Dr. Jean Devroye
  5. PATIENT'S DETAILS ✓ 36 years old (in 2017), losing hair since the age of 25, with a hair loss history in his family (uncle, father, brother). ✓ No medications. ✓ Thin caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT Here we present yet another interesting case of a complete hair restoration by means of FUE technique. Also in this case, the patient wished to restore all of his balding areas in one single session. However, considering the important surface that needed to be treated, I recommended him to take a two-steps approach in order to ensure the best management of his donor area. The patient has eventually undergone two FUE surgeries : the 1st session (November 2017), consisting of 3654 FUE grafts, aiming at restoring the patient’s hairline, frontal and midscalp sections; the 2nd session (March 2020), 2132 FUE grafts, with the objective of covering the vertex area. Below are shown the results of the first surgery and the immediate pre and post-operative photos of the second session. As usual, we will share the progress and outcome of this second procedure as soon as new material will be available. SURGERIES DETAILS 1st Surgery – November 2017 ✓ 3654 grafts ✓ Donor area : Scalp ✓ Recipient area : Hairline, front and mid-scalp ✓ 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 and centres are already using it. ✓ Grafts Breakdown: ☞ 527 Single FUE grafts ☞ 1845 Double FUE grafts ☞ 1225 Triple FUE grafts ☞ 57 Quadruple FUE grafts ✓ Total number of Hair: 8120 ✓ Average Hair/Graft: 2.22 2nd Surgery – March 2020 ✓ 2132 grafts ✓ Donor area : Scalp ✓ Recipient area: Vertex ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system. ✓ Grafts Breakdown: ☞ 257 Single FUE grafts ☞ 1464 Double FUE grafts ☞ 399 Triple FUE grafts ☞ 12 Quadruple FUE grafts ✓ Total number of Hair: 4430 ✓ Average Hair/Graft: 2.07 Dr. Jean Devroye
  6. PATIENT'S DETAILS ✓ 37 years old, losing hair since the age of 18. ✓ Taking Minoxidil 5% (intermittently) since the age of 27. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT This 37-year-old gentleman wished to restore the whole of his balding areas in a single session. Given the extended nature of his hair loss, which affected the anterior as well as the posterior area, I suggested him to follow a two-steps approach : a first procedure aiming at harvesting as much grafts as possible in order to restore the anterior and midscalp areas, and a second session focusing on the vertex area. In April 2018, we performed a first FUE procedure consisting of 4261 grafts, including few hundred beard grafts used to increase the midscalp density. The pictures taken at the clinic 6 and 8 months after the surgery already show a drastic change in his look. In January 2019, we carried out the second FUE session - 2065 scalp grafts, in order to cover the vertex. The improvement is apparent also in this case; a total restoration has therefore been performed, as it can be appreciated in the pictures sent afterwards by the patient. Regarding the donor area management, it is interesting to underline the extraction pattern followed during the second FUE session. As it can be seen in the relevant photos, I ended the extractions in a progressive way, getting closer to the recipient area as much as possible. I tend to adopt this approach when patients are undergoing a second (or further) FUE surgery; in fact, this method allows me to avoid the so-called "fringe", a section of scalp between the donor and recipient areas which otherwise would maintain an original density, resembling a halo all around the skull and being often very ungraceful, especially when the patient wears his hair very short. More insights about this topic can be found at the following link : https://www.hairrestorationnetwork.com/topic/51783-dr-jean-devroye-hts-clinic-4418-78-2903-1437-fue-repair/?tab=comments#comment-479169 SURGERIES DETAILS 1st Surgery - April 2018 ✓ 4261 grafts ✓ Donor areas : Scalp and beard ✓ Recipient areas : Hairline, front and midscalp ✓ 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 and centres are already using it. ✓ Grafts Breakdown: ☞ 1254 Single FUE grafts ☞ 1317 Double FUE grafts ☞ 1334 Triple FUE grafts ☞ 356 Quadruple FUE grafts ✓ Total number of Hair: 9314 ✓ Average Hair/Graft: 2.18 2nd Surgery - January 2019 ✓ 2065 grafts ✓ Donor area : Scalp ✓ Recipient area: Vertex ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system. ✓ Grafts Breakdown: ☞ 258 Single FUE grafts ☞ 1084 Double FUE grafts ☞ 611 Triple FUE grafts ☞ 112 Quadruple FUE grafts ✓ Total number of Hair: 4707 ✓ Average Hair/Graft: 2.28 Dr. Jean Devroye
  7. Thanks for your comments. Unfortunately we currently do not have any detailed pictures of the FUT scar. We will provide them when the patient will come in for his second round, as we will have the opportunity to shave his head in view of the procedure. Concerning this patient's hair color : as you can see in the "before" photos, his donor hair is salt and pepper and the transplanted hair maintained this characteristic once regrown. It is also to be noted that the patient was dyeing his recipient hair, before the procedure.
  8. PATIENT'S DETAILS ✓ 52 years old, losing hair since the age of 20, with a family hair loss history (father, brother and paternal grandfather NW V). ✓ Taking Minoxidil and Propecia since several years (even though his hair loss has continued to progress). ✓ Thin hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT This 52-year-old patient underwent a FUT procedure in September 2018, when he received 3428 FUT grafts, with the aim of restoring his frontal and midscalp areas. The pictures taken at the clinic during his six-months and one-year follow-up show very nice and natural results. The patient is currently considering a second procedure in order to cover his vertex, next year (most likely an FUE consisting of approximately 2500 grafts). As usual, we will keep the community updated as soon as new material will be available. SURGERY DETAILS ✓ 3428 grafts ✓ Technique: FUT ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 690 Single FUT grafts ☞ 1921 Double FUT grafts ☞ 722 Triple FUT grafts ☞ 95 Quadruple FUT grafts ✓ Total number of Hair: 7078 ✓ Average Hair/Graft: 2.06 Dr. Jean Devroye
  9. PATIENT'S DETAILS ✓ 37-year-old female, suffering from Androgenic Alopecia since the age of 27. Hair loss stabilized. Her mother and aunt suffer from the same condition. ✓ No medications (side effects from Minoxidil). ✓ Medium hair. ✓ Normal follicular units. RECOMMENDED TREATMENT This 37-year-old female patient came to visit me to discuss about a possible solution for her hairline and temples thinning, caused by Androgenic Alopecia. She had suffered from that condition since the age of 27. She had tried to use Minoxidil in order to improve the situation, but unfortunately the medication caused side effects (hair growing on undesired areas). The loss had nevertheless stabilized since few years already. During the consultation, we therefore agreed upon performing a FUT procedure complemented by a small FUE in order to cherry-pick one hundred softer hairs from the nape area with the aim of restoring the very first hairline and temples. Eventually, the patient received a total of 2136 grafts. The post-operative pictures were sent in by the patient. One year after the surgery, she is very satisfied with her new look : the situation has actually remarkably improved, the yield seems excellent and the results are very natural. SURGERY DETAILS ✓ 2136 grafts ✓ Technique: Combo FUT + FUE ✓ Incisions: 45/cm2 ✓ Grafts Breakdown: ☞ 688 Single FUT + 100 Single FUE grafts ☞ 1318 Double FUT grafts ☞ 30 Triple FUT grafts ✓ Total number of Hair: 3514 ✓ Average Hair/Graft: 1.84 Dr. Jean Devroye
  10. PATIENT'S DETAILS ✓ 30 years old, NW IIIv-IV, losing hair since the age of 25, with a hair loss history in his family (uncle maternal side, NW IV). ✓ Taking Minoxidil 5% since 4 months before the surgery. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Average % of hair in telogen phase. RECOMMENDED TREATMENT Here is a nice example showing a frontal area and vertex restoration, done in a single session, consisting of 3545 FUE grafts. While I am usually averse to the idea of grafting the anterior and vertex areas at the same time, while leaving a section of the midscalp untouched, in this specific case I agreed (following a fairly conservative approach). I have given my consent based on several factors : the patient's family hair loss history (just his maternal uncle reached the NW IV stage), the fact that he was under medications to maintain his native hair and that his hair loss was stable since a couple of years already. Moreover, his donor area is very rich and can still provide an important amount of grafts (approximately 3000-3500, not taking into account the potential BHT resources) so that it will be possible to cover the new balding areas in the future, if his hair loss progresses. Below are shown the pre and intra-operative pictures taken at the clinic and the post-operative photos sent in by the patient (1, 3, 6 and 12 months after the procedure). SURGERY DETAILS ✓ 3545 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: ☞ 407 Single FUE grafts ☞ 1363 Double FUE grafts ☞ 1283 Triple FUE grafts ☞ 492 Quadruple FUE grafts ✓ Total number of Hair: 8950 ✓ Average Hair/Graft: 2.52 Dr. Jean Devroye
  11. PATIENT'S DETAILS ✓ 56 years old, losing hair since the age of 38. Hair loss quite stable since several years. ✓ Taking Minoxidil. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Low % of hair in telogen phase. RECOMMENDED TREATMENT This 56-year-old patient wished to cover his crown. He underwent his FUT procedure in April 2018, when he received 2515 FUT grafts. As usual during a vertex restoration, I have grafted the adjacent areas as well, so that the results will still be natural if and when the hair loss progresses. The pictures sent by the patient and taken at the clinic during his one-year follow-up show remarkable improvements and a very good result. SURGERY DETAILS ✓ 2515 grafts ✓ Technique: FUT ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 293 Single FUT grafts ☞ 1523 Double FUT grafts ☞ 695 Triple FUT grafts ☞ 4 Quadruple FUT grafts ✓ Total number of Hair: 5440 ✓ Average Hair/Graft: 2.16 Dr. Jean Devroye
  12. Thank you all for your kind comments. The patient started taking Finasteride two months before the procedure. He stopped the treatment some months after, then resumed again. I think that the patient's donor can still provide approximately 2500-3000 grafts. One day, with this amount, we will be able to achieve an almost total coverage thanks to the grafts. The graft placement visible in the photos the day after the first surgery just confirms one of my strong opinions. The placement is crucial. This patient's hair quality - very good, wavy - certainly improves the perceived density. However, this is exactly the kind of result that my team and I always aim to obtain.
  13. The patient came to my office for a check-up consultation in March 2019, one year and two months after the surgery. At that time, the patient expressed his wish to undergo a second procedure in order to perfect his hairline and increase his frontal and midscalp density. At the end of May 2019, a FUE consisting of 2138 grafts was performed. Please find below the photos showing the results of the first FUT surgery at +12 (sent in by the patient), +14 and +16 months, as well as the details and pictures of this second FUE procedure. SURGERY DETAILS ✓ 2138 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW FUE 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: ☞ 438 Single FUE grafts ☞ 968 Double FUE grafts ☞ 708 Triple FUE grafts ☞ 24 Quadruple FUE grafts ✓ Total number of Hair: 4594 ✓ Average Hair/Graft: 2.14 Dr. Jean Devroye
  14. Thank you for your comment and query. So far, I have used pubic grafts mainly to restore eyebrows. Sometimes, to restore beard or sideburns. Given the weaker nature of pubic grafts, it's not always easy to extract them; however, if transection is avoided, they provide a good yield. I frequently use beard grafts to fill in the scalp. Pubic hair could help, if necessary.
  15. Indeed, I do use the hybrid punch to remove grafts, from frontal region included. Its transection rate is particularly lower compared to a sharp punch - it is a huge advantage, especially if you plan to reuse the grafts. Thanks for your query. Sean, JohnCasper, thank you for your kind words.
  16. PATIENT'S DETAILS ✓ 31 years old (in 2016, at the time of his first procedure), with a hair loss history in his family (father and brothers). ✓ Taking Finasteride and Minoxidil. RECOMMENDED TREATMENT This 31-year-old patient wished to restore his beard - which presented a lack of density on the cheeks area - and his hairline, showing a slight recession on the temple corners. In February 2016, we performed a first FUE procedure (2011 scalp and beard grafts) in order to restore his temple corners and frame the outer and lower part of the cheeks. Following the excellent results, the patient decided to further improve his beard by completely covering the cheeks area. Therefore, in December 2017, we performed a second FUE surgery (1232 beard grafts). The patient was again enthusiastic about the results obtained. In April 2019, he decided to undergo a third FUE procedure - consisting of 2889 scalp and pubis grafts, with the aim of further enhancing his hairline/temple corners, restoring the temple points and perfecting the beard density. As usual, we will be glad to share the results of this last procedure with the community as soon as we receive any updates from the patient. SURGERIES DETAILS 1st Surgery (FUE I, Beard & Hair) - February 2016 ✓ 2011 grafts ✓ Donor area: Scalp ✓ Recipient areas: Beard and temple corners ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW FUE 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 centers are already using it. ✓ Grafts Breakdown: ☞ 743 Single FUE grafts ☞ 681 Double FUE grafts ☞ 501 Triple FUE grafts ☞ 86 Quadruple FUE grafts ✓ Total number of Hair: 3952 ✓ Average Hair/Graft: 1,96 2nd Surgery (FUE II, Beard) - December 2017 ✓ 1232 grafts ✓ Donor area: Beard ✓ Recipient area: Beard ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW FUE System. ✓ Grafts Breakdown: ☞ 780 Single FUE grafts ☞ 452 Double FUE grafts ✓ Total number of Hair: 1684 ✓ Average Hair/Graft: 1.36 3rd Surgery (FUE III, Beard & Hair) - April 2019 ✓ 2889 grafts ✓ Donor area: Scalp, pubis ✓ Recipient areas: Hairline/temple corners, temple points, beard ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW FUE System. ✓ Grafts Breakdown: ☞ 1026 Single FUE grafts ☞ 1272 Double FUE grafts ☞ 461 Triple FUE grafts ☞ 130 Quadruple FUE grafts ✓ Total number of Hair: 5473 ✓ Average Hair/Graft: 1.89 Dr. Jean Devroye
  17. 2 years and 10 months post-op update Grafts removal (1st step) + 1489 FUE Repair + Grafts removal (2nd step)
  18. PATIENT'S DETAILS ✓ 34 years old, NW V, losing hair since the age of 20, with a hair loss history in his family (father NW VII). ✓ Taking Finasteride 1mg/day since the age of 25. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT Here we present a nice example of an FUE restoration for a 34-year-old patient with a quite extended hair loss, classifiable as grade V on the Norwood scale. The patient wished to cover the whole of the thinning areas in one single pass, however I suggested to focus on rebuilding the frontal and midscalp areas as a first step, in order to achieve an optimal density on these areas and ensure the best donor zone management in view of future procedures. We therefore proceeded with an FUE surgery (since he didn’t like the idea of having a linear scar), over two consecutive days, during which 3878 grafts have been extracted and implanted. The patient has recently reached the 14th post-operative month and is extremely happy about his results. He’s planning to come back at the end of the current year to complete the restoration by covering the crown area. SURGERY DETAILS ✓ 3878 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: ☞ 657 Single FUE grafts ☞ 1257 Double FUE grafts ☞ 1887 Triple FUE grafts ☞ 77 Quadruple FUE grafts ✓ Total number of Hair: 9140 ✓ Average Hair/Graft: 2.36 Dr. Jean Devroye
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