Dr. Damkerng Pathomvanich

Photographs: Preoperative photographs and IInd Session Postoperative snaps

A 46 years Asian male presented to DHT Clinic, Bangkok with the concerns of unnatural big punch plug hair transplant done 13 years back from another surgeon in his country. He also has traction alopecia over both fronto-temporal regions from wearing the traditional turban. Patient has Grade B, wavy black hair with brown oily skin, average scalp laxity. Total area of recipient site measured was 70 cm2. The patient requested for small session because of budget problem and not to remove the existing big punches for the corrective surgery. Two hair transplant sessions were performed at an interval of one and half years. A total of 3341 Follicular unit grafts bearing 6993 hair was transplanted. The details are 1 hair FU: 542, 2 hair FU: 1408, 3 hair FU: 1491grafts. The postoperative snaps were recorded and shows significantly improvement with natural coverage of the frontotemporal regions and complete camouflage and softening of big punch plugs with the dense microfollicular unit grafting done in the hair transplant sessions. One year after, the third session was also performed with another 1488 FU grafts bearing 2771 hairs but we didn’t have record as the patient fail to follow for evaluation. A total of 4829 Follicular unit grafts bearing 8763 hair was transplanted in three sessions. The details are 1 hair FU: 835, 2 hair FU: 2520, 3 hair FU: 1576 grafts. Photographs: Preoperative photographs and IInd Session Postoperative snaps Front View:

At 7 months

views

Before and 7 months Post operative

Before and 7 months Post operative

Before and 7 months Post operative

36 years old Asian male who has receding hairline, deep temples and extensive thinning hair from front to the crown. He has straight, medium coarse, black hair, with many miniaturized hairs over the temporal region. The skin is medium color and oily. The donor’s density is average 64%. Scalp laxity is 30%.He is a poor candidate due to extensive hair loss with limited donor hair. The hair transplant was performed on Feb 2010. The total numbers of grafts were 1 hair FU: 901 grafts (901 hairs); 2 hair FU: 1,500 grafts (3000 hairs); 3 hair FU: 271 grafts (813 hairs).Grafts were planted side weight, Left side more than Right. The grafts were transplanted from the front to mid scalp. A total of 2,672 Follicular Unit Grafts bearing 4,714 hairs. Postoperatively he was prescribed oral Finasteride 1 mg daily with topical 5% Minoxidil 1 cc apply twice daily till today. The patient was seen at 7 month postoperative with excellent cosmetic coverage. He is also has a very good response to medical treatment as well. He is still complaining of increase loss of hair despite medication. Front View: Before and 7 months Post operative

.Scar snaps

Preoperative & 7 month Post operative

Preoperative & 7 month Post operative

Preoperative & 7 month Post operative

Preoperative & 7 month Post operative

36 years old Asian male who has receding hairline, deep temples and extensive thinning hair from front to the crown. He has straight, medium coarse, black hair, with many miniaturized hairs over the temporal region. The skin is medium color and oily. The donor’s density is average 64%. Scalp laxity is 30%.He is a poor candidate due to extensive hair loss with limited donor hair. The hair transplant was performed on Feb 2010. The total numbers of grafts were 1 hair FU: 901 grafts (901 hairs); 2 hair FU: 1,500 grafts (3000 hairs); 3 hair FU: 271 grafts (813 hairs).Grafts were planted side weight, Left side more than Right. The grafts were transplanted from the front to mid scalp. A total of 2,672 Follicular Unit Grafts bearing 4,714 hairs. Postoperatively he was prescribed oral Finasteride 1 mg daily with topical 5% Minoxidil 1 cc apply twice daily till today. The patient was seen at 7 month postoperative with excellent cosmetic coverage. He is also has a very good response to medical treatment as well. He is still complaining of increase loss of hair despite medication. Front view: Preoperative & 7 month Post operative

Scar Photos: 1 year Post operative 1st session & 1.5 year Post operative 2nd session

Hairline view

Crown and Top Views

Right Oblique and Right Lateral views

Left Oblique and left lateral Views

Front with face down

A 49 years Caucasian male was consulted for hair loss and receding hairline in the frontal area with the deepening Fronto-temporal angles and diffuse thinning from the front to the crown. A total bald and thinning area of 160 square cm was measured.The patient has medium fine gray and dark brown hairs. The first session was done in Jan 2008 and 3839 FU grafts bearing 6987 hairs were transplanted. ( i.e 926 one hair grafts, 2678 two hair grafts and 235 three hair grafts). The new hairline was being reconstructed with focal dense packing was being done over the frontal and the midscalp region. The patient followed the clinic after one year in Jan 2009, the second session was done with 3134 FU grafts bearing 5619 hairs.(i.e 788 one hair grafts, 2207 two hair grafts and 139 three hair grafts). The density was filled in over the frontal and the midscalp region with transplantation over some part of the crown. A total of 6973 FU grafts bearing 12606 hair are being transplanted in two sessions and the patient followed after 1.5 years with complete cosmetic coverage. The patient took Proscar ? Tablet daily. PHOTOGRAPHS AS: PREOPERATIVE (1), 1 YEAR POST OPERATIVE FIRST SESSION (2), 1.5 YEAR POST OPERATIVE SECOND SESSION (3) Front view

Right side view: Before 1st session, 7 months after 1st session and 8 months after 3rd session

Left oblique view: Before 1st session, 7 months after 1st session and 8 months after 3rd session

Top view: Before 1st session, 7 months after 1st session and 8 months after 3rd session

56 years Caucasian male visited to DHT Clinic, Bangkok with the complaint of extensive male pattern hair loss Norwood Class VII in year 2007. He has blond hairs, white skin, grade A hairs with good density and laxity at the back of scalp. The recipient site area calculated was 160cm2 at the frontal and the midscalp area and 80 cm2 at the vertex region, a total of 240 cm2. The first hair transplant session was done at that time with 3896 Follicular Units; bearing 6520 hairs was being successfully preformed. The second and third sessions were performed with 3437 Follicular Units; bearing 6728 hairs and 2077 Follicular Units; bearing 3954 hairs after 7 months and at 1 year gap respectively. A total of 9410 Follicular Units; bearing 17202 hairs was being transplanted to the patient and the (after)snaps shows the results at 8 months post operative duration of the third session. Front view: Before 1st session, 7 months after 1st session and 8 months after 3rd session