Dr. Damkerng Pathomvanich

The crown was responsive to the medical treatment [ 5% Minoxidil lotion and 1 mg oral Finasteride] The scar healed nicely but with one spot of hypertrophic nodule.We gave him one time Kenakorte injection and the nodule was softer.

The side views show the new hairline and temples.

The Thai male age 25 had the hair transplantation to restore the frontal receding. He had receded hairline altogether with thin hair look from the front to the crown [Class IV NW] The hairloss was slow down at the time of the surgery. We recommended him to have the medical treatment along with the hair transplantation at the front.The size of the procedure was 3,288 grafts or 6,129 hairs. He wanted to restore the temples. The result was 8 months after the surgery. The hairs grew well and he was responsive to the medicine for we saw the thicker look at the crown area inwhich we did not put the transplanted hair on.

The cut wound immediate after the surgery -we had retention stitches in addition to the contimuous skin sutures. The scar healed nicely after 6 months.

Oblique view -before and after

Front view before and after

The patient had dark brown hair and he colored his hair blonde. He had one session of strip technique hair transplantation with Dr.Pathomvanich at DHT Clinic Bangkok,Thailand. He wanted to have the lower hairline.The estimated area to reconstruct was 53 cm2 and he had 2,562 FUGs or 4,647 hairs. The outcome had bee assessed at 6 months after surgery.The hair grew well and the patient was satisfied. The strip that we took was 35.6 cm2 and 19 cm long. The scar healed nicely as photo shown.

The Chinese man age 48 under went the hair transplantation with Dr.Pathomvanich at DHT clinic, Bangkok. He had black hair, coarse and straight. He needed to have to dense packing in the front and reconstruction of the temples. Dr.Pathomvanich used the strip technique with Trichophytic closure.The total number of graft was 2,543 FUGs or 4,221 hairs. The 200 FUGs were spent to both temples. Consider the photos taken 1 year after surgery, with wet hair , we can see the full growth of the transplanted hairs.

The patient has african type skin and hair, The hair is coarse and kinky. he has no previous history of hypertrophic scar. The scalp was quite loose and we could harvest as wide as 2 cm in the center of the strip. The follicles were curve as C-shape so it took a little longer for the cutting process. The grafts were inserted manually with both one-hand and two-hand technique. 30% of the grafts were using the curve needle for stick and place [mostly in the forelock area] He had little pain after surgery but could be abating with Tylenol. The swelling was not much as the pictuires showing his grafted area at day 5. One year after surgery, he was very happy with the result.The scar was invisible.

We have done ,again the megasession for the baldness class VI. He had good donor hair and average skin laxity. The hairline design was reasonably fit to his age.[try not to get it so low] The hair was salt and pepper in color. The parted side was on the left and we concentrated more number of grafts on that.

1 hair graft =615

2 hair graft =2,655

3 hair graft= 201

Originally posted by dakota3:

I must emphasize that I dont believe that there is any trickery here, however in the after pics it does appear that the patient is wearing concealer. It does look good and maybe its just the pictures but it does appear that a concealer was used.

There is no trick.He did not wear any concealer.

The 48 year old man had one session of 2,995 FUGs or 5,436 hairs transplantation on his front and crown area. The hair is medium size, salt & pepper color and straight.

1-hair unit=654 FUGs

2-hair unit=2,241 FUGs

3-hair unit=100 FUGs

The donor area was closed with trichophytic closure and retention sutures were applied. The pictures show his result after 10 months follow up. The scar was minimal.

The 62 years old male patient with NW class VII after 1 session of hair transplantation .The number of graft was 2,725 FUGs or 4,947 hairs.The patient had salt and pepper color hair, medium size and little wavy. The postop. pictures were taken 7 months after. The donor site experienced some effluvium but eventually the hair fully grew back.

The 54 years old Caucasian man had one session of 4,505 FUGs or 9,212 hair transplantation.He had androgenetic alopecia class V-VI [Norwood-Hamilton] and prefer to finish the frontal to mid scalp. His hair was salt and pepper color and little wavy. The frontal hairline was newly created with single hair units and detail of the transplantation are as follow: 1 hair 597 FUGs, 2 hair 2,861 FUGs,3 hair 433 FUGs. The left sideburn was filled with other 34 ,2 hair unit grafts.The photos were taken 7 months post-op.

A 33 years old transgender with male pattern baldness class III had one session of hair transplantation 2,572 grafts ,4,662 hairs to create the new hairline.The photos were taken 2 years after surgery.

Dr. Pathomvanich - 70 years old male with fine and gray hair after three sessions 7,855 grafts ,15,382 hairs .The pictures were taken at 7 months after the last surgery.

The patient was seen on December 22, 2008. He has 1 session at the clinic in Bangkok but unhappy with the result and wanted to add more density. I looked at the record,his bald area that need to be transplanted measured 48 cm2. Since he has 1st session at Yosakarn clinic (cosmetic clinic,not a full time hair).He also was informed about incorrect direction and angle that were transplanted previously.He said he had 1000 grafts from the first session and based on 48 cm2 of the balding area, to achieve adequate cosmetic improvement he will need (50%) 2400 grafts.So 2400-1000=1400 grafts.The strip is roughly 13x1 cm2 but not include the tail on both side that will be closed to 15 cm2. His grafts was break down as follows 601 single hair grafts,830 two hairs grafts,63 three hairs grafts with a total of 1494 grafts. We cannot use the old scar since the old scar is big. This is only close to 50% density to achieve cosmetic improvement ,for higher density he might need to add more depend on his expectations at the time of consultation. From my experience, celebrity always required higher density as in his case as a model. Another point is the grafts survival is 90 % on average that need to be put into consideration. Over crowded grafts on subsequent session will result in poor growth from vascular impairment.Too dense the hair line will look like hair piece and future hair loss need to be cosidered.

I need him to send me the pictures of the donor scar from my surgery on the right side to compare with the first session.

The 1000 grafts in addition base on the calculation is to give him 72% density.It is just the rough estimation.If he wants to add on 500 grafts he will get 61% density.If he add only 200 grafts will give him 55 % density and his eye can not detect the small change and will result in unhappiness.

nawoak,hair transplant is the art and science,we work on the living cell it's not the merchandize that you can count exactly.There are many factors involved he need to wait another 3- 4 months to complete one year to see the final result before he makes a decision since 9 months is still premature for complete evaluation of the final result.

I like to post his comment on 9/08/09 to me

From: (email removed)

Sent: Tue 9/08/09 5:01 AM

To: path_d@hotmail.com

Hello,

this is (name removed) the French from Tokyo. I had an operation with you on last Dec. I m happy with the result, but I still need a 3rd operation to adjust and fill up the front line and hide the back previous scare.

My guess would be around 500 FU.

I m thinking about going around mid Oct. if I have time and money then.

Are you busy on that time?

Also I have been promoting you on Internet in a French forum. It seems that a French guy from Singapore was supposed to visite you end of August. Did he come?

Regards,

(name removed)

A 54 years old man with male pattern baldness classified as NW VI had done a session of 3,339 FUGs, 6,465 hairs. We transplanted 776 single hair grafts with 0.8 mm slit incisions.The 2-3 hair with the number of 2,563 grafts were totally inserted using 1 mm slit incisions.The photos were taken 2 years later.

37 year old male patient after one session of hair transplantation.He had 2,698 FUGs ,5,545 hairs on the frontal hairline and the midscalp.

32 yrs transgender after three sessions of hair transplantation surgery with the number of 5,473 grafts or 10,214 hairs. The photos were taken 1 year after last surgery.