Dr. William Lindsey

Daniel popped in a few weeks ago and did this short video. Take a peak. We'll probably end up doing something else for him later this year but he looks UNREMARKABLE. That is the goal of a hair restoration..not to look like you had something done. The video is: Dr. Lindsey

Here's a quick update on a guy some of you may recognize from his cleaning videos last year. He popped in last week at 17 months, is getting ready to get married and looks good. Wendy and I review his case and have a quick video interview with him at the 5 minute mark in the video. Enjoy. Dr. Lindsey

Here's a quick video where we show a younger guy on whom we did a frontal case a few years back. He just emailed in a candid pic of himself at 5 years and looks good. Actually better than good...he looks UNREMARKABLE...which is the best way to look after a hair transplant. Take a look: Dr. Lindsey

Sean, I feel for you fellow. Matt...people either like Wendy and my yacking or they don't...but it lets the potential patient know how we see things. Most places keep that some secret like the coke formula. Bill...only when I have to. So...for example in my son who is a bad scar former, with thick hair who needed 350 grafts to fix a scar. DEFINITELY FUE. Or a military guy..typically army, who seems to have the most strict hair length requirements in the donor region..strip is almost always out...but I'm pretty blunt about it not being as full of a result as strip usually. And everyone who disagrees with me just hasn't seen enough unhappy FUE patients. Without naming names, I'd guess we've seen unhappy low yield fue patients from greater than half of the so called top fue guys in the US or Europe. Like it or not, same as with plants...avulsion trauma stresses roots..sometimes a little sometimes a lot. But as numbers go...I'd guess we do 36-45 FUE cases a year. And they often seem occur in groups. After 3 or 4 days of only FUE, I'm tired. Dr. Lindsey

Some viewers may remember when we first met this 23 year old and filmed his surgery. He's now a couple of years out and getting a second case. For you younger guys...watch this. Wendy and I discuss what I think are the big deals with Hair work on younger guys. 1. Get a mature hairline that will look ok as you age! 2. Never rush into it...once you start down this road you can't get off of it. 3. Bring your parents or anyone you want to help you make an informed and good decision for you 4. And do your research...ask to see other younger guys your doctor has worked on. The video is here: Hopefully I can get the patient to chime in. Dr. Lindsey

Here's a quick video of a guy roughly my age who's a year out from his case. We'll likely see him again for the middle third but he looks NATURAL. And try to find his strip scar. The video is: Dr. Lindsey

Here's a short video where we review a fellow who had an FUE done elsewhere, with low yield, that we repaired with a small strip. A couple of things, first, I think the other doctor did a bit too low of a hairline...that may be an issue as this guy ages, BUT, that's the hairline we had to work with. Second, Wendy and I discuss possible etiologies of low yield in FUE...some of the same issues apply to strip cases as well, except for root avulsive injury which is unique to FUE. I have 15 or so videos going into this in varying details and even one or 2 where I show how this happens with small house plants, on our youtube and vimeo pages. Thirdly, even at 8 months out from repair..when this fellow sent in his picture, he looks great. Hopefully we'll see him at a year or so and get an interview. He already mentioned he's worrying about his crown...and mid scalp. The video is: Dr. Lindsey

Here's early followup on a young lady that we did an eyebrow repair case on. She'd had 2 cases done elsewhere and still had low density. I've asked her to spin by in 6 months or so and let me get some final shots. I'd prepared her for a possible touch up before we started, but she already looks good and hasn't fully grown in yet. The video is: William Lindsey McLean VA

This nice fellow is about as hard of a case as there is. He's got a limited supply of finer dark hairs, a large bald head to cover, and significant color contrast between scalp and hair. Preoperative expectation management is KEY. Had this guy have been told everything could be covered with thick hair...it would be a disaster for both the patient and whoever was foolish enough to "sell" him that. As it is, we have several examples of guys just like this we show prospective patients with this type of pattern. Roughly half of guys who see results just like this guy, say that its not enough...and if they can't cover that bald spot too, they want nothing. In which case, I'd rather do nothing than sprinkle a few hairs from front to back and have the patient look like a chia-pet. And roughly half of prospective patients think that by framing the face and giving reasonable coverage over the front 1/3 to 40%, that they'd be satisfied. But it is critical that if you are shopping that you look at examples of guys with patterns and donor hair characteristics like yours! Reputable doctors ought to have plenty for you to review before you sign up! The video is: Dr. Lindsey McLean VA

Here is a 10 minute video in which we go step by step through a younger guy's repair case. He'd bought a case sold to him by a salesman, not a doctor 7 or so years ago. In that case, he had too few hairs placed in and amongst hair in an area that was destined to bald. He saw me 8 months or so ago, and then went and got SMP'd to his scar and front... Initially happy, he subsequently noted that about half of his SMP faded in 3 months. So today we go through every step of his repair case. His wife, a nurse took his sutures out yesterday...day 7, and emailed pics. He did less cleaning than I like despite us going through what to do and her calling Wendy a few times..but I get it...he's already had one poor case and he just spent a lot of money to get a repair case done and he's scared to clean. BUT...cleaning is critical as frequent viewers of my youtube and vimeo and website will know. Nevertheless, he'll likely turn out nicely in a year or so. HOPEFULLY he'll send scar pics and followup pics in a month also. The second case in the video is a 50 year old guy who is 4 days ahead of the main patient. He had the same work done and you'll note what happens...he lost everything and has a handful of thin hairs that he slicks back across the top. Fortunately he's got less color mismatch and is tall enough that rarely is his top visible. We did the same case on him and with any luck we'll have followup on these 2 travellers in early 2019. The video is: Dr. Lindsey McLean VA

Some of you may recall this guy's earlier video. He's a 31 year old guy who has fine hairs, very white skin, and is now 19 months out from starting with us. The day we did this video we did a final case to finish off his current balding crown and hopefully he'll travel back to DC next Christmas to show us the results. I'll send him a link so he can chime in. Most importantly for you shoppers...if you have FINE hair...make sure you know what fine hair transplantation can and cannot do. This guy and his pretty nurse anesthetist wife are very pleased with his coverage even with short hair. BUT if preoperatively we had suggested he'd have a head full of bushy hair...all of us would be disappointed. And I see people coming in every week who swear they were promised a head full of luxurious hair by a consultant who was more interested in the commission than informing the patient of realistic results. Do your research! The video is : Dr. Lindsey McLean VA

In this 9 minute video, Wendy and I review exactly how we repair a low density hairline and a low wide scar in a health care professional who had a previous case done elsewhere. For many of you this is old knowledge, but some of the newbies may benefit from seeing what to avoid the first time...and how these issues can be repaired. His video was in the pipeline for a while...so the last short segment at his 5 week check showing his really nice early scarring was done after the video was produced...so there is no comment in that section but the patient does tell his experience. The video is: Dr. Lindsey McLean VA

Here's a quick little video where we talk with a 30ish year old man on whom we did a frontal case a few years back. He has curly but FINE hair. We're getting ready to address his crown and of course will add a few hundred singles at his hairline. In the video, Wendy and I review his case and have a short clip where he gives his own thoughts. The video is: Dr. Lindsey McLean VA

In this short video, we show how this medical doctor went from class 5 with very fine hair, to good coverage. We did his front case a year and a half ago, and a second case, adding some to the hairline but focussing on the middle third 5 or 6 months ago. He tells you his experience and hopefully we'll get a final video next summer. Dr. Lindsey McLean VA

In this short 5 minute video, I do the OPPOSITE of what we usually preach...that is I have at least 20 videos showing how we've had to use strip to repair FUE. Well here we have a guy, who had supposedly 2500 grafts in 2 cases by a local competitor, to address the front 3/4 of an inch of his hairline. In addition, he had blunting of the fronto-temporal curve AND a huge, yes I mean HUGE scar. Now matter of factly, this guy has awesome hair to work with, and were it not for his modelling career...I doubt he'd have ever chosen to do any more surgery. But, on a photoshoot, he noted low density and an usual curve where the hairline of the front meets the temples and came in for consultation. Now he has this huge scar and although the original doctor went way too low in strip placement for some reason, the patient clearly doesn't scar well. Combined with awesome resiliant hairs, the need for a relatively small number of grafts...and he's perfect for FUE repair. In fact long time forum readers may recall several of these bad scar guys coming to me for FUE repair. I've even posted how we did a few hundred for my own son who had a 50cent sized scar on his right temple from the removal of a suspicious mole years ago. So take a look at the video and he's local so I expect we'll get followup as this grows in. In fact, assuming this works, and there is no reason it won't...I'll bet he notices low density from those supposed 2500 grafts he bought...elsewhere on his hairline. The video is: Dr. Lindsey McLean VA

So here's a short video where Wendy and I discuss repairing this asian fellow's hair transplant. We excised one of his strip scars from elsewhere and did a small strip, then we did a small MFUE 3 years ago. His hairline is unremarkable now and we show our scars versus his remaining strip from elsewhere. As is common, he's gotten a new girlfriend and wants a little more hair... I had to edit out part of the video as he and Wendy got a bit boisterous about his social life but I expect we'll do a final crown case and update his profile down the road. In the discussion, I do go into the thinking behind most guys having 2 good sized cases...and depending on their hair loss and donor hair characteristics...sometimes we must plan to expect a small bald crown simply because donor hair density won't allow for finishing it off while remaining "normal looking" in the back. Take a look: Dr. Lindsey McLean VA

Wow. This thread took on a life of its own. I'll respond to a few things but won't be back to check the responses as I've seen these threads really go on and on and on, and get side tracked. First off. I can not comment specifically on any one patient's specific discussion as privacy rules prohibit that, plus, I think most personal issues are best dealt with privately, whether good or bad....Hence I'm not on the forums bantering back and forth like some of my colleagues. Secondly, I don't think that permanent shockloss occurs very often. Particularly when earlier postop views of a patient were to not show it. Thirdly, I do think that some people develop thinning of the donor region...whether or not they have ever had surgery. I recall one of my patients, a few years back...who was vocal on one of the forums...was told by me that he was not a candidate for surgery due to low density. He then sought out H and W...who agreed with me and told him not to proceed. He came back to me angry that I would not operate. And I ended up seeing him about 18 months later when he'd had 2 cases, one strip and one FUE...one by a reputable doctor known to this community...but unfortunately he'd had very little result plus a wide strip scar, plus lots of fue marks.... AND even thinner donor region hair density. Fourth, on all....patients (again I cannot give specifics) I discuss and document this discussion in the chart about donor density and give a range of scar results and tell the patient that they may need 3/4 inch hair FOREVER. I know that I've posted that on 3 forums over the years and in several of my videos. There is never a reason for OUR patient to not be aware of potential scarring. I'm very upfront with everyone on pretty much everything but specifically scarring. Reason being: I've done now 4003 facelifts. I sew well. And I still get 4 crappy scars every year on hair patients. I've said that for 10 years or more online... If I just knew who those guys were preop..... and we every year have one, maybe even 2 guys who don't grow well....and EVERY patient I meet with hears that TWICE. Again if only I knew which person it would be preop.... Fifth, patient physiology plays a role in scarring, growth, generalized aging...everything. Now I can hear the collective gasp of many naysayers on the forums that us doctors use that to get out of stuff...but having practiced medicine for 27 years....everyone is different. There are no guarantees...only LIKELYHOODS. And yes, every single one of our patients hears me say that the day of their consultation and on the day of the surgery BEFORE the valium. And its in many of our videos. Sixth, I generally want good results as much as if not more than our patients. I say that because at least half our our patients do not follow our instructions, don't clean well...and who knows what else...I've put up videos of some of the classic examples (patients pulling out grafts etc)....but I do want good results for all of our patients. We do 40 repair cases a year and I am amazed at the low standards of our industry in general. And the skeptics on this and other forum have ample reason to hammer poor results and frankly I don't think many doctors really care...or there would be higher standards. But there would still be cases that either don't grow well for some reason...patient, doctor, or both, and there would still be patients who for some reason lose hair down the road. So to summarize, I do take it personally when folks of ours don't get the results that I want. I can't predict who will thin in the future but the number of patients that happens on is really quite low, but not zero. And EVERY one of our patients hears me say that at least twice. I do think that in general forums like this do help patients to make the best and most informed decisions possible, and despite the occasional doctor bashing...sometimes deserved sometimes not...I think that if every potential patient spent an hour or 2 on the forums before their first consultation with their first doctor, the need for repair work would plummet. But it would not reach zero. Dr. Lindsey

So many of you guys have heard me preaching on how smoking causes everything from poor hair growth, to bad scars, to cancer... Well to show I'm not always right, take a peak at this video. This 3 pack a day smoker may have the best scar I've ever done in 23 years. Now its early, things could change, but almost certainly he'll wind up with an imperceptible scar next year. I still believe his smoking, which he'd promised to quit, WILL affect his hair results, but we'll see how that goes too. Dr. Lindsey

It makes for good cocktail party conversation I'm sure. Dr. L

It looks like I posted in the wrong section...Bill, can you move to posted by clinics. Sorry about that. Happy Thanksgiving everyone. Dr. L

Take a look at this guy. He's 11 months out from 2700 or so up front, has fine hair, a big color contrast...and an awesome result. I didn't even recognize him when he rolled in last week. The video includes a short interview. Enjoy. Dr. Lindsey

This is a really nice fellow, about my age, who'd had several cases in the past...sprinkling hair around the head. This ALWAYS leads to eventual dissatisfaction as when the native hair goes due to MPB...whats left is never dense enough. So he was worried about his midline. Last fall we trimmed and packed the partline...NOT THE FRONT...and he looks great. Plus, he's probably not entirely fully grown in yet. He now notes that we probably should have done the front and right part. We'll hit this just after new years. The video is: Dr. Lindsey

Ok guys, some of you may recall this character. He's a good guy we worked on almost 4 years ago. Class 6, fine hair, color contrast...as hard as it gets.... Did fine, UNTIL...he got hit by a landing airplane in the carribean. He came back and we did a second case, working on the area impacted by the plane's wheel. He came down again a few weeks ago and had a 3rd small case, this time adding some hair to his partline where the wheel hit, and working toward his crown. Now, he and I did a nice 5 minute video...but I can't get quicktime to format it into the screenflow software. I've talked with screenflow, and at the upcoming update, this glitch will be fixed, so I'll update his story with that in depth interview with combing of his hair etc as soon as I can. The delay in posting this has only been due to frustration with this formatting, which seems to only have hit his video. The video is: Anyhow, take a look and here's a link to his last video which goes into the impact even more. Dr. Lindsey McLean VA

So here's a typical repair case..... He has problem number 2 of hair transplants (too little hair over too much head). Problem 1 is big wide scar and problem 2 is goofy low and straight hairline...which he doesn't have. So when these guys come in, 90% of them say that a consultant sold them a case, usually that would fit a budget and payment plan based on their salary...NOT MEDICAL NEED... and for a while everything was good. But quickly enough, they realize that only a little hair was actually put in the area they were starting to thin in.... And when we fix them, you can usually see the grafts that they paid for and its almost never the 3000 that they were "sold". Now I wasn't at those cases so I don't really know if they were sold that number, nor do I know if that many grafts were cut. I do know it would be tough to pack thousands of grafts into slits that you can't see because of surrounding hair and even if you got them in...that that surrounding hair would stick to some of those hairs and extract them in a day or 2.... But we fix them all the same way. Lots of videos on that. We trim them down, make slits as close to the grafts that are working as I can..then pack it. Now this fellow rolled in at 4 years and actually needs more work farther back on his head. I think the family is budgeting for kids, so my guess is it will be a bit til he is in for another procedure. The video is: Dr. Lindsey McLean VA

Sean I don't think I get your question. I'd guess out of my current 218 videos on youtube...as of today...that 40 go through repair cases. Should be plenty to look at and I've posted most of those over the years on the forum. We do 130-140 cases per year via strip, and another 30-36 fue. Out of that total strip number 40 are repair cases from everywhere. No name and big name doctor/groups. Now we get way more repair cases from guys who either dabble in hair....just getting into hair...just bought an fue machine....or use rental techs....than we do from established hair practices. In fact, just 10 minutes ago I saw a 35 year old well off guy who had seen me in 2010 for a consultation. He went to a local competitor who had done his dad and his brother. Now he did say then, and today..that his dad and brother had poor results...but the guy's prices were half mine. So now he's here and he had a little hair sprinkled over a class 5 hair loss pattern and a scar that is roughly 6-8 mm wide. It is beyond me why anyone would go to a doctor that had done a bad job on 2 relatives! So we'll see if he comes in for repair. Here's a repair video done by a patient: THEN by him interviewing his stylist after we repaired him: and a basic one : Dr. L