Dr. Alan Feller

Joe, Nobody knows the "mechanism of action" of Rogaine, but it is NOT a DHT blocker! This is a common misconception. Rogaine is NOT a topical DHT blocker. It seems to somehow stimulate the follicle in a beneficial way after transplant. I have NO idea how it does, but there is NO question it does. Even though you are willing to wait 8 mos for your final result, realize that Rogaine in the first few months seems to result in a THICKER overall appearance. Dr. Feller Specializing in FUE and Strip HT surgery www.fellermedical.com 516-487-3797

Kaz Start the rogaine now! Watch for the dermititis. Use 2% once per day right on the grafts, that's what I tell my patients. Dr. Feller Specializing in FUE and Strip Hair Transplantation www.fellermedical.com

Kaz Start the rogaine now! Watch for the dermititis. Use 2% once per day right on the grafts, that's what I tell my patients. Dr. Feller Specializing in FUE and Strip Hair Transplantation www.fellermedical.com

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If your scalp is that tight you may want to check into FUE for your next surgery. Scalp laxity is not a variable with this method and it does allow for a significantly greater yield. Good luck Dr. Feller Feller Medical, PC Great Neck, NY 516-487-3797

The reason for the seemingly "high" price of my FUE cases is due to the fact that my grafts go through an extra processing step whereby they are placed under a microscope and trimmed down. Even though we call it "Follicular Unit Extraction (FUE)" we really DON'T always remove single FUs, sometimes there are multiple complete FUs in a single extraction. As a result I am not comfortable placing surch grafts on a hairline without further trimming. In many cases I can get out good and true single hair FUs during a single extraction , HOWEVER, there also tend to be EXCELLENT true 1-hair FUs WITHIN a single FUE extraction and it takes alot of extra labor and time to extract them from the extraction. I believe that lower cost FUE cases in my office will become available in the near future through the use of new instrumentation I have designed and been using successfully, but as always time will tell. Dr. Feller Feller Medical, PC 287 Northern Blvd.,Suite 200 Great Neck, NY 1-800-HAIRS-2-U 1-516-487-3797 http://www.fellermedical.com

The reason for the seemingly "high" price of my FUE cases is due to the fact that my grafts go through an extra processing step whereby they are placed under a microscope and trimmed down. Even though we call it "Follicular Unit Extraction (FUE)" we really DON'T always remove single FUs, sometimes there are multiple complete FUs in a single extraction. As a result I am not comfortable placing surch grafts on a hairline without further trimming. In many cases I can get out good and true single hair FUs during a single extraction , HOWEVER, there also tend to be EXCELLENT true 1-hair FUs WITHIN a single FUE extraction and it takes alot of extra labor and time to extract them from the extraction. I believe that lower cost FUE cases in my office will become available in the near future through the use of new instrumentation I have designed and been using successfully, but as always time will tell. Dr. Feller Feller Medical, PC 287 Northern Blvd.,Suite 200 Great Neck, NY 1-800-HAIRS-2-U 1-516-487-3797 http://www.fellermedical.com

Joe HT There is NO WAY 2000 grafts will fill you from donor area to forehead. If I were you I would pack that 2000 grafts in the front third of the head ONLY! Remember, the total number of grafts is an insignificant number, only the number per square centimeter counts. That's it. Dr Feller

This patient is packed at about 40 grafts per square cm. The hairline is varied, although I admit it doesn't show as much on a jpg photo as it does in real life. Since this patient has VERY thick coarse hair I didn't vary the hairline as much as if he had finer hair. I will post photos of this kind of patient in the future. If you look at the photo where this patient is holding a mirror there is nothing to draw attention to the shape of the hairline, the ultimate sign of a natural result. Remember, he is only at 7 months and as such is only about 70% grown out at this point.

BeforeDense pack one week later7 months later7 months later

BeforeDense pack one week later7 months later7 months later

"There are only 10 types of people in the world: those who understand binary, and those who don't..." Micro, As a repressed electical engineer and accomplished computer hardware designer and prototyper I must say I LOVE this statement! If you solve the following simple problem I will give you 50 free grafts. 01 + 10 + 11 = ? Dr. Feller

2100 grafts packed into the front. The hairline is created with ONE hair FUs ONLY and is placed in at the proper angle and with plenty of NON-LINEARITY. This combination is the only way to assure a natural transition from the bald scalp to the new growing hair.

2100 grafts packed into the front. The hairline is created with ONE hair FUs ONLY and is placed in at the proper angle and with plenty of NON-LINEARITY. This combination is the only way to assure a natural transition from the bald scalp to the new growing hair.

Burned, If you are only 6 months post op from Bosley, then you really can't determine the final result yet, you have plenty of growing to do so hang in there. Dr. Feller

You have two large areas of baldness, and only a certain amount of donor area available to cover them. In your case, I would recommend 2 surgereies to cover the front and top and then comb the hair into the crown. Then I would do a third surgery in the top part of the crown. I would not recommend trying to implant grafts throughout your entire crown, it would be a waste. Dr Feller

Thanks Pic Dr F

Thank you Arfy. I was "inspired" by Dr. Woods' unique approach. Perhaps more so by the mystery surrounding it. Pic, Yes, the photos were MINE, and they were done by ME. In fact, I just sent Farrel a video of the extraction procedure I used on that very same patient. He will be posting it very soon on HLH. When I wrote "moth-eaten", I was reffering to the obvious physiological change in the skin from a large amount of micro-scarring. Perhaps this effect wouldn't be as noticible in a lower quantity transplant, but it was quite noticable in Dr. Woods' lawyer. That's not to say that you should put off your surgery because of it. In my opinion, you shouldn't. I see the same exact "moth-eaten" effect in my FUE patients. Whenever you do surgery there is a physiological price to pay, scarring of one sort or another is inviolate LAW, not just a haphazard function of the practitioner's skill. The question just becomes how much scarring, and where. Dr. Woods' scars are more faded and ubiquitous, BUT by no means INVISIBLE, as has been implied and outright stated over the months. I could start to offer FUE to patients on a commercial basis as my speed and confidence have reached that level, however, my immediate focus is not to offer it as a modality option to my patients, rather to continue to study the involved dynamics and produce new and useful instrumentation. FUE surgery is very time consuming, and since Dr Jones is already performing it on a large basis, there is really no need for me to do it yet. I'd rather do multiple small cases and continue to experiement with and study the procedure. If someone doesn't do this now, the procedure will never develop a grounded foundation upon which to grow. I am already designing and constructing an FUE specialty room in my office and will be offering FUE to all patients in September, 2003 Dr. Feller

I agree with Arfy's statement that Dr. Woods does do good work. Very good work. I am not,however, trying to "copy" him. I couldn't even if I wanted to since he has disclosed exactly nothing about his methods to me or anyone I know. In a way I am thankful for this because it has forced me to study and discover the dynamics of FUE for myself, something far more satisfying than having it spoon-fed to me. Saying that I am copying Dr Woods is not only untrue, but negates the tremendous amount of work I've put in to this point. To date I have extracted thousands of grafts and have performed countless experiments on volunteers. I've filed two U.S. patents and am writing 2 more. I will also be making a Primer for FUE available to doctors and anybody else who is interested. Please be more accurate in the future. Dr Feller

All planning for hair transplantation depends on multiple variables. Having written this, I would say that IF you have considerable hair BEHIND your hairline, then 25grafts/cm 2 is fine. If you don't,then you will need a higher density to achieve a natural look, say 35-40 (and perhaps even higher). What you want to avoid is what I call "the Haze Effect". This is created by a low density hair transplant in the front hairline that consists of thick transplanted hairs. This is an UNNATURAL combination because hairlines usually consist of finer hairs than those behind it. Practitioners who create the "Haze Effect" do it by mistakenly believing that spreading thick hairs out in the front line will create the "whispy" or "tapering" look of a natural hairline. That is, since they can't reduce the caliber of each individual transplanted hair to produce a thinner appearance, they beleive that simply spreading the hairs out over a greater area will adequately mimic a naturally thin appearence. This is an incorrect assumption, however, and it therefore becomes necessary to do what is COUNTER-INTUATIVE, that is, to go the other way by super-dense packing the front line. If you want proof of this, just look at ANY of the photos posted on the sponser section of this or any other hair website. Look at the front hairlines. You can always tell the dense-packers from the rest of the crowd. No haze effect. They have all learned that it is the heavy "front loading" of the front that lends the most natural and credible look. As important as this is, it is rarely a topic of discussion in the HT world. Unfortunately, you will continue to see the haze effect produced by novices simply because it is much much harder to dense-pack hairlines. Rest assured, however, that it is being done SUCCESSFULLY everyday by dense-pack physicians who are WILLING to spend 7 hours on a patient if that's what it takes.

It doesn't matter if it is a blade or a needle, as I've mentioned in other threads a needle produces a slit at this level anyway. It really comes down to the length of the follicle itself. This patient had a longer than average follicle so he has a bit more protruding, that's all. Don't worry if you didn't see this after your surgery, not everybody looks the same.

I don't normally take pictures of the sutured areas after surgery as they are not much to look at. However, when this patient returns for his sutures to be removed I will take a picture and post it on this thread.

Jrp65 and WWH The white protrusions are the tops of the grafts. Some epidermis and some dermis are visible. As Pat correctly pointed out, the raised parts will fall off in about a week and leave a properly placed graft flush within the skin. This is characteristic of either vertical or lateral slits. You may be more used to seeing dark crusting up there, this will happen over the next hour or so after surgery. Noreaster Surgery is not for the weak of stomach, that's for sure. I think it is amazing that the scalp can bounce back from such trauma... but thankfully it always does. As for side blending, I don't think it is necessary. The pictures don't really do the temple hair justice, but his sides are nice, thick, and far enough forward not to worry about. If he does lose some side hair in the future, the edges of the transplanted section are high enough to still look normal and unobvious. I will post as many post op pics as this patient will allow. If he visits once per month, then I will be happy to post every month.

Yesterday I had the pleasure of performing surgery on a regular viewer of this site. He may be a poster, but I didn't ask. He certainly seems very knowledgeable so I wouldn't be surprised. During our surgery we were discussing how to ensure quality in a hair transplant. It occurred to me that one simple way would be to take photos of the surgery while it was being done and then posting it immediately for the world to see BEFORE the final results. Perhaps if everyone did this, the quality of the work would increase across the board. This patient had 1500 grafts packed into the front third of the scalp.