Dr. Sanusi Umar

He is known in the hairloss blog community as "schmoe". Before seeing me, he had a history of prior FUE and BHT at another facility involving mainly the hairline, frontal scalp and crown. He came to me requesting improvement of his hairline from his prior surgery. He wanted the hairline softened and the shape and direction streamlined to taste. The aim is for a subtle but evident change in the hairline. He also wanted density added to the mid scalp. 7 months prior he underwent a 3000 SFET procedure to achieve the above stated objectives. The breakdown of the donor sources were as follows: Head donor: 1293 Nape: 597 Lower abdomen and upper pubic areas: 1115 The foregoing are before and after photos in a self explanatory sequence:

Hello Pat, My staff and I as well as the patient of the day enjoyed your visit. It was nice sharing ideas and experiences. You have done a great job putting together this community. I look forward to contributing to the community (as well as learn from it) as much as possible. Hopefully, with a more pragmatic and objective approach, the role of BHT in addressing situations of relative or absolute lack of head donor in suitably qualified candidates especially in repair situations would become apparent as more cases manifest and honest dialogue is allowed to flourish. Best wishes.

The video is self explanatory. Click the following link to view it:

Bill, We are just begining to get these videos together. So bear with us, but there are a lot of videos and photos to follow of different patients and varying scenarios. All the videos are taken in the HD mode, however a lot of the quality is compromised in youtube. We are going to have all these videos and photos added to our website in due course. I must admit that our website has not been updated in over 1 year. this would happen very soon. In the meantime the youtube video quality does improve significantly if you click the "watch in high quality" option located to the bottom and left of the video clip, it is highlighted in blue just below the view count. As at the 9th month mark, the patient has enjoyed at least more than 70% yield putting it conservatively. A lot of the growth is also finer body hair that should mature and thicken in the ensuing several months. These finer body hair at this stage tend to impact a toppik like effect in between the head and beard hair. I have discussed the toppik like effect of body hair previously in another patient over 2 years ago when I first noticed the phenomenon: Toppik like effect of BHT" The part that is still catching up is the crown which as is already known tends to lag behind the rest of the scalp in filling in after transplantation. The patient is scheduled to undergo 4000 additional grafting in a few months time. He would have been at the 13th month mark at the time. All manners of views of photos and videos would be shot at the time, and the forum updated right before the next surgery occurs. The 4000 grafts would be first applied to the crown (the crown received less grafts in the first surgery), and any area of comparative less density in the remaining scalp. A side note: This patient is very happy with his result. He has gone to looking to be in his late 50s to being in his early 30s. This transformation would have been more glaring had we the permission to show the face, which would have given the transformation better context. Regards

Bill, The posted photos could be deceptive given that the combover is not adequately revealed. I think watching the in its entirety would reveal the pre-op state and the result at 9 months better: The following photo for instance reveals the true extent of the baldness and the attempt to conceal same with a combover: Considering that that much ground is covered with a NW 0-1 hairline, and the fact that on the average 2-3 body hair follicles (they are thinner and mostly singles) are equivalent to one head hair follicle(thicker and mostly doubles and triples) I would think the yield is excellent at this stage. The again reflects this well. The illustrates further the advantage of this hybrid approach in extensively bald individuals. It affords us the liberty of going for a NW 0-1 hairline in extensively bald individuals such as the one shown on the video without having to sacrifice the crown and density in the background of a pristine head donor area that is not overharvested. I think that is what this patient is on the verge of achieving. That would be impossible to achieve with a head hair only approach. My fees are very competitive for FUE and BHT. Regards, Sanusi Umar, MD, FAAD

The foregoing is a video link detailing the case from before the surgery to the result at the 9 month mark. For the video click the following link: SURGERY DETAILS: BHT (Using beard and body hair) + FUE (Using head hair) Hybrid Completed in one surgery session over 9 contiguos weekdays. Graft Break down: Beard: 6250 Head donor: 3617 Legs/thighs: 2528 Chest: 1647 Abdominal Areas: 900 Arms: 531 Goal: 1. Coverage of the entire NW6 area (crown included) to a NW 0-1 hairline. 2. The ability to maintain a shorter hair cut without worrying about visible scars (seen in strip HT). 3. Donor preservation: The ability to harvest donor areas in the future should the need arises, in event of progression to NW 7 and beyond. Over harvesting of head donors is to be avoided. 4. The absence of cosmetically significant body scarring. Sanusi Umar, MD, FAAD

The foregoing is a video link detailing the case from before the surgery to the result at the 9 month mark. For the video click the following link: SURGERY DETAILS: BHT (Using beard and body hair) + FUE (Using head hair) Hybrid Completed in one surgery session over 9 contiguos weekdays. Graft Break down: Beard: 6250 Head donor: 3617 Legs/thighs: 2528 Chest: 1647 Abdominal Areas: 900 Arms: 531 Goal: 1. Coverage of the entire NW6 area (crown included) to a NW 0-1 hairline. 2. The ability to maintain a shorter hair cut without worrying about visible scars (seen in strip HT). 3. Donor preservation: The ability to harvest donor areas in the future should the need arises, in event of progression to NW 7 and beyond. Over harvesting of head donors is to be avoided. 4. The absence of cosmetically significant body scarring. Sanusi Umar, MD, FAAD