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Dr. Vladimir Panine

Elite Coalition Physician
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Everything posted by Dr. Vladimir Panine

  1. Dr. Vladimir Panine
    @JoDimaggio22- The punch size was .8mm. @StillAlive, @Melvin- Moderator, @JoDimaggio22, @Marlo, @stephcurry30, @Gatsby - Thank you for the feedback. I appreciate it immensely.
  2. Dr. Vladimir Panine
    This 27-year-old gentleman had a hair loss pattern similar to a class 4 on the Hamilton Norwood hair loss scale. His goal was to augment his hairline and add density to the frontal 1/2 of his scalp. After establishing his medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss. Taking his age and hair loss into consideration we discussed his goals and came upon an agreement for a surgical plan that would suite his expectations. During the procedure, I was careful to reconstruct a hairline that would be suitable for him now and as he continued to age. A total of 2,747 grafts were used in the frontal 1/2 of his head. These are his results the day of procedure and 1-year post-op. The patient is extremely happy with his results at this point.
  3. Dr. Vladimir Panine
    @Britalien, @Buck Naked and @Melvin- Moderator, Thank you for the feedback and kind words. I'm really looking forward to seeing the final result in a few more months!
  4. Dr. Vladimir Panine
    This 34-year-old gentleman had a hair loss pattern similar to a class 4v on the Hamilton Norwood hair loss scale. His goal was to augment his hairline and add density to the frontal 1/2 of his scalp. After establishing his medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss. Taking his age and hair loss into consideration we discussed his options and came upon an agreement for what would suite his expectations. We agreed to a surgical plan that included reconstructing a hairline that would be suitable for him now and as he continued to age. I planned the surgery accordingly. A total of 2,800 grafts were used in the frontal 1/2 of his head. These are his results on the day of the procedure, a one-week post-op update, and 8 months post-op. The results will continue to improve over the next 6 months. The patient is extremely happy with his results at this point.
  5. Dr. Vladimir Panine
    @lakes9925, @civic & @Melvin- Moderator, Thank you! I really appreciate the feedback.
  6. Dr. Vladimir Panine
    This 40-year-old gentleman had a hair loss pattern similar to a class 3 on the Hamilton Norwood hair loss scale. After establishing his medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss. His goal was to augment his hairline and add density to the frontal 1/3 of his scalp. Taking his age and hair loss into consideration we came upon an agreement for what would suite his expectations. The patient’s goal was well suited to his needs and therefore I planned the surgery accordingly. I wanted to reconstruct a hairline that would be suitable for him now and as he continued to age. A total of 2,500 grafts were used in the frontal 1/3 of his head. These are his results on the day of procedure, 2 weeks post-op, and 1 year post-op. The patient is extremely happy with his results.
  7. Dr. Vladimir Panine
    Thank you, @Melvin- Moderator!
  8. Dr. Vladimir Panine
    This 27-year-old gentleman had a hair loss pattern similar to a class 4v on the Hamilton Norwood hair loss scale. After establishing his medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss. The patient’s goal was to augment his hairline and add density to the frontal 1/2 of his scalp. Taking his current age and expected future hair loss into consideration, we came upon an agreement for what would suite his expectations. I was careful to reconstruct a hairline that would be suitable for him now and as he continued to age. A total of 2,678 grafts were used in the frontal 1/2 of his head. These are his results on the day of the procedure, 1-week post-op, and 1-year post-op. The patient is extremely happy with his results.
  9. Dr. Vladimir Panine
    @J.A.C I truly appreciate the kind words!
  10. Dr. Vladimir Panine
    This 40-year-old gentleman had a hair loss pattern similar to a class 3 on the Hamilton Norwood hair loss scale. After establishing his medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss. His goal was to augment his hairline and add density to the frontal 1/2 of his scalp. Taking his age and hair loss into consideration we came upon an agreement for what would suite his expectations. When drafting the surgical plan, we discussed reconstructing a hairline that would be suitable for him now and as he continued to age. A total of 2,049 grafts were used in the frontal 1/2 of his head. These are his results day of procedure, 1 week post-op, and 1 year post-op. The patient is extremely happy with his results.
  11. Dr. Vladimir Panine
    digi23 The punches are .8mm or less. The reason the photos appear to have a larger punch is due to the use of tumescent solution.
  12. Dr. Vladimir Panine
    5BetaReductase , The grafts are harvested from the occipital area due the quality of the hairs in that area matching the quality of the varying hairs in the hairline area. By harvesting in different vertical regions of the occipital area one can harvest grafts of varying diameter. Zone 3 in the occipital area is ideal for thinner hairs whereas hair from Zone 1 or 2 are more robust and used to replace thicker hairs. See this link from the NIH regarding the vertical regions of the occipital area: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5533061/
  13. Dr. Vladimir Panine
    This 30-year-old gentleman had a hair loss pattern similar to a class 3v on the Hamilton Norwood hair loss scale. After establishing his medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss. His goal was to augment his hairline and add density to the frontal 1/3 of his scalp and add some density to the crown. Taking his age and hair loss into consideration the patient and I discussed the options and came upon an agreement for a surgical plan that would suite his expectations. I wanted to reconstruct a hairline that would be suitable for him now and as he continued to age. A total of 2,000 grafts were used in the frontal 1/3 of his head and 300 into his crown. These are his results on the day of procedure, 2 weeks post-op, 3 months post-op and 1 year post-op. The patient is extremely happy with his results and is presently on Finasteride 1mg.
  14. Dr. Vladimir Panine
    This 27-year-old gentleman had a hair loss pattern of a class 2 on the Hamilton Norwood hair loss scale. His goal was to augment his hairline and add density to the frontal 1/3 of his scalp. After establishing his medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss. Taking his age and hair loss into consideration we discussed his goals and came upon an agreement for a surgical plan that would suite his expectations. We agreed on reconstructing a hairline that would be suitable for him now and as he continued to age in order to make the results as natural as possible. A total of 2,000 grafts were used in the frontal 1/3 of his head. These are his results 13 months post-op. The patient is extremely happy with his results.
  15. Dr. Vladimir Panine
    This 28-year-old gentleman had a hair loss pattern of a class 3v on the Hamilton Norwood hair loss scale. The patient’s goal was to rebuild his hairline and add density to the frontal 1/2 of his scalp. The patient’s goal was well suited to his needs and therefore I planned the surgery accordingly. I paid careful attention when creating the hairline, as I wanted to reconstruct a hairline that would be suitable for him as he continued to age. A total of 2,400 grafts were used in the frontal 1/2 of his head. These are his results 11 months post-op. His results will continue to improve over the next 3 months. The patient is presently on Finasteride 1mg and is extremely happy with his results.
  16. Dr. Vladimir Panine
    This 27-year-old gentleman had a hair loss pattern of a class 3 on the Hamilton Norwood hair loss scale. His goal was to rebuild his hairline and add density to the frontal 1/3 of his scalp. I discussed the patient’s goals with him and after taking his age and current hair loss into consideration, we came upon an agreement for what would suite his expectations. Therefore, I planned the surgery accordingly, paying careful attention to the hairline. I wanted to reconstruct a very natural hairline that would be suitable for him as he continued to age. A total of 2,500 grafts were used in the frontal 1/3 of his head. These are his results 7 months post-op. His results will continue to improve over the next 6-9 months. Patient is presently on Propecia. The patient is extremely happy with his results.
  17. Dr. Vladimir Panine
    This 25-year-old gentleman had a hair loss pattern of a class 2, going into a class 3 on the Hamilton Norwood hair loss scale. His goal was to rebuild his hairline and add density to the frontal 1/3 of his scalp. Taking his age and hair loss into consideration, I discussed the patient’s goals with him and we came upon an agreement for a surgical plan that would suite his expectations. I paid careful attention, when reconstructing his hairline, so that it would be suitable for him as he continued to age. A total of 2,033 grafts were used in the frontal 1/3 of his head. These are his results 10 months post-op. His results will continue to improve over the next 2-5 months. The patient is presently taking Finasteride to try and control further hair loss. The patient is extremely happy with his results.
  18. Dr. Vladimir Panine
    SLA, The patient has at least 8,000 donor grafts left.
  19. Dr. Vladimir Panine
    JohnAC71, It is typical to mix in multi-hair grafts into the hairline but I use a majority of single hair follicular units to give it a natural look. You can’t use all single hair follicular units as that isn’t a naturally occurring state anywhere on your scalp. Since the patient has less than 6 months of growth, you can expect some single hairs to fill in around the two-hair graft. Can this patient post additional photos, before the surgery so everyone can see what we were dealing with due to it being corrective work. If you don’t have any before photos, let Stuart know and he can send you some.
  20. Dr. Vladimir Panine
    Thank you, JohnAC71 ! I am also looking forward to his progress over the next few months.
  21. Dr. Vladimir Panine
    This 23-year-old gentleman had a hair loss pattern of a class 4v on the Hamilton Norwood hair loss scale. His goal was to rebuild his hairline and add density to the frontal 1/2 of his scalp. We discussed his age, hair loss and expectations for the surgery. The patient’s goal was well suited to his needs and therefore I planned the surgery according to what we had discussed. I put extraordinary care into reconstructing a hairline that would be suitable for him as he continued to age. A total of 2,523 grafts were used in the frontal 1/2 of his head. I used 1,130 single hair follicular units which allowed me to create a very natural hairline. This action will allow him to comb his hair without anyone detecting that he has had anything done. These are his results 7 months post-op. His results will continue to improve over the next 5-8 months. I have also posted pictures from the day of procedure and 6 weeks post-op pictures. The patient is extremely happy with his results.
  22. Dr. Vladimir Panine
    This 27-year-old gentleman had a hair loss pattern of a class 4v on the Hamilton Norwood hair loss scale. His goal was to rebuild his hairline and add density to the frontal 1/2 of his scalp. After establishing the patient’s medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss or impact the results of a hair transplant. As I discussed the options for a surgical plan with the patient, we discussed his goals, his age and his expected future hair loss based on family history. As we finalized his surgical plan, I was careful in taking into consideration the reconstruction of a hairline that would be suitable for him as he continued to age. A total of 2,550 grafts were used in the frontal 1/2 of his head. I used 1,410 single hair follicular units which allowed me to create a very natural hairline. This action will allow him to comb his hair without anyone detecting that he has had anything done. These are his results 7 months post-op. His results will continue to improve over the next 5-8 months. Note that I have also posted pictures from the day of his procedure and one-week post-op pictures. The patient is extremely happy with his results and is planning on doing another procedure to address his crown.
  23. Dr. Vladimir Panine
    JohnAC71 and Dr. Suhail Khokhar , Thank you for taking the time to give me your feedback. I truly appreciate it!
  24. Dr. Vladimir Panine
    This 27-year-old gentleman had a hair loss pattern of a class 2 going into a class 3 on the Hamilton Norwood hair loss scale. His goal was to rebuild his hairline and add density to the frontal 1/3 of his scalp. Taking his age and hair loss into consideration we discussed his options and came upon an agreement for what would suite his expectations. I paid careful attention to the hairline while planning the surgery as we wanted to reconstruct a hairline that would be suitable for him as he continued to age. A total of 2,421 grafts were used in the frontal 1/3 of his head. I used 1,456 single hair follicular units which allowed me to create a very natural hairline. This action will allow him to comb his hair without anyone detecting that he has had anything done. These are his results 9 months post-op. I have also posted pictures from the day of his procedure and one-week after the procedure. The patient is extremely happy with his results.
  25. Dr. Vladimir Panine
    Dr. Khokhar, Melvin, Hairlosscpa, stephcurry30, SLA thank you for the nice comments. Aamir and 5Betareductace I use the Harris S.A.F.E. machine to extract the grafts. I usually use anywhere from a .7-.9 punch size depending on the type of hair the patient has in his donor area. I used a .9 punch with this patient and he would be able to go down to a #1 guard if he ever chose too. He is not presently taking Propecia.
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