Jotronic

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Bumping this up for any NYC area residents or visitors that would like to know more about H&W and our approach to hair restoration. Go online to Hair Transplants | Hair Transplant Surgery | Hasson & Wong to register.

You shouldn't use anything on your scalp at 4 days post unless it has some sort of antibiotic properties to it because at this stage the incisions are still healing. Coconut oil is medically clean and not to be used on wounds so God knows what you can get into the incisions. It is fine a week or more out to help get remaining scabs off but it is no better then vitamin E oil or any other oil for that matter. Consult your doctor for the final word on this.

Thanks Irish! I also realized that I never posted photos to go along with this video so I just put some together to share with the group.

Thanks fellas.

For some reason the original video link is only in text format. Hopefully this will be a more click friendly link.

^I understand why you could feel that way but on the other hand it is also very tiring to see clinics post photos and omit the all important top view....

 

As for this case, this good, but honestly given his native hair, his good hair/skin color match and a large amount of grafts, I was expecting more coverage.

Favorable contrast goes only so far to contradict fine hair. This patient has VERY fine hair but what none took into consideration was the density placed in the front. Dr. Wong will normally place a hairline at a lower density when such a large area is addressed but the patient wanted higher than average density for a case this size. If you look at the distribution pattern just shy of 5000 grafts were placed into a full NW6 pattern. A very general rule of thumb is that one needs roughly 1000 grafts per NW number to get proper coverage. Regardless I personally believe this result shows what strategic placement can accomplish once you understand the factors that are present.

Spanker,

A little bit of both but I think that it is more the latter as the signs of retrograde alopecia are only minor.

Thanks, Blake.

The work looks quite clean. However, I cannot get the last image to open? I tried it in two different browsers, but no luck??

Neither can I.

Hence, we do not get a chance to take the "after" pictures and have to rely on the pictures that our Patients send to us.

The majority of the photos in your last several threads seem to be taken in the clinic so those you do have control over. I suggest that you stop using the flash on your camera. The flash used in your photos is particularly harsh and flash doubles the density of the actual result. You can also ask your patients to not use the flash when they submit photos for the same reasons.

This local to Vancouver patient wanted to get as much coverage as possible in one procedure and to establish a hairline that would give him a younger appearance. Dr. Wong and his team moved 4597 grafts in a single session for the result you see below.

I wish there was a "like" feature so I could like Dr. Carman's post, lol!

I was about to say you should probably throw it out or Ebay it, but to my surprise according to an NCBI study it can be beneficial. Not sure what brand of comb you have but maybe it's not a waste of time.

It was not an NCBI study. The NCBI is a repository of information organized for easy access. The study was authored by four individuals, two of which were Dr. Leavitt, former MHR CEO and lead HT surgeon for MHR before they were bought out by Bosley. The second of the four authors was David Michaels, the "inventor" of the Hairmax Laser comb. The study was not unbiased as all studies should be and at least two of the authors had obvious STRONG bias toward proving efficacy for this product. Dr. Leavitt is also the Medical Director for Hairmax Lasercomb. I hope this clarifies the issue.

I think that unless you are in a convertible then it won't be an issue. With windows up, zero chance of harm as all cars have UV coatings on their windows. With windows down, near zero chance of harm. It's not that you have to avoid direct sunlight, it is that you have to avoid a bad sunburn.

I can't tell so pardon me, but is this sarcasm? I don't think his work has been impressive at all.

No, it is not sarcasm. He documents far better than anyone else in India. I'm not comparing him to other doctors in general, just as the OP asked for, in India. I've seen some of these other doctors' work in person and trust me, the misleading photos of these doctors cannot carry over into the real world under normal and casual scrutiny.

It actually depends on a couple of things. First, they have to have been placed in a natural angle and direction as such would be found on a non-balding scalp. If the doctor is a hack and places the new hairs in a completely opposite direction to what would be considered natural then that will cause problems with hair styles. It also depends on the size of the grafts. If you have large multi-hair grafts such as is found in the older mini-micro grafting then that too can be a problem. It is the same difference when trying to bend a thick older tree compared to bending a young thin sapling.

I had both problems combined from two surgeries in the early nineties. I had one hairstyle, straight back:) However, since then I've had an additional 9300 (and change) grafts and they have helped to change how I can style my hair. In fact, they have added to the density of my final result and I can pretty much style my hair in most ways that I like save for some hair styles that require native density. I hope this helps.

Do you have any photos of the donor zone on either side of your scalp?

If you are truly a NW2 or 2.5, don't waste your time with SMP. You not only have to shave your head you have to shave your head daily because the work will be right up front where everyone can see it and the difference in length that will develop every day from continuous growth of the hair behind the work will create an imbalance that will be noticeable. My clinic offers the temporary form of SMP and I have no problem telling you to seek alternative solutions. SMP is ideal for those that have too much loss for surgery or for those that want to thicken a mildly thinning area. It is not a good idea however for those that want to lower a hairline.

You should be on Propecia regardless of surgery because you don't want to lose more hair. With luck, you won't need to do anything beyond that.

I don't agree with the idea of blindly following your surgeon's advice just so you can win the debate of whether or not you followed the post-op instructions to the letter in the event of an unsatisfactory result. If I came on here seeking information because something didn't quite seem right with my surgeon's post-op instructions or it was out of step with what other surgeon's typically recommended, you better believe I'm going to challenge my surgeon on it.

Since21,

I did not make this point "just" so anyone can win a debate. It's common sense really and the point is for one's own protection.

The most important point is that it is a good idea to find out what the post-op instructions are BEFORE you choose your doctor and discuss them before you even have a procedure. It is at this time that one should question the post-op regimen, not after the procedure has already been carried out.

I agree 100% that if you are not completely comfortable with your doctor's post-op recommendations you should seek input elsewhere however it begs the question; if you trust your doctor enough to place thousands of holes in your head, why would you not trust his simple post-op instructions for those holes to heal to their fullest potential?

If one trusts a doctor enough to have them perform a procedure then they should also follow the post-op guidelines as stipulated by said doctor. It only makes sense. However, it is also for your protection to do so because if for whatever reason the result is not satisfactory then you will be in a much more difficult position to discuss the reasons why if you cannot honestly state that you followed the post-op instructions to the letter.

I'm not referencing your doctor specifically, but rather this is a general guideline that I suggest everyone consider. It's for your own good.

This Italian patient came to see Dr. Hasson in March 2013. He wanted a new hairline with strong density but he also wanted to thicken the frontal zone, anterior to the vertex. Dr. Hasson and his team moved 4179 grafts in one procedure for the result you see below, at 14 months post-op.

The results photos were taken in Rome in May 2014 during our most recent trip to Italy which is why there is no familiar blue background. Lighting was provided by bright overhead spot lights and ambient window light on three sides.

Graft Breakdown:

Singles - 1749

Doubles - 2207

3/4 - 223

Total - 4179

very nice work Joe, looks quite subtle and natural

 

as this is temporary, it is expected to last max of two years? and after that what are the fees like? any short-term guarantees against early fading?

also what are the post-procedure instructions btw? especially regarding showering, shampooing and sweating?

Thanks, hsrp10. I designed the hairline myself:)

There are no guarantees for this with regards to how long it lasts. If it fades too much inside of two months then we'll redo it at no charge but anything after that is taken on a case by case basis. We've seen a few cases where the result faded a bit more than we liked in the first several weeks but then once we did another pass then it lasted much longer.

As a local pt, it would be great to see this guy at 6 months, 1 year, 24 months, and so on, until he decides to have a touch up. There has been no good proof of efficacy in smp (how long it will look good) shown to the forum by any clinic that I have seen. It looks good now, but I would love to see a longer term case on it by a respected HT clinic.

That's the plan with this client, Spanker, so there will be regular updates for sure. I have an HD video that needs to be processed as well to show a more realistic representation of the result.

Bumping this up. Mike Ferko is in Los Angeles now and has a few remaining openings for consultation.

This local client had been doing his research into SMP for several months and came into the office for multiple meetings. We discussed at length the pros and cons of permanent vs. temporary SMP, hairline design, etc.

He finally came in about six weeks ago to have the first of two passes performed. He returned one week later to have a second pass for added density per our original plan thus the result shown is five weeks after the last pass.