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Dr. Bijan Feriduni

Elite Coalition Physician
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Everything posted by Dr. Bijan Feriduni

  1. A combination of FUT and FUE performed on a 33 year old Asian male with: - NW IV- beg. V Class T - Donor density of ~84-96 FU/cm2 in the occipital donor region and ~80-92 FU/cm2 in the temporal donor regions - Hair diameter of ~60-74 microns Treatment plan: - 1st treatment: A combination of FUT and FUE to restore the hairline, central core, bridge and the crown area in low/medium density (performed on August 23rd, 2012) - 2nd Treatment: A FUE treatment to add more density to the crown area (performed on December 11th, 2013 – no end result pictures yet) Performed procedure (August 23rd & 24th, 2012): Follicular Strip Transplantation with 4264 FU performed on the 1st surgery day: * 642 single hair FU * 2864 double hair FU * 758 triple hair FU Follicular Unit Extraction with 809 FU performed on the 2nd surgery day: * 40 single hair FU * 613 double hair FU * 156 triple hair FU Total number of follicular units in 2 consecutive days: 5073 FU Double layer closing with PDS 4-0 absorbable sutures and disposable skin staples; Extraction performed with a 0.85mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the follicular unit grafts (FUE); Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.95mm). A combination of FUT and FUE has been performed, being the explicit wish of the patient to be able to harvest as much follicular units as possible in only one procedure. Dr. B. Feriduni
  2. Follicular Unit Transplantation performed on a 30 year old Caucasian male with: - Isolated vertex hair loss - Donor density of ~70-80 FU/cm2 in the occipital region and ~60-70 FU/cm2 in the temporal region - Hair diameter of ~64-74 microns Treatment plan: A Follicular Unit Extraction to add density to the crown area. Performed procedure (September 25th, 2013): A Follicular Unit Extraction with 1408 FU in a single day session * 1408 double and triple hair FU ("Cherry-picking-technique) Extraction performed with a 0,90 mm FUE punch with Versi handle™. Parallel incisions (single and double units) were made in custom-sized blades technique (~Cutting Edge blades of 0,85 mm). I generally do not advise a crown reconstruction in patients younger than 35 but since this patient only suffered from minor hair loss and since his donor situation was still intact, I made an exception after informing him about the possible risk on future hair loss. Dr. B. Feriduni
  3. 2 FUT procedures performed on a 60 year old Caucasian female with: - A receding hairline and scarring in the temporal area after a facelift and forehead lift - Donor density of ca. 72-84 FU/cm2 - Hair diameter of ca. 50-60 microns Treatment plan: -1st Follicular Unit Strip Transplantation with 2200-2400 FU to reconstruct and lower the entire hairline and temporal peaks (procedure performed on January 4th, 2010) -2nd Follicular Unit Strip Transplantation with 1500-1800 FU to add density to the hairline and temples (procedure performed on April 14th, 2011) 1st Performed procedure (January 4th, 2010): A Follicular Unit Strip Transplantation with 2456 FU * 717 single hair FU * 1462 double hair FU * 277 triple hair FU 2nd Performed procedure (April 14th, 2011): A Follicular Unit Strip Transplantation with 1517 FU * 465 single hair FU * 810 double hair FU * 242 triple hair FU Double layer closing with PDS 4-0 absorbable sutures; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.9mm) Nota bene: The importance of choosing the right hair color to minimize the contrast between hair and skin color in order to create a good optical density clearly shows on the pre- and postoperative pictures. Dr. B. Feriduni
  4. To Delancey: A linear scar is always influenced by various factors, and those factors are often decisive in the outcome of a linear scar, such as: 1. Patient factors: - Patient’s age (in general better scar results in older patients) - Smoking or non-smoking patient - Diseases that influence wound healing, such as Diabetes, Ehler-Danlos syndrome etc. - Previous surgeries 2. Surgical factors: - Area/position of the linear strip - Width of the linear strip – tension - Suture technique (single, double layer suture technique, trichophytic closure technique) - Experience of the hair surgeon 3. Postoperative factors: - Aftercare (infection, scabbing, etc.) - Sports (weight lifting) In general and under ideal conditions, a linear scar will be between 1mm and 4mm in width and invisible when the hairs are buzzed in grade 2-3. In case of a full shortcut a linear scar will always be visible, even when the outcome is optimal, due to the scar tissue and difference in skin structure. Kindest regards, Dr. Bijan Feriduni
  5. FUT performed on a 45 year old Caucasian male with: - NW III-IV vertex Class T-P - Donor density of ~90-100 FU/cm2 in the occipital donor region and ~80-90 FU/cm2 in the temporal donor regions - Hair diameter of ~50-70 microns Treatment plan: A Follicular Unit Strip procedure with 3500-4000 follicular units to reconstruct the hairline, to add density to the central core and to reconstruct the crown area. Performed procedure (March 28th, 2013): A Follicular Unit Strip Transplantation with 3811 FU: * 572 single hair FU * 2274 double hair FU * 965 triple hair FU Donor closing in double layer suture technique; Parallel incisions (single, double and triple hair units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.95mm). Dr. B. Feriduni
  6. A combination of FUT and FUE performed on a 36 year old Caucasian male with: - NW III anterior Class N - Donor density of ~90-104 FU/cm2 in the occipital donor region and ~84-90 FU/cm2 in the temporal donor regions - Hair diameter of ~84-96 microns - A wide linear scar from a previous surgery (ex domo) Treatment plan: - Scar revision in Follicular Unit Strip Technique to reduce the width of the existing linear scar (in my opinion, placing follicular units right into the scar was not an option due to the extreme width of the linear scar). A second minor FUE procedure to fill in the linear scar has been performed in September 2014 - Reconstruction of the hairline, temples and temporal peaks and add density to the central core Performed procedure (November, 6th 2012): Follicular Strip Transplantation with 1714 FU: * 499 single hair FU * 892 double hair FU * 323 triple hair FU Follicular Unit Extraction with 2236 FU: * 199 single hair FU * 1637 double hair FU * 400 triple hair FU Total number: 3950 FU Double layer closing with PDS 4-0 absorbable sutures and disposable skin staples; Extraction performed with a 0.85mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.95mm). Dr. B. Feriduni
  7. Follicular Unit Extraction performed on a 40 year old Caucasian male with: - NW III–IV vertex Class T - Donor density of ~80 FU/cm2 in the occipital donor region and ~88 FU/cm2 in the temporal donor regions - Hair diameter of ~42-50 microns Treatment plan: - 1st FUE procedure with 2000-2200 FU to reconstruct the hairline, central core and beginning of the bridge - 2nd FUE procedure with 2000 FU to add density to the crown area (planned in 2016) Performed procedure (January 7th, 2014): A Follicular Unit Extraction with 2484 FU in a single day session: * 643 single hair FU * 1841 double and triple hair FU Extraction performed with a 0.85mm FUE punch (Cole instruments®) with CIT Manual Punch Handle; No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.85mm). Dr. B. Feriduni
  8. Follicular Unit Extraction performed on a 40 year old Caucasian male with: - NW III–IV vertex Class T - Donor density of ~80 FU/cm2 in the occipital donor region and ~88 FU/cm2 in the temporal donor regions - Hair diameter of ~42-50 microns Treatment plan: - 1st FUE procedure with 2000-2200 FU to reconstruct the hairline, central core and beginning of the bridge - 2nd FUE procedure with 2000 FU to add density to the crown area (planned in 2016) Performed procedure (January 7th, 2014): A Follicular Unit Extraction with 2484 FU in a single day session: * 643 single hair FU * 1841 double and triple hair FU Extraction performed with a 0.85mm FUE punch (Cole instruments®) with CIT Manual Punch Handle; No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.85mm). Dr. B. Feriduni
  9. Follicular Unit Extraction performed on a 40 year old Caucasian male with: - NW III–IV vertex Class T - Donor density of ~80 FU/cm2 in the occipital donor region and ~88 FU/cm2 in the temporal donor regions - Hair diameter of ~42-50 microns Treatment plan: - 1st FUE procedure with 2000-2200 FU to reconstruct the hairline, central core and beginning of the bridge - 2nd FUE procedure with 2000 FU to add density to the crown area (planned in 2016) Performed procedure (January 7th, 2014): A Follicular Unit Extraction with 2484 FU in a single day session: * 643 single hair FU * 1841 double and triple hair FU Extraction performed with a 0.85mm FUE punch (Cole instruments®) with CIT Manual Punch Handle; No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.85mm). Dr. B. Feriduni
  10. Forehead reduction or Surgical Hairline Advancement (SHA) and Follicular Unit Strip Transplantation performed on a 27 year old Caucasian female with: - A hereditary high hairline - Minigrafts in hairline after hair transplant surgery ex domo (2009) - Donor density of ca. 80-88 FU/cm2 - Hair diameter of ca. 72-78 microns Treatment plan: - A Botox treatment 2 weeks prior to the surgery to prepare the recipient area for the surgical hairline advancement; - Surgical hairline advancement and extraction of several wrong-placed minigrafts; - A Follicular Unit Strip Transplantation with 1000-1500 FU to reconstruct the entire hair line zone and extraction of some wrong-placed minigrafts. Performed procedures 1st Procedure (November 28th, 2012) Wound closing in double layer suture technique; Extraction of wrong-placed minigrafts with a 0.9mm – 1.0mm punch. 2nd Procedure (April 22nd, 2013) A Follicular Unit Strip Transplantation with 1790 FU * 579 single hair FU * 1211 double and triple hair FU Donor closing in double layer suture technique; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.85mm); Extraction of wrong-placed minigrafts with a 0.9mm – 1.0mm punch. Dr. B. Feriduni
  11. FUT performed on a 61 year old Caucasian male with: - NW III vertex Class T - Donor density of ~70-80 FU/cm2 in the occipital donor region and ~60-70 FU/cm2 in the temporal donor regions - Hair diameter of ~62-74 microns Treatment plan: A Follicular Unit Strip procedure with 3000-3500 follicular units to reconstruct the entire hairline, the central core and crown area. Performed procedure (May 30th, 2013): A Follicular Unit Strip Transplantation with 3500 FU: * 407 single hair FU * 2417 double hair FU * 676 triple hair FU Donor closing in double layer suture technique; Parallel incisions (single, double and triple hair units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.95mm). Dr. B. Feriduni
  12. Follicular Unit Extraction performed on a 43 year old Caucasian male with: - NW IIa - Donor density of ~92-104 FU/cm2 in the occipital donor region and ~80-88 FU/cm2 in the temporal donor regions - Hair diameter of ~54-62 microns Treatment plan: FUE procedure with 1500-1700 FU to reconstruct the temples and hairline Performed procedure (February, 5th & 6th 2013): A Follicular Unit Extraction with 1500 FU in a single day session: * 519 single hair FU * 891 double and triple hair FU Extraction performed with a 0.85mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.70mm – 0.85mm). Dr. B. Feriduni
  13. FUE and scar revision performed on a 28 year old Caucasian male with: - Hair loss in hairline and vertex, and scar in right temporal region caused by a car accident - Donor density of 72-80 FU/cm2 - Hair diameter of ~70-80 µm Treatment plan: - A Follicular Unit Extraction with 700-900 FU to reconstruct and add density to the hairline (right side) and vertex (right side) - Revision of scar in right temporal region in Trichophytic closure technique - Preparation of the follicular units from the scar strip Performed procedure (August 8th, 2013): A Follicular Unit Extraction with 917 FU: 371 single hair FU from scar strip 38 single hair FU from FUE 333 double/triple hair FU from scar strip 175 double/triple hair FU from FUE Ʃ: 917 FU Wound closing in 2mm lower edge Trichophytic Closure Technique (double layer suture); Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.7mm – 0.9mm). Dr. Bijan Feriduni
  14. To Mickey85: Here is a picture of the scar before surgery and 14 months after repair Kind regards, Dr. Bijan Feriduni
  15. Follicular Unit Extraction performed on a 27 year old Caucasian male with: - NW III Class R - Donor density of ~96 FU/cm2 in the occipital donor region and ~84 FU/cm2 in the temporal donor regions - Hair diameter of ~72-78 microns Treatment plan: FUE procedure with 3000-3400 FU to reconstruct the hairline, temporal peaks and add density to the central core Performed procedure (February, 5th & 6th 2013): A Follicular Unit Extraction with 3319 FU in a two consecutive days session: * 671 single hair FU * 2101 double hair FU * 547 triple hair FU Extraction performed with a 0.85mm – 0.9mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.9mm). Dr. B. Feriduni
  16. FUT performed on a Caucasian male with: - NW III anterior Class N - Donor density of 76-84 FU/cm2 - Hair diameter of ~60-68 µm - ‘Mini- and Punch grafts’ from a former procedure in 2011 (ex domo) Treatment plan: - A Follicular Unit Strip Transplantation with 2500-3000FU to attain an aesthetic reconstruction of the entire hairline, temporal recessions and temporal peaks - Extraction of ‘Minigrafts’ from the hairline through FUE - Excision of wrong-placed ‘Punch grafts’ from the hairline Performed procedure (November 16th, 2012): A Follicular Unit Strip Transplantation with 2922 FU 662 single hair FU 1635 double hair FU 565 triple hair FU Ʃ: 2862 FU + 60 FU out of Minigraft extraction and Punch graft excision Ʃ: 2922 FU Double layer closing with Monocryl 4-0 absorbable sutures and disposable skin staples; Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.90mm). Dr. Bijan Feriduni
  17. Follicular Unit Extraction performed on a 49 year old Caucasian male with: - NW V-VI - Donor density of ~92-96 FU/cm2 in the occipital donor region and ~86-90 FU/cm2 in the temporal donor regions - Hair diameter of ~60-68 microns Treatment plan: FUE procedure with 3000-3500 FU to reconstruct the entire hairline, central core and bridge with a conservative approach. Performed procedure (June 13th, 2013): A Follicular Unit Extraction with 3359 FU in a 2 consecutive days session: * 547 single hair FU * 2058 double hair FU * 754 triple hair FU Extraction performed with a 0.85mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.8mm – 0.85mm). Dr. B. Feriduni
  18. FUT performed on a 62 year old Caucasian male with: - NW IV Class N - Donor density of 60-70 FU/cm2 - Hair diameter of ~70 microns - Mini grafts/punch grafts from a former procedure ex domo in 2004 Treatment plan: A Follicular Unit Strip Transplantation with 2500 FU to attain an aesthetic reconstruction of the hairline, reconstruction of the crown area and extraction of some mini/punch grafts from the hairline through FUE. Performed procedure (August 10th, 2012): A Follicular Unit Strip Transplantation with 2601 FU * 409 single hair FU * 1841 double hair FU * 351 triple hair FU Trichophytic Closure technique in double layer suture; Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.95mm).   Dr. Bijan Feriduni
  19. Follicular Unit Extraction performed on a 41 year old Caucasian male with: - NW III anterior Class N - Donor density of ~80-88 FU/cm2 in the occipital donor region and ~72-80 FU/cm2 in the temporal donor regions - Hair diameter of ~50-56 microns Treatment plan: FUE procedure with 1500 FU to reconstruct the entire hairline and central core with a conservative approach and medium density. Performed procedure (August, 14th 2012): A Follicular Unit Extraction with 1513 FU in a single day session: * 497 single hair FU * 1016 double and triple hair FU Extraction performed with a 0.85mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.8mm – 0.85mm).   Dr. B. Feriduni
  20. Follicular Unit Extraction performed on a Caucasian male with: - NW II-III Class N - Donor density of ~92-96 FU/cm2 in the occipital donor region and ~84-88 FU/cm2 in the temporal donor regions - Hair diameter of ~64-74 microns Treatment plan: FUE procedure with 3000 FU to reconstruct the entire hairline Performed procedure (May, 21st and 22nd 2012): A Follicular Unit Extraction with 3581 FU in a single day session: * 649 single hair FU * 2646 double FU * 286 triple hair FU Extraction performed with a 0.85mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.8mm – 0.9mm). Dr. B. Feriduni
  21. Follicular Unit Extraction performed on a 28 year old Caucasian male with: - NW II Class T - Donor density of ~76-84 FU/cm2 in the occipital donor region and ~72-80 FU/cm2 in the temporal donor regions - Hair diameter of ~50-60 microns Treatment plan: FUE procedure with 1500-1800 FU to reconstruct the entire hairline Performed procedure (September, 20th 2011): A Follicular Unit Extraction with 1666 FU in a single day session: * 617 single hair FU * 1049 double and triple hair FU Extraction performed with a 0.85mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.8mm – 0.85mm). Dr. B. Feriduni
  22. FUT performed on a 48 year old Caucasian male with: - NW V-VI Class T-R - Donor density of ~90-100 FU/cm2 in the occipital donor region and ~80-90 FU/cm2 in the temporal donor regions - Hair diameter of ~60-70 microns Treatment plan: A Follicular Unit Strip procedure with 3500-4000 follicular units to reconstruct the entire hair line, the central core and add density to the mid head area, without shaving the recipient area. Performed procedure (November 11, 2012): A Follicular Unit Strip Transplantation with 3760 FU: * 878 single hair FU * 2163 double hair FU * 719 triple hair FU Donor closing in double layer suture technique; Parallel incisions (single, double and triple hair units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75 mm – 0.90mm). Dr. B. Feriduni
  23. Follicular Unit Extraction performed on a 36 year old Caucasian male with: - NW III vertex Class N - Donor density of ~80-84 FU/cm2 in the occipital donor region and ~72-76 FU/cm2 in the temporal donor regions - Hair diameter of ~50-58 microns Treatment plan: - FUE procedure with 2000 FU to reconstruct the hairline and add density to the central core - A medical therapy with finasteride 1mg Performed procedure (January 28th, 2011): A Follicular Unit Extraction with 2000 FU in a single day session: * 552 single hair FU * 1448 double and triple hair FU Extraction performed with a 0.85mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.8mm – 0.85mm). Dr. B. Feriduni
  24. Thanks to Mickey85, Mask, Irishsailor and Hairshopeing! To MAGNUMpi: I concur that the new hairline design is quite aggressive, but both his age and family history did not indicate that further hair loss would occur in the future. Those factors convinced me to pursue the patient's wish to create a straight hairline. Regards, Dr. B. Feriduni
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