Dr. Bijan Feriduni

Follicular Unit Extraction performed on a 37 year old Caucasian male with:

- NW I-II Class N

- Donor density of ~104 FU/cm2 in the occipital donor region and ~84 FU/cm2 in the temporal donor regions

- Hair diameter of ~55-65 microns

Treatment plan:

FUE procedure with 1200-1600 FU to reconstruct the hairline and temporal recessions

Performed procedure (November 12th , 2012):

A Follicular Unit Extraction with 1926 FU in a single day session:

* 510 single hair FU

* 1416 double and triple hair FU

Extraction performed with a 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 0.8mm – 0.9mm).

Dr. B. Feriduni

Follicular Unit Transplantation performed on a 29 years old Caucasian male with:

- Isolated crown balding

- Donor density of ~ 90-100 FU/cm2

- Hair diameter of ~ 55-60 microns

Treatment plan:

A Follicular Unit Extraction with 2000-2500 FU to restore the crown area in medium density

Performed procedure (August 27th, 2012):

A Follicular Unit Extraction with 2267 FU in a single day session

Extraction performed with a 0.85mm and 0.9mm FUE punch with Versi handle™.

Parallel incisions (double, triple and quadruple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.9mm).

Dr. B. Feriduni

Update at 1 year postoperative:

http://www.hairrestorationnetwork.com/eve/170880-fue-performed-dr-feriduni-%96-2455-fu-single-day-session.html

Follicular Unit Extraction performed on a 39 year old Caucasian male with:

- NW II-III vertex Class N

- Donor density of ~80-90 FU/cm2 in the occipital donor region and ~70-80 FU/cm2 in the temporal donor regions

- Hair diameter of ~60-70 microns

Treatment plan:

FUE procedure with 1800-2000 FU to restore the hairline, central core and to fill in the crown area (in low density)

Performed procedure (July 13th, 2009):

A Follicular Unit Extraction with 2871 FU in a single day session:

* 448 single hair FU

* 2423 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

Dr. Feriduni,

 

Very nice work, Sir.

 

I really appreciate all the accompanying details regarding the procedure: graft break down (though I would appreciate a further breakdown of 2 and 3 hair grafts); blade sizes; manual punch size; donor density; hair diameter, etc.

 

I am also very interested in the distribution of 1, 2, and 3 hair grafts on the patient's scalp. His procedure was limited to the very front of the scalp it seems.

 

1) I assume you place only 1's in the hairline and then progress to 2's and 3's the further back you go? 2) How wide is the area of implantation from front to back in centimeters?

3) How far back in centimeters behind the 1's do you start placing 2's? And then 3's?

 

In Mickey85's link below the graft placement diagram (Simplified Graft Place Protocol) is not relevant really to the above patient. Neither is a similar diagram on the Shapiro Medical Team's website.

 

http://www.hairrestorationnetwork.com/eve/170490-hair-transplant-basics.html#post2346762

 

4) I would love to see a diagram of graft placements for the patient's hairline above if possible. Actually, I would love to see several diagrams of graft placements for patients with different levels of hair loss. For example, you only used 1, 2, and 3 hair FU's in the above patient; but might you use a 4 or 5 hair graft in the crown of a Norwood 3? How about a Norwood 4, 5, of 6?

 

Finally, in another thread (linked below) I have asked Dr. Vories about the advantages of using pens versus blades, and I have specifically referenced your work with blades:

 

http://www.hairrestorationnetwork.com/eve/171175-update-fue-procedure-2.html

 

5) Do you use now pens or have you used in the past pens?

 

6) Why do you like using blades for implanting hair grafts?

 

Thank you!

 

Et si vous preferez je peux ecrire en francais, mais je prefere d'ecrire en anglais.

 

 

- Nathaniel

To Nathaniel:

Thank you for your great interest in my work, I tried to answer your questions as clearly as possible:

1. I always use single hair units for the 'feather line' and mix up double and triple hair units immediately behind the feather line to preserve the natural implant of the follicular hair groups after transplantation. The attached picture clearly shows the natural implant of the follicular hair groups, by mixing double and triple hair units we create a similar effect as the natural hair growth.

2. In this patient's case the width of the transplanted area is about 2cm-2.5cm.

3. It depends on each patient 's individual wish, if the patient prefers a soft or a strong hairline.

As mentioned above we mix up the double and triple hair units and do not place them as described in the documentation of Mickey85 or the diagram on SMG 's website

4. I am certainly willing to come back to you on this at a later stage but at this moment I am unfortunately not able to show you these diagrams due to my very tight schedule and lack of time, I can however already tell you that I try to avoid using 4 and 5 hair units, in case we do use them, they are always placed in coronal slits

5. For eyebrow reconstructions we use the Choi Implanter to avoid damage to the follicular units because of the sagital implantation in the eyebrow region, for all other treatments we use forceps for the implantation of the follicular units

6. In my opinion customized blades, I use Cutting Edge blades in my clinic, cause a minimum on damage to the skin, that's basically the reason why I use blades and not needles.

Dr. Bijan Feriduni

Follicular Unit Extraction performed on a 32 year old Caucasian male with:

- NW III vertex Class N

- Donor density of ~80-88 FU/cm2 in the occipital donor region and ~72-76 FU/cm2 in the temporal donor regions

- Hair diameter of ~80-86 microns

Treatment plan:

FUE procedure with 2200-2700 FU to reconstruct the entire hairline and the central core

Performed procedure (February 16th & 17th, 2012):

A Follicular Unit Extraction with 2972 FU in a single day session:

* 311 single hair FU + 281 ‘fine’ single hair FU

* 2380 double and triple hair FU

Extraction performed with a 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

Follicular Unit Extraction performed on a 34 year old Caucasian male with:

- NW II Class T/P

- Donor density of ~80 FU/cm2 in the occipital donor region and ~ 74 FU/cm2 in the temporal donor regions

- Hair diameter of ~60-70 microns

Treatment plan:

FUE procedure with 1500-1800 FU to reconstruct the entire hairline and the temporal peaks

Performed procedure (June 20th, 2012):

A Follicular Unit Extraction with 1938 FU in a single day session:

* 614 single hair FU

* 1324 double and triple hair FU

Extraction performed with a 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 0.8mm – 0.9mm).

Dr. B. Feriduni

Follicular Unit Extraction performed on a 24 year old Caucasian male with:

- NW II-II Class N

- Donor density of ~84 FU/cm2 in the occipital donor region and ~76 FU/cm2 in the temporal donor regions

- Hair diameter of ~50-65 microns

Treatment plan:

FUE procedure with 2000 FU to reconstruct the entire hairline, the temporal peaks and to add density to the central core.

Performed procedure (May 15th, 2012):

A Follicular Unit Extraction with 2455 FU in a single day session:

* 750 single hair FU

* 1705 double and triple hair FU

Extraction performed with a 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 0.8mm – 0.9mm).

Dr. B. Feriduni

Treatment plan:

Follicular Unit Extraction with 300 follicular units to fill in a scar from a previous hair transplant procedure (ex domo)

Performed procedure (December 7th, 2011):

A Follicular Unit Extraction with 333 FU

* 89 single hair FU

* 244 double and triple hair FU

Extraction performed with a 0.9mm FUE punch with Versi 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 0.85m – 0.9mm)

Dr. B. Feriduni

Follicular Unit Extraction performed on a 31 year old Caucasian male with:

- NW II-III Class P

- Donor density of ~ 98 FU/cm2 in the occipital donor region and 80-92 FU/cm2 in the temporal donor regions

- Hair diameter of ~ 55-70 microns

Treatment plan:

1 FUE procedure with 2000-2500FU to reconstruct the entire hairline and temporal peaks

Performed procedure (October 18th, 2011):

A Follicular Unit Extraction with 2308 FU in a single day session:

* 824 single hair FU

* 1484 double and triple hair FU

Extraction performed with a 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 0.85mm – 0.9mm).

Dr. B. Feriduni

Follicular Unit Extraction performed on a 39 year old Caucasian male with:

- NW III anterior Class N

- Donor density of ~ 90-98 FU/cm2 in the occipital donor region and >80 FU/cm2 in the temporal donor regions

- Hair diameter of ~ 60-75 microns

Treatment plan:

FUE procedure with 2500-3000 FU to reconstruct the hairline, central core and to add density to the lateral crown area.

Performed procedure (June 11th and 12th, 2012):

A Follicular Unit Extraction with 3043 FU in a 2 successive days session:

* 812 single hair FU

* 1858 double hair FU

* 373 triple hair FU

Extraction performed with a 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 0.8mm – 0.9mm).

Dr. B. Feriduni

To Spanker, A8TYF: This patient lives abroad and he unfortunately did not come to our clinic for a postoperative check-up after his treatment.

We will certainly update the thread with new pictures as soon as he comes in for a check-up.

Dr. B. Feriduni

FUT performed on a 32 year old Caucasian male with:

- NW III vertex

- Donor density of ~100 FU/cm2

- Hair diameter of ~ 80-85 microns

Treatment plan 1st procedure:

A Follicular Unit Strip Transplantation with 2000 FU to restore the entire hairline, central core and bridge

Performed procedure - 1st FUT procedure (February 23rd, 2007):

A Follicular Unit Strip Transplantation with 2127 FU

* 878 single hair FU

* 1046 double hair FU

* 203 triple hair FU

Double layer suture;

A combination of parallel (single units) and perpendicular incisions (double and triple units) in custom-sized blades technique (~Cutting Edge blades of 0.8mm – 1.00mm).

Treatment plan 2nd procedure:

A Follicular Unit Strip Transplantation with 3500-4000 FU to add density to the hairline, central core, bridge and to restore the crown area

Performed procedure - 2nd FUT procedure (April 10th, 2012):

A Follicular Unit Strip Transplantation with 3816 FU

* 746 single hair FU

* 2810 double hair FU

* 260 triple hair FU

Trichophytic Closure technique in double layer suture;

Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.8mm – 0.95mm).

Dr. Bijan Feriduni

Follicular Unit Extraction performed on a 32 year old Caucasian male with:

- NW V Class T-P

- Donor density of ~80-85 FU/cm2 in the occipital donor region and ~72-76 FU/cm2 in the temporal donor

regions

- Hair diameter of ~ 70-76 microns

Treatment plan:

- 1st FUE procedure with 2500-3000FU to reconstruct the hairline, central core, bridge and temporal peaks.

- 2nd FUE procedure with 2500-2800FU to reconstruct the crown area and to add density to the overall recipient area (future procedure)

- A medical therapy with finasteride 1mg.

Performed procedure (May 17th & 18th, 2010):

A Follicular Unit Extraction with 2600FU in a 2 successive days session:

* 652 single hair FU

* 1948 double and triple hair FU

Extraction performed with a 0.9mm FUE punch with CIT Manual Punch Handle. Microscopic preparation of the single 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

Follicular Unit Extraction performed on a 28 year old Caucasian male with:

- NW II- beginning III Class N/T

- Donor density of ~ 100 FU/cm2 in the occipital donor region and ~ 80 FU/cm2 in the temporal donor regions

- Hair diameter of ~ 70-90 microns

Treatment plan:

A FUE procedure with 2000-2400FU to reconstruct the hairline, temporal recessions and the right temporal peak.

Performed procedure (July 15th, 2011):

A Follicular Unit Extraction with 2485 FU in single day session:

* 696 single hair FU

* 1789 double and triple hair FU

Extraction performed with a 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 0.8mm – 0.9mm).

Dr. B. Feriduni

Follicular Unit Extraction performed on a 30 year old Caucasian male with:

- NW III vertex Class N/T

- Occipital donor density of ~ 80-90 FU/cm2

- Hair diameter of ~ 70-76 microns

Treatment plan:

A FUE procedure with 3000 FU to reconstruct zone 1, 2 , 3 and the beginning of zone 4

Performed procedure (January 9th, 2012):

A Follicular Unit Extraction with 3112 FU in a 2 successive days session:

* 735 single hair FU

* 2106 double hair FU

* 271 triple hair FU

Extraction performed with a 0.9mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the single and double follicular unit grafts;

Parallel incisions (single and double units) were made in custom-sized blades technique (~Cutting Edge blades of 0.8mm – 0.9mm).

Dr. B. Feriduni

Dear Bill,

I would really appreciate the recommendation of Dr. Mwamba.

I have already seen much of his work as my office is very close to his office.

I know him personally and like his philosphy of patient care.

He would definitely be an added value to the society.

Kindest regards,

Dr. Bijan Feriduni

FUT/FUE performed on a 34 year old Caucasian male with:

- NW II-III Class N

- Donor density of 80-90 FU/cm2

- Hair diameter of ~ 90 microns

Treatment plan – 1st procedure:

A Follicular Unit Strip Transplantation with 1500-2000FU to restore the entire hairline;

A medical therapy with finasteride to stabilize the hair loss in the crown area.

1st performed procedure (March 31st, 2008):

A Follicular Unit Strip Transplantation with 2003 FU

* 899 single hair FU

* 1104 double hair FU

Trichophytic Closure technique in double layer suture;

Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.85mm – 0.95mm).

Treatment plan – 2nd procedure:

The patient was not completely satisfied with the density in the hairline and I was not really happy with the natural appearance of the hairline due to the patient’s hair diameter.

Therefore a Follicular Unit Extraction with 1200-1400 FU was planned to slightly lower the existing hairline, to add density and to add fine single hairs to the hairline (‘cherry picking’). We also decided to correct the existing linear scar with 200 FU.

2nd performed procedure (January 31st, 2011):

A Follicular Unit Extraction with 1441 FU

* 645 fine single hair FU

* 796 double hair FU

* No triple hair FU

Microscopic preparation of the single and double hair FU was carried out;

Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.80mm – 0.90mm).

Dr. Bijan Feriduni

Follicular Unit Transplantation performed on a 32 year old Caucasian male with:

- NW II – beginning III Class N

- Occipital donor density of ~92 FU/cm2

- Hair diameter of ~72-78 microns

Treatment plan:

A FUE procedure with 1800-2000FU to reconstruct the entire hairline

Performed procedure (June, 23rd 2011):

A Follicular Unit Extraction with 1906 FU in a single day session:

* 822 single hair FU

* 1084 double hair FU

* No triple hair FU

Extraction performed with a 0.85mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the single and double follicular unit grafts;

Parallel incisions (single and double units) were made in custom-sized blades technique (~Cutting Edge blades of 0.7mm – 0.85mm).

Dr. B. Feriduni

@ Sean - Just like in masculine hairline design, female hairlines must be conform to ethnic specifications and of course to the facial shape of each individual, so there are indeed subtle differences between Caucasian female hairlines and Asian or African female hairlines. But overall a female hairline shape is always rounded and without any fronto-temporal recession in comparison with a masculine hairline, no matter which ethnicity. This patient was moreover not a suitable candidate for a forehead reduction due to her hair loss pattern, which was almost ovate in shape.

@ Headbangerguy, Slickers, MPBsucks & Irishsailor - Thank you for the compliments but to be honest this patient was not 100% happy with her result. She suffered from a scab layer in the central core region for more than 3 weeks after the surgery resulting in a lower regrowth in this area. We performed a small touch-up procedure in February 2012 to achieve a higher density rate in the central core.

I will keep you updated with the results in a couple of months!

Best regards,

Dr. Bijan Feriduni

Follicular Unit Transplantation performed on a 27 year old Caucasian male with:

- NW I-II Class N

- Donor density of 72-92 FU/cm2

- Hair diameter of ~ 80 microns

Treatment plan:

A FUE procedure with 1000 FU to reconstruct the hairline

Performed procedure (March 3rd 2011):

A Follicular Unit Extraction with 1028 FU in a single day session:

* 304 single hair FU

* 724 double and triple FU

Extraction performed with a 0.8mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the single, double and triple follicular unit grafts;

Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.7mm – 0.8mm).

Dr. B. Feriduni

FUT performed on a 23 year old Caucasian female with:

- A naturally high forehead and hairline

- Donor density of ca. 112 FU/cm2

- Hair diameter of ca. 70-80 microns

Treatment plan:

- A Follicular Unit Strip Transplantation with 2000-2500 FU to restore and lower the hairline with maximum density

Performed procedure – December 9th, 2010

A Follicular Unit Strip Transplantation with 2044 FU

* 592 single hair FU

* 1219 double hair FU

* 233 triple hair FU

Donor closing in 1mm lower edge Trichophytic Closure technique.

Dr. B. Feriduni

FUT performed on a 43 year old Caucasian male with:

- NW Class III vertex

- Donor density of 80 FU/cm2

- Hair diameter of ~70-85 microns

- Micrografts from a former procedure ex domo in 2006

Treatment plan:

- 1st Follicular Unit Strip Transplantation to attain an aesthetic reconstruction of the hairline and extraction of the micrografts in the right and left temporal recessions through FUE technique

- 2nd Follicular Unit Strip Transplantation to add more density to the hairline and restore the crown area

Performed procedures

1st procedure (May 15th, 2008):

A Follicular Unit Strip Transplantation with 1710 FU

* 800 single hair FU

* 910 double hair FU

Trichophytic Closure technique in double layer suture;

Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.7 mm – 0.9mm).

2nd procedure (September 15th, 2010):

A Follicular Unit Strip Transplantation with 1684 FU

* 511 single hair FU

* 923 double hair FU

* 250 triple hair FU

Trichophytic Closure technique in double layer suture;

Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.7 mm – 0.95m).

Dr. Bijan Feriduni

FUT performed on a 55 year old Caucasian male with:

- NW Class VII

- Donor density of 84 FU/cm?

- Hair diameter of ~75-80 microns

Treatment plan:

- 1st Follicular Unit Strip Transplantation in order to reconstruct the hairline, central core, lateral humps and beginning bridge

- 2nd Follicular Unit Strip Transplantation to fill in the entire crown area and lateral humps

Performed procedures:

1st procedure (April 7th 2011):

A Follicular Unit Strip Transplantation with 3699 FU

* 745 single hair FU

*2102 double hair FU

* 852 triple hair FU

Normal donor closing in double layer suture (no Trichophytic Closure Technique);

Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.9mm – 1.1mm);

We tried to achieve a harmonized overall density due to the extent of the recipient area. Different densities were applied depending on each different recipient zone.

2nd procedure (April 4th, 2012):

A Follicular Unit Strip Transplantation with 2623 FU

* 411 single hair FU

* 1560 double hair FU

* 652 triple hair FU

Trichophytic Closure technique in double layer suture;

Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.9 mm – 1.1mm).

We will add pictures of his final result in a couple of months.

Dr. Bijan Feriduni

Follicular Unit Transplantation performed on a 32 year old Caucasian male with:

- NW Class II ant class N-T

- Donor density of 92 FU/cm2

- Hair diameter of ~75 microns

Treatment plan:

A FUE procedure with 1800FU to reconstruct the hair line, central core and temporal peaks

Performed procedure (June 16th , 2011):

A Follicular Unit Extraction with 1929FU in a single day session:

* 617 single hair FU

* 911 double FU

* 401 triple hair FU

Extraction performed with a 0.9mm FUE punch with Versi handle™. No microscopic preparation of the single, double and triple 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