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My Story

  1. Patient is a 52 YO male with androgenic alopecia affecting the hairline, frontal forelock, bilateral temples, midscalp and crown. Approximately 100 cm2 of area is to be grafted, and in this patient with Diabetes we decreased the recipient area density to allow for possible vascular compromise secondary to that condition. Our average density to be approx. 30 FU/cm2. Final count 2715 FU; 874 1's; 1764 2's; 77 3's. Tricophytic closure. This example of growth at the beginning of month 5 is typical, and is presented as patients often want to know what to expect after growth commences at about post
  2. I had my HT done by Dr. Wong on 11/25 and got my staples removed on 12/4. Since I was back in CA, Dr. Carman was kind enough to see me and remove the staples for me. He spent time making sure that everything was healing well and even took pics to send to Dr. Wong. I have met Dr. Reed before and got a chance to meet Dr. Carman this time around. Both docs are amazing and I can see why they are recommended on this forum. It was really nice of Dr. Carman to make some time for me and remove the staples. Pam (his secretary) was sweet enough to schedule this appointment, even though I wasn't their pa
  3. This patient is a 37 YO male who presented with androgenic alopecia, with thinning affecting FF, frontal HL, anterior lateral humps, and crown. Plan 2700, mostly into recreation of frontal portion, namely frontal hairline, FF, bilateral recessions, and central core. 2742 total grafts. 854 ones; 1736 two’s; 152 three’s. Acceptable closure tension. Tricophytic closure.
  4. I emailed Dr. Timothy Carman, La Jolla, California about a week or so ago about hair transplant questions and haven't heard anything back. This seems somewhat strange from someone so highly qualified. Is he still doing hair transplants? Just teaching now? Anyone heard anything about him lately?
  5. This patient is a 30 year old male with a familial history and chief complaint of AA predominantly affecting the bilateral temporal areas, resulting in recession. 912 Total FU grafts, 372 1's; 482 2's; 58 3's.
  6. This patient is a 39 YO male who presents with androgenic alopecia, affecting the definition of his hairline, frontal forelock, bilateral temples and lateral anterior hairline margins, as well as causing thinning of density in the frontal and posterior forelock and crown areas. Attention was directed at recreating the anterior hairline as it framed the superior and lateral facial margins and increasing the density in the frontal forelock. This patient had severe recession of his lateral margins/temporal point areas, requiring that a larger than usual proportion of grafts be dedicated
  7. 29 yo male with Androgenic Alopecia causing generalized thinning predominantly affecting FF, posterior FF, bilateral temples and crown. Approx 15 x 7 = 105 cm2 total frontal area, plus 40 cm2 in crown. Goals: Recreate new hairline and FF/post FF and bilateral temple recessions, as well as anterior crown. Patient has been on finasteride x 1 year. 4241 total, 1390 1’s; 2523 2’s; 328 3’s. Last photo is of donor scar.
  8. Our patient is a 42 YO male with presenting complaint of androgenic alopecia resulting in loss of the frontal hairline, frontal forelock, midscalp and crown. In addition, his donor has a density of an average of 80 FU/cm2. This case illustrates the use of a limited number of grafts to recreate a natural look that is designed conservatively enough so that remaining donor is not utilized solely to support a non-conservative hairline approach. This allows for future use of grafts in the midscalp, along with donor available as needed to address future losses. Patient is currently on finasteride 1m
  9. We have added 14 month Follow up Photos to this patients case. There are several views to show the use of ultra-fine follicular unit graftimg in the patients hairline to soften the previous look. As well, his scar revision was accomplished utilizing a modified tricophytic closure technique. Patient is a 26 YO who had a previous procedure done at another clinic who felt the hairline looked a little too much "like a transplant", and as well had concerns about the appearance of his donor scar. Our goal was to soften the hairline while revising the donor area. His scalp had less than average lax
  10. This 50 yo patient presents at 6 months following placement of 3770 Fu grafts in the following distribution: 1007 ones; 2591 two's; 128 three's. The majority were placed in the frontal area, approximately 700 FU grafts were placed in the crown primarily in an effort to decrease the apparent size (diameter) of the crown pattern. There is a bit of asymmetry in the new growth which should even out as the grafts continue to grow and mature; approximately 60% of growth has occurred at this time.
  11. We frequently are asked by prospective patients how the procedure will appear immediately following surgery. This patient underwent a 2176 FU graft procedure, and his one day post op photos are shown here.
  12. This patient is a 49 year old male who presents with loss of the frontal hairline as well as density in the frontal forelock and crown area. His donor area has a relatively thinner density than the average 100FU/cm2, his being approx 70FU/cm2. This yielded a total of 2063 FU grafts as follows: 502 one's; 1525 two's; 36 three's. We chose to concentrate on the frontal area on the first procedure, with a plan to address the crown in a subsequent session. Here, at eight months, he can expect about 15-20% further growth into the one year mark. I like this case as it illustrates how the variability
  13. Patient is a 43 year old male with androgenic alopecia affecting the Frontal forelock, hairline, bilateral temporal points, and crown. 3301 FU grafts were placed: 1198 ones; 1803 twos; 300 threes. At this point, patient has about 75% growth present, and can expect continued increases in both density of numbers of grafts and hair shaft diameter as well.
  14. This gentleman presented with generalized thinning predominantly affecting his crown, frontal forelock, hairline, central core posterior to the frontal forelock and anterior to crown, along with recession of the bilateral temples and lateral margins. Further, his donor density had a lower density than normal, specifically about 70 FU/cm2. Our goal was to recreate a completed hairline which would frame his face, while increasing the frontal forelock density and raise the lateral margins to meet the frontal forelock and central core areas. His intention would be to style his hai
  15. This patient is a 28 YO male with androgenic alopecia affecting his hairline, frontal forelock, and crown. He has maintained his lateral "hump" areas bilaterally relatively high bilaterally, and has some residual hair in the frontal forelock. Our primary goal was to recreate his frontal-temporal hairline, frontal forelock. The result is from placement of 2742 FU grafts; 1010 one's; 1630 two's; 102 three's.
  16. This 66 year old female came to us for revision of her facial hair line, which, as a result of multiple facelift procedures, had been moved posteriorly and superiorly, relative to it's naturally occurring presurgery position. Specifically, then, she had alopecia and scarring from those procedures which had resulted in: 1) Receded frontal and bitemporal hairline; 2) Elevation and recession of temporal points bilaterally; 3) Recession of bilateral sideburn areas. 4) Scarring/thinning in areas posterior to sideburn areas. As this was not a case of FPHL, she had an excelle
  17. This patient is a 34 YO male with male pattern hair loss in the crown area. PreOp photo is taken after patient had been on finasteride for a little over a year. The amount of grafts placed was calculated by taking the area needing coverage, and utilizing an average density 40-45 FU/cm2. Given result at 10 months, the patient can reasonably expect that he has about 80% of his grafts visible, so that he should get another 20% increase in density. As well, over the ensuing 6 months to 12 months after the 12 month post op mark, the hair will continue to increase in caliber, which will also add sig
  18. This is a 46 YO patient who presented with advanced androgenic alopecia affecting the frontal hairline, frontal forelock, bilateral temples and crown. In addition, he presented with a donor area that was relatively sparse at 70 FU/cm2 (normal being 100 FU/cm2). This presentation is common, and accordingly, in order for the transplant to be "successful", ultimately IMO, we need to choose between concentrating on EITHER the hairline/FF or the crown, but not both. Just "spreading them everywhere" in a desperate attempt at "doing everything at once" can lead to a dilution of the stronger effect th
  19. Patient is a 23 year old male who was experiencing a loss in definition of his frontal hairline, along with generalized thinning in the frontal and posterior frontal forelock as well as the crown. This case illustrates that transplantation can proceed in the younger patient when a prudently designed conservative hairline is created, and caution is exercised with respect to transplanting the crown. If it is the patients desire to take medication (finasteride) as part of their "battle plan", I advise they wait at least one year prior to considering transplantation of the crown. In this pati
  20. I am a Norwood 5A and considering a procedure soon. My choice is most likely going to be Dr. Tim Carman of La Jolla. While I was pretty impressed by him, I have not seen that many post op photos on this site. Can patients of his please post feedback and especially 6 months and up photos? This will help tremendously in my decision. Thank you.
  21. I thought this would be a good case to illustrate the use of hair restoration as a corrective procedure following facelift surgery in a female patient, something less encountered here on the forum. Pt is a 66 YO female with the following deficits: Preoperative Diagnosis: Alopecia and scarring secondary to previous surgical procedures (facelifts), which have resulted in: 1)Receded frontal and bitemporal hairline; 2)Elevation and recession of temporal points bilaterally; 3)Recession of bilateral sideburn areas. 4)Scarring/thinning in areas posterior to sideburn areas. Our goal therefore,
  22. 33 yo male 2100 FU Grafts. After an in depth consultation discussing the ramifications of recreating a more aggressive hairline at his age, this gentleman elected to go with the hairline shown, understanding the concepts of limited donor supply and the progressive nature of MPB. There is a familial history of very "self limited" crown loss in males on his fathers side, the loss in the crown being limited to thining (not complete hair loss down to bare skin) in a 4 x 4 cm area, and he himself does show miniaturization in a area 5 x 5 cm in the crown. At 7 months post op he shows about 60% of hi
  23. Why is there not just a simple Price Chart? http://www.ljhr.com/price.php take a look..... "Price is only the preliminary aspect of value. The other, more important component of value is quality. Please read further. Length of Donor Area (centimeters) Number of Hairs Cost per Procedure Approx. # of Grafts* Cost per Hair Cost per Graft** 12 2400 $4,000 1000 $1.67 $4.00 14 2800 $4,400 1100 $1.57 $4.00 16 3200 $4,800 1200 $1.50 $4.00 20 4000 $5,400 1400 $1.35 $3.86 22 4400 $5,696 1500 $1.29 $3.80 24 4800 $5,996 1600 $1.25 $3.75 26 5200 $6,296 1700 $1.21 $3.7
  24. Good insight from Dr. Carman... It does vary between individuals and if the wide scar is the direct outcome of a poor closing technique or lack of skill from the surgeon, then I think there is more potential to reduce the width and have a better outcome providing the individual has the accommodating scalp laxity for a revision. Yet it sounds to me more like a case of simply having multiple FUHT procedures and very possible that the scalp did not have as much elasticity as the first or second procedures. So IMHO, there is more risk than not of having a thinner strip scar with a r
  25. Bill/Pat, Why is Dr. Tim Carmen not recommended on the network yet? He does appear to do outstanding work.
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