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  1. PATIENT'S DETAILS ✓ 53 years old, NW VII, losing hair since he was 38, with a hair loss history in his family (paternal grandfather NW VII). ✓ No medications ✓ Average caliber hair. ✓ Normal follicular units. ✓ Medium % of hair in telogen phase. RECOMMENDED TREATMENT This 53-year-old gentleman presented a very advanced hair loss, classifiable as a grade VII on the Norwood scale. Since he wanted to be able to wear his donor hair short after the surgery, we agreed upon performing an FUE restoration consisting of two separated sessions. The first surgery took place in October 2019 and aimed at rebuilding the patient’s hairline, anterior and midscalp areas. During this first session we transferred 3150 grafts (2811 coming from the traditional scalp donor, 339 extracted from the beard donor - the area under the chin). One week after the surgery his donor area was already quite immaculate, as you can appreciate in the photos published below. One year later, in October 2020, the patient underwent his second procedure with the objective of covering the crown area. During this second sitting we extracted and implanted 3344 grafts (2843 scalp grafts, 501 beard grafts). The results are truly remarkable if we consider his starting point and the patient is understandably ecstatic about his improvement, so much so that he has just booked his third procedure (to further improve the general density) for November 2021. I am glad to share below a comprehensive photo and video documentation, which will be updated following the patient’s next procedure. SURGERIES DETAILS 1st Surgery - October 2019 ✓ 3150 grafts ✓ Technique : FUE (2811 grafts) + BHT (339 grafts) ✓ Donor area : scalp + beard ✓ Recipient area : scalp ✓ FUE and BHT scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions : 40-45/cm2 ✓ Grafts Breakdown : ☞ 817 Single FUE/BHT grafts ☞ 1123 Double FUE grafts ☞ 1183 Triple FUE grafts ☞ 27 Quadruple FUE grafts ✓ Total number of Hair : 6720 ✓ Average Hair/Graft : 2.13 2nd Surgery - October 2020 ✓ 3344 grafts ✓ Technique : FUE (2843 grafts) + BHT (501 grafts) ✓ Donor area : scalp + beard ✓ Recipient area : scalp ✓ FUE and BHT scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions : 35-40/cm2 ✓ Grafts Breakdown : ☞ 675 Single FUE + BHT grafts ☞ 962 Double FUE grafts ☞ 1400 Triple FUE grafts ☞ 307 Quadruple FUE grafts ✓ Total number of Hair : 8027 ✓ Average Hair/Graft : 2.4 Dr. Jean Devroye
  2. PATIENT'S DETAILS ✓ 48 years old, NW VI, losing his hair since his 30s, with a hair loss history in his family (maternal grandfather). ✓ No medications. ✓ Medium calibre hair. ✓ Strong follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT I'm glad to present another nice hair restoration outcome by means of the FUE technique. In this gentleman's case, we initially decided to adopt a three-steps approach to treat his advanced baldness, classifiable as grade VI in the Norwood scale. The first surgery (subject of this post) took place in August 2019, when we implanted 2238 grafts FUE to restore the patient's hairline, frontal and midscalp areas. As you can observe, the surface treated would have usually required a bigger amount of grafts (around 3000); however, taking into account the patient's limited donor area, we decide to err on the side of caution by limiting the number of grafts to the minimum necessary during this first session. The results the patient achieved are excellent, as you can appreciate in the photos published below - especially considering the amount of grafts used and the surface covered. This case shows exceptionally well the fundamental importance of a well-planned and strategic grafts placement. As usual, we will not hesitate to update this thread when the patient will undergo his second session. SURGERIES DETAILS ✓ 2238 grafts ✓ Technique : FUE ✓ Donor area : Scalp ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Grafts Breakdown : ☞ 331 Single FUE grafts ☞ 947 Double FUE grafts ☞ 890 Triple FUE grafts ☞ 70 Quadruple FUE grafts ✓ Total number of Hair : 5175 ✓ Average Hair/Graft : 2.31 Dr. Jean Devroye
  3. Hey Guys, Tomorrow I'll be talking to Dr. Devroye, he is the creator of the WAW system, the punch used by some of the world's best Konior, Hasson and Wong, Feriduni, Shapiro, etc. Some of you may not know this, but Dr. Devroye was the first European doctor to join the Hair Transplant Network well over a decade ago. The live session will be at 10am Pacific time, 1pm eastern time, and 6:00pm UK time and 7:00 pm Belgium time. Please ask your questions here, and be sure to join to ask any other questions. He is an authority on FUE and wrote many of the FUE terms along with Dr. Jose Lorenzo.
  4. PATIENT'S DETAILS ✓ 33 years old, NW III-V, with a hair loss history in his family (father and maternal grandfather). ✓ No medications. ✓ Thick caliber hair. ✓ Strong follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT Here we present yet another nice example of an FUE restoration. This 33-year-old gentleman was losing his hair from the age of 24. At the time of the consultation, his balding pattern was classifiable in between the grade III and IV of the Norwood scale; despite the examination revealed a high percentage of miniaturized hair in his recipient area, the patient was not willing to start any treatments to halt his hair loss. Taking into account this fact and his family hair loss history, I recommended him to focus on the hairline and anterior area restoration at this stage. Since the patient wished to be able to wear his donor hair short, we agreed upon performing an FUE procedure using exclusively scalp hair grafts. In June 2020, he received 2258 FUE grafts in one surgery day. The results were already remarkable at the 6th month mark, as it can be appreciated in the documentation published below. The patient has just sent in another photo, showing the final results, 1 year after the procedure. We hope to meet him again at the clinic in the future so that we will be able to provide the community with better quality pictures showing his final results. SURGERIES DETAILS ✓ 2258 grafts ✓ Technique : FUE ✓ Donor area : Scalp ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions : 40-45/cm2 ✓ Grafts Breakdown : ☞ 518 Single FUE grafts ☞ 881 Double FUE grafts ☞ 859 Triple FUE grafts ✓ Total number of Hair : 4857 ✓ Average Hair/Graft : 2.15 Dr. Jean Devroye
  5. PATIENT'S DETAILS ✓ 32 years old ✓ No medications. RECOMMENDED TREATMENT This 32-year-old patient wished to restore his beard, which visibly lacked in density particularly on his cheeks. Given the good amount of resources available in his beard donor area (the area under the chin and the neck), we agreed upon performing a FUE procedure employing beard grafts exclusively - the most reliable body hair. When available, I always recommend to use beard hair to perform a beard restoration, since it has proven to be the best resource to achieve natural results. We could also have considered the use of other body hair as well (i.e. coming from the chest, or the pubis); however this hair is usually weaker, hence less reliable in terms of transection rate and actual regrowth. As you can appreciate in the photographic documentation below, the patient experienced almost no shedding of the transplanted grafts and a very early regrowth. The beard donor as well experienced a very fast and clean healing, with extractions signs barely (if) visible just one month after surgery. At the 6th month mark, the improvement was already remarkable. The photos that the patient sent in one year after the surgery depict his final results. For those who are interested in knowing more about beard transplants and the technique/philosophy behind them, I recommend to visit the presentation at the following link, where the topic was extensively addressed : Dr. Jean Devroye, HTS Clinic / 1011 FUE / Beard to beard restoration SURGERY DETAILS ✓ 1523 grafts ✓ Technique : FUE ✓ Donor area : Beard ✓ Recipient area : Beard ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Grafts Breakdown : ☞ 1523 Single FUE grafts ✓ Total number of Hair : 1523 ✓ Average Hair/Graft : N/A Dr. Jean Devroye
  6. PATIENT'S DETAILS ✓ 32 years old, had undergone two failed procedures via "3D grafts" technique. ✓ Started applying Minoxidil and taking Finasteride few months before the first surgery. ✓ Average caliber hair. ✓ Strong follicular units. ✓ Medium % of hair in telogen phase. RECOMMENDED TREATMENT This 32-year-old man wished to correct his previous procedures bad results. He had two "3D grafts" procedures done in another clinic in the past, that resulted in a pluggy and unnatural hairline and, also, partially depleted and heavily damaged his donor zone due to the large punches used to extract the grafts - besides focusing the extractions only on the central portion of the donor. The patient had consulted with other reputable clinics as well, who nevertheless weren't willing to operate since his case was considered too complicated and challenging to be handled. His situation actually wasn't simple to be corrected. Firstly, I recommended him to remove most of the big and wrongly placed grafts in his hairline. In April 2019, I extracted 95 of these grafts in order to reshape the hairline. Less than one month later we proceeded with the main surgery. Given his donor conditions, I felt that a Combo FUT + FUE procedure was the best way to proceed in this case : by means of FUT technique, we could have reduced the damaged surface and at the same time harvested some precious grafts; additional resources would have been available via the FUE technique. The surgery final count was as follows : 3936 grafts - 2415 FUT and 1521 FUE grafts - that were used to restore the whole of the patient's scalp thinning areas. Nine months later, in February 2020, the patient undergone a third procedure with the aim of repairing the FUT scar and restocking the donor area by inserting grafts in the majority of the big, round scars caused by the previous procedures. FUE technique was exclusively employed this time, for a total of 1479 grafts. We have recently received some photos showing his final results (1 year and 9 months after the Combo procedure, 1 year after the FUE donor repair). I am extremely pleased to appreciate such an improvement both on the recipient and donor areas and I am gladly sharing this patient's journey with the whole community. SURGERIES DETAILS 1st Surgery - April 2019 ✓ 95 grafts removal 2nd Surgery - May 2019 ✓ 3936 grafts ✓ Technique : Combo FUT (2415 FUs) + FUE (1521 FUs) ✓ Recipient area repair ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions : 35-40/cm2 ✓ Grafts Breakdown : ☞ 772 Single FUT + 315 Single FUE = 1087 Single grafts ☞ 1152 Double FUT + 770 Double FUE = 1922 Double grafts ☞ 471 Triple FUT + 426 Triple FUE = 897 Triple grafts ☞ 20 Quadruple FUT + 10 Quadruple FUE = 30 Quadruple grafts ✓ Total number of Hair : 4569 (FUT) + 3173 (FUE) = 7742 ✓ Average Hair/Graft : 1.96 3rd Surgery - February 2020 ✓ 1479 grafts ✓ Technique : FUE ✓ Donor area repair/restocking ✓ FUE scoring and extractions executed with my WAW system. Dr. Jean Devroye
  7. PATIENT'S DETAILS ✓ 29 years old, NW V, with a hair loss history in his family (father and maternal grandfather). ✓ Started taking Finasteride 1 year before the surgery. ✓ Average caliber hair. ✓ Normal follicular units. ✓ Average % of hair in telogen phase. RECOMMENDED TREATMENT This 29-year-old gentleman presented a quite advanced baldness, grade V on the Norwood scale. Finasteride was prescribed 1 year before undergoing the surgery in order to stabilize his hair loss and improve his native hair quality. Given the important surface to be treated, I recommended him to focus on the anterior and midscalp areas reconstruction during the first session. Since the patient wished to be able to wear his hair short afterwards, we agreed upon performing a FUE procedure using exclusively scalp hair grafts. In February 2020, the patient received a total of 3523 FUE grafts during two consecutive surgery days. Below you can appreciate his evolution until the 14th post-operative month mark under different lighting conditions. He is understandably ecstatic about the results achieved so far. He is currently considering undergoing a second session later on this year in order to complete his hair restoration journey by covering the vertex area. As usual we will be happy to share further photographic material when we will meet him again. SURGERIES DETAILS ✓ 3523 grafts ✓ Technique : FUE ✓ Donor area : Scalp ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions : 40-45/cm2 ✓ Grafts Breakdown : ☞ 620 Single FUE grafts ☞ 1586 Double FUE grafts ☞ 1227 Triple FUE grafts ☞ 90 Quadruple FUE grafts ✓ Total number of Hair : 7833 ✓ Average Hair/Graft : 2.22 Dr. Jean Devroye
  8. PATIENT'S DETAILS ✓ 31 years old (in 2016, at the time of his first procedure), with a hair loss history in his family (father and brothers). ✓ Taking Finasteride and Minoxidil. RECOMMENDED TREATMENT This 31-year-old patient wished to restore his beard - which presented a lack of density on the cheeks area - and his hairline, showing a slight recession on the temple corners. In February 2016, we performed a first FUE procedure (2011 scalp and beard grafts) in order to restore his temple corners and frame the outer and lower part of the cheeks. Following the excellent results, the patient decided to further improve his beard by completely covering the cheeks area. Therefore, in December 2017, we performed a second FUE surgery (1232 beard grafts). The patient was again enthusiastic about the results obtained. In April 2019, he decided to undergo a third FUE procedure - consisting of 2889 scalp and pubis grafts, with the aim of further enhancing his hairline/temple corners, restoring the temple points and perfecting the beard density. As usual, we will be glad to share the results of this last procedure with the community as soon as we receive any updates from the patient. SURGERIES DETAILS 1st Surgery (FUE I, Beard & Hair) - February 2016 ✓ 2011 grafts ✓ Donor area: Scalp ✓ Recipient areas: Beard and temple corners ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW FUE System, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centers are already using it. ✓ Grafts Breakdown: ☞ 743 Single FUE grafts ☞ 681 Double FUE grafts ☞ 501 Triple FUE grafts ☞ 86 Quadruple FUE grafts ✓ Total number of Hair: 3952 ✓ Average Hair/Graft: 1,96 2nd Surgery (FUE II, Beard) - December 2017 ✓ 1232 grafts ✓ Donor area: Beard ✓ Recipient area: Beard ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW FUE System. ✓ Grafts Breakdown: ☞ 780 Single FUE grafts ☞ 452 Double FUE grafts ✓ Total number of Hair: 1684 ✓ Average Hair/Graft: 1.36 3rd Surgery (FUE III, Beard & Hair) - April 2019 ✓ 2889 grafts ✓ Donor area: Scalp, pubis ✓ Recipient areas: Hairline/temple corners, temple points, beard ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW FUE System. ✓ Grafts Breakdown: ☞ 1026 Single FUE grafts ☞ 1272 Double FUE grafts ☞ 461 Triple FUE grafts ☞ 130 Quadruple FUE grafts ✓ Total number of Hair: 5473 ✓ Average Hair/Graft: 1.89 Dr. Jean Devroye
  9. PATIENT'S DETAILS ✓ 45 years old, NW IV, losing hair since his 30s, no advanced hair loss history in his family (his father is NW III). ✓ Started applying Minoxidil and taking Finasteride few months before the first surgery. ✓ Average caliber hair. ✓ Normal follicular units. ✓ Medium % of hair in telogen phase. RECOMMENDED TREATMENT Here we present a nice example of an FUE restoration, done over two separate sessions, on a 45-year-old gentleman who suffered from hair loss since many years. During the first session (in May 2019), we extracted and implanted 3036 FUE grafts with the objective of restoring his hairline and improving the front-mid sections density, which presented some obvious bald spots. After the procedure, the patient experienced almost no shedding of the transplanted grafts : as can be appreciated in the photos, the regrowth was already remarkable 3 months and a half following the surgery. The patient was so pleased about the results achieved that wished to perform a second procedure to cover the crown area and slightly lower the hairline. During this second sitting (which was performed in November 2019), 2877 grafts were harvested by means of FUE, including 300 BHT grafts (taken from the zone under the chin). Regarding the timing between the two procedures : normally, I always advise my patients to wait at least until the 9th post-operative month before undergoing a second session. However, taking into account the very fast donor healing the patient experienced, and that the second surgery would have concerned mainly the crown area (which wasn't treated during the first one), I felt that in this case we could safely proceed before the standard waiting time. The final pictures that the patient sent one year after the second surgery show very nice and natural results, both on the anterior and crown area. SURGERIES DETAILS 1st Surgery - May 2019 ✓ 3036 grafts ✓ Technique : FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions : 40-45/cm2 ✓ Grafts Breakdown : ☞ 400 Single FUE grafts ☞ 1386 Double FUE grafts ☞ 1088 Triple FUE grafts ☞ 162 Quadruple FUE grafts ✓ Total number of Hair : 7084 ✓ Average Hair/Graft : 2.33 2nd Surgery - November 2019 ✓ 2877 grafts ✓ Technique : FUE + BHT ✓ FUE and BHT scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions : 40-45/cm2 ✓ Grafts Breakdown : ☞ 620 Single FUE + BHT grafts ☞ 1104 Double FUE grafts ☞ 1018 Triple FUE grafts ☞ 135 Quadruple FUE grafts ✓ Total number of Hair : 6422 ✓ Average Hair/Graft : 2.23 Dr. Jean Devroye
  10. PATIENT'S DETAILS ✓ 38 years old, NW V-VI, losing hair since the age of 18, with a hair loss history in his family (uncle and brother). ✓ Taking Finasteride 1mg since the first surgery. ✓ Thin caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT This 38-year-old gentleman started losing hair at the age of 18; when he was 25 years old, his hair loss was already advanced. At the age of 27 he decided to shave his head until March 2019, when he decided to move forward and proceed with a hair transplant procedure. Taking into account the extended nature of his hair loss, I recommended him to focus on the anterior and midscalp areas (following a fairly conservative approach) during this forts procedure; Finasteride, which the patient started taking just after undergoing the surgery, would hopefully improve the crown situation. 3545 FUE grafts were eventually used to recreate his hairline and cover the frontal and mid sections of his scalp. One year and two months later the patient was very happy about the results achieved and decided to further improve his hairline and frontal area. Since he responded well to Finasteride, and he wasn't too much bothered by his crown hair loss, we decided again not to touch this area at that stage. During his second FUE procedure we harvested and implanted 1985 FUE grafts in order to further lower the hairline (approx. 1,5 cm) and reinforce the frontal area density. Six months after the second procedure, the patient has sent in some pictures and expressed his huge satisfaction about the results achieved. Moreover, during the following six/nine months, his situation should further improve, especially regarding the hair density and texture. As usual we won't hesitate to update this thread with further photographic material as soon as it will be available. SURGERIES DETAILS 1st Surgery - March 2019 ✓ 3545 grafts ✓ Technique : FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions : 40-45/cm2 ✓ Grafts Breakdown : ☞ 495 Single FUE grafts ☞ 1649 Double FUE grafts ☞ 1326 Triple FUE grafts ☞ 75 Quadruple FUE grafts ✓ Total number of Hair : 8071 ✓ Average Hair/Graft : 2.27 2nd Surgery - May 2020 ✓ 1985 grafts ✓ Technique : FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. ✓ Incisions : 40-45/cm2 ✓ Grafts Breakdown : ☞ 476 Single FUE grafts ☞ 952 Double FUE grafts ☞ 545 Triple FUE grafts ☞ 12 Quadruple FUE grafts ✓ Total number of Hair : 4063 ✓ Average Hair/Graft : 2.04 Dr. Jean Devroye
  11. PATIENT'S DETAILS ✓ 50-year-old female patient suffering from "big forehead" syndrome, with a hair loss history in her family. ✓ Taking Minoxidil 5% since the first surgery. ✓ Average caliber hair. ✓ Normal follicular units. RECOMMENDED TREATMENT This 50-year-old lady since always suffered from a big forehead and wanted to find a solution to correct her situation. This kind of scenario presents quite always good indications to undergo a hair transplant procedure. The balding areas usually do not represent a very big surface. Moreover, the donor area is most of the times excellent, which enables to get a good quantity of hair through FUT technique (preferred for women) and thus to reach a very high density on the forehead zone. In December 2018 we proceeded with an FUT procedure. Following a preliminary estimation, we were aiming to harvest 2500-3000 grafts; in the end, we extracted and implanted 2695 FUT grafts. The evolution has been very positive and, 14 months after the procedure, the situation had already remarkably improved. The linear FUT scar was barely detectable as well. The patient wished nonetheless to further improve and perfect her results. Thus, in February 2020, we performed a second FUT procedure consisting this time of approximately 800-1000 grafts. The final grafts count states 873 FUT grafts, which were implanted to increase the hair density where needed - for an overall total of 3568 FUT grafts. Six months after the second procedure, the lady came to my office for a check-up consultation and was ecstatic about the results achieved. Actually, her situation already showed a huge improvement, very dense and natural results. We won't hesitate to update this thread with further photographic material as soon as we will have the chance to meet her again. SURGERIES DETAILS 1st Surgery - December 2018 ✓ 2695 grafts ✓ Technique : FUT ✓ Incisions : 40-45/cm2 ✓ Grafts Breakdown : ☞ 646 Single FUT grafts ☞ 1506 Double FUT grafts ☞ 537 Triple FUT grafts ☞ 6 Quadruple FUT grafts ✓ Total number of Hair : 5293 ✓ Average Hair/Graft : 2.19 2nd Surgery - February 2020 ✓ 873 grafts ✓ Technique : FUT ✓ Grafts Breakdown : ☞ 230 Single FUT grafts ☞ 518 Double FUT grafts ☞ 124 Triple FUT grafts ☞ 1 Quadruple FUT grafts ✓ Total number of Hair : 1642 ✓ Average Hair/Graft : 1.88 Dr. Jean Devroye
  12. PATIENT'S DETAILS ✓ 37 years old, losing hair since the age of 18 (peak at the age of 26). ✓ Had undergone a FUT procedure elsewhere in the past. ✓ No medications. ✓ Thick caliber hair. ✓ Normal follicular units. ✓ Low % of hair in telogen phase. RECOMMENDED TREATMENT This 37-year-old gentleman came to my office to find a solution for his situation. He had undergone a previous FUT procedure elsewhere, that resulted in an extremely sparse, pluggy and unnatural result, as can be noticed in the pre-operative photos. Since he wished to cover all the thinning areas - other than correct his hairline and anterior section as a priority – in this case I felt that a combo FUT + FUE was the best way to proceed in order to maximize his donor resources. In fact, thanks to the combination of the two techniques, I would have been able to correct the existing FUT scar - by including it in the new strip - and enhance the amount of available grafts via the complementary FUE. The patient has undergone the surgery in June 2019, when he received 4510 grafts during two consecutive days. The patient recently came back for a check-up consultation and is enthusiastic about the results achieved so far (9 months after the surgery). His hairline is now very natural and the other areas show a remarkable increase in density. During the upcoming months we expect the results to further improve, especially regarding hair density and texture, as the hair matures. As usual, we'll not hesitate to update this thread as soon as new material will be available. SURGERY DETAILS ✓4510 grafts ✓ Technique: Combo FUT (3510 FUs) + FUE (1000 FUs) ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Grafts Breakdown: ☞ 751 Single FUT + 177 Single FUE = 928 Single grafts ☞ 2195 Double FUT + 426 Double FUE = 2621 Double grafts ☞ 440 Triple FUT + 259 Triple FUE = 699 Triple grafts ☞ 124 Quadruple FUT + 138 Quadruple FUE = 262 Quadruple grafts ✓ Total number of Hair: 6957 (FUT) + 2358 (FUE) = 9315 ✓ Average Hair/Graft: 2.06 Dr. Jean Devroye
  13. PATIENT'S DETAILS ✓ 30 years old, losing hair since the age of 20, with a family hair loss history (father advanced NW). ✓ No medications. Had tried Finasteride and Minoxidil in the past - stopped because of side effects. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT This 30-year-old patient underwent a FUT procedure in January 2019. The goal was to harvest as much grafts as possible in order to rebuild the patient's hairline and restore the frontal and miscalp sections. The number of grafts we eventually reached - 3920 - allowed for treating a small portion of the vertex as well, even though at a lower density. The pictures taken at the clinic during his one-year follow-up show a very good coverage and natural results. The donor scar is almost undetectable. The patient is actually very satisfied with the outcome of his procedure. SURGERY DETAILS ✓ 3920 grafts ✓ Technique: FUT ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 905 Single FUT grafts ☞ 2230 Double FUT grafts ☞ 718 Triple FUT grafts ☞ 67 Quadruple FUT grafts ✓ Total number of Hair: 7787 ✓ Average Hair/Graft: 1.98 Dr. Jean Devroye
  14. PATIENT'S DETAILS ✓ 37 years old, NW III, losing hair since the age of 24, with a hair loss history in his family (father). ✓ No medications. ✓ Underwent two SMP sessions elsewhere in 2017 and 2018. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Low % of hair in telogen phase. RECOMMENDED TREATMENT This gentleman came to my office to find a solution for his receding hairline. He had previously undergone two SMP sessions elsewhere (in 2017 and 2018) but was not satisfied with his look. We therefore decided to proceed with an FUE surgery in order to rebuild his hairline and temple corners. Considering that the patient wasn’t taking any medications to prevent further hair loss (and wasn’t willing to start to), we decided to increase the number of grafts to reinforce the forelock and the posterior, adjacent area as well. This was done in order to stay ahead of the potential balding of these areas, that may have required the patient to undergo another procedure at some point in the future. 2950 FUE grafts were eventually extracted and implanted. I have used an important number of single follicular units to restore his hairline and temple corners, in order to give a natural but at the same time dense look. 2s, 3s and 4s grafts have been progressively placed behind the hairline to give fullness and coverage and to reinforce the anterior area. The patient is very happy with his results. The pictures he sent in one and two years after the procedure actually show a very natural and dense outcome. SURGERY DETAILS ✓ 2950 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 45-50/cm2 ✓ Grafts Breakdown: ☞ 527 Single FUE grafts ☞ 1081 Double FUE grafts ☞ 1259 Triple FUE grafts ☞ 83 Quadruple FUE grafts ✓ Total number of Hair: 6798 ✓ Average Hair/Graft: 2.30 Dr. Jean Devroye
  15. Look up hair transplant repairs. There was a recent case from Dr. Devroye.
  16. Wow 😯 thanks for posting @Dr. Jean Devroye it’s not often we see a Beard to Beard case. This is a excellent result ! And the pics/presentation is really good also 🙏
  17. PATIENT'S DETAILS ✓ 37 years old, losing hair since the age of 18. ✓ Taking Minoxidil 5% (intermittently) since the age of 27. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT This 37-year-old gentleman wished to restore the whole of his balding areas in a single session. Given the extended nature of his hair loss, which affected the anterior as well as the posterior area, I suggested him to follow a two-steps approach : a first procedure aiming at harvesting as much grafts as possible in order to restore the anterior and midscalp areas, and a second session focusing on the vertex area. In April 2018, we performed a first FUE procedure consisting of 4261 grafts, including few hundred beard grafts used to increase the midscalp density. The pictures taken at the clinic 6 and 8 months after the surgery already show a drastic change in his look. In January 2019, we carried out the second FUE session - 2065 scalp grafts, in order to cover the vertex. The improvement is apparent also in this case; a total restoration has therefore been performed, as it can be appreciated in the pictures sent afterwards by the patient. Regarding the donor area management, it is interesting to underline the extraction pattern followed during the second FUE session. As it can be seen in the relevant photos, I ended the extractions in a progressive way, getting closer to the recipient area as much as possible. I tend to adopt this approach when patients are undergoing a second (or further) FUE surgery; in fact, this method allows me to avoid the so-called "fringe", a section of scalp between the donor and recipient areas which otherwise would maintain an original density, resembling a halo all around the skull and being often very ungraceful, especially when the patient wears his hair very short. More insights about this topic can be found at the following link : https://www.hairrestorationnetwork.com/topic/51783-dr-jean-devroye-hts-clinic-4418-78-2903-1437-fue-repair/?tab=comments#comment-479169 SURGERIES DETAILS 1st Surgery - April 2018 ✓ 4261 grafts ✓ Donor areas : Scalp and beard ✓ Recipient areas : Hairline, front and midscalp ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons and centres are already using it. ✓ Grafts Breakdown: ☞ 1254 Single FUE grafts ☞ 1317 Double FUE grafts ☞ 1334 Triple FUE grafts ☞ 356 Quadruple FUE grafts ✓ Total number of Hair: 9314 ✓ Average Hair/Graft: 2.18 2nd Surgery - January 2019 ✓ 2065 grafts ✓ Donor area : Scalp ✓ Recipient area: Vertex ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system. ✓ Grafts Breakdown: ☞ 258 Single FUE grafts ☞ 1084 Double FUE grafts ☞ 611 Triple FUE grafts ☞ 112 Quadruple FUE grafts ✓ Total number of Hair: 4707 ✓ Average Hair/Graft: 2.28 Dr. Jean Devroye
  18. PATIENT'S DETAILS ✓ 36 years old (in 2017), losing hair since the age of 25, with a hair loss history in his family (uncle, father, brother). ✓ No medications. ✓ Thin caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT Here we present yet another interesting case of a complete hair restoration by means of FUE technique. Also in this case, the patient wished to restore all of his balding areas in one single session. However, considering the important surface that needed to be treated, I recommended him to take a two-steps approach in order to ensure the best management of his donor area. The patient has eventually undergone two FUE surgeries : the 1st session (November 2017), consisting of 3654 FUE grafts, aiming at restoring the patient’s hairline, frontal and midscalp sections; the 2nd session (March 2020), 2132 FUE grafts, with the objective of covering the vertex area. Below are shown the results of the first surgery and the immediate pre and post-operative photos of the second session. As usual, we will share the progress and outcome of this second procedure as soon as new material will be available. SURGERIES DETAILS 1st Surgery – November 2017 ✓ 3654 grafts ✓ Donor area : Scalp ✓ Recipient area : Hairline, front and mid-scalp ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons and centres are already using it. ✓ Grafts Breakdown: ☞ 527 Single FUE grafts ☞ 1845 Double FUE grafts ☞ 1225 Triple FUE grafts ☞ 57 Quadruple FUE grafts ✓ Total number of Hair: 8120 ✓ Average Hair/Graft: 2.22 2nd Surgery – March 2020 ✓ 2132 grafts ✓ Donor area : Scalp ✓ Recipient area: Vertex ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system. ✓ Grafts Breakdown: ☞ 257 Single FUE grafts ☞ 1464 Double FUE grafts ☞ 399 Triple FUE grafts ☞ 12 Quadruple FUE grafts ✓ Total number of Hair: 4430 ✓ Average Hair/Graft: 2.07 Dr. Jean Devroye
  19. New member here but been following the forum for quite some time. Very nice interview, thanks for organizing. It was interesing to hear Dr Devroye talk about HT tools and some of the logic/philosophies behind it. I really liked when you talked about hair and the illusion of seeing hair and your carpet reference 😅
  20. PATIENT'S DETAILS ✓ 52 years old, losing hair since the age of 20, with a family hair loss history (father, brother and paternal grandfather NW V). ✓ Taking Minoxidil and Propecia since several years (even though his hair loss has continued to progress). ✓ Thin hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT This 52-year-old patient underwent a FUT procedure in September 2018, when he received 3428 FUT grafts, with the aim of restoring his frontal and midscalp areas. The pictures taken at the clinic during his six-months and one-year follow-up show very nice and natural results. The patient is currently considering a second procedure in order to cover his vertex, next year (most likely an FUE consisting of approximately 2500 grafts). As usual, we will keep the community updated as soon as new material will be available. SURGERY DETAILS ✓ 3428 grafts ✓ Technique: FUT ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 690 Single FUT grafts ☞ 1921 Double FUT grafts ☞ 722 Triple FUT grafts ☞ 95 Quadruple FUT grafts ✓ Total number of Hair: 7078 ✓ Average Hair/Graft: 2.06 Dr. Jean Devroye
  21. Hi guys Firstly just want to say thank you to all of the members on this forum and their experiences as it is it in a valuable tool to all of us in this situation. I am currently a 36 year old male with an NW3 with possible progression to an NW4 in the next few years. I'm on finasteride 1mg day and use nizoral twice weekly. Was using minoxidil for quite some time roughly 2 years, but came off it due to being scheduled to go for surgery with Asmed. I've lost quite a bit of density in the past few months due to this but not really wanting to start minoxidil again. I am looking to get roughly 2500 graphs and would like this to be done by a hairline specialist. I've narrowed the list to Dr Jean Devroye or Dr De. Freitas. I'd love to hear everyone's thoughts or anything that you may be able to add. Thanks guys
  22. PATIENT'S DETAILS ✓ 33 years old, Diffuse hair loss pattern (Ludwig II), losing hair since the age of 23, with a hair loss history in his family (father NW VI). ✓ Started taking Minoxidil 5% since 1 month before the surgery. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Normal % of hair in telogen phase. RECOMMENDED TREATMENT This 33-year-old patient presented a diffuse thinning affecting the whole of his scalp. Despite that, he is a very good candidate for a hair transplant procedure: his hair is slightly curly and his donor area is excellent. Moreover, he had started taking Minoxidil 5% since 3 months before the surgery - even though the medication turned out to be not very effective for the patient. We agreed upon performing an FUT procedure and the patient accepted to shave the whole recipient area, which allowed for a perfect work. In this first session, we decided to focus on the frontal area and midscalp restoration, leaving the vertex untouched at this stage. The procedure was carried out in June 2017, when he received 3556 FUT grafts. As you can see in the pictures below, the patient has experienced a quite fast regrowth, since at the 7th post-op month mark the change in his look was already apparent. The patient will come back for his second session next month of April. His second procedure will consist in a combo FUT + FUE during two consecutive days with the aim of covering the vertex area. We will not hesitate to share with you the pictures of his second surgery as soon as they will be available. SURGERY DETAILS ✓ 3556 grafts ✓ Technique: FUT ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 796 Single FUT grafts ☞ 1994 Double FUT grafts ☞ 683 Triple FUT grafts ☞ 83 Quadruple FUT grafts ✓ Total number of Hair: 7165 ✓ Average Hair/Graft: 2.01 Dr. Jean Devroye
  23. PATIENT'S DETAILS ✓ 30 years old, NW IIIv-IV, losing hair since the age of 25, with a hair loss history in his family (uncle maternal side, NW IV). ✓ Taking Minoxidil 5% since 4 months before the surgery. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Average % of hair in telogen phase. RECOMMENDED TREATMENT Here is a nice example showing a frontal area and vertex restoration, done in a single session, consisting of 3545 FUE grafts. While I am usually averse to the idea of grafting the anterior and vertex areas at the same time, while leaving a section of the midscalp untouched, in this specific case I agreed (following a fairly conservative approach). I have given my consent based on several factors : the patient's family hair loss history (just his maternal uncle reached the NW IV stage), the fact that he was under medications to maintain his native hair and that his hair loss was stable since a couple of years already. Moreover, his donor area is very rich and can still provide an important amount of grafts (approximately 3000-3500, not taking into account the potential BHT resources) so that it will be possible to cover the new balding areas in the future, if his hair loss progresses. Below are shown the pre and intra-operative pictures taken at the clinic and the post-operative photos sent in by the patient (1, 3, 6 and 12 months after the procedure). SURGERY DETAILS ✓ 3545 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 407 Single FUE grafts ☞ 1363 Double FUE grafts ☞ 1283 Triple FUE grafts ☞ 492 Quadruple FUE grafts ✓ Total number of Hair: 8950 ✓ Average Hair/Graft: 2.52 Dr. Jean Devroye
  24. PATIENT'S DETAILS ✓ 37-year-old female, suffering from Androgenic Alopecia since the age of 27. Hair loss stabilized. Her mother and aunt suffer from the same condition. ✓ No medications (side effects from Minoxidil). ✓ Medium hair. ✓ Normal follicular units. RECOMMENDED TREATMENT This 37-year-old female patient came to visit me to discuss about a possible solution for her hairline and temples thinning, caused by Androgenic Alopecia. She had suffered from that condition since the age of 27. She had tried to use Minoxidil in order to improve the situation, but unfortunately the medication caused side effects (hair growing on undesired areas). The loss had nevertheless stabilized since few years already. During the consultation, we therefore agreed upon performing a FUT procedure complemented by a small FUE in order to cherry-pick one hundred softer hairs from the nape area with the aim of restoring the very first hairline and temples. Eventually, the patient received a total of 2136 grafts. The post-operative pictures were sent in by the patient. One year after the surgery, she is very satisfied with her new look : the situation has actually remarkably improved, the yield seems excellent and the results are very natural. SURGERY DETAILS ✓ 2136 grafts ✓ Technique: Combo FUT + FUE ✓ Incisions: 45/cm2 ✓ Grafts Breakdown: ☞ 688 Single FUT + 100 Single FUE grafts ☞ 1318 Double FUT grafts ☞ 30 Triple FUT grafts ✓ Total number of Hair: 3514 ✓ Average Hair/Graft: 1.84 Dr. Jean Devroye
  25. PATIENT'S DETAILS ✓ 31 years old, NW IVa, losing hair since the age of 24. Hair loss stabilized since two years. No available data about his family hair loss history. ✓ Started taking Finasteride 1mg after the surgery. Treatment currently suspended. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT This 31-year-old patient presented with a NW IVa hair loss degree: an almost completely bald anterior area, a thinning mid-scalp and obvious signals of loss in the vertex area. We agreed upon performing an FUT procedure of approximately 3500 grafts in order to rebuild his hairline and cover his frontal and midscalp areas - leaving the vertex untouched for a potential, second procedure. The proposed hairline, slightly conservative and drawn following the patient's original one, will guarantee a suitable look also in the long-term. In January 2018, the patient eventually received 3757 FUT grafts. The 3rd and 5th post-op month pictures show an early regrowth and already remarkable improvements. During the next 7 moths we expect the results to further improve, especially regarding the hair density and texture. As usual, we'll not hesitate to update this case as soon as new photographic material will be available. SURGERY DETAILS ✓ 3757 grafts ✓ Technique: FUT ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 519 Single FUT grafts ☞ 2573 Double FUT grafts ☞ 644 Triple FUT grafts ☞ 21 Quadruple FUT grafts ✓ Total number of Hair: 7681 ✓ Average Hair/Graft: 2.04 Dr. Jean Devroye
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