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  1. Patients frequently ask if they will be able to "slick" their hair back with styling products after a hair transplant. This wet, slicked-back look is a tough one to pull off. So it's not always a possibility for all transplant patients. I recently had a patient stop back by for his 12 month follow-up. He admitted to me that his secret goal for the transplant had been to wear his hair gelled and slicked-back like he did in high school. Happy to report he was able to pull it off, and I wanted to do a "comb-through" video presenting it as he styles it: Enjoy! Dr. B
  2. I have a big head; here's the gory details. Due to avodart, progressively stronger rogaine from 5% up to 30% 2X's per day, hair laser from overmachogrande.com and Nizoral 2% shampoo - I was able to do really well from age 38 w/my surgery w/Dr. Feller for about 6-8 years. Then, my genetics and family history and many years of taking fin, then dut, rogaine 2% then up to 30% 2X's per day and using Nizoral shampoo 2% for many years - my hairloss accelerated again after about 8 years from my strip surgery w/Dr. Feller. I don't have a bald spot nor any areas where hair is not growing - but I would like to maximize my results. At 18 months out from my last surgery I'll do another one and then a year or so after that I'll have my final surgeries, which will be FUE. At that point, w/permanent micropigment from Mark Weston somewhere in between these surgeries I'll be done. I always knew that I would do anything in my power to not be bald and from the outset I was prepared for many surgeries if necessary. Unfortunately, aggressive baldness w/a family history of almost everyone balding is not very good. This type of balding is a progressive illness and requires follow-up surgeries if you are committed to not being bald (and alot of medicine and treatments as well). Again - I don't even recommend surgery to anyone w/early balding or poor hair quality (thin/fine hair) or family history that is stacked against them; it's a truly personal decision. If I could go back and do it again knowing what I know now - I would have gone bald w/a bit of grace and dignity. Age 24 - two strips a month apart from Dr. Matt Leavitt (100 & 120 grafts respectively). This was the OLD days of strip removal. Small scars but they were micrografts of 2-8 hairs. Age 27 - One strip from Dr. Pomerantz 400 grafts. Again micrografts. Age 28 - Another strip from Dr. Pomerantz - 700 grafts. Again micrografts Age 38 - A strip from Dr. Feller - 2250 grafts. Follicular units dissected under microscopes. Age 50 - A strip from Dr. Soni - 4500 grafts. Follicular units dissected under microscopes. Age 50 - (same day from Dr. Soni) - 500 FUE
  3. Just over one year on the temple points/forelock/temple corners HT performed by Dr. Feller. The hair is still a bit unruly but I'm expecting it to calm down in the coming months. Overall I am very happy. I think one more strip would close to fully restore me, but I need to take a break from surgery for awhile. (SMP is in the future to address a few areas, though.)
  4. My first in person HT consult was with Dr. Feller because of his reputation and the fact that he was in my backyard. I think he's a top notch surgeon and agree with most of his arguments in the FUT vs FUE debate. Unfortunately, I think he overly discounts patients' real choice and option in wanting to undergo a less invasive procedure with FUE. At least that was the case for me, I did not want a strip scar from ear to ear. I chose to undergo 3 smaller FUE procedures spread out over time that were less invasive and quicker healing time to get back to work and other activities. Hasson & Wong are now doing FUE if a patient so choses, I hope Feller & Bloxham embrace that option for patients as well.
  5. I agree, I liked Dr. Feller, he is an honest, straightforward poster on here and he won't BS you. While most now disagree with his viewpoint on FUE, he is still a valuable contributor to the forum and always interesting to read. I would hope they decide to resume posting again.
  6. There were several threads, cause some had to be closed by the forum supervisors. Feller and Bloxham dissappeared shortly after the results from Dr. Vories were presented with > 90 % growth rate for a small FUE test case (even FUE into scar tissue). Bloxham said that he expected this results as it was small procedure and by that totally contradicted the story of his partner Feller ("3 forced which cannot be overcome"). That was basically the start of the end of this debate... In general: I always like when clinics offer their advice in here. And I also gave F&B credit for that, but (and this is a big BUT) if you speak with superior authority (and this is what Feller always claimed for himself) you have also superior responsiblilty and have to care even more about the facts. Feller and Bloxham gave completely false numbers several times, they miscalculated numbers (inentionally or untinentionally) or used poor research as the only source. They also did not (!) answer questions which were asked by several users including other clinics. In my opinion, it is correct that people call them out for that. P.S. I still believe that F&B is a good clinic and even recommended people to have FUT there over FUE somewhere else.
  7. Agreed, extremely poor marketing on Feller’s part.....and not so much even for the lack of professionalism but rather the blatant disregard of current trends in FUE. I’ve had 5,000 or so grafts removed via FUE at this point and you just simply can’t tell in the donor....so it just makes Feller seem like an absolute nut job when I read that stuff. Jury is still out on Dr. Bloxham.....and I think Dr. Nadimi is head and shoulders the best younger surgeon right now. Looking at who each studied under says a lot, too. I am hoping Dr. Bloxham is just getting some experience from Feller and then going out on his own because I don’t believe being associated with Feller is ultimately going to be good for his reputation.
  8. Want to share a case I think the community will find interesting! Case: Patient underwent two "mini-graft" procedures at a local clinic. The first was a 600 graft procedure that created a very low and flat hairline. The patient wasn't happy with the results and returned to the same doctor. The doctor believed the solution was to use an additional 700 mini-grafts to naturalize the results by making the existing hairline "broken-up" and "irregular." Now, this is something we do in modern procedures in order to create a natural, feathered result. So what's the problem? Well, in modern hair transplantation, this is achieved using ONLY 1-haired follicular units. Unfortunately for this patient, it was done using large mini-grafts. So this made the already low, flat, and unnatural hairline even more apparent. When the patient presented for the consult, he described the hairline as a "zipper" in the front of his head, and something he constantly hid with his otherwise great surrounding hair. He also formed a noticeable gap between his native hairline and the transplanted hairline -- exaggerated by how low the hairline was created. Here's how he presented during the consultation: Thankfully he still had good donor and I believed I could work with his existing strip scar. So we decided to move forward with a dense pack repair with true follicular units, aimed at both camouflaging the larger grafts and recreating a normal appearance in the frontal scalp. Surgery: Surgery presented the following challenges: 1) Because of the unnatural appearance of the mini-grafts, I could not create a hairline behind the pre-existing work. This meant the new hairline needed to be created lower and flatter than I would normally work. This also meant it had to be very dense in order to look natural that low -- and very dense packing must be done carefully in repair cases. 2) Dealing with the asymmetry of the previous hairline. While a degree of "asymmetric symmetry" is always needed in hair transplant, the previous work was very uneven and I had to be quite "creative" in my surgical plan. But we created this plan and prepped the patient for surgery. Here's a view of the mini-grafts right before I took the strip: And here are the new slits ready for graft implantation. As you can see, a very dense pack for the reasons discussed above: And here he was at staple removal day. So far, so good! This picture -- when compared with the pre-op shave -- really illustrates the difference between spreading larger grafts, and dense packing follicular units: 6 Months Later: And here is a video (with wet and dry comb-through) and "before and after" comparison pictures taken at 6 months. I'm very pleased to see the transformation the patient underwent in only 6 months (generally only the "halfway point"), and even happier to report that he's able to style his hair normally for the first time since he "took the plunge" with surgical hair restoration. Video: Comparison Pictures: So, I hope the community finds the case as interesting as I did! Enjoy, Dr Bloxham Feller & Bloxham Medical, PC
  9. A "comb-through" video of a 2,300 graft "dense pack" case. Great example of using dense packing to blend with native density in a patient with a good amount of existing hair. Patient shown at 18 months post-op. Comb-through is shown with both wet and dry hair. Patient is in his early-to-mid-30s. Enjoy!
  10. 1500 grafts....way more than I expected. Can't say enough good things about Dr. Feller and his staff. A little out of it now so more to come....
  11. Over the past few years that Dr. Steve Gabel has been recommended on the Hair Transplant Network, I have gotten to know him and his ultra refined work. I have come to regard him as being highly ethical and a likable straight shooter who works hard to provide his patients with excellent results at modest cost. So I was not surprised to find while visiting his clinic that he and his staffs' truly ultra refined hair transplant procedure was outstanding from start to finish. I also had the opportunity to see a few of his patient in person and their results were very natural. These patients were very pleased with their results and their entire experience. To view their before and after photos visit http://hair-restoration-info.com/eve/forums?a=albumtopi...1037353&f=2091043751 I was very impressed with the great attention to detail and care that Dr. Gabel and his staff showed at every step of the procedure. Dr. Gabel took ample time to carefully remove the donor strip in sections in order to avoid follicle transection (severing follicles) and any damage to the underlying tissue, blood vessels and nerves. He adopted this careful donor strip removal from the expert surgeon Dr. Ray Konior of Chicago. Dr. Gabel then performed a trichophytic closure that included using subcutaneous sutures (internal sutures in the tissue under the skin). These internal sutures pull the underlying tissues beneath the skin together so that the second external running suture simply closes the skin with minimal tension. Since tension is a leading factor in scarring, the low tension on the scalp's skin consistently produces pencil thin donor scars. His donor removal and closure on average takes almost a full hour. Dr. Gabel's strong prior surgical background is evident in his skilled donor removal and closure. In my opinion, the combination of internal and external sutures is optimal for both minimizing scarring and potential patient discomfort. On the day of my visit the patient had very good donor laxity and Dr. Gabel was able to remove a strip from ear to ear that was as wide as 1.75 centimeter at the back of the head and tapering to 1.3cm on the sides. This donor tissue was carefully trimmed by Dr. Gabel's experienced staff under microscopes. The quality and refinement of the grafts appeared to be excellent. His staff is capable of trimming and placing over 4,000 follicular unit grafts during a single session. Patient did not want to shave his recipient area so the hairs in this area where left long. Dr. Gabel chose to make the graft incisions in and around this existing hair sagitally (parallel to the underlying hair follicles) so as to minimize trauma and transection of these existing follicles. Dr. Gable credits much of minimally invasive incision technique and careful graft orientation to Dr. Alan Feller, who mentored and encouraged him to perform a truly cutting edge procedure from day one of his career. However in the areas without pre-existing hair he made lateral incisions (incisions perpendicular to the angle of the hairs normal growth) using tiny custom cut blades. In general Dr. Gabel prefers to make lateral (perpendicular) incisions. He is very meticulous about controlling the angle and direction of the incisions so that they replicate the natural direction and pattern of the hairs. He used blades as small as 0.70 to create incisions for the single hair grafts and 0.90 for the three and four hair grafts. Dr. Gabel is very hands on and typically places many of the grafts along with his staff. In the surgery I observed the patient received 3,203 grafts in both his frontal hairline area, temporal points and crown for a total of 6,519 FUs (594 singles, 2274 doubles, 323 triples and 12 four hair grafts). The surgery began at 7:30 am and was completed at 7:00 Pm. In my opinion, this surgery exemplified high quality ultra refined follicular unit hair transplantation. To learn more about Dr. Gabel view his recommendation page at http://www.hairtransplantnetwork.com/Consult-a-Physician/Doctors.asp?DrID=633
  12. Hi, Wanted to share a different type of case today. And one that I think the community with find interesting. The patient in the video -- Bob -- had a series of "old school" "hair plugs" done at a clinic in the late 80s/early 90s. Like many of these plug patients, he continued to aggressively lose hair and ended up with an unnatural island of plugs on the top of his scalp. He visited several clinics over the years and was basically told his donor was too damaged (he stuck with it and had more plug sessions than the average patient) and he was out of options. He came to see us not expecting much, but was pleasantly surprised when we thought he could be repaired. So I removed as much tissue as safely possible via the FUT technique from the donor and ended up with 1,500 grafts. Although there was a lot of areas requiring attention, I decided on naturalizing the hairline and filling the alleys that had opened up on the sides. It was a very challenging case all around, and I was eager and anxious to see how he progressed! He came back 8 months later and was a new man! He was very happy and actually asked to do a YouTube video with us to try and reach others who may be in the same situation. Give the video a watch. It goes through the case and also gives a little background about "plugs" and how we deal with these cases. Hope you enjoy! And let's all be grateful that we've moved beyond the "hair plug" days! Video: Pictures:
  13. Dr. Feller ?hh Dr. Lindsey, this is not (!) a good case to promote FUT vs. FUE. This is just a case of a repair from a butcher clinic. To give the impression that this is a FUE "Problem" you sell yourself cheap. Sorry, I like your work, but this needs to be said.
  14. Crowns can be tricky. There is a reason why they are often referred to as the "black hole of grafts" online. The large surface area requiring coverage and the twists and turns of the "whorl" pattern call for a lot of grafts. On top of this, they notoriously thin in a circular spreading pattern that is tough to keep up with. However, they are also very often a crucial area for hair transplant patients. Although I do believe the frontal/midscalp regions are more cosmetically significant, many patients don't feel like their transformation is "complete" without crown work; or they can't stand thinking that they still have a "bald spot like my father/grandfather" back there. So crown HTs are important. They must be planned thoroughly and lifetime grafts must always be kept in mind, but important nonetheless. The patient in this video is a good example of what crown patients should expect. He underwent 3,300 grafts total over two passes (the first to address the upper crown, and the second to address the whorl pattern and the lower crown after he had further receded) and now has a very full and natural crown. Here is his "comb-through" video. Tried to be as transparent and thorough as I could here, because expectations are important! Enjoy!
  15. I've discussed the importance of the "frontal band" procedure in a few videos before, but I wanted to share a case where I feel it really was the "right move" for a patient. This patient originally contacted me about putting "a few hundred" grafts via FUE into his hairline. I examined photos he attached and disagreed with the approach. While this may have been a viable option for an older guy with stable and minimal recession, doing these little "fill" procedures in younger guys with unstable frontal zones and future loss isn't usually the best move. So I advised him to instead consider building a solid foundation with a larger, dense pack, "frontal band" FUT procedure. He thought it over and decided to go with the plan. I designed a new hairline -- that will look as natural in his 60s and 70s as it will in his 30s -- and outlined the frontal band region behind it. I then densely filled the area with 2,000 grafts via the FUT technique. 8 months later, the patient contacted me thrilled with the results! He was very pleased we went with the more strategic and "long term" plan, and sent in the following photographs. Please see the video (which contains more pictures, explanations, and an immediate post-op video) and comparison pictures below. I've also attached the 8 month shots sent in by the patient (in case anyone wants to look at it blown up). All "after" images are sent in by the patient and have been left completely unaltered. VIDEO: PICS: Enjoy!
  16. Last week, I discussed the importance of individual planning when it comes to hairline transplantation. I touched upon how things like a patients age, likely progression of hair loss, adherence to preventive medications, and current level of hair loss all come into play. I then shared a case where I performed a 2,200 graft hairline (and frontal scalp) transplant on a young patient with a fairly significant amount of loss in the front, a hesitation towards certain medications, and a fairly high likelihood of future loss. In that patient, I took all of this into consideration and designed a more conservative, feathered hairline plan that would serve him well in the long-term and put us in a good position for future surgery. I'll put a link up at the end. So today I wanted to share another hairline case that again utilized an individual and unique approach, but is very much the opposite of the first patient. Based on this patient's age, family history/physical exam, adherence to medications (which he was on long before surgery), and facial shape/hair type, I designed a more aggressive approach. I utilized around the same number of grafts -- 2,000 -- and did a dense pack hairline rebuild. Below are images sent in by the patient (and left completely untouched) at the 12 month mark. They are included with some "befores" and intra-operative shots for comparison. This can be compared with the other case to show how hairline transplantation must be individualized. No two patients are the same and there is no "one size fits all" approach. Many factors must be taken into account, but it usually results in happy patients if everything is closely analyzed and a well-strategized plan is executed. Here is the other "opposite" hairline case for comparison: 2,200 Graft Hairline / Dr Bloxham Enjoy and Happy Holidays! Video: Pictures (attached):
  17. Patients are unique. Each has a different level of hair loss, a slightly different hair loss pattern, a different likelihood of future loss, different hair type, and a unique head shape. Therefore, each patient requires a unique transplant plan. Especially in the hairline region. There is no "one size fits all" approach, and what works great for one patient may not be the right approach for another. So I wanted to share an example of this type of in-depth planning: The patient is a gentleman in his 20s who was embarking on a new phase in his career. And, understandably so, he wanted to get his hair fixed before starting his new gig. He suffered from frontal (including hairline) and slight mid-scalp hair loss. He previously covered it up with a forward "comb over" and even dyed it blonde (on the advice of a hair stylist) to try and camouflage the loss (and you'll notice this in the "before" pictures). I saw him for a consultation and we agreed that hair transplantation was likely his best option in this instance. But based on his age, head shape, views on preventive medications, hair type, and family history, I explained that he should seek a more conservative and feathered approach in the hairline. This would allow for a full but also soft and natural frontal transition, and also look natural if he thinned behind where we worked. We also made donor management a priority, and ensured he had plenty "left in the bank" for future procedures. I ended up doing a 2,200 grafts transplant. He returned a little over 11 months later, and the plan worked! Please view the video and pictures below. Enjoy! Video: Pictures:
  18. We have the privilege of working on a lot of patients from the U.K. And while it is tough for them to get back into the clinic for follow-up, they are usually great with sending in picture "updates" as their results mature. This U.K. patient with advanced hair loss (essentially a diffuse NW VI) came to our clinic for one of our "As Much As Possible" or "AMAP" FUT megasession procedures. We discussed his goals and decided to rebuild a frontal hairline (leaving his current parietal fringe/temporal recession for now) and fill as much thinning scalp behind the hairline as possible. I was able to extract nearly 4,000 grafts via the FUT technique, and used them to knock out a lot of his hair loss. 8 month later he excitedly sent me the following "selfies" to show his progress and express how pleased he was with the transformation! And I was as well! Truly a great guy, and I'm very pleased to have helped him out. Each image he sent (3) is shared here untouched. He's going to have someone else take photos at 12 months, so I'll update with more of the "cardinal angles" (IE a top down) at that time. The full after images are also attached below so they can be expanded and reviewed. Enjoy! Video: Comparison Pictures: And for reference, here's what I did on him:
  19. had an FUT with Bloxham (Dr. Feller's partner) 4 months ago and i'm seeing solid growth so far, couldn't be happier. I echo the other guys, from what i've seen of Huebner it ain't pretty.
  20. Read and look at what HTSoon posted to you. It's already been stated why he's a bad choice. He's a highly competent marketer but he isn't performing follicular unit transplantation in the sense that hairs naturally occur in the scalp like all modern hair transplant surgeons should be doing to achieve natural results. People with experience are telling you to avoid him for a reason, this isn't the time to blindly follow your impulses or fall for marketing and pathetic TV advertising like on Dr. Oz (who you yourself admit doesn't have a great reputation). And yes Dr. Feller would be a much better choice, or Dr. Bloxham at his clinic.
  21. C'mon dude! If you do in-depth investigations into hair transplant history you will NOT let him operate on you. I can't be any clearer. Dr. Feller is top notch and in the biz for over 20 years. Frankly, you seem resistant to other suggestions of top USA FUT surgeons except for Huebner. Man oh man - can some other posters get in here and show him the light? Frankly, if this is your last 'strip' surgery - consult w/Hasson and Wong. They are known for great yield and consistently have the largest sessions of FUT surgery docs in N. America. Their techs are consistently rated A+.
  22. Click my profile pic to see my present condition. I'll check out Feller more carefully, but it seems like there's some real dissatisfaction with his results and demeanor. This concerns me. I still don't understand why you object to Dr. Huebner. I've been researching him and so far he's looking like an excellent practioner. His density pix seem impressive, and his reviews from past patient reviews are extremely high.
  23. Hi, Please cross Huebner from your list. Don't go down that path. I had 2250 FUT/FUSS transplant from Dr. Feller in 2004. He is a bit conservative w/his strip size; completely competent & his staff is excellent. He's a top- tier strip surgeon in the USA. Down to earth, modest office complex in Great Neck & doesn't put on airs. A doctor who treats each patient w/care and attention to detail. Good pre-op discussion and realistic expectations. He's had work done so he also knows what it is like to be a hairloss sufferer as well. I don't care for flying into Long Island and the traffic - other than that. No problems. He has alot of older videos on youtube he posted from his car and house and basically discusses all kinds of stuff I found pretty interesting - even though I'm older and had my first surgery in '91.
  24. Thanks for comment! I need density in mid-scalp ad crown areas that have thin covering of transplanted hair ( I'll try to post pix soon ). I thought Dr. Huebner would be good because he claims to have the most density per hair transplant. ( The fact that he was featured on Dr. Oz also had an influence on me, although Dr. Oz doesn't always have the best reputation. ) Not sure this is true, so I'm still looking for recs. What about Dr. Feller in NY? He does FUT, and has also been strongly recommneded to me. Also, I'm very concerned about having experienced, competent and motivated techs for my procedure. In apst hair transplants I've had lazy, incompetent techs working on me-- very disappoointing! They do very important work, and if they do a lousy job, you'll have poor results. Dr. Huebner claims that his techs are the best around. Not sure this is true, so I'd like to hear from anyone who's dealt with Dr. Huebner besides the references on his website. Dr. Feller comes highly recommended and has been around a lot longer than Dr. Huebner. More comments are much appreciated. I contribute to my local newspaper for men's health issues and I plan to write about my next hair transplant.
  25. In this hair transplant video interview, Coalition physician Dr. Alan Feller discusses where follicular unit extraction (FUE) falls into the realm of surgical hair restoration procedures and results.
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