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  1. Guest

    Question for DR. FELLER

    Dr. Feller: For a while now I have been following your posts, especially the ones on density. I always had a relatively high hairline and deep recessions at temples. I will be 23 soon. Some 2-3 years ago I noticed slight thinning and gentle recession at the temples, but I don't believe it has progressed since. Nobody in my family, including my grandfathers is bald, and my father has probably more hair than I do. I believe I would benefit greatly from lowering my hairline half an inch or so, but I've stumbled against many post that advise against doing so. Due to my family history, I believe that there is a good chance my hairline will remain where it is, as it is, and it is a chance I am more than willing to take. I've had one consultation so far, and was told that I am too young for transplant, and to come back in two years or so. I was classified as early Norwood 3A, with medium density, and medium scalp elasticity, brown, slightly wavy hair. I was prescribed propecia, to bring back miniaturized hair, and I've been taking it for a month now, and I intend to continue on it as long as I will have hair. Like you said yourself hair loss is not pathological. The only reason people get HT's is for aesthetical reasons, which means that it's highly subjective. Now, there are people who couldn't care less about going bald, and there are people who can't stand their receded hairline. I belong to the latter group, and fixing that problem is my number one priority. I don't believe that waiting in my case is a good idea - because other than being miserable, I'm accomplishing nothing. I don't want to wait till I'm 30 to do what I could very well do now, and be happy. Since I live relatively close to NY, my question is the following. Should I bother scheduling a consultation with you, or will it be just a waste of both yours and my time, and you'll tell me what I already heard at the other place - that I'm too young? Thanks for taking your time to read this post. "Any sufficiently advanced technology is indistinguishable from magic''. Arthur C. Clarke
  2. 27 young, i am not a doc but hair transplantation NEVER can give you close or VERY close to someone's original density. NONE of the before and after pictures from this site have anywhere close to their original density. What docs want to achieve is density that is pleasing to the eye. I had a conversation w/ Dr. Feller on the subject, some doc's refer to 50% density, that depends on many things such as hair shaft thickness, hair color, etc. Do some reading on the recent threads on density most probably commented on by Dr. feller, listen to him, this is his livlihood and he knows of what he speaks. Good Luck
  3. Dr. Feller, Thanks for your guidance. One quick question: Although it is too early to tell, in my grafted area there are short hairs (i.e., the transplanted ones) that are quite sparse. When I asked my surgeon (on follow-up visit) about it he said there are a lot of grafts that you don't see because they don't have hair sticking out. Is that a correct evaluation? I am concerned that the desnity of grafted hair may not be what I thought. Thanks for your help, Dr. Feller!
  4. Yalao, He is 28 and is a norwood class 5-6. He WILL progress to a Norwood 6, although the use of Propecia may stay that inevitablility for a few years longer. Understand please that I did not put him on that drug, his GP did. His progression to stage six was factored into my plan from the beginning. He will not need another surgery in the frontal area. It is finished as it has been densely packed by me and my staff and he is indeed very happy (he has sent me a number of referrals). The top and crown have not been touched, only the areas I've outlined in the before photo. I will try to find a pic of him from the top view, or ask him to come in for a new round of pictures and then post them on this site. I would recommend he go for another 2400 grafts in the top and crown at his convenience. A tight pack into the remaining areas ought to do it. If his sides receed significantly he has plenty of donor area to chase it. This patient owes alot of his results to the thick caliber of his hair and abundance of donor area. All hair docs love to get a guy like this. Dr. Feller www.fellermedical.com
  5. I received many positive emails from around the world from both hairloss patients and doctors alike who viewed the intra-op and post-op photos I posted on this site to demonstrate that dense packing of grafts in a small area of baldness is not only viable, but preferable. I thank you for your comments and compliments. Most of you expressed curiosity as to how it will look when grown out and asked me to post the after results in about a year. Rather than wait until then, I am posting a virtually identical patient I performed the same procedure on over a year ago. Note the tight area I and my staff squeezed the grafts into and the wonderful results he achieved. I didn't waste any grafts in his crown, but chose to pack them in the front third of the scalp. Dr. Feller Feller Medical, P.C. 287 Northern Blvd, Suite 200 Great Neck, NY 1-800-HAIRS-2-U 1-516-487-3797 www.fellermedical.com
  6. Ms. S has been a patient of mine for the past three years. When she came to me she was completely bald on the top of the head. Worse, she had had an unsuccessful hair transplant perfomed years ago by another clinic that left her scalp virtually one big mass of scar. No one could look at this woman and not feel sorry for her, although she seemed to take it in stride. In spite of her extensive baldness, and the donor area depletion of her first "surgery", she still had an impressive amount of donor hair left. Under normal circumstances, I probably would have turned her down. Women tend to thin everywhere by the time they become this advanced. It is rare to see a woman this bald on the top, but so relatively thick in the donor area. I told her that I could improve her, but that I could never match the wig she was wearing at the time. She understood. I also told her it would take a long time and as many as five procedures, and that even then it might not make a significant cosmetic difference. She said she understood. I proceded to do four surgeries on her over 3 years. She walked into my office seven months after her last surgery this afternoon and told me she got rid of the wig. That's my definition of SUCCESS. Dr. Feller Feller Medical, PC 1-800-HAIRS-2-U 1-516-487-3797 www.fellermedical.com
  7. Kilimanjaro, To answer your questions: Harnessing the hair was not difficult as she was born with an overabundance in the back. I have not found that females grow any better than men. As was discussed during our first consultation I informed her that I would remove approximately 75% of her donor hair, leaving just enough to cover the area when styled properly. It was the stratigic placement of the grafts that allowed me to acheive this result. Moreover, it was her absolute commitment to follow through with the plan. Once the last round of transplants grew Ms. S figured out on her own how to best style her hair to make it as full as possible. Her temples are still thin, but she styles the hair to compensate. She is a master at this. She simply maximized what I gave her. Dr. Feller
  8. Ms. S has been a patient of mine for the past three years. When she came to me she was completely bald on the top of the head. Worse, she had had an unsuccessful hair transplant perfomed years ago by another clinic that left her scalp virtually one big mass of scar. No one could look at this woman and not feel sorry for her, although she seemed to take it in stride. In spite of her extensive baldness, and the donor area depletion of her first "surgery", she still had an impressive amount of donor hair left. Under normal circumstances, I probably would have turned her down. Women tend to thin everywhere by the time they become this advanced. It is rare to see a woman this bald on the top, but so relatively thick in the donor area. I told her that I could improve her, but that I could never match the wig she was wearing at the time. She understood. I also told her it would take a long time and as many as five procedures, and that even then it might not make a significant cosmetic difference. She said she understood. I proceded to do four surgeries on her over 3 years. She walked into my office seven months after her last surgery this afternoon and told me she got rid of the wig. That's my definition of SUCCESS. Dr. Feller Feller Medical, PC 1-800-HAIRS-2-U 1-516-487-3797 www.fellermedical.com
  9. Thank you Noreaster, it was my pleasure. You are an encyclopedia of hair transplant information. Good luck to you, Dr. Feller
  10. Hi Dr. Feller, thanks for your eloquent answer earlier this week. Was wondering if you were available for a consult some day when I happen to be in the area. I work in Manhattan but sometimes find myself in the area unexpectedly. I'm not ready to do something immediately I must say, but hope to within the year.
  11. I basically agree with Dr. Feller, but if the scar is below the nuchal ridge, I feel that stretching the neck can contibute to widening of the scar. You can locate the nuchal ridge by feeling with your hand. It is the horizontal ridge about halfway up the back of your head. I ask my patients to avoid situps or forceful stretching of the neck during the first 30 days. Best to be on the safe side.
  12. Yes Midnite, you are correct. It usually takes me longer, alot longer, to place sites in the second go around, especially if there is considerable leakage of blood from the newly created sites (don't get frightened though, the bleeding can be as small as a few thimbles worth to obscure the field enough to slow me down) This is another reason why I like to hit one area with high density and get it over with. This way I don't have to go back into the first area on the second surgery. I might hit the front part of the hairline to touch it up on a second go around, but I don't have to dance too much in between the last group of grafts. My usual M.O. is to hit the front with everything I've got, and then when I do the second surgery, usually in the top or crown, I can work in a virgin area obviating the need for me to be careful about transecting grafts. In the end it is faster and safer. If your 2800 was placed over a fairly large area, then I would imagine the slit placement may take two to three times as long on the second procedure. To give you an idea, under ideal conditions, it takes me an hour and 15 minutes to numb the skin and place 1800 slits on a virgin scalp in the front. Good luck Dr. Feller www.fellermedical.com
  13. Dr. Feller, When I had my 2800 FU's this past February, the doctor who performed my FU process when very fast when creating the recipient sites. In reading other posts on this site, this seems to be the norm. My question is, during a second FU process, is this the norm? I would think it would be much slower as to not accidently damage a FU transplant from the first go around. Plus, trying to create some additional density by inserting new FU's in between the previous transplanted FU's would seem to require additional care when creating the new recipients sites. Would my assumptions be accurate? Thanx midnite
  14. Tom I do not believe that flexing your head forward will make any difference. It's not as if your scalp at the level of the donor wound is directly connected to your lower neck. It is attached to the skull the whole way down so the force of pull is very slight by the time it reaches that level. I've heard other people, including doctors, claim that bending the head can make a difference, but the anatomy and physiology just don't allow for this to be a problem in any significant way. If your scar streches significantly over the next few months you can rest assured that it wasn't because of anything you did. Strech is primarily a function of skin physiology, and not your activity. So feel free to bend your head in thanks to your top of the line hair transplant clinic in Chicago that gave you 2,000 grafts. Best of luck Dr. Alan S. Feller Feller Medical, PC Great Neck, NY www.fellermedical.com
  15. To "The Victim" and everyone else, If you were able to read my thread about Density a few weeks ago, you might have been able to avoid the problem you ran into. To me, density is everything. Unfortunately there are too many doctors out there who claim hair just won't grow in a scalp that has a high density procedure. This is simply not true and has been disproven by clinics like mine and just about every other doctor in the IAHRS. If you look below you will see photos of one of my typical patients I very recently performed surgery on. He had only ONE procedure. I gave him 1800 (plus) grafts in just the front portion of the scalp. In 2 of the photographs I include a ruler to be used for scale. Count for yourself and see that the density is over 35 follicular units per sq cm. Note how you can see the hairs growing about 2-3 mm in just 8 days, which is when he came to have his sutures removed. If dense packing should have killed the follicles, then how can the hairs still be growing? The answer is that they are very much alive, even at this density. Sorry to read of your woes The victim, but you really should check out your docs closely before hand. That consent you signed would of had me in the car on the way home after reading that you can't go to another clinic to confirm the count. Dr. Feller Feller Medical, PC www.fellermedical.com
  16. Is there any info on DR. Feller. He has an interesting way of pricing his procedures ?
  17. I think it has been pretty well established by now that grafts grow most successfully after the first transplant. This is why I advocate the "one pass" method described by Dr Seager, and push for high density over a smaller area. Read my Density thread for a more detailed explanation. Dr. Feller
  18. Dr. Feller, Any comments on growth in old scarred Recipient areas from prior surgeries? What is the longest visible growth in areas that have been hit 2 or 3 times prior? Thanks
  19. I am looking for several candidates who are willing to volunteer for Follicular Unit Extraction. It is not necessary for candidates to have had hair transplant surgery in the past, although that would be a plus. Candidates should reside within 30 minutes of my office in Great Neck, NY. That is on the borderline of Nassau County and Queens. Please leave your information at info@fellermedical.com Thank you, Dr. Alan S. Feller
  20. I am looking for several candidates who are willing to volunteer for Follicular Unit Extraction. It is not necessary for candidates to have had hair transplant surgery in the past, although that would be a plus. Candidates should reside within 30 minutes of my office in Great Neck, NY. That is on the borderline of Nassau County and Queens. Please leave your information at info@fellermedical.com Thank you, Dr. Alan S. Feller
  21. I've read the thread several times. The overall advice I seem to be hearing here is "meet with several doctors, not just one or two". Nobody should get a hair transplant after consulting with just one doctor or clinic. How does that sound? Regarding Dr. Feller, his thread on the "Density" issue is one of the most informative threads in recent memory. There is a balance and compromise between having a lot of density vs. covering a large area of baldness. Dr. Feller makes a good case for dense grafting. [This message was edited by arfy on October 18, 2002 at 11:05 PM.]
  22. Dr. Feller You may have a point about guys who sometimes say "Dr. So-and-so is the BEST", because lots of guys get ethusiastic about their results. I know I personally don't mind getting very opinionated and vocal about doctors who I think should be avoided. You also made a bunch of good points about how to narrow down your search, and some other nice points as well. But nobody in this particular thread has tried to to "tell" this fellow Gost he has to go anywhere in particular, or not go anywhere, or that any one doctor in New York is "the one"... I think the general consensus is to meet several doctors in the New York area, and think things over carefully. Your point is well-taken, but I think the advice being given in this immediate thread is sound, and not overbearing.
  23. Jeff, I know Dr. Feller is on Pat's list but that is all I know. I am trying to get information from patients who had a H/T from him before I set up a consultation with him.
  24. Anyone had a HT with Dr. Feller?
  25. Anyone had a HT with Dr. Feller?
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