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  1. My partner had a brow lift last year that left him with three noticeable linear scars in his scalp that prevents him from cutting his hair short. He was looking to have this repaired with a FUE procedure, I'm assuming 200 grafts would suffice. Is anyone aware of FUE surgeons that perform small sessions, preferably on the west coast? The only ones I've come across are Dr. Lindsey and Dr. Feller, but that's quite a distance to travel. I had a very successfully surgery with Dr. Diep a few years ago, but he currently has an 8 month wait time for FUE and $5k minimum.
  2. Pull the hair at the hairline back with your hand and take a close up shot, it's impossible to see what's going on even in that front on photo. I agree it doesn't look like a serious issue however. Shock loss is not a risk unless you're implanting into areas of existing hair, I haven't seen a single example of it anywhere and Dr. Feller for one has said the same in a video.
  3. I also had a transplant w/Dr. Feller when I was 37 and began losing alot more hair about 6 years after at age 43. 16 year user of dutasteride here. I do use systemic oral rogaine and spiro (yea, I know - don't go there). As well as overmachogrande.com laser helmet 440 diode and 2X's weekly Nizoral. I think I RIVAL you for very very fine/straight hair. Guys like us literally need 7K in our frontal 1/3rd to have a natural hairline zone that 'appears' to be near normal. Not to mention (if you have the donor) another up to 5-8K for mid-vertex and near the crown. The crown you 'dust' lightly. Since you are new to dut (but an older guy) - I would stick with it even if you are losing ground. Think how much more you would be losing without dut? Sometimes us thin haired/fine hair guys w/very straight hair 'max' out our donor (fut/fue) and even then - we just have to work with what we have and accept it. I still have a couple surgeries left at nearly 9k of grafts done and will probably throw permanent SMP into the mix along w/PRP w/Acell in the next 2 years and that will probably be it for me. Good luck & you have had good surgeons thus far.
  4. Today's patient is a male with fairly classic thinning in the hairline/frontal band and "fronto-temporal corners" regions. Based upon his hair type, pattern and likely progression, I agreed with his request for a strong, defined hairline, a thick rebuild of the frontal band region, and some "corner closure" -- not something I do on everyone. Presented are the 7 month results of his surgery. While I shared a few key images here, I highly recommend watching the video. The video contains more pre-op, immediate post-op, and "after" images, and it also includes dry hair video and wet comb-through video. The wet comb-through is my favorite because if a hair transplant looks good wet and slicked back, it will look dense and full with pretty much any style. Video: Comparison Pictures (wet and dry): Thanks for viewing and commenting. Dr. Blake Bloxham Feller & Bloxham Medical, PC Hair Transplant & Hair Restoration Services in New York
  5. From time to time, we see a disconnect between hair transplant "expectations" and the "reality" of modern hair transplant surgery. Most of the time online, it seems like patient expectations were outside or above the -- excellent -- reality of hair transplant surgery. However, sometimes in practice, I actually see the opposite; an instance where a patient actually had lower expectations and accepted a less than satisfactory outcome because they thought this was the reality of modern hair transplantation. And I think it is just as important to discuss this because it helps patients understand what they can expect in general. When expectations match reality, patients tend to be happy and achieve good cosmetic outcomes. What's more, by knowing what they should expect from a transplant, otherwise unsuspecting patients reading this thread will hopefully avoid being taken advantage of. The case today is a patient with advanced hair loss -- essentially a NW VI -- who underwent an FUT procedure in India. The doctor recommended doing a 2,600 graft "mega session" to rebuild a "dense pack" frontal band and do some fill behind to create a smooth transition in the mid-scalp. The patient liked the plan and moved forward. Here's how he looked 12 months after that procedure: As members of this forum know, this result is not an accurate representation of the reality of a modern mega session with dense packing. But when the patient presented for the consultation, he was under the impression that this type of result was the norm. I informed him that his expectations did not match the reality of what hair transplant surgery can offer. And I recommended proving this to him by essentially doing precisely what the first clinic claimed: a 2,600 graft mega session with a dense packed frontal band and a strategic mid-scalp fill that transitioned into his open crown. Here's how he looked 12 months after the surgery at our clinic: Now I believe this is a realistic representation of what a modern hair transplant mega session with dense packing via FUT should look like. And while the final result may have benefited slightly from the existing grafts (which, for whatever reason, did not amount of what 2,600 grafts should look like), I still think this is about right. Always keep in mind that results will vary, but this is something I would feel comfortable showing to the average patient to help create realistic expectations. I'm happy to report that this patient is very pleased with where he is at now. I recently did 1 more FUT (this is when the "after" pictures were taken) to fill a little more in the posterior mid-scalp and anterior crown (which is what the patient actually thought he wanted to do originally before understanding how much thicker the front could look). He's likely stripped out now and will probably return in the future for some FUE to finish up. Hope this presentation is helpful to those researching HTs and wondering what they can expect. Here are some comparison shots: Dr. Blake Bloxham Feller & Bloxham Medical, PC
  6. One of the most common requests I receive at the office is: "Doc, I want to cover 'everything.'" In other words, patients want to try and cover from hairline to full crown in one procedure. And while this is possible for some patients -- and I have done it before -- it's usually not the best/most realistic approach for most. Instead, I usually tell patients the best way to really knock "everything" out is in two procedures: one FUT mega-session to rebuild the hairline, densely pack the frontal scalp, and strategically fill the mid-scalp (past the "horizon"); and a second FUT to really do the crown correctly and feather up into the mid-scalp. I particularly like doing this method because a true "crown surgery" really deserves it's own day and a good graft number. I've also found that the FUT scar usually heals roughly the same between surgery 1 and 2, so you get total coverage with very minimal damage in the back and lots of donor left to address any issues in the future -- including some non-strip surgery to camouflage the scar further if the patient wants to go shorter on the sides later on. And that's precisely what this patient did: The patient is a male in his 50's with advanced NW level V-VI hair loss. We planned for two FUT procedures as described above. The first was a 3,200 graft HT aimed at the frontal and mid-scalp. Here are his results from that surgery: And here are his immediate post-operate results from the second surgery -- 2,000 grafts to the crown: And here is a video with more pictures, explanations, and some detailed "comb-through" footage. I highly encourage all members to watch: Thanks for reading. Look forward to comments and questions. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  7. Personally, I do agree that in average yield of strip is better with strip and in the best case FUE is close. I recommend strip regulary for big cases. But I have a hard time follow this post. What is your message exactly? Europe is bad, US is great? ;-) 1. Every (!) clinic has bad results independent of method (FUE or strip).. Just look at this horrible H&W case recently discussed in here. 2. Which role do Lorenzos hairlines play in this case? I think non and I also think it is not true. Why does Couto and Freitas decimate the Donor? Actually, Couto has a lot of cases online with a great result using low graft counts. Actually, he is praised a little to much for it, cause a lot of patients of his just have thick donor hair due to their heritage. 3. I though every elite Doc has bad results (your word)? So Konior is not elite? Or is he beyond elite? The truth is: Of course he has some bad cases, there are just so few online that you can see them. He himself admitted that every (!) clinic has bad results (explecitely not excluding himself). And yes, I have seen bad results of Keser like I did from everyone else. 4. Interesting point, but actually also the pro-strip brigade (or should I say Dr. Feller) has no scientific data to back up that strip is superior. We had this discussion on literally 300 pages. And even Feller and Bloxham did went down like a "led zeppeln" trying to back up their point with data ;-) 5. "The Europeans" again...of course Konior or Diep do not do this. Tell me: Do they just use lower density or are they just superior? What about Canada? Are their clinics Europe like (overhavesting) or US like (flawless) when performing FUE? Keser is actually known for doing more with less in german forums.
  8. Today's case is a male in his 30's with a diffuse and evolving Norwood VI hair loss pattern. We performed a 3,000 graft hair transplant via the FUT technique. His results are presented at 12 months post-op. Please see the images and video below. I encourage all members to watch the video. It contains more pictures, a detailed video of his immediate post-op, and a more thorough video of his 12 month results. Video: Images: Thank you for reading. Look forward to comments and questions. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  9. Today's case is a younger patient who presented with classic "frontal band" thinning. After discussing the patient's long-term best interests, we proceeded with a 2,000 graft (via FUT) surgery to rebuild a hairline that will age well and densely fill the frontal band area. Attached are a few images of his 12 month results. I highly encourage members to watch the video as well. The video contains many more images (including post-ops), an explanation of the case, and a dry and wet video comb-through. Video: Look forward to comments and questions. Thank you, Dr. Blake Bloxham Feller & Bloxham Medical, PC
  10. I prefer manual. YouTube: "Dr. Feller rotary/suction machines." According to Dr. Feller and many others, motorized FUE may damage grafts.
  11. There are a few cardinal "sins" in the hair transplant field. And while I doubt a standard list of these deadly sins exist, the general consensus is that they include things like: wasting/not respecting the donor, going too low/flat with the hairline in a patient with future loss, etc. This patient presented after undergoing a "mega session" at another clinic where I believe two of these "HT sins" were committed. The outside clinic attempted a large session on the patient to treat his Norwood VI pattern hair loss. In my opinion, however, two things were done that should not have been: 1) An inappropriate amount of grafts were spread way too far all over the entire scalp 2) The donor was harvested (FUT) in an awkward manner (likely an attempt to to a mega session harvest by a clinic that doesn't do a lot of them) and this limited the available donor for future surgeries. Here is how he looked after his procedure at the outside clinic: He was completely gone on top before the first surgery, so all the hair you see on top is the result of the transplant. As you can see, too few grafts spread too far. But what really made this case a "repair" is the state of the donor. The first clinic started the FUT incision high in the back of the donor area, and almost pointed it downward (opposed to naturally curved upwards) on the sides. This meant in order to obtain a good harvest (which was now limited off the bat) and leave the patient with one acceptable linear scar in the back, I had to harvest above the old scar on the sides and below it in the back. Despite the donor challenges, I was able to obtain 2,500 grafts from the donor. And instead of spreading these all over the scalp in a less dense manner (like previously done), I used these to dense pack the frontal scalp and strategically fill the mid-scalp as much as possible. Obviously this doesn't result in as much area being covered, but it's what gives us those dense, natural results. And here is how he looked only 6 months after surgery: And here are some with surgical lines to demonstrate the plan and where we worked: Now the patient has an appropriate result and a framed, natural look. And while it's always nice to get as much coverage as possible on high Norwood patients, it's rarely a good idea to to it at the expense of cosmetically significant density or the state of the donor. Thankfully the patient still has laxity so he is planning on doing one more large FUT session aimed at filling the rest of the mid-scalp and crown. After that he will likely be a good candidate for FUE to finish off any little areas. Thank you for reading. I will update this thread when the patient comes back for a 12 month follow-up -- especially because the camera wasn't being overly cooperative during his appointment and a lot of the pictures didn't come out. But I hope this case serves as a reminder to those with high levels of hair loss looking to undergo big procedures; make sure good, strategic density is utilized and make sure to keep the donor is the best shape possible for future surgeries -- because you may very well not be able to do everything in one shot. Dr Blake Bloxham Feller & Bloxham Medical, PC
  12. Like many other procedures in this field, SMP is a great tool with the potential to help a lot of patients when done correctly by a skilled practitioner. However, like just about everything else in life, not all SMP clinics are the same and not all practitioners work with the patient's best interest at heart. And that is where our story begins; and it's a little bit of a different case, so I hope members enjoy and I really hope it lets others know there are almost always options to improve upon old or bad work, so don't be afraid to consult and discuss your possibilities. The patient here is a male in his early 40s who initially presented to an outside hair transplant clinic for a consultation years before. He consulted with the hopes to have a hair transplant to treat his Norwood level V-VI patterned hair loss. At that time, he was told that he did not have the donor for surgery and was not a candidate. Discouraged, he looked into other options and found SMP. So he decided to go to an SMP clinic and have permanent SMP done on the entire scalp. Unfortunately, the clinic initially went very low and flat (and somewhat crooked) with the hairline, and the permanent ink partially faded into an unnatural blueish hue overtime. He watched some of our YouTube videos where we had repaired previous bad SMP work and decided to come in for a second opinion about a transplant. Here is how he looked during the consultation/before surgery: His donor was definitely below average. In fact, the gaps and spread nature almost made it looks like he had prior surgery. Initially, we discussed doing an FUE to try and create a "haze" of thinner hair on top to blend with the SMP and give him a more 3-D cropped look. But I didn't think his pseudo-afro hair follicle type would do well with FUE, and he had great characteristics otherwise for an FUT approach. I also thought he would received excellent coverage with his follicle type. Here is how his donor looked: So we decided on an "AMAP" or (as much as possible) FUT procedure aimed at rebuilding a more appropriate hairline (above the previous SMP hairline) and filling as much as possible with a slight emphasis on coverage over density. Despite his well below average density, I was able to harvest 3,103 grafts via FUT and use them as described above. Surgery went beautifully. Here's a surgical overview: He came back for a 6 month follow-up and looked great. Even with his hair cut quite short (and the patient cuts his own hair so that is why there is some unevenness in the 6 month pics), he clearly achieved his goals. This is precisely how the patient wanted to style his hair from the get go, though he is going to try growing it a little longer in the future: Based on the patient's excellent laxity and healing in the donor, we're going to do the rest of the mid-scalp and crown in the not-so-distant future. And although he was concerned initially about starting the hairline above the SMP, I explained that I've done this many times in the past and it usually blends quite well. Particularly when he grows his hair out a bit. But a very satisfying result on a challenging case, and an end to the daily worry about the bad SMP for this patient. Hope you enjoyed. Look forward to your comments. Dr. Blake Bloxham Feller & Bloxham Medical, Hair Transplant Institute Hair Transplant & Restoration Services in New York
  13. 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
  14. 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.)
  15. 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.
  16. 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.
  17. 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.
  18. 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.
  19. In America the only trend regarding FUE is to move AWAY from it. While the hype and performance of this procedure has become epidemic in other countries, this country has been roundly rejecting it for very very good reason. FUE has it's place, but not as a first line procedure for large numbers of grafts. Instead, the gold standard of hair transplantation known as FUT or Strip method should be employed. Through interviews with experienced hair transplant doctors we seek to educate the public as to the very real limitations and unavoidable consequences of the FUE procedure. We understand- to the normal person the FUE procedure SOUNDS preferable to the FUT procedure, BUT these interviews with the expert surgeons who actually perform hair transplantation will help you to understand why this is just not the case. FUT is a far far better option. Rather than relying on anonymous online posters who have created almost 100% of the false hype underlying FUE, we present actual doctors who have dedicated their careers to hair transplantation. These experts tell the truth about FUE and why they would not have such a procedure on themselves-opting instead for FUT.
  20. 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
  21. 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.
  22. I am wondering if I can choose one of them for my procedure or I can't as I heard that they now work together as team and patients cannot possibly request only Dr. Feller or Dr Bloxham :confused::confused:
  23. Hello Everyone, Dr. Feller asked me to put up a presentation of a patient who had 4,600 grafts done over two sessions at our clinic. The video contains a lot of pictures and a great "wet comb through." Enjoy! Tara Feller & Bloxham Medical, PC
  24. 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
  25. 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.
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