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  1. I wanted to start this thread to document my upcoming procedure with Dr. Bloxham (feb. 4th). A little nervous about getting this done not only because it’s fut but because my first procedure didn’t give me the density I wanted. My hair loss has stabilized at least that I know of it’s been the same before my first procedure and hasn’t changed after. As far as my native hair. Any one that has had an Fut procedure how was the recover as far as the scar ? Pain wise what was the worse part ? How was the stable removal did it hurt ? and has anyone ever got smp into the scar to help camouflage it and if so do you have pictures ? thank you! btw my 1st procedure was documented on here if you search it with Dr. Nader in Mexico.
  2. Hi Everyone, Today's presentation is a nice little FUE hairline case. The patient is a gentleman in his late 30's with otherwise excellent hair aside from some classic hairline thinning. He was set on FUE and initially wanted to go very aggressive in the front. After reviewing everything, we decided the most natural, strategic approach was to start a little more conservative. So, we did a 1,500 graft case to rebuild his hairline. I removed all the grafts manually using a 0.9mm Feller Medical Punch (a punch Dr. Feller patented many years ago). Extraction went very well. I saw the patient back 12 months later, and both he and I were very pleased with the results. Since he grew well with the FUE and the back seemed to heal up nicely, we decided to do a little more and close in the corners a bit. I will update with the results of this second procedure in the future. Here are a few "teaser" comparison shots with both dry and wet hair. As usual, I include only a few of these because I encourage all researching patients to watch the result video, which features both educational content and a much more detailed "comb-through" of the results. And here is the video: Thank you for reviewing. Look forward to the upcoming discussion. Dr. Blake Bloxham Feller & Bloxham Medical www.fellermedical.com
  3. Good choice, H&W are a top notch clinic with a long reputation dating back 20 years. I suggest using our advanced search page to look up real patient reviews from both surgeons. Unbiased patient reviews are the best way to evaluate any surgeon. I also suggest consulting both of these clinics to get a personalized quote and to see who's philosophy you prefer. Keep in mind, Dr. Bloxham is primarily a strip surgeon, his philosophy is different than H&W who now perform both FUE and strip. Dr. Bloxham https://www.hairtransplantnetwork.com/physician/New-York/Blake-Bloxham/685 Dr. Hasson https://www.hairtransplantnetwork.com/physician/British-Columbia/Victor-Hasson/9 Dr. Wong https://www.hairtransplantnetwork.com/physician/British-Columbia/Jerry-Wong/632
  4. Today I wanted to present what is likely our most common and most "classic" case: the 2,500 graft -- or 2,600 graft in this instance -- FUT case. While we see patients with all types of hair loss, it seems like the most common are males with advanced -- or advancing -- hair loss, and we typically say they will likely want to do two procedures over time: a 2,500-ish graft FUT mega-session now for the hairline, frontal scalp and transition into the mid-scalp; and another 2,500-ish graft FUT mega-session later to finish the mid-scalp and address the crown. Doing two large FUTs tends to, in my opinion, provide good coverage from "front to back" and leave patients in the best situation for the long-term. They should have a good incision line scar and plenty of grafts left for more potential work (done via FUT or FUE) if needed. So here is one of those "classic cases:" Male physician in his late 20's headed to a NW V-VI pattern; we recommended two planned FUT procedures of approximately 2,500 grafts a piece; he did the first (hairline, frontal scalp, and mid-scalp transition) in winter of 2017, and the second (finished the mid-scalp and crown) in winter of 2018. Here are a few comparison pictures of his 10 month results from the first procedure. As usual, I highly encourage all to watch the video. Video is the ULTIMATE way to present a hair transplant result. This video includes the result, detailed comb-through (HD), and footage of the incision line (FUT scar). Photos: Video: Thank you for reading and commenting. Dr. Blake Bloxham Feller & Bloxham Medical, PC (www.fellermedical.com)
  5. That doesn’t look good, let’s see what our resident physicians think @Dr. Glenn Charles @Dr Blake Bloxham
  6. Today's case is an example of a nice little hairline repair procedure. The patient in the video had "1,500 grafts" (a big emphasis on the quotation marks there) at an outside clinic years earlier. He had great hair elsewhere and just wanted to fix some slight hairline recession. The clinic used follicular unit grafting, but simply did not go dense enough in the frontal band/hairline. The result was less than impressive, but the patient assumed this is all he could achieve and lived with it. Years later he did some research and realized that, maybe, what he had was not standard of care and decided to seek out another procedure. He presented to our clinic excited at the prospect of improvement, but somewhat skeptical that what we did here was different. Because of this, a conservative approach using 1,200 grafts was undertaken. The hairline was not lowered or adjusted, just addressed using dense packing. He did well and was thrilled with the results. Several years later after realizing what can be achieved with a hair transplant, he came down with a little bit of the "hair greed" and decided he wanted to flatten the hairline a little bit and really get that perfect density in the front. We used another 1,200 grafts to perfect it. He came back 3 years later to show us the results. Here are a few "teaser" comparison pictures. I only share a few because I really encourage everyone to watch the detailed comb-through video. Remember that there is only so much you can get from still photographs. Ask clinics you are considering to show you comb-through video! I wanted to state that we probably would not have recommended using so much donor in just the hairline IF the patient had any other signs of hair loss elsewhere. But because of his age, family history, and the fact that we (both Dr. Feller and myself) had seen him over a period of around 7 years with no noticeable change, we felt comfortable accommodating his request. I also wanted to thank this patient for allowing us to use his full face. And here is the video: Thank you for viewing. Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC www.fellermedical.com
  7. I have heard them described as "snowflakes;" I have heard them described as individualized "works" like paintings; regardless of how they are described, one thing is for certain: hairlines are not a "one size fits all" type of situation. All patients are different. Things like hair characteristics, facial structure/head shape, level of loss, and projected future loss all come into play when designing a hairline. Some situations call for a lighter, more broken-up and irregular "transition" hairline; in other situations, patients may benefit more from a stronger, denser, more symmetric hairline. No two hairline should be alike and a doctor should customize the design for each particular patient. And remember, just because a hairline looks good on another patient does not mean it is the right one for you. Today's case is an example of a specific hairline created for a specific patient. The patient is a male with darker, coarser hair, and seemingly more limited and stable loss for his age. He requested a strong, dense frontal hairline (he was happy with the corners), and I thought this made sense for him. In his situation, a more striking, strong, less irregular hairline made sense for him. I performed a hairline rebuild, a dense frontal band pack, and also a little bit of fill behind it using 2,400 grafts removed via the FUT technique. He returned at 6 and 12 months, and was very pleased with the direction we took for the hairline. Here are a few "teaser" shots of his 12 month results from the video: And here is his 12 month comb-through video, which features much more detail and also a look at his FUT incision line at 12 months: And here is his 6 month video for comparison: So I hope this helps explain that hairlines are not a "one size fits all" approach, and you must visit a clinic which will spend time creating a specific hairline for you and you alone. Make sure to see lots of examples of different hairlines from any clinics you are considering, and speak with the doctor about their hairline philosophy. Look forward to the discussion, Dr. Blake Bloxham Feller & Bloxham Medical, PC http://www.fellermedical.com
  8. While planning a procedure, patients frequently ask if we can "close the corners." What they mean by this is whether or not is is appropriate and possible to close in the angles in the fronto-temporal corners and rebuild some of the temple region. Working in these regions often results in a very aesthetically pleasing result. A frontal rebuild including these regions is a little more aggressive and often recreates a nice balance. And while a lot of patients request work in these areas, it is important to note that it is not for everyone. It takes a specific hair loss pattern, hair type, and the right clinic to pull this off. Those with thick, coarse donor hair (even the singles), a stark contrast between the hair and skin color, and those with advanced or uncertain hair loss should likely not transplant in these areas. As tempting as it may be, it may not look correct and grafts may be better used elsewhere. In the right patient, however, the results can be great. The patient in today's case is a male in his early 40's with moderate frontal thinning but somewhat significant thinning in the "corner" regions. He really wanted to address these areas, and based on his hair loss pattern, history, and hair/skin type, I thought he would be a good candidate for him. We utilized 2,500 grafts to densely rebuild the superior portions of both temple triangles, the anterior portion of the parietal "humps" (the vertical portion running from the temporal triangles to the fronto-temporal corners), close the frontal temporal-corners, and pack the entire frontal band. The patient returned only 6 months later and was very pleased with the results (as were we). The decision to "close the corners" was a good one for him, and I believe we achieved the desired balance in the frontal region by closing in and rebuilding these areas. Here are a few select "teaser" images showcasing the result (both wet and dry). Attached are more before and after comparisons (both wet and dry), and below is the detailed comb-through video. As usual, I highly recommend that all patients watch the video. Video is the most honest way to display a transplant result, and it is what you as a prospective patient should look for. Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC www.fellermedical.com
  9. The patient in today's case is a young man in his 20's who initially presented to us with a pretty reasonable request: he wanted to grow his hair long again. He did not want his hairline lowered, he did not want his corners rebuilt, he just wanted to get away from constantly shaving his head like he had been doing since his hair loss became "bad." When the patient first noticed his hair loss, he tried to keep his normal, long hair healthy by taking Propecia. Unfortunately, he suffered side effects and had to stop. As his hair continued to "miniaturize" it grew shorter and shorter, and he eventually resorted to simply "buzzing" his head -- something he was not a fan of. He came to us restore the ability to grow his hair long. He reported always having a "higher" hairline, and he wanted to keep this. We used the remnants of his existing hairline -- starting behind these to take advantage of their irregular and soft nature -- to rebuild the hairline and pack back through the mid-scalp. He was okay to not address the crown/vertex at this point because he believed it was still strong enough to grow longer and blend with the transplants. We saw him again a year later and he was very pleased to have achieved his goal. Because we started as an FUT he still has plenty of donor left to address the crown in the future (which he likely will want to do), and he can always go a little more "aggressive" in the front once the top is completely stabilized -- though I will admit that I really like the longevity of a conservative front. Here are a few "teaser" images from the video. I only include these because I really encourage patients, especially young patients, to watch the detailed comb-through video. "Teaser" Images: HD Video: Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC www.fellermedical.com
  10. Hi Everyone, Today I wanted to share another 2,500 graft FUT case. The patient is a Spanish male in his late 30's with pretty advanced and diffuse hair loss. He has been on finasteride for 5 years but continued to see a steady progression of loss. He came to us with the goal of densely rebuilding the frontal half of the scalp and strategically working into the mid-scalp. He plans to do another procedure to address the back up the road, but the front was the priority and he believed he could "manage" the back much better with transplants in the middle and front (and I think the way he is styling his hair as viewed in the "top down" shot shows that this worked quite well). We tackled this using 2,500 grafts via the FUT technique; he came back for a follow-up 12 months later and was very pleased with the results -- as were we. Below are some before and after comparisons and a video. As usual, I recommend that everyone watch the detailed video which features comb-through (wet and dry) footage of the result and his incision line (strip scar) at 12 months post-op. Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  11. All individuals experience hair loss differently. We frequently see patients with small changes or confined areas of thinning who almost feel guilty coming in to see a hair transplant doctor because their friends, partners, and family continually tell them that the hair loss is "nothing" and they should just "forget about it and move on." However, it is a big deal to these patients and the psychological stress and distraction from the hair loss often prevents them from focusing on bigger, better things. The patient in today's presentation falls into this category; he is a male who, most outsiders would probably agree, had quite "good hair" in general. I do not think the average person on the street would ever think he was thinning. However, he came from a long family of males with "perfect" hair, and, although his hair was still "good," his hair was simply not as "good" as it used to be. He had some pretty classic thinning throughout the entire frontal band, and really just wanted to thicken it. Long story short: despite the minimal amount of hair loss he had, this was bothering him and he was ready to take care of it. I discussed the reality of the situation with him thoroughly and I did believe he could "beef up" that area, and I also felt confident that it was unlikely (though not certain) he would progress to advanced hair loss. Regardless, we decided to start him off as an FUT to hedge our bets and leave his donor in good shape in case he did need a significant amount in the future. We ended up utilizing 2,100 grafts to place his hairline back where it originally was (frontal hairline only, no temporal hairline work needed) and densely pack the frontal band. He visited us 6 months later, and I was very pleased to see that the worry and distraction his hair loss caused him had vanished. Here are a few "comparison" shots of his case. Below is a detailed comb-through video which includes footage of his incision line. I highly recommend all interested patients watch the video. Remember, hair loss is about identity; if you feel off, distracted, or stressed by any changes in the scalp, it is okay to see a hair restoration doctor and discuss your options. There is nothing wrong with taking care of this, despite how some may make you feel. Thanks for reading and watching. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  12. Dev, While it is unfortunate you had to stop the preventive medication, I do not think you are in bad shape here. The approach you took with the hair transplant was perfect for someone in your situation: FUT mega-session with a conservative hairline. You -- and the clinic -- put yourself in the absolute best position for the "long term," and this is regardless of whether or not you are on preventive medication. You are set to continue with surgical restoration if you do lose more hair, and this is probably what you will need to do. Not a bad position to be in at all. Just continue with FUT until you cannot do any more, and then switch to FUE if you need or want more work (including putting some grafts into the scar). I frequently work on patients who cannot or simply will not utilize preventive medications, and the goal with these patients is to start with the approach you took here and move forward as I outlined above. So while more surgery may be in your future, I think you are probably in pretty good shape here. And, by the way, the work looks great as well. I hope this helps. Dr. Blake Bloxham Feller & Bloxham Medical, NY
  13. Hi, folks. I'm a 60 yr old male who's had multiple hair transplants ( HT ), with 4 different doctors. My first HT was in 1984 when the technology was in the Stone Age compared to today. As a result, some of my surgeries have been as much about remediation of large, poorly- placed plugs, transected grafts, etc, as it's been about trying to add new hair. My last HT was in 2013 with Dr. Feller. It was my first HT with him, and by far the best. He's outstanding. But now Feller has cut back on the number of surgeries he's doing. This is likely my LAST hair transplant since I have very little donor left, so i really wanted to make the right choice for a surgeon. After considering going many different surgeons my gut told me to return to Feller Bloxham. I'm going to do my HT on April 30th with Dr. Blake Bloxham, Feller's partner at Feller Bloxham Hair. I met with Dr. Bloxham last fall was greatly impressed with his professionalism, knowledge, and empathy for my situation. He estimates that he can do another FUT of ~ 1200 grafts from my remaining donor area. I'm confident Dr. Bloxham and his staff will do an outstanding job, and am really looking to the procedure. I realize ~1200 grafts is nothing these days, but that's about all I have left for a strip. All the previous HT's have left me with very little donor area. I'll post some pictures when I get a chance. This is likely my LAST HT since I have very little donor left. Now, I have only the left side of my head ( above my ear and running towards the back of my head ) available for a donor strip. I have thinning in the middle of my scalp that runs from front to back. Dr. Bloxham's goal is to provide density to the middle front, as well as provide more density to the thinning middle that goes to back to my crown. My crown area has the thinnest coverage. I've been told many times that the front area is much easier to get better results. Dr. Bloxham plans to go from front to back until the grafts run out. My plan after this last HT is to try SMP to address the remaining lack of coverage/density that might exist. So my game plan consists of a combination of a final HT and then SMP? Have other people been in this same situation? Thanks for letting me know.
  14. Thank you so much Dr. Blake Bloxham for your attention
  15. One of the more debated topics on the forum is whether or not "young" patients should undergo hair transplant surgery. The controversy revolves around the fact that these patients are very early in the hair loss process and have an unpredictable future ahead. Using too many grafts now or starting with an "aggressive" plan may set a patient up for a lifetime of multiple surgeries or deplete donor resources before acceptable coverage can be achieved. There is also controversy surrounding the donor area in young patients: Will it thin aggressively and end up only providing a small "strip" of safe donor in the future? Are grafts taken from the "expanded" donor area in a young patient actually safe or will these thin in the future? For these, and other, reasons, many hair transplant doctors do not like to perform hair transplants on "young" patients. While cutoffs vary, many do not like to take patients under the age of 25 and others want to wait until their hair loss pattern has really revealed itself -- which can often take decades. My philosophy on young patients is a little different. I frequently perform hair transplantation on appropriate "young" patients as long as a few absolute "musts" are understood and accepted by the patient. If the patient is mature thinking and accepts the "long term" reality of hair transplantation at a young age and the potential for future surgeries up the road, I feel like they do quite well. In order to successfully undergo hair transplantation at a young age, I feel a patient must acknowledge and really feel comfortable accepting the following: 1) We must start conservative with the hairline. Many young patients remember a very low, flat, immature hairline from only a few years prior. And sometimes it is hard to get them to understand that this is not advisable. If a young patient insists on rebuilding an immature hairline, I do not think they should have a hair transplant. However, if the patient understands that hair transplants are permanent and the hairline must "age well;" if they understand that starting conservative now will allow us to get coverage from front to back as they continue to thin and we can go lower later once things cool off and the majority of the scalp has been treated with hair transplants; and if they understand that the lower we go now, the more grafts we use in the front that we now cannot use in other areas, then I think they are good candidates. 2) We must start with FUT Not to stoke the flames here at all, but I insist on starting all young patients as FUT. Not only is this the only way to truly maximize the amount of donor grafts available over a lifetime, but it is also the only way to really take continuously from the small true safe donor area (SDA) zone. We never know how these patients may thin up the road, and grafts taken from even slightly outside the safest part of the donor area may be susceptible to hair loss and fall out in the future. We need to maximize donor potential and only work where we absolutely know it is safe until these patients are older. Then we can usually augment with FUE. 3) The patient must accept that he will very likely want/require more procedures up the road Androgenic alopecia is a progressive process and while hair transplants do thicken and restore thinned areas, the procedure does not treat the progressive hair loss. Patients who are thin enough to seek hair transplantation at a young age will likely continue to thin in the future. With a hair transplant plan "started" in one area, the patient will likely want more. We never design anything that would absolutely require a patient to have more surgery up the road, but chances are that you will want to address additional thinning regions at a later date. The patient needs to accept that this is likely not a "one and done" deal. 4) We really should (maybe not "must") start in the front and work back The frontal third (hairline, frontal scalp, and slight transition into the mid-scalp) is the most visible region of the scalp. It also is responsible for re-framing the face and really creating the appearance of thick, full hair from the perspective of how most of the world sees you (IE "front on" or from the sides). Furthermore, if this region is done properly the rest of the scalp can thin and still look natural. For these reasons, we really should address this area first in young guys. Many times younger patients are focused on the "bald spot" in the back, but starting in the front and working back if and when necessary creates the greatest cosmetic impact and prevents creating anything that may look unnatural up the road. To better demonstrate this philosophy, I want to share a case: The patient in this video is a young guy in his early 20's; he's in that transition between college and the rest of his life. He has aggressive thinning for his age and is likely to become a NW VI up the road. I discussed all of the above with him and he completely agreed and wanted to move forward. We did a 3,000 graft FUT and everything went very well. I saw him back at 6 and 12 months. The first video features an explanation of how I approach young patients (similar to what I wrote above) and a detailed 6 month result video. The second video is an update at 12 months. 6 month results: 12 month results: As a final note: I do think all young patients considering hair transplant should do their research carefully. If you do it as out outlined above, I think you will be happy for many years to come; however, there are some potential "pitfalls" for younger patients. So do your research, ask your questions, and remember to start conservative and keep the long-term in mind. Hope everyone enjoyed the presentation. Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  16. First of all, @Dr Blake Bloxham is the MVP with the response! I agree with looking into using body hair as a supplement to whatever HT you ultimately go with. If I were you, to help you decide FUE v FUT, I would look at similar demographic patients and what hairstyle you would wear if you had the hair for it. There are definitely pros and cons to both procedures, but the scarring with FUE really is minimal, and less noticeable while FUT may (potentially) get you better HT results. I think the advice Dr. Blake mentioned about "unpredictable curving" is something you should pay attention to. Address the issue with all docs you reach out to. Your case is a little more complicated than others, so it is imperative you spend that much more time researching and collecting information.
  17. It may be unsurprising to many long-time readers of the forum, but one of the most popular topics right now seems to revolve around FUT versus FUE. However, this topic is not an "FUE vs. FUT" debate, but is a very good question revolving around which technique a patient should start with and the best way to utilize both. Specifically, in patients looking to maximize donor potential and future surgeries, which technique should be used first: FUT or FUE? As many may know, I am an advocate of clinics who can offer and regularly perform both, and I typically advise patients who have uncertain or advanced levels of hair loss and may want multiple procedures to start with FUT. Because I am a "fan" of this approach, I wanted to share a presentation of a patient who went this route. The patient first presented to the clinic with classic frontal hair loss several years ago. He wanted to "test the waters" a bit with hair transplantation, so I did a very conservative frontal band procedure via FUT. He did very well and after seeing that hair transplant surgery really works, he decided to "dive in" and undergo a more aggressive hairline lowering and dense pack frontal band procedure. I did this via FUT as well. After two strip surgeries he was fairly confident with the scalp in general except for a small spot in the crown -- which had been static for years -- that he wanted to address. This procedure only required 500 - 800 grafts and he decided that since the bulk of the work was done via FUT and he was happy with the incision line (which was still very good after two harvests), he wanted to now switch to FUE. Because we started with FUT, I was happy to do a conservative pass via FUE and address the crown. Here are a few "before and after" comparisons after the two strip procedures: And here is a very thorough walk-through video I encourage all those wondering which technique they should start with to watch. Not only does the video include comb-through of the results, it also features a discussion about the approach, video of his incision line after FUT #1 and FUT #2, video of me performing the FUE procedure, and a post-op of the FUE crown surgery. Also, as a little "bonus" here: I have included video from his 6 month visit, just in case any members need reassurance that results do change from the 6 to 12 month mark: Thank you for watching. I hope this sparks some good discussion and I look forward to the conversation. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  18. The dreaded "cracking." I think I receive at least one email per week from an understandably nervous post-op patient. Rest assured that this is expected. You did not lose an entire row of grafts, nor did you some how dislodge a perfect row or "chunk" of grafts. I have heard differing explanation as to why doctors think this occurs. I believe these cracks occur because the skin contracts as it heals. When you have thousands of small wounds covering tissue that has been stretched and swollen, you will get contractions that will appear like little rivers, canyons, cracks, or roads in the grafted area -- I have heard it described using all these different illustrative analogies. It happens even more frequently when dense packing is utilized. It can also appear more dramatic when you are scabbed up and a larger region of superficial scabbing (with or without some hairs attached) falls out. Rest assured, however, that even if you see these "cracks" or missing "chunks" above the surface, the grafts are safely anchored below the skin. They may be temporarily displaced from where they will eventually settle, but they are secure. Many people also assume that areas were missed during the transplant itself, and this is typically not the case. Just part of the healing process. Graft dislodging is a pretty specific event that happens within the first 3 days (when true follicular units are used). If you did not see an active bleed accompanied by an event within the first few days post-op, it is very unlikely that you lost a graft. And this to me just appears like the classic contraction from healing. Of course you should always keep your doctor in the loop and run this by him/her as well. Hope this helps. Dr. Blake Bloxham Feller & Bloxham Medical, PC | Great Neck, NY
  19. Hi Everyone, Many of the members and frequent contributors to the forums are obviously very knowledgeable about the hair transplant process. At this point, it is probably difficult for most to even remember a time when they were not "fluent" in the world of hair transplant surgery. But think back to when you first discovered hair restoration or first began your own research process. It is overwhelming and many ask themselves: "Where do I even begin?" Most patients have many "frequently asked" questions about even the most basic aspects of surgery; "How is a hair transplant performed?" "What will it feel like?" "What will I look like after and when can I go back to work?" "When will I see results?" To try and help some of those new to the hair transplant process, I put together a video narrating one patient's "hair transplant journey" from day 0 to month 6. While it does not cover every single aspect of his process, it does touch on the highlights of what most researching patients want to know. This includes: the steps of the surgery itself and the surgical experience; the immediate post-op; getting back to work; the beloved "ugly duckling" phase; and growth and results. The patient in the video underwent a 2,500 graft FUT mega-session, and his 6 month results are included as well; so those who are more knowledgeable about the process may want to watch just to see these. Thanks for watching and commenting. I truly hope new members finds this helpful. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  20. Hi Everyone, I wanted to share a good example of the way I like to showcase hair transplant results: HD video footage with "slick" wet hair. The reason I like this is because there is simply no way to fake it; it is a brutally honest representation of what can be achieved with modern hair transplant surgery. This type of presentation gives the prospective patient a very clear example of how they may look in 6-12 months, and allows them to make an informed decision as to whether or not they would be happy with a hair transplant. The patient in this video is male with classic androgenic alopecia (genetic male pattern hair loss) exhibiting a Norwood IV pattern. He takes no hair loss medications. We evaluated the patient and decided to recreate an age-appropriate hairline, perform a dense pack of the frontal scalp, and strategically work into his mid-scalp with 2,500 grafts using the FUT technique. The video shows his pre-operative appearance, the surgical plan, intra-op. and post-op. photos, a comb-through of his 6 month results, a comb-through of his incision line scar at 6 months, and a few "before and after" comparison shots. I am only going to share a few "teaser" images here, because I really encourage watching the video itself: Thank you for watching. I hope you enjoyed. Dr. Blake Bloxham
  21. Based on a recent post by Dr. Blake Bloxham (shown below), at 5 months, only 50% of your transplanted hairs have sprouted and only 30% of your transplanted hair has "matured" (i.e., thickened and developed texture like your native hair). In other words, there should be a lot of improvement yet to come for you.
  22. Today, I wanted to do something of a "PSA" about how the crown (vertex) progresses and how this affects transplants. Had a patient come to me (from the UK) for surgery in August of 2016. At that time, he was experiencing very classic male pattern hair loss: patterned thinning in the front, a stronger (but questionable) "bridge" in the middle, and an evolving crown in the back. And the patient made a very classic request: "Doc, I know you recommend doing the front/middle, but it's the back that bothers me! Can't we do the crown?" Here's how the looked the morning of the first surgery: Luckily Spex had already done an excellent job discussing the issues with transplanting the crown with this patient, so he had a pretty good understanding of what I would say the morning of surgery. But I told him that transplanting the crown now wouldn't be the best option. The front and middle are more cosmetically significant, and your crown is likely going to progress. We don't want to utilize a lot of grafts before we know what's really going on, nor do we want to fill it now and create an "island" of transplants surrounded by thin scalp as you continue to recede back there. He agreed and we pressed forward with a 3,300 graft transplant aimed at addressing the frontal and mid-scalp. Procedure went great and the patient reported excellent growth a year later. When he got back in contact, he confirmed that the crown (and some of the mid-scalp where the thicker "bridge" was located) had continued thinning and wanted to know if we could address it now. I evaluated everything and believed that we could. Here is how he looked the morning of surgery 2 (pictures purposely highlighting where I worked): And here is a picture of his FUT scar 12 months after a 3,300 graft procedure: But here is where the real "PSA" comes in: Here is how his crown looked only 12 months after the first operation: (note, the mid-scalp continued to thin as well and what you see there is a complete loss of his native hair and only transplants -- which were carefully integrated into his native hair previously -- remain). And here is a "side-by-side" for comparison: Had I done a dense fill of the open crown area before, the patient would have utilized precious grafts to now have a dense island in the middle of thinned area around it. This would not have looked natural, nor would it have been a good use of his finite donor. What's more, you can see how "doing the front first" always results in a natural appearance from any reasonable angle, regardless of how the patient thins behind. But after a thorough review, I decided it was appropriate to now address the crown (including working into the edges where it may possibly continue to thin -- though unlikely) and reinforce some of the mid-scalp. I performed another FUT harvest and removed an additional 2,500 grafts for the crown. He's now had a total of 5,800 grafts via the FUT technique. The patient can still undergo more strip harvest and then FUE the virgin donor around it if he wants more work in the future. Here he is in the middle of the second surgery: And here he is at the completion of the second surgery: So remember: 1) The crown is an highly unstable area and needs to be evaluated and intervened upon carefully. I definitely understand that it's bothersome, but it is constantly evolving in the active stages of male pattern hair loss and "jumping into it" can be tricky and isn't always the best use of grafts. 2) The frontal region is usually the more cosmetically important one and it's usually best -- in patients with loss in both -- to address this region first. 3) Utilize the donor carefully. It's a limited resource and must be respected. Hope you enjoyed. Dr. Blake M. Bloxham (Great Neck, NY) Feller & Bloxham Medical, Hair Transplant Institute NYC Hair Transplant | NY Hair Restoration | Feller & Bloxham Medical
  23. We know people are busy; we also know people like to view hair transplant results. To try and help, we started a video series called "Quick Vids." And it is exactly what it sounds like: a quick run through of a hair transplant result, only requiring a minute or less of your finite time. Here is a "Quick Vid" of a 2,500 graft hair transplant I performed on a patient 9 months prior: Thanks for viewing and commenting, Dr. Blake Bloxham Feller & Bloxham Medical, PC
  24. Wanted to present an update on a case I've shared before. The patient is a male in his 30's who underwent 2 "mini-graft" cases only several years back at a local clinic. The result of the two procedures was an unnatural look that only worsened as he continued to thin in the "frontal band" area. So I did a 2,200 graft FUT procedure (with true follicular units) aimed at naturally restoring the front and blending it into his excellent hair behind. He recently stopped by at 10 months and I was able to do an in-depth video (with dry and wet comb-throughs) and really evaluate how far he's come. I'm also linking to his case at around the 6 month mark; this may be interesting for those looking at how transplants mature. Video: Comparison Pics: And here is the link to his original presentation (a little under 6 months post-op): Dr. Blake Bloxham: 2,200 Graft "Mini-Graft" Repair | 6 Months Post-Op Thanks for viewing, Dr. Blake Bloxham Feller & Bloxham Medical, Hair Transplant Institute NYC Hair Transplant | NY Hair Restoration | Feller & Bloxham Medical
  25. Sometimes a little "tweak" is all it takes to finish a patient's hair transplant journey. And that's what I'm presenting today: The patient underwent his first hair transplant over a decade ago; a hairline/frontal rebuild and thickening. The procedure went well for him and held him off for many years. Eventually, however, some small things changed and he was faced with a tough decision: take the plunge one more time to really finish the journey, or let it be. Since he had invested already, he decided to undergo one more to slightly "tweak" the frontal hairline. Specifically, the patient wanted better "closure" in the corners and a stronger "left side." I ended up doing a 1,200 graft front band, with emphasis on the left corner/temple region. Below are some "before and after" comparisons at 6 months. Please see the video for more pictures -- including immediate post-ops. A subtle change, but an important one for the patient. PICS: VID: Dr. Blake M. Bloxham Feller & Bloxham Medical: A Hair Transplant Institute
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