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  1. It has been a 5 year journey, and next week I will be in a position to pay a deposit of around £2.7k to Dr. Devroye's clinic. I have had 2 previous consultations, 1 with Ziering back in 2014, and 1 with Dr. Bisanga last year. I went with Dr. Devroye for a number of reasons, but the main thing was I personally clicked more with him, his approach, and the conversation we had. I don't feel like there is any other reason to have further consultations with other doctors. He was a lovely person on first impressions and I found his staff to be super friendly and polite. Plus it was very easy to get to from the UK, the Eurostar is great! Before i phone up next week to do the bank transfer.......is there anything else left to consider at all? Would there be any point seeing any of the other remaining doctors based in Belgium? or anywhere else? should i consider any other doctors in the UK? Fargo etc? I didn't even bother with the UK.....maybe i should have given it a chance? I am happy with my choice but would anyone else on here have as many consultations as possible with as many doctors as possible? I'll be having FUT, around 2500-3000 grafts required to get my desired hairline.
  2. Best of luck with your procedure. Dr. Devroye is a highly esteemed surgeon and a wonderful colleague. There is no right or wrong once you had your research done. There is no magical number of consultations or countries to visit for consultations. As long as you choose someone with a good reputation, results and you personally "click", then you should go for it IMO. All the best
  3. PATIENT'S DETAILS ✓ 34 years old, NW V, losing hair since the age of 20, with a hair loss history in his family (father NW VII). ✓ Taking Finasteride 1mg/day since the age of 25. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT Here we present a nice example of an FUE restoration for a 34-year-old patient with a quite extended hair loss, classifiable as grade V on the Norwood scale. The patient wished to cover the whole of the thinning areas in one single pass, however I suggested to focus on rebuilding the frontal and midscalp areas as a first step, in order to achieve an optimal density on these areas and ensure the best donor zone management in view of future procedures. We therefore proceeded with an FUE surgery (since he didn’t like the idea of having a linear scar), over two consecutive days, during which 3878 grafts have been extracted and implanted. The patient has recently reached the 14th post-operative month and is extremely happy about his results. He’s planning to come back at the end of the current year to complete the restoration by covering the crown area. SURGERY DETAILS ✓ 3878 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 657 Single FUE grafts ☞ 1257 Double FUE grafts ☞ 1887 Triple FUE grafts ☞ 77 Quadruple FUE grafts ✓ Total number of Hair: 9140 ✓ Average Hair/Graft: 2.36 Dr. Jean Devroye
  4. Dear Bill, Pat and Melvin, “However, we have put up with it because you do provide some sound advice and you haven’t blatantly broken any rules.” Bill the “publisher”, May 21st, 2019 https://www.hairrestorationnetwork.com/topic/54103-hw-hattingen-konior-feriduni-devroye-or-bisanga-for-fut/page/2/?tab=comments#comment-509774 I’d like to take this moment to express my sincere appreciation for the “tolerance” I’ve received over the past fifteen years and over 7000 posts. The sheer strength it has taken to “tolerate” me for such a long time is nothing less than monumental. You should really pat yourselves on the back for such an achievement. I admit, reading my posts where I comment and encourage patients that have gone to doctors that I have never worked with, giving advice to posters that I have never had any personal contact with, and with no inclination of engaging with on any professional level, and assisting your members with all manner of problems based on my experience(s) in the hair transplant field as a profession, must have been absolute torture for you. The poison that you describe as having come from my participation in a thread where I was personally attacked for zero legitimate reasons is also evidence of your strength and wisdom as you clearly know something that I do not. But whom am I to question such greatness? Thank you, sincerely, for tolerating my presence. To all of the great HTN members, I’m sorry it has come to this. In case some of you are wondering what this is about, I wrote an article for a popular men’s blog that has gone viral throughout the English speaking world and in this article I outline twenty of the top hair restoration surgeons worldwide. I was then attacked, without provocation by an HTN member doctor for the sole reason of his exclusion from the article, even though I was very clear in that the list was not to be considered exhaustive or complete. The doctor saw fit to delete his posts and I in turn was happy to delete my comments back to him. No harm, no foul. However, when I questioned the additional edits by HTN moderators which included additional post deletions by members which were quoting the doctor, and comments that were left to defend me, I made a comment about the selective editing that had occurred. Ironically, one post remains by Melvin, the “co-moderator” which supports the doctors attack on me; “I don’t think that Dr. … said anything bad, in fact most of what he said is true.” My comment stands; “Some very interesting/selective editing on this topic.... “ If it has not become obvious as this point, I think that the target upon my back is getting to be a tad heavy as I do not possess the “physical and mental fortitude” that Bill obviously has that has allowed him to tolerate me for the past fifteen years. So I would like to close by saying that I have appreciated all of your comments and support through the years and I have been so blessed with watching so many of you find the follicular salvation you have been seeking. For that, my time here has been massively rewarding. With the comment made by Bill where he clearly states I’ve been helpful and haven’t broken any rules (not “blatantly” but otherwise?) it is more clear than ever that for those of you that have garnered enough knowledge to the point that you know what you’re talking about, you’re a threat to the status quo if you question those that would seek to control what you see and hear. I wish for my account to be closed and I wish you all the very best for the future. Thanks for everything. Moderators deleting or modifying this post in five, four, three… Regards Spencer ( Spex )
  5. Hey @Phil36fromaus - I am sorry to hear about and see the hairline result and communication issue. I thought @Dr. Jean Devroye response was very good and I'm glad he offered a free touch up. Did you end up scheduling the touch up with Dr. Devroye? Wishing you the best man!
  6. I think Hattingen is the top choice for FUT in Europe tbh, not very well known in English speaking world but they do very good job, cost is reasonable for that type of work too. Although they have more conservative approach which many patients don't like, while other -like me- prefer. Dr. Devroye is another name too who is one of the elite for sure.
  7. Dr. Bisanga, Dr. Feriduni, Dr. Devroye and Dr. Lupunzula are all in the Belgium area. I am assuming you're specifically looking for strip?
  8. For FUE, H&W quoted me $9.6AUD per graft whereas Devroye, Lupanzula, Lorenzo from $3.9AUD to $5.3AUD, not quite the same in my case. Maybe Dr. Wong didn't want me and scared me away 😉
  9. PATIENT'S DETAILS ✓ 54 years old, NW V-VI, with a hair loss history in his family (father and maternal grandfather). ✓ No medications. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Low % of hair in telogen phase. RECOMMENDED TREATMENT This 54-year-old gentleman wished to cover all the thinning areas of his scalp with a homogeneous density, in a single session. Given his excellent scalp elasticity, I proposed him to undergo a FUT surgery first, aiming at harvesting the maximum number of grafts, with a potential complementary FUE in order to reach approximately 5000 follicular units. The FUT strip, as expected, provided an important amount of grafts (4797), so that the FUE extractions could be limited to just 300 grafts. He recently sent in his post-operative pictures, showing the results 6 months after the surgery. He’s ecstatic about the results obtained so far : the amelioration is actually already remarkable. Nevertheless, we expect the situation to further improve during the upcoming months, in particular regarding hair density. SURGERY DETAILS ✓ 5097 grafts ✓ Technique: Combo FUT (4797 FUs) + FUE (300 FUs) ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 40/45 cm2 ✓ Grafts Breakdown: ☞ 538 Single FUT + 46 Single FUE = 584 Single grafts ☞ 1999 Double FUT + 100 Double FUE grafts = 2099 Double grafts ☞ 1672 Triple FUT + 118 Triple FUE grafts = 1790 Triple grafts ☞ 588 Quad. FUT + 36 Quad. FUE grafts = 624 Quadruple grafts ✓ Total number of Hair: 11904 (FUT) + 744 (FUE) = 12648 ✓ Average Hair/Graft: 2.48 Dr. Jean Devroye
  10. It’s been a year now and finally feel ready to show the results on the forum. It was through this website that I read about and finally decided to have an FUE eyebrow hair transplant with Dr Jean Devroye MD in Brussels, and I am absolutely happy and even amazed at the result. Like so many posters have written here again and again, a hair transplant is “a journey” as the follicles have to heal, settle, grow and the resulting hair needs to take it’s final shape. And even more so with eyebrows, as having hair transplant onto your face is a stressful thing to undertake. Dr Devroye and his team were excellent, helpful and caring, and would utterly recommend an eyebrow transplant with them without hesitation. I'll post more about the surgery soon, as it's probably impossible to imagine: I know with hindsight that I didn't really have much understanding - even after reading loads before the surgery - exactly what it entails. It's quite intense, and yes there are ups and downs, but after it all starts to regrow you're in a good place if the surgery is good.
  11. Since you are in India, why don't you consider Dr.Bhatti, recommended here with great proven results. I feel like he is understimated. Otherwise beside the spanish doctors I would also consider other belgians like Devroye, Lupanzula and Bisanga.
  12. PATIENT'S DETAILS ✓ 55 years old, with a hair loss history in his family (father and paternal grandfather). ✓ In 1996, he had two FUT procedures done in another clinic, +/- 1000 grafts transplanted. ✓ No medications. ✓ Medium hair. ✓ Normal follicular units. ✓ Low % of hair in telogen phase. RECOMMENDED TREATMENT This 55-year-old gentleman came to my office to correct his poor, previous FUT procedures, undergone in 1996 (at the age of 33). Since then, he was forced to live with pluggy, sparse and unnatural results, as can be seen in the preoperative pictures. Since he wished to cover all the thinning areas - other than correct his hairline and anterior area as a priority - also for this patient I felt that a combo FUT + FUE was the best way to proceed in order to maximize his donor resources. In fact, thanks to the combination of the two techniques, I would have been able to correct the existing FUT scars - by including them in the new strip - and enhance the amount of available grafts via the complementary FUE. The patient has undergone the surgery in March 2018, when he received 5527 grafts in two consecutive days. The patient has recently come back for a check-up consultation and is enthusiastic about the results achieved so far (7 months and a half after the surgery). His hairline is now very natural and other areas show a remarkable increase in density. During the upcoming months we expect the results to further improve, especially regarding hair density and texture, as the hair matures. As usual, we'll not hesitate to update this thread as soon as new material will be available. SURGERY DETAILS ✓ 5527 grafts ✓ Technique: Combo FUT (3396 FUs) + FUE (2131 FUs) ✓ FUE scoring and extractions executed with my WAW FUE System, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 40/45 cm2 ✓ Grafts Breakdown: - 481 Single FUT + 85 Single FUE = 566 Single grafts - 2325 Double FUT + 1231 Double FUE grafts = 3556 Double grafts - 572 Triple FUT + 669 Triple FUE grafts = 1241 Triple grafts - 18 Quad. FUT + 146 Quad. FUE grafts = 164 Quadruple grafts ✓ Total number of Hair: 6919 (FUT) + 5138 (FUE) = 12057 ✓ Average Hair/Graft: 2.18 Dr. Jean Devroye
  13. IDK if Hasson & Wong use WAW in their clinic, but Dr. Wong has demonstrated it along side Devroye and raved about it on the H&W blog. Also agree with Legend and Melvin that consistency and quality of results is most important. OP, if your goal is to minimize trauma and scarring in donor then look for clinics that consistently show the least signs of surgery in the fully healed donor area in patient posted results. New tools/techniques are continually developed and top surgeons employ different tools/techniques depending on the case.
  14. PATIENT'S DETAILS ✓ 28 years old, NW III, losing hair since the age of 25, no hair loss history in his family. ✓ No medications. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Average % of hair in telogen phase. RECOMMENDED TREATMENT This 27-year-old patient presented a moderate hair loss and wanted to address his receding temples and hairline. Although his family showed no hair loss history, I suggested him to reinforce his forelock and the whole anterior zone as well, so that this area will be stable even if he will continue to lose hair in the future (he wasn't willing to take any medications to prevent further hair loss). In June 2015, an FUE consisting of 2671 grafts was performed. The patient recently came back to the clinic for a check-up and we had the opportunity to take the pictures and videos below, three years and three months after the procedure. SURGERY DETAILS ✓ 2671 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 444 Single FUE grafts ☞ 863 Double FUE grafts ☞ 1105 Triple FUE grafts ☞ 259 Quadruple FUE grafts ✓ Total number of Hair: 6521 ✓ Average Hair/Graft: 2.44 Dr. Jean Devroye
  15. PATIENT'S DETAILS ✓ 32 years old. ✓ No medications. RECOMMENDED TREATMENT One of the most frequent questions I get asked from people interested in a beard transplant is : "How my beard donor will look after the procedure? How long will it take to recover?" I recently had the opportunity to closely follow-up one of my patients after his beard transplant. I'm glad to share below his photographic documentation as it can be instructive and clarifying in regards to what one can expect both in terms of donor management and actual results. Since always, the patient was bothered from the lack of beard hair, noticeable especially on his cheeks. We therefore decided to perform a FUE procedure, using his same beard as donor area (particularly the area under the chin and the neck). The patient received 1011 single FUE grafts. As can be seen in the photos below, the beard donor healing process was already advanced just 3 days post-op, while 2 weeks after the surgery the signs of the extractions were no longer visible. Concerning the results, the patient is extremely satisfied since we reached his goals just 5 months after the procedure. Generally, the beard transplant presents a main peculiarity : the beard follicle is always constituted by a single thick hair (rarely two). On the contrary, hair follicles can grow naturally in groups of 2, 3, 4 or even more hair. This is one of the main reasons why I always prefer to use beard hair when performing a beard transplant procedure (when possible) : same hair structure, no need for grafts dissection. In fact, the follicles resulting from a strip (FUT) or a FUE (from the scalp donor) must be subdivided in order to obtain one-hair grafts, because only single hair should be used in order to ensure natural results (with the exception of some double grafts that can be used to increase the density throughout the central areas). The beard present also an advantage compared to the hair: the beard hair density is less strong than the density of the scalp. So, it relatively easy to reach an original density in a single session. SURGERY DETAILS ✓ 1011 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Grafts Breakdown: ☞ 1011 Single FUE grafts ✓ Total number of Hair: 1011 ✓ Average Hair/Graft: N/A Dr. Jean Devroye
  16. PATIENT'S DETAILS ✓ 33 years old, Diffuse hair loss pattern (Ludwig II), losing hair since the age of 23, with a hair loss history in his family (father NW VI). ✓ Started taking Minoxidil 5% since 1 month before the surgery. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Normal % of hair in telogen phase. RECOMMENDED TREATMENT This 33-year-old patient presented a diffuse thinning affecting the whole of his scalp. Despite that, he is a very good candidate for a hair transplant procedure: his hair is slightly curly and his donor area is excellent. Moreover, he had started taking Minoxidil 5% since 3 months before the surgery - even though the medication turned out to be not very effective for the patient. We agreed upon performing an FUT procedure and the patient accepted to shave the whole recipient area, which allowed for a perfect work. In this first session, we decided to focus on the frontal area and midscalp restoration, leaving the vertex untouched at this stage. The procedure was carried out in June 2017, when he received 3556 FUT grafts. As you can see in the pictures below, the patient has experienced a quite fast regrowth, since at the 7th post-op month mark the change in his look was already apparent. The patient will come back for his second session next month of April. His second procedure will consist in a combo FUT + FUE during two consecutive days with the aim of covering the vertex area. We will not hesitate to share with you the pictures of his second surgery as soon as they will be available. SURGERY DETAILS ✓ 3556 grafts ✓ Technique: FUT ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 796 Single FUT grafts ☞ 1994 Double FUT grafts ☞ 683 Triple FUT grafts ☞ 83 Quadruple FUT grafts ✓ Total number of Hair: 7165 ✓ Average Hair/Graft: 2.01 Dr. Jean Devroye
  17. PATIENT'S DETAILS ✓ 31 years old, NW IIa, losing hair since the age of 20, with a hair loss history in his family (paternal side). ✓ Started taking Finasteride 1mg, 3 months before the surgery. ✓ Medium hair. ✓ Normal follicular units. ✓ Low % of hair in telogen phase. RECOMMENDED TREATMENT The patient came to visit me worried about his receding frontal area. To restore his hairline and temple corners, I have used an important number of single follicular units in order to give a natural but at the same time dense look. 2s, 3s and 4s grafts have been placed behind the hairline to give fullness and coverage. One year and two months after the surgery, the patient came back for a check-up and was enthusiastic about his results. SURGERY DETAILS ✓ 1793 grafts ✓ Technique: FUT ✓ Incisions: 35-40/cm2, performed by Dr. Devroye ✓ Grafts Breakdown: ☞ 678 Single FUT grafts ☞ 706 Double FUT grafts ☞ 358 Triple FUT grafts ☞ 51 Quadruple FUT grafts ✓ Total number of Hair: 3368 ✓ Average Hair/Graft: 1.87 Dr. Jean Devroye
  18. Jean, name calling is totally uncalled for, there’s no reason to behave in such an aggressive manner. I understand tensions are high and you may find some opinions disrespectful, but under no circumstance should you resort to cursing or name calling. That’s not how we conduct conversations or discussions on this forum. Everyone, I know there’s two sides, those of you who feel one way and those who feel another. I will be discussing the response with Bill and Pat, honestly I found his response yo be enlightening and what he said made sense. However, I would like to know about the other surgeons. Just so you know, we do not recommend clinics we recommend doctors. So, we don’t technically recommend ASMED clinic we recommend Dr. Erdogan, so anyone who is visiting our site and choosing Dr. Erdogan, should be having incisions made by Dr. Erdogan regardless. Also, it could be that those surgeons are very talented and may even end up being recommended at some point. We need more information. Be patient. Also, Payam how can I demand answers from Dr. Erdogan, when I’ve asked you now three times to update us with your progress and you’ve ignored me every time. How is this being fair?
  19. PATIENT'S DETAILS ✓ 27 years old, NW IV, losing hair since the age of 21, with a hair loss history in his family (brother, same condition). ✓ Had taken Minoxidil 5% during 2 years when he was 23, then stopped because of side effects (palpitations). Has started again the treatment approximately 1 month before undergoing the surgery. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT Despite the quite advanced and aggressive hair loss the patient suffered (NW IV stage, heading to NW VI), he presented a very rich donor area that made him a suitable candidate both for FUT or FUE procedure. Given that the patient didn't like the idea to get a permanent linear scar in his donor zone, we decided to perform an FUE procedure. In September '17, 3444 FUE grafts were harvested and implanted during two consecutive days in order to rebuild his hairline and cover the frontal and midscalp areas. The patient submitted then the pictures we display below, showing his progress two weeks, three, four, six and eight months after the surgery. He is very satisfied about the outcome and we hope to have the opportunity to welcome him at the clinic in the next coming months to update this thread with his final results. SURGERY DETAILS ✓ 3444 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 35-40/cm2 ✓ Grafts Breakdown: ☞ 856 Single FUE grafts ☞ 1646 Double FUE grafts ☞ 927 Triple FUE grafts ☞ 15 Quadruple FUE grafts ✓ Total number of Hair: 6989 ✓ Average Hair/Graft: 2.03 Dr. Jean Devroye
  20. Jean, Thank you for this well thought out post, I certainly don’t want posters to think I dont want anything negative to be said of a result, that’s ridiculous. Your post highlights some real concerns with the result and I have to say I agree with some of your concerns as well. I will reach out to Dr. Rosanelli and ask him to respond to some of these issues on the thread. Also, constructive criticism and being flat out rude are two different things. Sharing negative opinions of a result and being respectful are not mutually exclusive. Now I’m not saying this specifically to you Jean, I’m speaking in general for readers and other posters. In fact, I encourage posts that are well thought out and point to specific issues with the results. In order for the community to flourish we need to encourage discussions. This forum shouldn’t be looked at like a YouTube comment section. This forum will never grow or entice others to share their experiences if we encourage posts like “joke of a result” or “sucky results” come on guys we’re not fourth graders.
  21. @Raker, Thanks for expressing your concern. However, Jean made a great point about many surgeons not doing temporal work or at least presenting it but you have to remember, that many patients simply don’t need it or requested. And as you can see, the clinic responded to your concern and even showed an example of some temple work in his reply. So clearly they do this kind of work when requested although they admit that it’s rare because it’s often not needed by their patients. Dr. Alcaide he may have only just started presenting examples of his work and results here on this forum. However, his work and results are well represented in other places online. Moreover, he was trained and is backed by Coalition member Dr. Bisanga who is fully confident in his work and results. Certainly that says something as well but you know us. We never approve a doctor for recommendation just on someone’s word. We need to see the work and results for ourselves. But I’d say in this case, it certainly producing top notch results. Best wishes, Bill
  22. PATIENT'S DETAILS ✓ 50 years old, NW IV, losing hair since the age of 35, with a hair loss history in his family (paternal side). ✓ No medications. ✓ Medium hair. ✓ Normal follicular units. ✓ Normal % of hair in telogen phase. RECOMMENDED TREATMENT Given the patient’s exceptional donor area, we agreed upon a FUE procedure consisting in 3000-3200 grafts to rebuild his hairline, while improving the overall density in his frontal area and crown. One year after the surgery, the patient came back for a check-up and I was pleased to see the great yield and results he had achieved so far. The patient is currently considering a second procedure during the upcoming months in order to further increase his frontal and mid-scalp density. We will not hesitate to update this post if he will proceed with the surgery. SURGERY DETAILS ✓ 3090 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 35-40/cm2, performed by Dr. Devroye ✓ Grafts Breakdown: ☞ 524 Single FUE grafts ☞ 2067 Double FUE grafts ☞ 486 Triple FUE grafts ☞ 13 Quadruple FUE grafts ✓ Total number of Hair: 6168 ✓ Average Hair/Graft: 2.00 Dr. Jean Devroye
  23. PATIENT'S DETAILS ✓ 27 years old at the time of the first surgery (Test 2015) ✓ In 2012, he had a previous procedure done in another clinic, 2300 FUE grafts. ✓ Treatments : to be confirmed. ✓ Medium caliber hair. ✓ Fragile follicular units. ✓ Normal % of hair in telogen phase. RECOMMENDED TREATMENT This patient presented for the first time to my office in October 2013, one year and a half after undergoing a 2300 FUE grafts procedure in another clinic. This previous procedure ended up with poor results and, worse still, two weeks after the surgery the patient started to develop a severe shedding due to psoriasis and dermatitis. This condition (never experienced before) affected him to a great extent both physically and emotionally, so much so that he didn't dare to go out without wearing a cap anymore. During this first consultation, I suggested him to start a treatment based on Nizoral and corticosteroids in order to mitigate the shedding. In March 2014, the patient showed important improvements in regards to the skin diseases. However, I suggested him to wait further before performing a hair transplant procedure, since the dermatitis was still present at that time. In February 2015, the patient informed that the symptoms were reduced, nevertheless still evident. Despite that, we agreed upon performing a small test (+/- 100 FUE grafts) in order to check the regrowth rate and if the psoriasis/dermatitis would develop again after the transplant (hence to verify the viability of a more important procedure). In July 2015, the test was performed - 78 FUE grafts implanted in the vertex area. The test proved to be successful. Nevertheless, I suggested him to wait again for a complete healing before performing an important procedure: analysing his evolution, the symptoms were likely to develop quite rapidly and unforeseeably. In December 2015, the patient announced that his skin lesions had completely disappeared. So, in February 2016, we were finally able to perform a first procedure to restore his hairline, frontal area and a part of the midscalp - using 2903 FUE grafts. I also suggested him to continue to wear his hair very short after the procedure, since I found that UV rays had a positive impact on the skin disease. The patient was extremely pleased with the results obtained and decided then to perform a second surgery in order to restore the vertex area. In August 2017, we managed to transplant 1437 FUE grafts (because of his limited donor resources). The last pictures sent by the patient show the current situation, nine months after the second surgery. The regrowth appears satisfying, the density acceptable : if he wish to further strengthen it, we could consider a BHT complement in the future. SURGERIES DETAILS 1st Surgery (TEST) - July 2015 ✓ 78 grafts ✓ Technique: FUE ✓ Incisions: N/A ✓ Grafts Breakdown: N/A ✓ Total number of Hair: N/A ✓ Average Hair/Graft: N/A 2nd Surgery (FUE I) - February 2016 ✓ 2903 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 1042 Single FUE grafts ☞ 1698 Double FUE grafts ☞ 159 Triple FUE grafts ☞ 4 Quadruple FUE grafts ✓ Total number of Hair: 4931 ✓ Average Hair/Graft: 1.70 3rd Surgery (FUE II) - August 2017 ✓ 1437 grafts ✓ Technique: FUE ✓ FUE scoring and extractions executed with my WAW system. ✓ Incisions: 25-30/cm2 ✓ Grafts Breakdown: ☞ 147 Single FUE grafts ☞ 936 Double FUE grafts ☞ 339 Triple FUE grafts ☞ 15 Quadruple FUE grafts ✓ Total number of Hair: 3096 ✓ Average Hair/Graft: 2.15 Dr. Jean Devroye
  24. PATIENT'S DETAILS ✓ 29 years old, Diffuse pattern alopecia (Ludwig II), losing hair since the age of 20, no hair loss history in his family. ✓ Had 2 previous FUE surgeries in another clinic, 3000 grafts already transplanted. ✓ No medications. ✓ Medium hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT During the pre-op consultation, the patient expressed his will to have a combination of FUT and FUE in order to transplant the maximum number of grafts in one single session. Given that he already had 2 previous FUE HTs in another clinic, and considering his diffuse pattern alopecia, I found this option very appropriate for his characteristics. Finally, the patient received 5814 grafts in two consecutive surgery days. I have used the single grafts to rebuild the very first hairline, while the other grafts to considerably boost his frontal, mid-scalp and crown density. 6 months after the surgery, the results are already noticeable and the change on his look is becoming apparent. We look forward to welcoming back the patient during the next months, so that we’ll be able to provide you with an update and better quality pictures of this interesting case. SURGERY DETAILS ✓ 5814 grafts ✓ Technique: COMBO FUT (4658 FUs) + FUE (1156 FUs) ✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it. ✓ Incisions: 35-40/cm2, performed by Dr. Devroye ✓ Grafts Breakdown: ☞ 1009 Single FUT + 63 Single FUE = 1072 Single grafts ☞ 1223 Double FUT + 490 Double FUE grafts = 1713 Double grafts ☞ 1268 Triple FUT + 529 Triple FUE grafts = 1797 Triple grafts ☞ 1158 Quad. FUT + 74 Quad. FUE grafts = 1232 Quadruple grafts ✓ Total number of Hair: 10569 (FUT) + 2926 (FUE) = 13495 ✓ Average Hair/Graft: 2.27 (FUT) + 2.53 (FUE) = 2.40 Dr. Jean Devroye
  25. PATIENT'S DETAILS ✓ 31 years old, NW IVa, losing hair since the age of 24. Hair loss stabilized since two years. No available data about his family hair loss history. ✓ Started taking Finasteride 1mg after the surgery. Treatment currently suspended. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ High % of hair in telogen phase. RECOMMENDED TREATMENT This 31-year-old patient presented with a NW IVa hair loss degree: an almost completely bald anterior area, a thinning mid-scalp and obvious signals of loss in the vertex area. We agreed upon performing an FUT procedure of approximately 3500 grafts in order to rebuild his hairline and cover his frontal and midscalp areas - leaving the vertex untouched for a potential, second procedure. The proposed hairline, slightly conservative and drawn following the patient's original one, will guarantee a suitable look also in the long-term. In January 2018, the patient eventually received 3757 FUT grafts. The 3rd and 5th post-op month pictures show an early regrowth and already remarkable improvements. During the next 7 moths we expect the results to further improve, especially regarding the hair density and texture. As usual, we'll not hesitate to update this case as soon as new photographic material will be available. SURGERY DETAILS ✓ 3757 grafts ✓ Technique: FUT ✓ Incisions: 40-45/cm2 ✓ Grafts Breakdown: ☞ 519 Single FUT grafts ☞ 2573 Double FUT grafts ☞ 644 Triple FUT grafts ☞ 21 Quadruple FUT grafts ✓ Total number of Hair: 7681 ✓ Average Hair/Graft: 2.04 Dr. Jean Devroye
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