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  1. 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
  2. In Europe, Dr. Feriduni, Dr. Bisanga, Dr. Devroye, Dr. Reddy, Dr. Farjo, Dr. Lupunzula etc.
  3. 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
  4. 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
  5. 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
  6. Melvin-Moderator

    Top/Best FUE Surgeon in North America

    This is difficult, because the artistry of surgeons vary from surgeon to surgeon. Some patients, may like Dr. Diep's hairline designs, while others may prefer Dr. Rahal, it is somewhat like choosing between a Mercedez and BMW. It comes down to preference. We recommend most of the best FUE surgeons on the planet, Dr. Erdogan, Dr. Diep, Dr. Devroye, Dr. Feriduni, Dr. Bisanga, Dr. Konoir etc.
  7. Melvin-Moderator

    27years, NW5, need advice (+pics)

    I don’t know much about the other clinic you’ve mentioned, but I do know Dr. Devroye is an excellent doctor. With that said, consult with as many doctors possible. This way you can gather as many professional opinions as possible. Additionally, more isn’t always better. Just because a clinic can do a large strip shouldn’t influence your decision. There is a larger risk with doing mega-sessions, if for any reason the results aren’t what you expected you will have little recourse to correct the issue because of the large portion of the donor that was used.
  8. Melvin-Moderator

    27years, NW5, need advice (+pics)

    I like Dr. Devroye, he’s an excellent choice and has provided several examples of FUT+FUE. If you want to maximize your donor there’s really no other way.
  9. Congratulations on your progress! Dr. Devroye is an unsung hero. Your hairline looks wonderful and it’s only going to get better from here!
  10. Hi Devop911, It appears that you have a Norwood 5A pattern, although a reputable Doctor would have to see you in person in order to evaluate your future pattern. Do any of your immediate family members have a similar hair loss pattern (or perhaps a more advanced hair pattern)? This may be an indicator of where you will end up in the future, but hair loss can of course be unpredictable sometimes. Knock on wood. Second, It is important to highlight that once you have a strip taken out of your donor area, you are stuck with this scar for the rest of your life. It is still a widely used method of hair transplantation, and consequently produces wonderful results. However, it is important to emphasize that you won't be able to wear your hair short on the sides without the scar showing, so think long and hard before having a strip surgery. I would hate for you to lose more hair down the line and be stuck with a scar. But if it doesn't bother you, then it may be a method to consider. Third, I personally like the results of Dr. Devroye. I think he produces very natural results and is certainly one of the top tier Docs in the European market. I know that Hattingen is popular within the German speaking markets, so they may be a clinic to consider, especially if you're considering FUT. Best of luck to you.
  11. 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
  12. JeanLDD

    Crown Work

    Agree from what I've seen on Devroye but at least on this forum there aren't a huge number of results, been consistently impressed by Hattingen clinic also, especially the giant FUT megassessions over the 5000 graft mark I see from them quite regularly that give full coverage in one hit. Their scars appear as good as any on top of that. Still find the most appealing crown results tend to be from Lorenzo, most others tend to leave it still looking somewhat thin and for higher graft numbers. Dr. Wong is another in that top-level category but obviously not in Europe.
  13. Good work @Dr. Jean Devroye. Both the crown and the hairline look great. It does look a little less dense on the hairline than behind it though. How many grafts were used in the front and how many in the crown in the initial procedure? Thanks.
  14. TrixGlendevon

    Crown Work

    I have just had a quick search for that @Dr. Jean Devroye crown procedure I saw a few weeks ago. It was really very good. I can't find it however. I agree though, there seems to be a lack of interest in the crown. Out of sight, out of mind I suppose.
  15. TrixGlendevon

    Crown Work

    Thanks for the reply. I thought you may be somebody who knows actually. Any FUT clinics you would recommend? I remember seeing Dr. Devroye posting something not long ago about a crown he did which looked amazing but searching for crown procedures on here does not yield too many results.
  16. Looking good! Looking forward to the results! Dr. K definitely definitely spoke highly of Dr. Devroye when I saw him last..... FUE was absolutely the right choice....not a chance you are getting 2.75 hairs per graft out of FUT. Matter of fact, I don't know that I've seen a higher per hair average in a surgery on here, ever..... Remember, the number of grafts means very little....the amount of actual hairs moved is the better indicator.
  17. Jean, There are two problems with your observation. 1. Your forelock was noticeably miniaturized throughout and placing within it was the right move. This patient's forelock is thin around the perimeter, not within the forelock itself, and while it is not native density, it is considerably more dense than your own and with more obviously terminal hairs, and there was no need to add anything to it. Why would Dr. Cooley want to make the thickest area of the patient's scalp thicker when the rest of his scalp was bald? That doesn't make sense. 2. You present a contradiction. How can a more natural result be achieved by focusing all of the grafts near the front? Is "density" your definition of natural? The density could of course go higher but then that would mean the coverage to the vertex would not have been achieved. All of the grafts would need to go up front to blend the density with the forelock and little coverage would have been achieved in the mid-scalp and none on the vertex. It comes down to simple math. I can appreciate if your taste would call for a different approach but what meets one's taste does not always meet with what is practical.
  18. 1. Well, sorry that my language skills cause you so many trouble. So far no one had an issue, but maybe it was really the effect of my "c" not working properly yesterday. 2. You misquote me: I mentiond only Konior which I assumed no one has seen enough reports. 3. I doubt that there are 20 patient (!) reports of Konior FUE in here. Even then: Add 1 - 2 bad results and this would directly equal 5-10 % failure rate. That is much worse than the failure rate from most top clinics. Hence my conclusion: The statistics do not allow to make the assumptions you are taking. That is why math is better than stomache feel. 4. If you write it like that I have no issue. It is your opinion which I respect. You can like a BMW or a Mercedes more, that doesn't make one of the superior to the other. I do not like the hairlines of Hattingen, but I still recommend them regulary for strip in europe. 5. I never denied that it is peer revied. But I have revied many papers myself and I know reviewed doesn't mean "without failure" or "top level". Like mentione by Jean there is data available which suggest this data of Beehner is poor. Do not misunderstand me. I believe (!) that strip has higher yield in general. And I would be happy to know how big the difference is before I make a decision about my crown. But the where serious questions regarding the Beehner paper. This where serious questions and much more than just "it wasn't the magic dr. X who perform the surgery" as you suggest. No one (!) could answer these questions. If you can I would be pleased. Some questions again: - Why is the yield of strip so low in this paper ( 86 % and that is without considering transected grafts in the donor)? Is it realistic? - Was a motorized fully rotating punch (!) used and did this effect growth from FUE. For me this was one of the biggest issues. - Which holding solution was used and under which temperature were the grafts kept - The author and the reviewer obviously do not understand the difference beween % and %-points. As the claim 24.6 % different but it is 29 % (24.6 % points). Are the further errors in math? - If the surgeon had almost no FUE experience (<80 prcoedures in 9 years) could this affect the survival rate? - ... many more ... By the way: There are many (!) clinics performing FUE and FUT who say yield is almost similar. We had this dicussion before. I think we actually are not that far apart in our opinions as it appears.
  19. 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
  20. PATIENT'S DETAILS ✓ 36 years old. ✓ No medications. ✓ Medium caliber hair. ✓ Normal follicular units. ✓ Low % of hair in telogen phase. RECOMMENDED TREATMENT This patient started to lose his eyebrows hair since his childhood as a result of unfortunate family circumstances that provoked very severe stress periods. The loss continued until stabilizing during his adolescence. Unfortunately, by time, the eyebrow hair hasn’t grown back. The patient has therefore found himself in the unpleasant situation visible in the pictures below until 36 years of age, when he gathered the courage to contact me to explain and attempt to correct his difficult situation. We therefore decided to perform an FUE procedure of approximately 500 grafts (taking his scalp hair as donor area) with the aim of rebuilding the eyebrows original shape with a good density. The final grafts count states 510, exclusively single (+/- 250 for each eyebrow). The regrowth of transplanted grafts has been relatively fast and the patient is fully satisfied with the results obtained. In general, the eyebrow transplant uses the same technique as for a classic hair transplant : we graft hair or, when it’s possible, body hair (coming from armpits or the pubis for example). It is mandatory to use exclusively single grafts (containing just one hair) in order to guarantee natural results. The incisions must be made in a very tangential way and the natural hair orientation must be necessarily respected. SURGERY DETAILS ✓ 510 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: ☞ 510 Single FUE grafts ✓ Total number of Hair: 510 ✓ Average Hair/Graft: N/A Dr. Jean Devroye
  21. Dr. Devroye, thank you for your continued participation and long-term support of our community. This is an excellent case presentation. How many grafts were used in the lateral humps near the crown, as you can see there was significant thinning in the midscalp and crown area. I would like to know how many grafts were approximately used to thicken up the lateral portion of the crown?
  22. Hi @Dr. Jean Devroye - great result. Can I ask, why does the FUT scar appear longer on the patient's left side than his right side? Was this a laxity issue? I don't suppose there is a pic of his scar now to see how it has healed? Not his donor but the scar itself?
  23. Thank you so much Dr. Devroye, for your detailed response.
  24. Dr. Devroye, Impressive result based on the patient’s skin conditions too. Really made a big difference. This is what I am calling/coining a “distinct” change. Considering the number of grafts used too. Excellent work!
  25. Wow great work Dr. Devroye, I see the extraction pattern on the last surgery went fairly high up in to the donor zone. What is your opinion on using these donor hairs that are generally not considered “safe” I feel that my best hair is located in that section.
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