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  1. Bill - Managing Publisher

    Potential Recommendation of Dr. Antonio Alcaide of Malaga Spain

    @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
  2. 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
  3. 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
  4. 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
  5. Bill - Managing Publisher

    Dr Devroye 8 MONTH REVIEW (FUE 2583 Grafts)

    Been chatting with Phil privately for a while and I have been pained by his disappointment since we started talking. I feel bad too because I know that he wanted my input before he presented his experience on the forum but I guess I to had a difficult time understanding the real concern because when I read his experience, there were no photos attached. After reviewing his photos, I was surprised to hear he was unhappy but after talking with him for a while, I do understand that he wanted something different than what he received. How exactly that was communicated to the clinic, I don’t know as I wasn’t privy to. However, both parties of knowledge the miscommunication and I’m very pleased to hear that Dr. Devroye was offered a touch up procedure to tackle the area the patient is concerned about. Phil, I do hope and trust that you take the good doctor up on his offer and give him a chance to make you happy with your results. Best wishes, Bill
  6. Thanks Dr. Devroye, This is what makes this job so satisfying, receiving a resolution. While, it’s unfortunate the patient is upset and unhappy. I am glad you’ve taken ownership of the issue and offered a free touch-up. I have no doubts in your ability and skill. I hope the patient is happy in the end.
  7. 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
  8. 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
  9. Bill - Managing Publisher

    Dr Devroye 8 MONTH REVIEW (FUE 2583 Grafts)

    Phil, We’ve been speaking privately but I want to add some additional input here. I now understand your disappointment but it seems to me that your disappointment as related to the ongoing progression of male pattern baldness and not the hair transplant. By your own admission, the small area you are concerned about that makes up maybe a roll or two of natural hair follicles never had hair transplanted into it so it is not permanent hair. There is nothing that any doctor can do about that. By the looks of your hair prior to your second procedure, the area you are concerned about now had a lot of hair. So Dr. Devroye Wouldn’t have been able to place hair there at the time of the procedure. But now that you’re losing that hair, I can understand you’re disappointed but that’s not a disappointment as a result of the procedure but disappointment as a result of losing more natural hair because of the progression of male pattern baldness. The end of the day, I would be a little disappointed and upset too but not the Dr. or the results. I would just be upset that male pattern baldness is an enemy that requires ongoing treatment. Of course, you have a choice. At this point, you could either let that hair naturally fall out and keep your existing transplanted hairline which in my opinion still looks great or, you can get another procedure with Dr course, you have a choice. At this point, you could either let that hair naturally fall out and keep your existing transplanted hairline which in my opinion still looks great or, you can get another procedure with Dr. Devroye or another doctor of your choice to lower your existing hairline back to where it was originally. The second option comes with additional risks. If hair loss continues which it seems like it is doing that now, you may lose more hair behind the transplant area and as a result, require yet another procedure. And if you use too many grafts re-creating a low hairline, you’ll have fewer grafts and reserves for future work that may be needed due to more hair loss. in my opinion, I would speak to Dr. Konior and Dr. Devroye way, both of which are excellent doctors and get their opinion about what they think you should do moving forward. Some of your decision making should be based on how much toner how are you have available for future work in the event you need it behind the transplanted area. I am really sorry you’re disappointed but I don’t see this as a flaw of the procedure bought a disappointment that hair loss is progressive and continues despite hair transplant surgery. Best wishes, Bill
  10. Are the last three photos your hair now? I honestly don’t see an issue with the results, but admittedly the top photos look very good as well. Have you communicated your dissatisfaction with Dr. Devroye?
  11. It’s likely that you can get this fixed. Your procedure and touch up were modest so you’ve probably have enough donor to reshape and thicken your hairline. 2000 grafts or so would give you a major improvement. I’d look at Konior or Gabel for your case. They do excellent hairline repair work and the size of the procedure is right in their sweet spot. If you are in Europe, look at Devroye or Feriduni. In Canada, Dr. Wong. Keser in Turkey if money is an issue.
  12. 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
  13. Dr. Devroye, ur one of my fav Dr! Amazing results!
  14. This absolutely incredible Dr. Devroye, I’m an observer of the most minute details, I love how you even covered the outer fringes if the crown and lateral humps, to anticipate for future hair loss. This result deserves all the praise.
  15. As anticipated in the previous post, the patient came back in April to undergo his second surgery with the aim of covering the vertex and reinforce the density on the adjacent areas. The procedure consisted in a Combo FUT + FUE, during two consecutive days, thanks to which we have been able to harvest a total of 3602 grafts (2550 FUT + 1052 FUE). The patient has recently reached his 6th post-operative month and has sent in a set of pictures showing his current results. He is enthusiastic about the regrowth rate and the cosmetic improvements achieved so far. On a side note, it is interesting to notice how the lighting conditions can significantly alter the perception of density (cf. the last two pictures at 6 months post-op, taken with flash, with the previous ones, taken under natural light). SURGERY DETAILS ✓ 3602 grafts ✓ Technique: Combo FUT (2550 FUs) + FUE (1052 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 ✓ Grafts Breakdown: ☞ 369 Single FUT + 472 Single FUE = 841 Single grafts ☞ 1633 Double FUT + 445 Double FUE grafts = 2078 Double grafts ☞ 548 Triple FUT + 130 Triple FUE grafts = 678 Triple grafts ☞ 0 Quad. FUT + 5 Quad. FUE grafts = 5 Quadruple grafts ✓ Total number of Hair: 5279 (FUT) + 1772 (FUE) = 7051 ✓ Average Hair/Graft: 2.07 (FUT) + 1.68 (FUE) = 1.87 Dr. Jean Devroye
  16. 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
  17. 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
  18. 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
  19. In Europe, Dr. Feriduni, Dr. Bisanga, Dr. Devroye, Dr. Reddy, Dr. Farjo, Dr. Lupunzula etc.
  20. 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
  21. 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
  22. 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.
  23. 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.
  24. 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.
  25. Congratulations on your progress! Dr. Devroye is an unsung hero. Your hairline looks wonderful and it’s only going to get better from here!
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