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  1. This 30 something gentleman came to Dr. Keene with the goal of restoring his hair line. The photos are from before and 18 months after 2250 FUT grafts. He and his wife are very happy with his results! He told Dr. Keene his choice to have surgery was one of the "best things I've ever done." Here is the graft number breakdown by hairs per graft: 1s) 232 2s) 790+ 3s) 850+ 4s) 378 Total 2250+ grafts + indicates where we got additional grafts-we include the numbers based on the amount patients paid for, but will always place any extra grafts we obtain. Total Hairs: 5874+
  2. Hello all, I think I have made my decision and am going with Dr. Keene. I emailed her and received a very detailed long reply that was not scripted and must have taken a great deal of time to write. She will be calling me today for a consultation. So far I am very impressed as most of the replies I have received in the past were scripted,generic responses and did not cover the details about my specific needs. Has anyone here had treatment or a HT from Dr. Keene? Thanks in advance.
  3. Dear members and guests, Our fair forum policy enables Patients to share their genuine experiences and opinions on this forum. However, in cases where results are less than optimal, patients may be required to privately identify themselves to their clinic and give them the necessary permission to share their side of the story. Moreover, patients are expected to attempt to work out genuine concerns with their physician in order to come to an amicable resolution. Likewise, surgeons recommended by this community are expected to work with and stand behind their patients in order to give them the best service and results. After investigating this particular situation And speaking both to the patient and Dr. Keene, It has come to my attention that there are some legal issues going on behind the scenes that extend beyond the scope of this community and what we allow. Moreover, because of those legal matters, Dr. Keene cannot share everything she wants to what she would under normal circumstances where legal issues don’t exist. In this case, I do not feel it is appropriate to continue allowing discussion when the doctor cannot share everything that she needs to in order to publicly defend yourself and share her side of the story. However, she did send me what she can post at this point and as a result, I am sharing it below. After a few days and when enough people have had a chance to view Dr. Keene’s response, we will be archiving this topic out of public view. In the event something changes and Dr. Keene becomes able to share her side of the story completely, we will move the topic back into public view and reopen the discussion. We understand that some people may feel this is unfair, but you have to realize that the only way this community can offer a fair platform is if both patients and physicians can share their full side of the story without any possible legal ramifications. Frankly, once lawyers are involved, there’s really no advantage to hosting a discussion about a case that can’t be fully discussed by both parties. That said, below is Dr. Keene’s response. ——————— I am disappointed to read the narrative posted by a patient who I operated on in good faith, educating he and his father about the various medical and surgical options to treat hair loss, the donor harvesting methods including pros and cons of each (my notes indicated the patient went back and forth between the two before a final meeting to decide for FUT), and also advising them of the advantages of waiting to see if the FDA approved medical therapy would be effective at stabilization—especially because of this patients age. I do not operate on every patient I meet, age is a consideration, and so is a patients intellectual capacity to understand the risks and benefits of surgery, as well as their goals. I was impressed that both father and son were capable of understanding the information provided to them, asked relevant questions, and did not attempt to jump into surgery, but spent time to deliberate on what would be best option for this patients goals and self esteem. I review the risks and benefits of hair restoration surgery with every patient, regardless of age—but do provide age related advice, based on my extensive experience and knowledge of the field of hair loss. The caveats to proceeding with surgery are outlined in the notes that were not posted— accelerated hair loss, as well as progressive hair loss from AGA are among them. I provided a service based on my impression of a father’s earnest request to help his son, and my desire to do the same—as well as a young patient who seemed intellectually capable of making an informed decision . During my last visit I did my best to address the patients concerns, and particularly the claim that his most recent grafts hadn’t grown—although at 6 months in my view they were already improving the appearance of density, I knew and reminded the patient from his previous experience they had not matured to their ultimate benefit which should make them more apparent to him. The various options to improve the scar which widened early in the postop period from exercise, I attempted to review with him again-- as had been done preoperatively. Because I personally want my patients to be satisfied with their results, I provide SMP into surgery scars for a minimal charge and provide a scar revision at no charge. Since the patient has unfortunately not returned for the usual scheduled follow up visits at 8 and 12 months postop, I was unable to provide a final assessment or do more to address his concerns. I would share before and after photos from the first surgery which I believe document successful growth, and a very natural,cosmetic appearance, as well as a flattering frame to his face-- However, because the patient attempted to demand quadruple the amount of money from me that he paid for all of the surgery, and did so 6 months before the final growth was expected—I am legally advised to limit further public discussion at this time. ——————— We will give members and anyone interested a few days to read both Dr. Keene’s and my response on this topic and then we will archive this topic out of public view. Onwards and Upwards, Bill
  4. I started balding at around 19 (23 now). As I’m sure a lot of you can sympathize, I panicked and started looking into ways to prevent it. At 20, I decided to consult a surgeon about a hair transplant and stumbled on Sharon Keene. Dr. Keene was local, and apparently one of the best surgeons in the area. After a couple months on finasteride, she assured me that I was done receding and would be an excellent candidate for a transplant. She had zero concerns about my age. I underwent the FUT procedure (1800 grafts), as she heavily advocated for it. The first few weeks after the surgery I experienced heavy shock-loss around the areas Dr. Keene operated. Up until this point, I did not know this was a potential side-effect of a hair transplant. Dr. Keene failed to mention the potential for shock loss at any point during our meetings. The possibility was only briefly referenced in the waver I had signed days before the surgery. Dr. Keene did not seem concerned when I brought this up and stated that permanent shock-loss was impossible. The placement of the grafts was also a concern. Prior to the surgery Dr. Keene outlined where grafts would be placed (primarily on the top of my head and parietal ridges, where I had receded). I’ve attached pictures of these outlines to this review. After the surgery, it was apparent that grafts were placed well beyond what I had agreed upon. About an extra inch of hair was added to my lower temples, making my hairline jut-out beyond its natural proportions. Dr. Keene assured me that it would look great, and I trusted her judgement. After about a year I noticed the transplant was not filling in as promised. The shock loss had not grown back. Transplanted hairs were unnaturally thicker than the other hairs around it and filled in at a much lower density than what would look normal. On one side of my head, the grafts grew in different directions than my natural hair. The “extra” hair placed near my temples ended up looking completely unnatural and did not blend in well. You could very easily see where I was receding, and it now looked like someone essentially glued a bunch of scraggly hairs to my temples. I was assured that this was normal for a first procedure. I was desperate for her to fix this, and got a second transplant. The second transplant (200 grafts) left an even larger linear scar due to my “scalp laxity" (again, something that I was not warned of before the procedure). It was now obvious that I had a scar on the back of my head. The new grafts were again poorly placed and looked terrible. More shock loss. About 12 months ago I went back to Dr. Keene for a third transplant. I figured it couldn’t get worse, and I couldn’t afford to go anywhere else (the clinic offers large discounts to repeat customers). I was assured that the last two operations were works in progress, and that I just needed another procedure to fill in the gaps. This transplant was another failure. I went in to have 1300 grafts done and to have the scar reduced. Instead, the scar was made about twice the original size and is now clearly visible with any haircut under 2.5 inches. She operated more extensively on the right side of my head, causing a disproportionate amount of shock loss in that area. As a result, one side of my head has a disproportionately patchy appearance, leaving the transplanted hair completely exposed. I recently confronted Dr. Keene about these concerns and my poor results. In her eyes, the scar was improved. Everything looked great. My expectations were too high. I explained that I was particularly concerned with the large gaps of scalp on the right side of my head. In her notes on our meeting Dr. Keene wrote the following: "Patient states "no change"... in reference to bare scalp. Notably this area is no longer visible. Efforts to point out and show my [positive] opinion were ineffective. Patient asserting that his poor results were not a matter of opinion—it was fact... concerned for state of mind as cosmetic results do not mirror self criticism." Apparently Dr. Keene would rather presume that I've lost my mind than recognize her own poor work. Clearly, the scar had expanded considerably and the gaps of scalp on the right side of my head have not vanished. It's fairly obvious that the transplanted hairs look abnormal. I have visited multiple other HT professionals and posted my results in several forums. Not a single person has seen these results as anything short of poor. Over the last three years I've spent over $10,000 on what is essentially a large scar on the back of my head. I have much less hair now than before the surgery, primarily due to shock loss. Grafts were placed poorly, and in areas not agreed upon. A couple months ago I formally requested a refund. This was flatly denied. Dr. Keene stated that she “complied with the standard of care”, and stood by her opinion that “permanent shock loss does not occur in hair transplant cases”. This is contrary to statements made by numerous clinics and AHLA/ IAHRS certified resources (some links provided). Permanent shock loss is less common, but can occur due to follicle transection during the procedure. Permanent shock loss can also occur in areas genetically pre-dispositioned to hair loss. The Chicago Hair Institute states that “this is the reason that hair restoration is performed when patients are older and have experienced most of the balding and hair thinning that they are likely to have as a result of the aging process”. In an online Q&A, Dr. Keene herself states “one thing that shock loss can do is accelerate a pattern that would have occurred anyway (without treatment), by putting the hair into its rest phase (telogen) in response to an inciting event (stress, surgery, etc)”. Still, Dr. Keene had no concerns with operating on a 20-year-old before it could be known that hair-loss had stabilized. Instead, her analysis on whether or not my hair loss had stagnated consisted of a quick look at my dad’s hairline and guessing that we would have the same pattern. As explained to me by Dr. Keene, my ongoing treatment with finasteride and Minoxidil should have been enough to prevent this “accelerated” (permanent, HT-associated) hair-loss. Apparently this was not the case. None of my shock-loss has grown back at this point. Dr. Keene's explanation is a Catch 22: Permanent shock loss is impossible, but if its not, you were going to lose that hair anyways. I’ve recently consulted with several other surgeons to determine whether the damage caused by these initial hair transplants can be repaired. It will cost me thousands of dollars and several surgeries involving scar excision, FUE placement, and MP tattooing to repair the scar alone. I plan on buzzing my hair once the scar is reduced. IMGUR link to pics Links regarding permanent shock-loss http://www.regrowhair.com/hair-transplant-surgery/what-is-shock-loss-from-hair-transplant-surgery/ https://www.hairtransplantmentor.com/shock-loss/ http://www.hairtransplant.org/shock-loss-after-hair-replacement/ https://www.rahalhairtransplant.com/how-to-prevent-hair-transplant-shock-loss/ https://drtyngtansg.wordpress.com/2013/07/26/serious-shock-loss-after-hair-transplant-how-long/ http://www.spexhair.com/post-operative-course-what-to-do-what-to-expect-by-spencer-stevenson/ https://www.iahrs.org/q-a/female-hair-transplant-shock-loss https://www.chicagohairinstitute.com/blog/2015/10/16/understanding-the-risk-of-shock-163737
  5. I have just received a response from Dr. Keene. It seems as if there may be a lot more going on behind the scenes then we are being made aware of here. As a result, I am currently walking this topic until I can obtain more information and I can be sure that the patient gives Dr. Keene all of the necessary permission to share her side of the story. I will keep you all posted. Bill
  6. I’m sorry to hear that you have had a less than stellar experience. As Bill has already mentioned, we would like to gather some information from you, so that Dr. Keene can confirm you as a patient. Please feel free to send this information to me or Bill and we will relay this information to Dr. Keene, we will not disclose any of your personal information and anything you provide us is confidential and only used to verify you as a patient thank you. Warmest regards- Melvin
  7. @throwawayht111, I’m terribly sorry to hear of your disappointing hair transplant experiences, all three of them apparently. This is quite shocking to me in particular because Dr. Keene is one of our recommended hair transplant surgeons and a member of the Coalition of Indepemdent Hair Restoration Physicians. While even the best hair transplant surgeons have cases of less than stellar results, the photos you have shown are highly concerning. In order to help you and in order to keep this for unfair and safe for both patients and physicians, I ask that you send me a private message with your full name and all three dates of your procedures. I will then contact Dr. Keene to let her know that you have publicly posted your concerns and photos and ask her to reply with her side of the story. Please be sure you give her permission to do so as this is required to keep our community fair and safe to all. I will be looking for your private message But in the meantime, I will be contacting Dr. Keene to give her heads up about this topic so she can at least offer an initial reply until you give her full permission. Best wishes, Bill
  8. This 35 year old patient came to Dr. Keene to restore his front hair line. Since he likes to wear his hair buzz cut, he chose FUE for his donor removal method. There is no completely scarless donor removal method, but FUE blends better with buzz cut hair than FUT, especially in someone with high color contrast, so FUE was chosen. These photos are from before and 8 months after. Some patients take longer to grow in but he appears to have his complete growth. Now that he has turned back the clock on his hair loss, he remains on Finasteride to help stop further hair loss. Here is the graft break down: 1s) 175 2s) 584+ 3s) 645 4s) 96 Total 1500+ Where we obtained some additional beyond what he paid we include a plus sign.
  9. This Type III pattern young man came to Dr. Keene due to noticing temporal recession. His father, grandfather and uncles are all class IV, so his hair loss could progress if not addressed. He was started on Finasteride, and took that for 12 years before he decided to also fill in his temporal recession with surgery. The Finasteride was effective in stabilizing his hair loss. Clearly he didn't rush into this choice, but his temporal recession bothered him and since the Finasteride was working to prevent further hair loss he opted to proceed with a hair transplant. These photos are from before his surgery of 1800 FUSS grafts to fill in the temple area, and 3 years post surgery. He continues to take Finasteride to prevent further hair loss and maintain his youthful hairline.
  10. This gentleman in his 60s had not noticed his thinning until he was just over 50. He chose not to just let nature have its way, and came to Dr. Keene. Dr. Keene recommended between 4000 and 4600 grafts as the minimum amount she would recommend for excellent cosmetic result. These photos are from before, and after he had FUSS with 4000 grafts. Here is the graft breakdown: 1 haired grafts=298+ 2 haired grafts=1442+ 3 haired grafts=1484+ 4 haired grafts=776 Total 4000+ We typically do not include all the extra grafts in the counts we provide when we get extra because we know patients compare and we don't want someone to be disappointed if they don't get as many as someone else.
  11. This patient came to Dr Keene to recontour, strengthen, and add density to his hairline. She prescribed Finasteride to maintain his non transplanted area, and augmented the approximately 50 sq cm of the hair line and mid frontal area with 2100 grafts. The photos are from before his procedure, and 4 years after. Here are the graft numbers by hairs per graft: 1s) 287 2s) 776 3s) 780 4s) 310 Total 2153
  12. Bill - Managing Publisher

    Are there any ht surgeons that are women ?

    Yes there are female hair transplant surgeons and we actually recommend several of them. Dr. Keene, as somebody referenced is a highly esteemed Coalition member and does ultra refined work. She is well known for her very natural looking hairlines. Dr. Radha Palakurthi is female and doing outstanding hair transplant surgery in India. She is also recommended by this community. There are of course other female hair transplant surgeons you have not been approved for recommendation by this community however, having been to several ISHRS meetings, there are no doubt male surgeons than female surgeons. Best wishes, Bill
  13. This 30 year old gentleman came to Dr. Keene to fill in his hairline especially were he was receded in his temple area. Dr. Keene prescribed Finasteride to help him retain his existing hair, and recommended 1800 to 2300 grafts to fill in his hair line based on his goals. He opted for 1900 grafts, just above the minimum she recommended. He chose the FUE donor removal method to assure he would have the option to wear his hair very short on the back and sides where the donor is removed, but he does wear it with some length in the front which gives him the advantage of layering to help create a dense appearance. The photos are from before and 1 year after 1900+ FUE grafts. He is wearing hair gel in his post op photos which gives him the wet look. He is very pleased with his results! Here is the graft breakdown: 1s) 283 2s) 603 3s) 643 4s) 419 Total 1900+
  14. This 30 something patient came to Dr. Keene with the goal to stop his hair loss and add some to his frontal area. Dr. Keene prescribed Finasteride to help combat futher hair loss and possibly strengthen his existing hair, and he opted to undergo an FUE hair restoration procedure with 1000 grafts focused on the frontal area. This was an average of about 30 grafts per sq cm, though fewer were placed in area where he had thinning. The photos are from before and 1 year after surgery of 1000 FUE grafts. Here is the graft breakdown: 1s) 200 2s) 248+ 3s) 327 4s) 225 Total 1000+ (+ indicates where we did a few extra but we don't include the extra in the count)
  15. This patient in his mid-30s had front and crown hair loss that could have progressed to a type VI or VII pattern (like his father) without intervention. Dr. Keene recommended 4500 grafts initially, but adjusted it lower to provide the minimum number of grafts for cosmetic coverage. These photos are from before, and 11 months post-surgery. The surgery provided a nice thinning coverage that fits his hairstyle, and the patient has the option to return for additional grafts in the future if he decides he would like to add more density. Here is the graft break down: 1s) 455+ 2s) 1337 3s) 816 4s) 192 Total 2800+
  16. This young man (in his mid 20s) came to Dr. Keene about 2 years ago with his main concern to stop his hair loss--he felt that his hairline was okay where it was. His father, uncles and grandfather on both sides have type V and VI hair loss patterns and he did not want to follow in their foot steps. After discussing his options, he opted to start on Finasteride at that time. After 8 months on the medication, he felt his hair loss had stopped, and decided he would also like to fill in his hair line. Dr. Keene advised a conservative number of 1500 grafts, and he opted for the FUE donor removal technique. The photos are from before (on the day of surgery) and 18 months post surgery. He is happy with his results, and still has plenty of donor for the future should he decide to augment more, especially if he loses more hair. He is continuing to take the Finasteride to prevent further hair loss with no indication of further hair loss at this time. The photos of the donor are from before, 2 weeks post surgery, and 18 months post surgery.
  17. Uk hair transplant clinics = big time fraud I have been to see the so-called consultant from UK hair transplant clinics; I did see a chap named Paul Hill. I got a bed feeling from the start, as it was obvious he was no more than a pushy salesman with no interested in me or what was best for me, all the alarm bells rang straight away. The consultation was a hard sell from start to finish with the so called consultant having minimal knowledge of hair transplants and no interest in discussing anything except for how urgent it was for me to get this done a.s.a.p. to take advantage of the great limited time offers they have, I should preferably pay the deposit there and then or I might loos out on the deal, it reminded me of a door to door salesman offering double glazing! This guy has not had a hair transplant, his hair looks pretty poor and his only semi-medical training seems to be from his teeth whitening business. I walked away from the consultation thinking how desperate people that book with them must be, its obviously nothing else than someone trying to make a quick buck selling something rather then someone that has experience or knows what he is talking about. After the consultation I received an email with pretty great looking before and after shots, I almost starting thinking, hold on now, maybe I wasn’t fair to them, maybe I just had the consultant on a bad day and the clinic is actually pretty good, these results where after all pretty fantastic. After looking at the photos for s little while I realised that I had seen some of these photos before somewhere else. All the fantastic before and after shots they have are stolen from the following coalition hair transplant doctors (none of them works I the UK or has heard of the UK hair clinic): Dr William Parsley - Hair Restoration Surgeons, Hair Transplant, Surgical Hair Restoration, Hair Transplant Cost, Hair Loss Treatments, Hair Loss Doctors | Parsley-Waldman Hair Center, Louisville, Lexington, Nashville, Knoxville, Cincinnati, Indianapolis, Chicago, St. Lo Dr. Michael Meshkin - Dr. Michael Meshkin*Hair Transplant Surgeon in*Newport Beach,*California Dr Robert H True - Hair Clinic New York, New Jersey, Boston Dr Bradley Limmer - Bradley Limmer, MD*Hair Transplant Surgeon in*San Antonio,*Texas Dr Sharon Keene - Sharon Keene, MD*Hair Transplant Surgeon in*Tucson,*Arizona I have added a screenshot here with the photo from ukhairtransplantclinics.co.uk on the left and on the right you will have the original photos from Dr Robert H. True (Hair Clinic New York, New Jersey, Boston) I am sure that him the rest of the doctors will see this and take action against this scam clinic. Here is a bit more about the consultation: It was all about me loosing the change of a good price if I didn’t act quickly, here are a few phrases from the email: “Because there are now only a few surgery dates available for the promotion Please call me on 0800 043 0993 if you have any further questions or would like to arrange your treatment.” “In order to qualify for the above promotional savings the following would usually be necessary: 1) Make a surgery booking within 7 days of this letter “ At the consultation you indicated that it would not be possible for you to be treated in the promotional period, I have now spoken to our manager, who has agreed to hold the price until the above date, as long as you pay a deposit, in the next 7 days. Believe me in person its worse than this! I wanted to share this with the rest of you to make sure you don’t waste your time going to these consultations and even more importantly don’t get ripped off by paying anything to this company.
  18. Hey Guys, So I have a predicament. Actually, an obsession. I had a 3400 FUT last Jan. 2016 with Dr. Sharon Keene. As you can see in one of the pics, I was really bad, stage 5, worse than I realized. Denial is real. Anyways, I had 1000 grafts in the crown and 2400 in the front. She gave me back my hairline, and when I grow it out, the front looks pretty good. However, I am still hat ridden because the crown is still weak and the mid center is really thinning out. As of now, I think I can get a friend to loan me enough money for 1500 grafts since she did last time and I paid her back. Dr. Keene says 1500 would make a difference, but I'm skeptical. Using my friends credit card would get me 1500 grafts, but I would be in debt to her again for a surgery I don't even know is worth it. I went to a meeting with Mike Ferco the other day. He is a representative of Hasson & Wong, and I felt like I was being sold a car actually, It was really weird because I know how awesome everyone says H&W are, but this guy came across like a salesman who works for Bosley. However, I liked him enough to see what he had to say, and he said for a stage 5, 7000 grafts is needed. I do NOT have the money for 3500 grafts, but if I did I would drive right over the border (I'm in Seattle) and go to H&W. So I don't know what to do. Take my friends kind offer and get 1500 to 1600 grafts, or just try to get my credit straightened up over the next year so maybe I can get work done at H&W? I am so sick of wearing my hat and its driving me crazy not knowing what to do. Any advice, expertise, perspective or criticism is welcomed. Please let me know what you would do given these circumstances. Is 1500 with Dr. Keene worth it?
  19. Man I'm grateful for your support everyone. Going to Dr. Keene again wouldn't be a compromise because she did and does great work, I just don't know if 1500 grafts is worth going into debt again. The first transplant was worth the debt, it gave me hope.
  20. I am in my mid to late 30's, from India and now living in AZ, USA. Have been losing hair for about 15 years now. It has progressed to Norwood VI and fast approaching VII. I have been using hair concealers for 10 years now and have masked my balding by doing so. I am tired of having toppik all over my bath and bed and would like to cut it down to the crown only and not in front. I still have a thin covering of hair in my hairline due to a small FUT procedure in India in 2006. It was a very small one by a plastic surgeon. The good news is, the scar was minimal and I have some front hairline for toppik that helped hide my balding. I will probably use toppik for rest of my life, but would like to stop using it in my frontal hairline and also have some hair in the crown to help hold on to the fibers. I am looking for coverage and illusion to have a decent hair coverage in my 40's. Using this website, I had my FUT surgery in early December 2015 with Dr. Keene. It was a 2 day procedure of 4100 grafts. The procedure was much more painful than my last one (probably around 500 or so grafts) due to number of injections required in the scalp over two days. Those were the most painful part of the procedure. Dr. Keene was excellent, as well as her staff. I drove from Phoenix and spent two nights in Tucson and then drove back the third day after Shampoo with the clinic in the morning. Was able to drive easily and had no issues or complications. Did not wash my hair for 9 days and just kept it moist every hour with Saline solution as instructed. Removed the sutures on 9th day in Phoenix - process was very smooth and not painful at all. Then had my first hair wash after removal. Gently scrubbed out the scabs over the next 2-3 days and by two weeks had a nice clean head. Started using Toppik after 20 days, not on a daily basis, but when I have important meetings, visits. Been using Toppik on an average of 2 days a week for the last 5 months and wash it off every evening. I have started Minoxidil twice a day from the 1 month mark, No tablets at this time. The implanted hair fell off in 3-4 weeks and new growth started around the 3 month mark. Thought will share my story as there are not too many Norwood 6 stories in the forum. I am cautiously optimistic at this time and as long as I can stop using Toppik on my hairline, and have some coverage on my crown on back for Toppik, I will be a happy camper. Attached are pre-op pics taken at the clinic before the surgery...
  21. This young man wanted to restore his front hair line including the temporal recession he had experienced. The photos are from before and one year later with 2100+ grafts. Here is the graft break down: 1s) 239+ 2s) 853+ 3s) 758 4s) 250 Total 2100+
  22. This 20 something patient came to Dr. Keene for recommendations on what he could do to restore his hairline and crown. Dr. Keene recommended he take Finasteride to strengthen and retain his hair, and recommended against surgery in the crown area until we saw what the Finasteride could do to strengthen the area, because sometimes strengthening the vellus hair (which is the very fine in caliber), when it is present, will be enough to add significantly to the appearance of density. The hair in that stage is often at the end of its final growth cycle but can sometimes be saved by taking Finasteride. In the front hairline, we knew that he would not regrow hair where it was completely gone,, so she recommended 1400 grafts for that area. These photos are from before, and 1 year post surgery with 1400 grafts. He started Finasteride around the same time. His hairline has grown in nicely, and he has experienced enough regrowth of hair in the crown area so that he doesn't feel he needs more density there at this time. He is very happy with his current results, and has plenty of donor left to add more in the future should he need it--depending on whether he stays on the Finasteride, and its continued effectiveness at retaining his hair. Here is the graft breakdown: 1s) 272+ 2s) 594 3s) 413 4s) 121 Total 1400+
  23. This gentleman first came to see Dr. Keene in his 40s. He opted to undergo a procedure in 2003 which was about 2400 grafts. He lost some additional native hair over the years, and also wanted to augment his density, so he returned for a second procedure in 2015. Now in his late 50s, he looks younger than his age. The photos are from before his first procedure, and 9 months after his most recent procedure, which was about 2300 grafts. Here is the graft breakdown including both surgeries: 1s) 943 2s) 2406 3s) 1127 4s) 224 Total 4700
  24. Does anyone have accurate information regarding the difference in effectiveness of Topical Minoxidil and Topical Finasteride? I believe that Topical Finasteride is relatively new. I've been on 7.5 milligrams of oral finasteride weekly for a long time and I'm thinking about discontinuing it. Dr. Keene in Tucson did a great job with my transplants over twenty years and I don't want to ruin her work. Many thanks in advance for your help.
  25. This 60 something gentleman (who looks more like 40 something now ) came to Dr Keene to restore his front hair line, particularly focusing on the temporal area. These photos are from before and 2 years post surgery. Here is the graft break down: 1s) 245+ 2s) 732+ 3s) 715 4s) 387 Total 2079+
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