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Found 69 results

  1. Anyone had any experience with Dr. Timothy Carman of La Jolla, California?
  2. Hello all, I am considering a HT with Dr. Timothy Carman in San Diego. This website recommends him, but reviews are limited. I would love to hear first-hand experience from members. Please PM or reply all. Thanks in advance.
  3. I emailed Dr. Timothy Carman, La Jolla, California about a week or so ago about hair transplant questions and haven't heard anything back. This seems somewhat strange from someone so highly qualified. Is he still doing hair transplants? Just teaching now? Anyone heard anything about him lately?
  4. This patient is a 32 YO male who experienced loss of definition of the frontal hairline which is consistent with his fathers pattern. There is no family history nor clinical evidence in this patient of crown thinning. Two procedures of 1601 FU grafts and 1609 FU grafts were performed a year apart, to obtain the final hairline shape, location and density. Graft design pattern and robust long term growth were achieved from conservative donor strip harvest, leaving the cosmetic quality in the donor virtually unchanged.
  5. Patient is a 26 yo male with MPHL manifested as a loss of frontal hairline, frontal forelock, crown and midscalp density. The hairline was recreated in a conservative design, frontal forelock and midscalp density were addressed, and the crown underwent a conservative reconstruction. Total FU grafts used: 3092. Donor and graft quality preserved using "FUT" excision.
  6. This patient is a 62 YO male who presented with loss of frontal hair line and frontal forelock density. His donor had lower than usual density, about 60 FU/cm2 (vs average of 90 FU/cm2). This resulted in a donor yield of approx 1900 FU grafts. Patient returns at about 15 months post op very happy with the improvement. Note the last photo which demonstrates the typical donor scar from a strip excision when conservative, plastic surgical techniques are employed as standard procedure.
  7. Patient is a 42 yo male who presents with an advanced degree of MPHL. Patient had thinning of the HL/FF/Midscalp and crown early in life with stabilization over last ten years without medications. Total 3757 FU total.
  8. Patient is a male in his late twenties who has been slowly thinning due to Androgenic Alopecia affecting his hairline, frontal forelock, midscalp and bilateral temporal points in a Norwood 5 pattern since his early twenties. He has mild crown involvement as well. Understanding he will continue to have further losses, he understands the need to manage his limited donor in such a fashion that initial transplantation occurs in a limited area which can be addressed in the future without fear that grafts are spread out over too large an area, which would result in a "grafty" appearance later on in life. At one year post-op, the qualitative change in the appearance of his hair in terms of hair shaft caliber, distribution, shine and coverage are greatly improved over the pre-op baseline. The conservative hairline will work well into his 50's and 60's, and precious donor graft reserves have not been squandered on an unnecessarily dense frontal hairline, freeing those reserves for the midscalp and anterior crown as needed as he ages. The last photo illustrates the 1 mm donor scar which should be the normal expected result using conservative, state of the art surgical technique. 2200 Total FU grafts.
  9. This 42 yo male experienced extensive balding through his twenties and thirties, yet was blessed with a very good donor density. 3088 total FU grafts.
  10. Patient is a 33 yo male with very mild recession of the hairline and crown area. His family history is similar on his fathers side, with no hair loss history on his mothers side. Patient has had this condition which has stabilized since about 26 years of age. Our goal was to recreate a very subtle change in his frontal hairline, as well as address the minor thinning in the crown which was a concern to him as well. A total of 1617 FU grafts were obtained via strip excision; 730 one's; 779 two's; and 108 three's. A photo of the donor incision is included to illustrate the type of donor scar which should be most anticipated in the great majority of patients, given the current state of the art techniques we as Hair Transplant Surgeons utilize when performing conservative surgical methods.
  11. Patient is a 37 YO asian male who presents with loss of frontal hair line, frontal forelock, and midscalp/anterior crown thinning. The cornerstone of long term success in hair transplant surgery is understanding the supply/demand inequity which is a factor in over 90% of candidates: there is a limited/finite supply of follicular units available in the patients lifetime, so the artwork design and subsequent placement must respect this overriding concept. This generally translates into higher, more receded/diffuse hairlines and less aggressive crown reconstructions in order to constrict the total area to be transplanted in a pattern that mimics those naturally occurring thinning patterns in nature. Her we see a diffuse, receded hairline created along with good density realized in the midscalp and anterior crown area. This allows for future loss to be successfully addressed as the patient experiences any further progression of his hair loss. Total: 2184; Ones: 849; Two's: 1082; Three's: 253.
  12. Patient is a 32 yo Male with loss of definition of the frontal hairline, frontal forelock and midscalp area. We are looking to recreate the hairline and the density in the Frontal and midscalp areas. Patient has elected not to take medications to slow loss. The last photo demonstrates a typical donor incision at one year post surgery.
  13. This patient is a 51 YO male with a history of thinning frontal hairline with bilateral recessions. He wanted to recreate the frontal hairline and receded areas to enhance his appearance in an age appropriate manner. We transplanted a total of 2017 FU grafts into a new frontal hairline design, along with increasing the central frontal forelock density to support that hairline. The last phot in the series shows the donor scar appearance at this one year post op date.
  14. Patient is a 47 YO male with an initial presentation that featured severe bilateral recessions and loss of posterior frontal forelock with a diminished definition of the midline frontal hair line. He underwent a total transplantation of 5845 FU's over two procedures. His graft distribution included an unusually high proportion of three and four FU's, which adds to the total hair mass and cosmetic result.
  15. This is a 42 YO who presented with loss of his frontal hairline and frontal forelock. He had been wearing his hair longer in order to cover the areas of hair loss, but this was becoming too much for him, maintenance-wise. This is a shot of his results at the early stage of four months. He was very pleased as for the first time in "forever" he was able to style his hair shorter. Total FU grafts: 592 ones; 2101 two's; no three's or fours. At this stage he probably has about 35% in growth.
  16. This patient is a 36 YO male who experienced slow loss of his frontal hairline, showing bilateral recession associated with thinning in the frontal forelock and central midscalp. His family history and physical exam were negative for significant crown loss. We were able to rebuild these areas over two procedures, advancing the hairline from procedure one through procedure two. Graft Counts: 1228 ones; 2744 twos; 583 threes.
  17. This 60 yo Gentleman presented with loss of definition/thinning of his frontal hairline. At 7 months post-op he presents very pleased with his results to date. At seven months post surgery, we tell patients that in general they can expect about 70% of the grafts to have grown in, ie, they can expect another 30% to grow in in the next five months. This case is no different. Graft count: One's = 1040; Two's = 967; Three's = 10.
  18. Patients is a 53 YO male with AA affecting his hairline, frontal forelock, midscalp and crown. In addition, patient has hair of very thin caliber, which translates as less total hair mass than similar graft counts with larger diameter hair shafts. 2424 total grafts; 683 ones, 1506 two's, 133 three's, and 102 DFU's. In addition, this case is challenging as the patient has a larger than normal surface area due to a larger than average head size. His good scalp laxity in the donor made up for his lower than average density of 75 FU/cm2. The result is at 14 months post op.
  19. This is a patient in his late twenties that presented with a request to re-establish a hairline he had lost due to androgenic alopecia. He had undergone a previous procedure of about 6-700 grafts which were placed in his frontal forelock area only. Those were beginning to show as his hair continued to recede. His familial history has only frontal loss patterns, with no crown patterns seen on either side of his parental tree. Total FU grafts: 1983; Ones: 951; Two's: 903; Three's: 129.
  20. This pleasant gentleman in his late twenties has been experiencing MPHL affecting his frontal hairline, midscalp and crown. He decided he would prefer to not take finasteride, and does not use any topicals as well. Grafts harvested through strip excision. The result shown was at 15 months post-op. Total FU grafts: 2423; 585 ones; 1710 two's; 128 three's. Tricophytic closure.
  21. Patient is a 28 year old male with a significant family history for MPHL. We post this case to reinforce the concept of lifetime donor/supply vs lifetime loss/demand, as well as illustrate "what it looks like" seven days after surgery, with short hair; we get that last question very often. Here, our plan includes a conservative hairline with recession, placed behind the existing one, and reinforcement of the midscalp area. It is critical in this patient category to plan for the future by anticipating future losses and NOT attempt to "fill in everywhere". There is a limited donor in every patient that must be respected, and this is usually concurrent with a much larger lifetime demand (area of potential loss requiring transplant). Understanding this lifetime imbalance and creating realistic surgical plans is key to long term transplant success. Also, note the look at seven days post op- if the hair is about 1/2 inch longer, the transplant would be fairly undetectable. It is however, some patient's choice to keep their hair short, so this example is for those considering that option. We are able to accommodate any hair length at surgery. Total: 2528 FU grafts; 728 one's; 1345 two's; 455 three's.
  22. Patient is a 27 YO female who presented with a congenitally high hairline. Cosmetically, the hairline location ideally should be about 1.8-2.1 cm below her presenting location. Options discussed included the option to place an expander with serial expansion followed by advancement 1.8- 2.1 cm. As her schedule would not allow the significant interruption of daily activity that an expander would entail, we elected to recreate a new hairline through FUT. Our plan estimated 1200-1300 FU (30cm2 total area x 45 FU/cm2 density). At surgery, the graft count was as follows: Total: 1346 FU; 532 one's; 640 two's; 174 three's. Tricophytic closure. It should be noted this is stage one of a two stage procedure; in a year, a second procedure will be performed to increase density.
  23. This patient is a gentleman in his fifties with gradual loss over the last 2 1/2 decades, with androgenic alopecia affecting the frontal hairline, midscalp and crown. Our plan is to recreate a conservative hairline while increasing the frontal forelock and midscalp density. CIn the preop photos he camouflagesthe midscalp by a comb-over of sorts, and as such is not able to style his hair shorter, as he would prefer. The posted results show the very early stages of regrowth which began at around month three, and are posted here to answer a frequent concern by patients regarding the naturalness of the regrowth phase. At this early phase, only about 25% of the final growth is observed, yet it is enough to allow him to style his hair with a shorter cut already. The hair grows in as very fine initially, and will appear quite natural, as long as the design is not overaggressive for his age, bone structure, and the pattern of loss in his crown. Our preference in any reconstructive case is to add a subtle yet definable change to the preexisting condition. Total FU grafts: 2424; Ones- 683; Two's- 1506; Three's 133; DFU's- 102. Tricophytic closure.
  24. My HT (hair transplant) surgeon was Dr. Timothy Carman out of La Jolla Hair Restoration in San Diego. I rarely write reviews like this but my two HT experiences with Dr. Carman have been amazing and I want others to get a better sense of what a great surgeon he is. I am currently writing this review during day 2 post-op of my second HT with Dr. Carman. I will get into my experience with Dr. Carman a little later in this review. I was 31 years old when I had my first HT. I have always had a receding hairline, even while growing up, but started thinning and further receding in my early 20's. By my mid 20's, I had heard about HT's but never knew where to begin researching. The tough part is, if you have any interest in having a HT, you immediately get turned off by the idea once you see someone who has had the unfortunate experience of receiving a very bad and noticeable transplant with a poor surgeon. Furthermore, because the majority of people that get HT's don't go around proactively mentioning they had one, you never realize when you're in front of an excellent and natural looking HT. I became very interested in getting a HT when I was speaking to someone at a work meeting and he mentioned he had a HT procedure a few years ago. I was immediately blown away because it looked 100% natural. After thoroughly inspecting his hair and donor area for a couple minutes, I was inspired to start my mission to get the same results! The person I met at the work meeting also chose Dr. Carman to do his HT after meeting with multiple surgeons, which is how I first learned about Dr. Carman. If I can share anything about my HT process and experience that offers additional support or insight for someone else, I have done my job with this review post. First things to do in the process is interview/consult with a minimum of two surgeons. I would HIGHLY recommend meeting with more than two surgeons in order to find the right one because most surgeons produce poor to average looking results that end up looking unnatural and leave patients unsatisfied. I interviewed with five and it was obvious when I came across the right one (Dr. Tim Carman). Although I was able to see Dr. Carman's work first hand with the person I met, I made sure to have consults with 4 additional recommended surgeons (one of which I have seen on this site but will not mention his name). What you will notice in many surgeon's before and after photos is they tend to give everyone a similar rounded hairline that will ultimately look unnatural. Look at good hairlines on men and women that have never had a transplant and you will almost never see someone with a perfectly straight and symmetrical hairline. You should notice that almost every hairline will be organic and have some unevenness, yet so many HT surgeons make hairlines that look too perfect. When this happens, the HT will look unnatural. Throughout my process, I realized that almost ANY physician can transplant hair. In fact, any board certified doctor can legally/technically perform a HT surgery, which is probably why you'll even find random doctors like cardiologists doing HT's as side business. Transplanting hairs during the surgery is only about 10% of the job. The other 90% and most important part is the artistry itself and very few surgeons have the artistic eye to understand how and where to create hairlines and balance depth and density. This skill is what separates the few great surgeons from all the rest. As I've mentioned above, I chose Dr. Tim Carman to be my surgeon. Keep in mind I drove almost 3 hours to his office and had many closer surgeons to choose from but like I said earlier, when you find the right surgeon, you know right away and it's worth any driving distance. During my initial consult, Dr. Carman did not in any way try to "sell me" on getting a HT, which some offices did and were aggressive. Dr. Carman spent 1.5 hours with my wife and me during the consult and after I shared my hair transplant goals, he gave his recommendations as to how we could accomplish them. I never felt even the slightest bit of pressure from him or his staff. Although Dr. Carman was confident in his work and what he could do for me, he still encouraged me to consult with additional surgeons. By the end of my consult, I received a ton of great information and got a true sense that Dr. Carman understands the artistry behind placing grafts so the transplant looks natural in the end. The other thing I appreciated was Dr. Carman giving me his personal cell number. Many other HT offices are essentially brokers for a list of surgeons and I have heard it can be difficult/impossible to get a hold of your surgeon if you have pre/post-op questions or concerns. Although Dr. Carman has reassured me it's okay to call his cell if I had questions, I have always first called the office and spoken with Pam, (the clinic director). Pam is one of the friendliest people you'll ever meet and has always been able to answer my pre/post-operative questions and concerns. I think I remember hearing the technicians that assist throughout the surgery have been working with Dr. Carman for 6+ years. Their expertise is clearly evident. Overall, I hope you will at least have a consultation with Dr. Carman if you're truly interested in having an HT. You will get so much support from him, Pam, and the rest of the staff from the very first phone call you make to them. I am more than confident Dr. Carman will likely be your surgeon in the end if you do a consult with him. As for price...looking for the best bargain was not my main priority but I found the price and number of estimated grafts to be very fair and similar with most surgeons I met with. Dr. Carman is very upfront with his pricing on the website. If you’re traveling a longer distance like myself, the office will take care of the hotel arrangements for a couple nights, which is included in the price quoted at the consult. My surgeries included... 1st surgery I had 1848 grafts and was a baldness class 2 2nd surgery I had approximately 1166 grafts Some before and after photos from my first surgery can be seen on the following website if you copy and paste the link below…I don’t believe the photos do as much justice as seeing the results in person, but they should give you some idea: http://www.hairtransplantnetwork.com/Consult-a-Physician/doctors.asp?DrID=638#page=page-2 The person I originally met at a work meeting who also had Dr. Carman do his HT had 2893 grafts during 1 session and was a baldness class 3. His photos should also be able to be seen on the same site. I hope my post helps some of you out there that are interested in getting a hair transplant but are unsure about the process and how to choose your surgeon. Remember, take your time and don’t let any doctor/staff pressure you to get the surgery (this should be an immediate red flag if they are), do your research, have at least a 2-3 different physician consults and you’ll definitely know when you find the right surgeon. Dr. Carman’s office number is (858)459-8600 and the website link is: http://www.ljhr.com/la-jolla-ca-hair-restoration-doctors/hair-restoration-dr-carmen.html I highly recommend contacting Dr. Carman's office and speaking with Pam. I'm so confident you'll have a wonderful experience from start to finish with them. Thanks for reading this and best of luck with your future hair transplant!
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