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  1. Michael was kind enough to do a couple of interviews. We did a frontal case on him a year or so ago and he returned to finish off the crown. Virtually always, I push patients to let me place a few hundred single hair grafts along the hairline. NO MATTER HOW TIGHTLY we pack hairs at the hairline...a few more always are beneficial. And particularly when we're back in the crown on that second case...those singles would be of less value than at the hairline. He lives nearby and I expect a final visit and video next summer. The video is: Dr. Lindsey McLean VA
  2. Its summer again and if anybody wants to join me at Avalon New Jersey for a consultation please give the office a call. And any of our previous patients, if you want me to buy you a slice of circle pizza on Monday night, you too, give a call or send an email. 703 356 3260 Thanks Dr. Lindsey
  3. This unfortunate military man had a virtually zero yield FUE in the western US. We did a strip case on him 10 months ago and he's looking good. Now, he does have a significant color contrast and relatively fine hairs but what a change. He talks about it in a short interview in the video. The video is: http://www.youtube.com/watch?v=DVYGzcrf3zw&feature=youtu.be Dr. Lindsey McLean VA
  4. Take a look at our younger guy at just 6 months out from repair. He had a sparse hairline from a local competitor and we packed him early this year. Surprisingly, particularly given his color contrast between skin and hair, he already looks good at 6 months..to the point where I didn't recognize him when he came in the office. The video is: Dr. Lindsey McLean VA
  5. In 1989 I was a college freshman with thin hair that was starting to fall out. Graduated in 1993 and had considerable hair loss. By 1994 I was almost done hair-wise, very traumatic for a young man who is just starting his life, I freaked. That winter, watching a late night informercial on HT's, I though I had the answer. After two consultations with the 'Dr.', I fell for the micro/mini graft, very small scar, full head of hair, etc from this Long Island Medical practice. No internet at the time and I didn’t even know plugs were a thing and as been repeated as I have recently read up on numerous message boards, “You trust a doctor and never would you think they could be so unethical.” This is much different thn a snake oil salesman selling a hairpiece. This is a doctor doing surgery that lasts a lifetime. As a young man I should have understood the supply and demand model and I still kick myself in the ass falling for the full head of hair BS. 3 Procedures winter and spring of 94. By fall I was obviously very unsatisfied. Unnatural small plug look with a few large ones, bad distribution, horrible donor strip scarring, etc, etc. My hair is kind of fine/thin so I feel it was not as bad as some I saw as I noticed more people with plugs (never really noticed them until after my ordeal started) but now I was stuck and stupidly went for one more ‘free’ procedure as I was told they just need to make it more dense.The next 4 years I got by and since my hair is fine/thin texture, under certain lighting, dark, sun, etc it just looked like a young man getting pretty bald. Under many other situations, angles, etc you could see the plugs, cobble-stoning, unnatural hairline, etc. I got by, met a nice girl (now my wife) who never really noticed until I opened up to her, etc, etc. Some days, and even to this day, people don’t notice. Other times in a conversation I could see eyes look at my hairline. Sometime when I am out I see, or just maybe imagine, people checking out my hair/hairline. Myself, as I wrote, I got by but was, and still, always self conscience.In 1998 I visited Dr. Bernstein (at the time he was with NHI in Ft Lee NJ) and felt he was very honest though understandably I lost all faith in the medical community, especially cosmetic medicine. He explained what he and Dr Rassman were doing (which now made more sense to me) and how he could try to camouflage. I can say that I think Dr. Bernstein used some of the best technique that 1998 technology provided and he tried to camouflage my pluggy look. I forgot how many grafts I received and the ones he added were the size he stated but my coverage, and at that point I was very realistic, was still less thn desirable. This is in no way a bash of Dr Bernstein as he never up-sold me, never promised a full head of hair, etc. He was ethical and honest with his graft size/hair per graft, no bumps from his grafts, and it was definitely an improvement though not what I thought it would be. I understood a full head of hair would never be in the cards for me but thought I would get more camouflage in my hairline and coverage. I’ve lived the most normal life I can since thn though I am always self conscious. So here I am today, 25+ years in this journey and things are changing. I have lost even more hair recently (crown area getting even larger) and I am graying. The contrast between my skin, gray hair and dark have given me a more pluggy look. Also, I don’t mind being bald but so is the case of a 48 year old compared to 23 year old staring out life. I actually think I pull off the very thin/very balding look ok and I do not even mind my gray hair. That said, I’d like to look more natural (or at least less pluggy) and maybe even fill in more spots to even out the thinness. My donor area seems kinda depleted so I am not sure how possible any of this is. I am looking at a few possibilities to just move forward being less self conscious as my life moves on. I have no problem with my scalp showing and just want a more natural appearance. I could care less if the plugs in my crown are removed/re-distributed to other areas as my crown will never be covered anyhow. Some things I’d like to accomplish if even possible or recommended. 1) Remove larger plugs in my crown area slice them into smaller grafts and redistribute them to areas of need to try to maybe balance out my thin appearance 2)Remove larger plugs in my hairline and a lil behind hairline dissect and re-distribute them to that same area or others depending what doc says. (Does plug excursion and re-distribution grow at a decent rate or is the return rate poor? What about scarring? Blood supply/flow to the head if plugs are removed and redistributed.)3) See how that goes and if I have any hair left to use in my donor area, just use that to even out some coverage for a thin or more natural appearance in areas of need. With FUE has the donor hair expanded to your sides?4) Fixing my donor scars if even possibleI do not know what is possible but I do know technology and techniques have changed since 1998. I also know, though many docs are very reputable I am very nervous having someone touch my scalp again. I have started reading message boards on HT repairs, articles, researching Dr’s etc. For you young bucks and older gents out there thinking of getting HT’s, you have great resources and you truly need to do your HW. I am shocked that there are still ‘doctors’ who will do bad work and destroy peoples lives. It is all really sad and sickening on so many levels. I live outside of Princeton NJ. Some of the Dr’s in my area that have popped on my radar in my short research are Dr. Bernstein, True and Dorin, Dr Carlos Wesley, Feller/Bloxham, . Anyone have any experience with their plug excursion and re-distribution? What other Dr’s should I put on my radar as I start my research? I am not against travel and have just started reading up on Dr. Cooley in NC, Dr. Lindsey in Va (against excursion), etc. Thn again, I have no clue and do not want to fall for some sales pitch again. Cost is also a factor though I will cross that bridge when it comes and make my decision. That said, who else should I look into? I’m sure I will have more questions but here we go with my first post. Thank you for reading and I look forward to answers and more discussion on this in this thread. Thank you in advance to any and all who read my journey and help answer any questions I've asked and will ask.
  6. In this short video we discuss a recent patient who came for a visit...he'd had 2 previous transplants and was educated. He also shopped with a local new competitor who advertises a custom procedure at their office...that sounds all the world like old style minigrafts. Indeed another less fortunate fellow who'd not done his research showed up with results that looked not like FUE but like the minigrafts we all did in the early 1990's. SO watch out. Dr. Lindsey McLean VA
  7. In this video we interview our patient 9 months after the first surgery for his class 6 hair loss. He looks good and will only improve, particularly after his second case. He's tough as he has finer dark hair and very fair skin. http://www.youtube.com/watch?v=diSe4xRE1_0&feature=youtu.be Dr. Lindsey McLean VA
  8. This poor fellow went to a doctor who dabbled in hair. That started him on a path for multiple strip surgeries placed all over the back of his head, virtually zero resulting hair, and countless thousands of dollars lasering, smp-ing, re-lasering, re-tattooing those scars. He shopped with me for a long time and frankly I told him I'm not sure he has any good options. After months of discussions we agreed to excise 2 of the scars and coalesce them into one scar, which we may repeat in a year or so...to at least decrease the number of scars he has. We had in person, on phone, via email, and back in person BLUNT discussions on this and at least at 3 months or so he is happy to have less scarring. We'll see if he opts to do this again. He has fine laxity despite all of his surgery, so repeating this shouldn't be a big risk. The video does have graphic shots of the scar excision. http://www.youtube.com/watch?v=_KhuksCghjk&feature=youtu.be Dr. Lindsey McLean VA
  9. Our patient popped in for a visit unexpectedly and I interviewed him about his results. He gives the story of how his hair restoration changed his social situation. Now before anyone says I'm encouraging trading up, so to speak...I just report the news, not make it. The video is: http://www.youtube.com/watch?v=M0ZkM_9UEIA&feature=youtu.be Dr. Lindsey McLean VA
  10. It’s funny how things turn around. Before the black and decker type punches ruined donor areas. I wonder if in the future there will be some sort of strip type procedure with minimal scarring. I believe Dr. Bloxham and Dr. Lindsey were doing something called modified FUE. MFUE was essentially, circular punches about the size of the old plugs that were sutured and dissected. They may be on to something, but I haven’t seen many examples.
  11. Michael had his first case with us at age 23. I've posted him a few times before and he popped in unexpectedly a few weeks ago and looks great. While some would argue that this surgery changed his life....I'd suggest it changed his OUTLOOK on life, giving him a bit of confidence to get his life going in the direction he wanted. The video is: http://www.youtube.com/watch?v=-LjioosvxL4&feature=youtu.be Dr. Lindsey McLean VA
  12. Here's a 3 month update on our younger landscape guy Robert. Look back a few of my posts and you'll see his case in great detail. Before, during, first week... Well he was supposed to show up for a month scar check, but eventually showed up and did this nice short video. He wears a SHORT haircut and we discuss his scar. He's already been calling in saying its growing but really he's now at only 4 months so it'll be a while but I bet we'll have a 13 month video showing results, if not sooner. The video is: http://www.youtube.com/watch?v=nZOFEJBJHEk&feature=youtu.be and the original video is: http://www.youtube.com/watch?v=N2iy2AUIlfA Dr. Lindsey McLean VA
  13. This man had not one, but 2...and possibly 3 strip cases by a doctor who dabbles in hair. Not only did he get horrific scarring, but no results. Watch how we fix him with an FUE case. The video is: Dr. Lindsey McLean VA
  14. I've heard great things about Dr. William Rassman. What's the general consensus on him?
  15. In honor of all the military guys we work with...and its a lot, here are 2 cases, the first is a guy who had a hair case elsewhere and wants it repaired, made less pluggy and who needs a decent strip scar to be concealed by very short hair. His case is: http://www.youtube.com/watch?v=c46ZBSvIrNw&feature=youtu.be The second...is the same case, also on a military fellow, now 15 or so months out, showing his scar by me...hard to see..and his old plug scars...easier to see. We cut out a bunch of those during his case, and who knows...but we may see him again down the road. His video is: http://www.youtube.com/watch?v=xd9R8fOufH4&feature=youtu.be And just yesterday we had an air force guy for repair of a failed FUE elsewhere, an army guy for his 6 week scar check after his repair...and a navy guy in for a one year check after his repair case. All at 7am. Happy memorial day. Dr. Lindsey
  16. This public figure had a low yield hair transplant at a chain operation a few years ago. We packed his recipient area last summer and he stopped by for an unrelated issue at 9 months and is growing nicely. He'll look even better this fall but is already happy and said that after the case he took a few weeks and drove around the midwest and when he returned, he didn't tell his staff, and he keeps getting complements on he's looking younger. The video is: http://www.youtube.com/watch?v=8Yh4CB4l9i8&feature=youtu.be He's often local, so hopefully we'll get him in late this year for a final video. Dr. Lindsey McLean VA
  17. Promotional??? Cosmo I'm simply reviewing the lead article in the hair forum. Like all trends in medicine and politics, the pendulum swings too far and then comes back...probably too far..and then so forth. No doubt FUE is here to stay, and in patients with good donor hair and healthy roots with good connective tissue around them...it works probably as well as strip. Unfortunately many people have fine hair roots and they get shredded, yes shredded...during the most gentle extraction (like skinny little plants in this video ((from way back before my beard )) AND, given the volume of no yield or low yield FUE repairs I do, and the few other hair docs here in the US that I interact with do as well, I'm pretty sure a lot of people are getting butchered. Usually by a clinic just starting out in hair that added hair as a new profit center to an ENT/derm/plastic surgery office. And by the time we see them, the story is usually the same, they got "sold" by a slick ad and didn't do any research. Til it was too late. I've seen doctors do exactly the same thing. Lastly, I have now heard from several doctors, a bunch of techs wanting jobs, and a few patients...that with one of the robot systems this is occurring: Since the company supposedly gets a dollar every time the machine "fires"...the doctor puts on a 1.5 mm punch so that he/she will get at least one hair for transplantation. And if they get 5 or 6 hairs, supposedly a cutter will sliver that like we did minigrafts and micrografts in the early 90's. Now I haven't seen this personally but after hearing the same story from maybe 10 people, where there is smoke there is usually fire. I suspect that FUE and strip butchery is here to stay, and only by educational sites, such as this forum, can you the patient get educated and make the best choice for you. But get educated first, see a real doctor at your consultation, look at some results of that doctor, see a surgery going on if possible, and then decide what is best. I knew this post would be controversial and frankly MOST people on this forum are well educated. I'm not trying to sway you guys, you've already made your mind up and most of you know the facts. Its the virgin head that has seen a sales person who has tailored a surgery to fit that customer's budget and downtime with no discussion of the big issues, that I'm trying to reach--before they impulse buy a surgery. Dr. Lindsey
  18. Steve wanted us to show his face in our videos...so here goes. He's a younger landscaper..completely buying in to my explanation of how hair transplantation is like fancy tree planting. Anyhow, we go through his operation and first week. At the end of the video Wendy and I talk about how he missed his scar check. He did resurface and did a nice video...but I can't figure out how to splice it into this video, so it will be put up in the next week or so. The video is: http://www.youtube.com/watch?v=N2iy2AUIlfA&feature=youtu.be Dr. Lindsey McLean VA
  19. This fellow is a friend of the practice and had FUE about 6 years ago. Now he has fine hairs and has a decent FUE result. Had he had donor hair as thick as his beard hairs....we'd have hit a grand slam home run. I suspect at some point we'll be doing another case to add in behind his transplant where he's thinned a bit...and of course we'll add some grafts to his hairline. FUE simply doesn't grow as well as strip due to root avulsion stress which I've discussed in 50 videos or so. But John is happy and probably more importantly, so is his girlfriend. The video is: http://www.youtube.com/watch?v=3Wg3OL9zN2A&feature=youtu.be Dr Lindsey McLean VA
  20. Ok people. I've been off the forums for a few weeks giving a few talks in Europe and seeing a couple of our German patients in Frankfurt. But here we go. Francis is 2 years out from us doing a feminizing hairline after transgender surgery and a very aggressive browlift elsewhere. She lives in our area but is off travelling and sent these new pics to Wendy. Hopefully we can do an interview this summer. There are 2 or 3 older videos showing the surgery and 9 month results posted on all these forums and my youtube site. The video is: http://www.youtube.com/watch?v=mYk86RkKeYU&feature=youtu.be Dr. Lindsey McLean VA
  21. Ok guys, listen to Steven...first off he has a mop of hair. Some courtesy of a few FUE cases by me, but mostly from his GENES! Here he is 77 months after I first operated on him and he's signed up for a little tweak of the hairline and partline in a month or so. He does however give excellent advice on hair loss and hair transplantation. Even seasoned veterans would be wise to hear his 2 cents on the life long progressive nature of hairloss. And that is despite meds and surgery. The video is: Dr. Lindsey McLean VA
  22. Guys I'm giving the keynote lecture at a medical meeting in Paris next Friday and am meeting a few patients we've done from Germany in Heidelberg before that. If anyone wants a quick consultation either call the office and Wendy can sort it out, or email me. I think I'll have email while travelling, but Wendy knows how to track me down. drwlindsey@gmail.com Dr. Lindsey
  23. One of our older UK patients sent pics a few weeks ago so Wendy and I review his case, and see that he's holding up well. For you newbies...his 3 day postop pic is horrendous. Not that common..but certainly what happens if you sleep flat postop and drink a lot of fluids and consume salt. That swelling was gone by day 7 but is a useful motivator to show people why they ought to sleep upright for a few days. The video is: http://www.youtube.com/watch?v=tI462txgNTw&feature=youtu.be Dr. Lindsey McLean VA
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