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Found 12 results

  1. This 34 year old patient presented with a history of three prior hair restoration procedures that were performed by three different surgeons. He was unhappy with the lack of density and patchy appearance in the prior transplant zones. The patient also expressed concern about the visibility of his strip harvest scar. His examination revealed very low frontal and midscalp density which was of concern in light of him having undergone three prior procedures. Restoration of the density deficient frontal and midscalp regions, as well as the donor strip scar, was performed using a total of 1940 grafts that were obtained using an FUE harvest. The scar was treated with 300 grafts and the frontal/midscalp regions were managed with 1640 grafts. Presented here are preop and postop pics which demonstrate the final frontal/midscalp density and donor scar camouflage that was accomplished. Preop Front Preop Right Donor Preop Center Donor Preop Left Donor Postop Front Postop Top View 1 Postop Top View 2 Postop Top View 3 Postop Top View 4 Postop Right View 1 Postop Left View 1 Postop Right View 2 Postop Left View 2 Postop Right View 3 Postop Left View 3 Postop Center Donor Postop Right Donor Postop Left Donor Graft Placement Zone - 5 Days Postop Donor Scar Graft Placement - 5 Days Postop
  2. This 39 year old male requested frontal hairline restoration. His exam revealed an isolated frontal hairline recession with excellent hair characteristics elsewhere. An FUE harvest was recommended to accommodate his desire to sport different hairstyles which included short hair. A total of 945 grafts were used to enhance density and shape at the frontal hairline. Presented here are one year postop pics. Immediate graft placement pics, one-day and one-week postop pics and density inspection views of the graft zone are included. Preop Front: Preop Tilted View: Preop Right Preop Left Postop Front 1 Postop Front 2 Postop Front 3 Postop Front Comb-back Postop Left 1 Postop Left 2 Postop Left Comb-back Postop Right Postop Right Close-up Intraop Planned Graft Zone Immediate Intraop Graft Placement One Day Postop Graft Zone One Week Postop Graft Zone Donor Site Day of Surgery Donor Site One Day Postop Donor Site One Week Postop Density Inspection Center Density Inspection Left
  3. This discussion summarizes the 14 year journey of a patient who presented to my office in 2003 complaining of a very unnatural hairline. He had previously undergone hairline restoration using large plug-type grafts. The large size of those grafts, in combination with highly contrasting skin/hair characteristics, left him with an unnatural, surgical-looking hairline. His primary objective was to improve his frontal appearance without using an aggressive hairline excision, as has been discussed here previously (http://www.hairrestorationnetwork.com/eve/143279-advanced-plug-hairline-repair-dr-raymond-konior.html ). His secondary goal was to enhance density in the area behind the frontal plugs using front-to-back prioritization. The chosen strategy for accomplishing these goals was one that would debulk the offending large grafts, which would then be dissected into follicular units and redistributed in the thinning areas behind the grafted frontal region. Additional follicular unit grafts would be obtained using strip harvesting to further supplement density in the thinning midscalp, working back over time toward the crown. The patient was aware that the limitations of extraction and donor supply would require the use of several staged procedures to accomplish his goals. Large punches were used in the early years to perform macro-debulking of the plug-type grafts. As FUE punch technology evolved and improved, small FUE punches were subsequently implemented beginning in 2011 at which time micro-debulking was utilized to selectively remove higher-caliber, darker-hair follicular units from the remaining objectionable plug-type grafts. Over 14 years the patient transformed from having an extremely unnatural hairline that required creative styling for camouflage, to having a natural hairline that allowed him to fully expose it without concern of detectability. Additionally, large-graft redistribution, along with follicular unit grafting from supplementary donor harvests, provided respectable coverage throughout the thinning midscalp and crown regions, despite the progression of his balding over 14 years. Chronological Highlights: 2003 – Patient presents with unnatural, pluggy hairline. The plan was to debulk the largest grafts (some marked with purple) and to add single-hair grafts to the hairline for softening the harsh appearance. Top view shows extent of thinning in the midscalp and crown regions. Grafts dissected from the extracted large grafts and additional strip harvest grafts were placed into the midscalp. 2004 – Hairline softening is observed one-year postop. Additional debulking and grafting were performed as in the 2003 session. 2006 – Hairline shows further softening from the 2004 session. Additional macro-debulking of large grafts (purple surgical marker) was performed. 2011 – Hairline is looking better, but continues to show some tuft formation. Midscalp density has improved from prior sessions. Further refining of the hairline is now accomplished with micro-debulking using FUE from the remaining large grafts. Extracted grafts and follicular units obtained from a small donor harvest are placed into the crown region. 2014 – Hairline shows more refinement following the FUE micro-debulking session. Additional micro-debulking is performed. 2017 – End result after 14 years of macro-debulking, micro-debulking, and follicular unit grafting. Patient can fully expose the hairline and sports decent midscalp and crown coverage.
  4. This 47-year-old patient had a strip procedure done years ago at another facility. He came to me looking to restore his hairline and add more density to the frontal 1/3 of his head. He elected to go with a FUE procedure this time. He received 2,758 grafts. The breakdown was 752 singles, 1,425 doubles and 581 triples. These are his results 14 months post-op. The pateint is extremely happy now that he can sport a new hair style without looking like he has had any hair loss.
  5. This 30 year old patient presented with a prior history of having undergone what was described as an unsuccessful FUE hair restoration. He was concerned that few grafts grew, leaving him with unacceptably low density in the transplanted frontal area. He was also bothered by unacceptable thinning in the donor harvest area that followed his procedure. His examination revealed miniaturization confined primarily to the frontal half of the male pattern region. This was associated with punctate scarring absent of hair growth that presumably arose following his original procedure. He underwent a secondary procedure in my office at which time 2090 grafts were obtained using FUE harvesting and planted into the outlined frontal recipient area. The graft harvest was strategic in attempting to avoid the previously depleted “sweet spot” of the occipital donor area so as to prevent any additional apparent thinning. The graft harvest focused primarily in the temple and lower occipital regions, which were untouched at the time of his first procedure. Presented are one year postop photos and immediate graft placement photos. Also shown is the depleted occipital donor harvest site with a #2 short-clip and a zero-guard hair length. Finally, an immediate postop photo of the temple donor harvest area contrasts the small punch openings of this session to the large-punch scars that are located toward the back of the current harvest zone.
  6. This 39 year old patient presented with a prior history of having undergone a single session hair transplant to enhance his frontal hairline. He felt the hairline was too high and that the existing density was insufficient for his needs. A strip harvest was recommended based on him having a linear harvest scar from his first session and because he continued to have decent elasticity in the region of that scar. A session of 2292 grafts was performed with graft placement primarily focused on lowering the hairline and enhancing density along the leading hairline edge. He returned one year later with a nice result, but sought to further enhance density throughout the frontal region, especially in the central forelock where he thought scalp skin could be visualized under bright lights and wet hair conditions. An FUE harvest was recommended as his donor area was beginning to show evidence of reduced elasticity from the prior two harvests. A session of 1200 grafts was performed using an FUE harvest with graft placement primarily focused in the central forelock and distribution moving centrifugally from the center forelock. Presented are photos showing his final result (two-year post strip harvest / one-year post FUE harvest). Included are immediate postop graft placement pics and pics which show his appearance a few days after surgery. Part-views demonstrate his final recipient site density.
  7. This is a 35 year old patient who presented with a history of a prior hairline restoration that failed to achieve his density objectives. He was also dissatisfied with his donor scar. He first underwent a scar revision in the donor area and returned 3 months later for his hairline restoration. A total of 1800 grafts using an FUE harvest was performed to enhance his hairline density and to augment his temporal hairline. Presented here are one year postop pictures along with short-term postoperative photos of the donor and recipient sites.
  8. This is a 41 year old patient who requested enhancement of his receding frontal hairline. He underwent a session of 1880 grafts harvested using follicular unit extraction. Presented here are 15 month postoperative photos. Also shown are pics representative of graft placement and donor site healing.
  9. This 36 year old male requested frontal hairline and temporal point restoration. A staged restoration was performed to accommodate his desire for well-defined temporal points and a high density frontal hairline.The first stage consisted of an FUE harvest in which a total of 2815 grafts were used to establish a new hairline and to reinforce his temporal points. A second stage was performed 8 months later at which time FUE harvesting was utilized to obtain 1379 grafts for additional density enhancement within the previously grafted areas. A total of 4194 grafts were used for the entire restoration. Postop photos show his final 8 month result. Also included are pics from his first stage and part views in the hairline which reveal the density match that was obtained between the grafted area and the adjacent scalp.
  10. This 38 year old male requested hair transplantation. His primary objective was to define the frontal hairline and create a more balanced density match with the surrounding areas. A total of 1600 grafts were harvested using FUE (follicular unit extraction) and planted using a stick-and-place technique. The patient presented to the office for his follow-up exam with his hair styled using a mousse product to produce the spiked look he seems to favor. Presented here are 14 month postop results.
  11. This 35 year old patient underwent a 2049 graft hairline restoration. Grafts were harvested using FUE.Presented are 18 month postoperative photos which include part views to demonstrate his density gain.
  12. This 24 year old patient requested frontal hairline restoration. His history included the use of finasteride and minoxidil to assist stabilization of his thinning process. A total of 2320 grafts were extracted from his safe donor region and used to redefine his frontal hairline. Postop photos show his progress at 8 months.
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