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This patient is in his mid-40’s and had hair transplant surgeries over 20 years ago. Fortunately, the original transplant was entirely competent mini-graft procedures that were well planned and state of the art for that time. The hairline fortunately had not been placed too low. His hair loss progressed over the years, leaving the transplanted hair as an isolated island. He was most likely a type IV or V when he had his original surgeries and he progressed to type VII. Despite the number of previous surgeries, I judged he had one good strip left. We performed one FUT of 3,582 grafts to fill in the side walls (‘lateral humps”) and to shrink the crown from the outside in. He is shown one year later with a much more normal appearance.
Hello everyone! Dr. Cooley completed my 1st HT 3 days ago, and I have finally gotten around to updating my site and uploading pictures. Check out my Hair Transplant Website for lots more photos and info. I traveled to Charlotte July, 26th to meet with Dr. Cooley and discuss final plans and make sure my expectations were in line with reality. Dr. Cooley is a great guy and very easy to talk to. This man is the real deal. He stood by the recommendation that 2000 grafts would look great. I had budgeted to go as high as 3000 grafts and he agreed to be flexible and take out more than 2000 if possible and work a little farther back into my existing hair. After the final consultation, I headed over to the hotel. The hotel that Dr. Cooley's office uses for out of town patients is stellar. The patient consultant, Lollie, told me that they always have about 2 patients staying there on most days and that they always treat his patients well. Totally true. When checking in, the staff noted that everything was paid in advance and very warmly set up the early morning shuttle for the next day. They said if I needed anything, let them know- Dr. Cooley's patients are their VIPs. That felt great. It was still the afternoon so I took a quick trip to the mall to grab a button up shirt for procedure day and then took in a movie to kill time. About 9:00 went to sleep with the alarm set for 5:30 to get up and get ready for procedure. I woke up early and scrubbed down in the shower with Hibiclens and got into my stylish sweatpants and headed down for a big breakfast. The hotel picked me up at 6:45 sharp and we made the long 3 minute trek to Dr. Cooley's office. One of the techs, Stephanie, greeted me at the door and double checked the consent forms and, most importantly, helped me make out my movie list and lunch order. Dr. Cooley then came in and went over our plan one more time, gave me some valium, demerol and other fun stuff and then took the "before" photos. We got into the surgery room and gave me the Versed intravenously and prepped for excision. Dr. Cooley uses a very cool vibrating/massaging thing that distracts you from the needle that gives the local anesthetic. I have heard plenty of people talk here about that being the worst part and I can honestly say, I hardly felt any of the injections all day. I was conscious through the excision but very relaxed and wasn't bothered at all. It went by very quickly and the next thing I knew, Dr. Cooley was making the recipient incisions. Next he and the lead tech, Brandi, were placing grafts while 8 other techs prepared the FUs. Dr. Cooley was in the room placing with Brandi nearly the whole day. When he had to step out for a while, another experienced tech, Amy pitched in. From start to finish, I was there 11.5 hours. It seemed to fly by and everyone was so great I actually enjoyed my time there. Dr. Cooley ended up extracting 2508 FUs and covered an are of approximately 50 cm2 for a density averaging 50fu/cm2. I think I had slightly higher than average hairs per FU. The breakdown is: 1s - 413 2s - 1030 3s - 837 4/5s - 228 for a total of 2508 grafts and 5896 hairs. Dr. Cooley said the donor was closed with "no tension at all" which made me very happy. He used Acell in the wound. The next day a friend in the medical profession looked at it and said "That looks like a wound that has been healing for 2 weeks not 24 hours" so needless to say, I am thrilled and hope it continues to heal well. As it is now, I have a hard time finding it just to put the antibiotic on. I couldn't believe how clean everything looked when he was finished. No bleeding, everything just looked neat and tidy. I couldn't have been happier. After being so worried in the weeks building up to this day, I couldn't have wished for a smoother procedure.