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  1. Hey Guys, I wanted to share my donor shock loss journey with you guys, I know I have seen quite a few threads come up lately, discussing whether their donor has been over harvested or if its shock loss. Unfortunately, with the advent of FUE, there are more cases coming up where donors have been completely over-harvested, but that isn't always the case. I'm gonna present some photos of my donor 6 months after my first hair transplant, and 3 months after my second hair transplant. My donor at one point, looked depleted and I would be lying if I didn't say I was self-conscious about it, but luckily it has resolved and my hair has gotten better over time. Lastly, I have posted what my donor looks like today, after 3 FUE procedures, which total 5,300 grafts. My last FUE was 3 1/2 years ago. Now, I want to make it clear, you should not expect to have an FUE and see no signs of surgery. It's just not realistic, there will always be scarring, and the more surgeries and extractions you have, the more scars you have. My entire donor area is filled withe scars. Under certain lighting, or when my hair is wet, you will see my scalp, if my hair is short. You guys know I share all of this information, for educational purposes. If this is something you would not be okay with, I would say don't get a hair transplant. I give you guys raw information with no filter, as it should be on educational boards. My hair is currently cut to a #2 guard. 1st set of pics after my first FUE 6 months post op, I suffered some shock loss on the sides above my ear. 2nd set of pics are after my second FUE, my donor looked demolished 3 months after my procedure. 3rd set of pics were taken today, after 5,300 grafts via FUE, 6 years after my first hair transplant, and 3 years since my last. 4th video taken a few months ago, in motion the donor scars are harder to detect- this is how I look in real life.
  2. I had hair transplant before 21 days with 3000+ grafts extracted from back and peri auricular region.The back has grown well but the sides look patchy.Is it shock loss or over harvesting?The sides are still a bit sensitive 21days post OP.
  3. There are many types of patient cases which require more grafts than what can be supplied by the donor follicles on the scalp. And this can be problematic when conventional hair transplant surgical methods are used, where the scope of expertise is limited to only performing extractions on the scalp. At our clinic, many of our repair patients seek help for typical issues such as: 1. areas where grafts from previous procedures failed to grow 2. misplaced or awkward looking insertions that have a detrimental effect on the patient’s appearance. However, another issue that we often see is the over harvesting of grafts on the back and/or sides of the head in an attempt to cover severe areas of baldness with the use of only head hair donor. This results in linear areas of emptiness, or wider looking areas of missing hair in the head donor regions. Excessive Donor Harvesting and the Need for More Grafts In these cases, previous surgeons attempted to meet the pressing demand for improved coverage by extracting an excessive number of donor hair grafts from the scalp, creating the additional problem of barren areas in the back or sides of the head. However, it is important to maintain the awareness that except in some extraordinary cases where donors are above normal; the scalp can typically only offer a maximum range of 5000-7000 grafts. For most patients with NW 6-7 hair loss level, this is inadequate to offer credible global coverage. The best that can be hoped for with head hair only surgeries in these cases would be NW 3ish hairlines with very sparse to empty crowns. Patients requiring youthful hairlines with global coverage and density should be looking to supplementing their donor with body hair transplants. Recently, Dr. U addressed the issue of exceeding the head donor limits in Follicular Unit Extraction surgery through this video. To view more videos where Dr. U explains common phenomenon in hair restoration or provides answers to frequently asked questions visit this video playlist:
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