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Found 16 results

  1. This 33-year-old gentleman had a transplant a few years ago at another clinic to increase the density of his frontal hairline. After the procedure, he felt that the hairline was not straight with the left side higher then the right side. After a thorough consultation, both the patient and I designed his desired hairline that he felt was straight and would balance the left and right sides appropriately. He desired more hair on the left side, but also wanted to augment the entire frontal hairline. We transplanted 1238 grafts into the first couple centimeters with a greater emphasis on the left side to correct the imbalance. The photographs presented are 18 months after the procedure at the Gabel Center. We do not have his original preoperative photographs (prior to his first hair transplant) to show. The photographs here depict his preoperative state with us, photographs depicting the proposed lines, immediate postoperative photographs, and the 18-month results.
  2. This patient is a 37-year old transgender female who desired to feminize her frontal hairline. Prior to the transplant, she had deep frontotemporal angles and a higher hairline then she wanted. 3166 follicular unit grafts were obtained via the strip FUT method and transplanted into the frontal zone with the goal of lowering her hairline, filling in the frontotemporal angles, and feminizing her overall appearance. The photographs depict her progress at 1 month, 2 months, 3 months (home photos), and at 7 months when she returned to the office. She is extremely excited with the results thus far and plans to return at the 12-month mark to further document the progress of the hair transplant.
  3. This patient is a 48-year-old who desired to restore and define his frontal hairline and frontal scalp. He had 2,474 follicular unit grafts grafts placed into the hairline densely packed and frontal scalp as depicted in the before and after photographs. The postoperative photographs are 6-months after the procedure which shows excellent growth at this early stage. We plan to post his 1 and 2 year results when available.
  4. This patient is a 45-year-old male who desired to increase the hair density in the frontal scalp. He had been slowly losing his hair for years, and has been taking medications to slow down the loss. He keeps his hair short in the donor area therefor the FUE technique was used. The 6-month postoperative results are displayed. It shows excellent growth of the transplanted grafts and the patient is so far thrilled with the results. He feels it is completely natural, and he is able to keep the hair in the donor area short at his desired length. Since the patient is only 6-months out from the procedure, he still has 20 % - 30 % more growth expected. He plans to return for his 1-year and 1.5-year post-operative progress checks.
  5. This patient is a 32-year-old gentleman who is a Norwood Class VI. He likes to shave his scalp. Therefore, we discussed performing a full scalp Tricopigmentation to give him the appearance of full hair density, but with a shaved look. He was not interested in surgery at this time. The patient had 3 sessions to give him the desired appearance. The first and second pass are on consecutive days, and the last pass is about 4 – 6 weeks after. The photographs were taken after we touched up the frontal hairline. He is extremely happy with the results as it gives him the appearance of a full set of hair, with the shaved look.
  6. This patient is a 29-year-old patient who desired to restore his frontal hairline. Because of his age, we designed a conservative hairline. He is on medical therapy which has helped maintain his current pattern for the last several years. He had 1629 follicular unit grafts placed in the frontal hairline region 6-months ago. His growth has been excellent, and when he returns for his 1-year visit, we will post the results.
  7. This patient is a 46-year-old gentleman who desired a more youthful appearance as his hairline had receded over the past 20 years. He wanted to have a natural, age appropriate hairline and increased density throughout the frontal scalp. The patient had 2344 grafts placed in the frontal hairline and scalp over a year ago. The patient does not live in the Portland area, but sent in home photos showing his 5-month and 13-month progress. So far, the patient is very happy with the results. He will continue to send in his photos so we can present his 2-year results.
  8. This patient is a 33-year-old transgender female from Seattle who desired a feminine hairline. Her hair is light brown, medium thickness in caliber, which is excellent for frontal hairline and frontal-temporal recession restoration/transplantation. The reason that her hair is excellent for the transplant is that it is thick enough to give the appearance of nice, natural density, but not too thick which can give an unnatural look in the frontal hairline. In the frontal zone, we strive to put the thinnest hairs in the most anterior aspect of the hairline, and build a gradient to thicker hairs the further back in the transplanted zone. This gives the most natural appearance to a frontal hairline transplant. This patient had her transplant just over a week ago and was willing to share her photographs on a monthly basis while the transplanted hairs grow. She is from Seattle so the follow up photographs will have a different appearance (background/camera), but the concept will be nicely demonstrated as the transplanted hairs grown throughout the coming year. I want to thank this patient in advance for taking the time and offering to take her photographs on a monthly basis to post her results.
  9. This patient is a 42-year-old male who desired to enhance his frontal hairline. His preference was to have FUE as there are times that he shaves his head and he wanted to avoid a linear scar. Exam revealed very medium caliber black hair and definite thinning at the frontal hairline region. We transplanted 2102 follicular unit grafts approximately 6 months ago. When I perform FUE, I utilize between a 0.8 – 1.0 mm round FUE punches depending upon the diameter of the follicular units. As the surgeon, I perform every punch; afterwards, between my experienced staff and myself ,we extract the grafts. Not infrequently, I will do all the extractions after I incise the grafts with the round blades. Once the grafts are extracted, they are all examined under the binocular microscopes for their integrity. If they are not found intact or transected, they are either used but not counted in the final graft count or discarded. Each graft, once extracted, is also immediately bathed in HypoThermasol. After 500 grafts are extracted, I will make the sites and my team and I place the grafts. We will then put the patient back in the prone position to extract more grafts. We continue alternating between extraction and placement until our plan is accomplished. The photographs presented show the proposed outline of the frontal hairline and his 6-month growth. The patient does not live in the area so he sent me these 3 photos. He will also send me his 1-year photographs that I will post.
  10. This patient desired restoration of the frontal hairline and the frontotemporal angles. He had been slowly developing alopecia of these areas. He is currently under medial treatment to help slow the progression of alopecia. 2511 grafts were placed into the frontal region of the scalp. This patient demonstrates the steps leading up to the 4 month mark. The patient is planning to return in 2 months to also follow the progression of growth. At this point, the transplants are growing well, but they are still thin compared to the native donor hair. We expect over the next few months continued growth and thickening of the transplanted hairs, which will be nice to demonstrate in this forum.
  11. This patient is a 61 year old gentleman who is 6-months following a hair transplant to the frontal hairline and frontal midscalp regions. His overall goal was to thicken the frontal regions to give him a more youthful appearance. The preoperative and 6-month photographs are presented. His hair had a nice caliber, and the color was a mix of black, light brown, and grey which works very nice with his olive skin tone. Overall, the patient is very satisfied with the results at this point. I took some video which will be presented soon. He will return in 6 months at which time his 1-year progress photographs will be presented.
  12. This patient is a 54-year-old gentleman who desired to have hair to help frame his face and obtain a more youthful appearance. Examination revealed a Norwood Class VI with very fine, thin, limited donor. We discussed his options that included no medical/surgical treatment and surgical hair transplantation. The difficulty with this patient is that his hair was very fine and that any result from hair transplantation would be thin. He understood that with such fine, thin hair that he would always see his scalp, but that the hair would help frame his face. He had consulted with several physicians who also echoed the same response. After discussing his options, and knowing that the result would be thin, he elected to have surgery. 11 months ago, approximately 3191 grafts were placed into the frontal hairline and mid-scalp. The patient states that he is absolutely thrilled with the results as it has accomplished his goal of having hair that is natural appearing and which does ultimately frame his face.
  13. This patient is a 39-year old female who for her whole life has been bothered by very deep recessions in the frontotemporal area. Because of this, she nearly always wore her hair forward to cover the areas which were nearly devoid or had very fine, scant hair. This patient is a very active individual and desired to be able to wear her hair back without being self-conscious. Approximately 8 months ago, 2342 follicular unit grafts were densely packed into the left and right frontotemporal areas. At this point, her hair is growing very well, and she has noticed since month 3 that the hair started to grow. She is now reporting that her hair is filling in more each month. The photographs on the left show her preoperative planning lines and the photographs on the right show the 8 month progress photos. The 8 month photographs were not taken in my office - thus the white background. The last 2 photographs demonstrate the immediate postoperative appearance which shows the dense packing of the grafts, and very importantly, the proper hair direction. It was very important that the hairs are not only placed into the proper depth, but also that they are oriented correctly so they grow out following the natural hair direction. I am planning on seeing this patient at the 14-month postoperative mark and will post her new photographs at that time.
  14. This patient is a 51 year old gentleman who was born with a cleft lip and palate. At a young age, he had these repaired after many operations, but he always had a moderate scar on his left upper lip which he wanted improved. He grows a mustache to help hide the scars from the lip repair, but he has always been bothered by the fact that his mustache does not completely cover the scars and that there is a noticeable gap. 3 years ago, we transplanted 255 follicular unit grafts into the scar and upper lip mustache. He did well after the procedure, and routine follow up phone calls confirmed that the hairs were growing. I have not seen him in the office since the procedure as he lives a considerable distance from Portland. He recently sent in photographs taken from a cell phone illustrating the 3 year postoperative results showing a nice, natural result with uniform density in the upper lip. He says that the new hairs grow well and cover his upper lip scars ultimately helping out his self confidence. At this point, he has no further plans for any another transplant as he feels the growth has been excellent to achieve his goals.
  15. This patient is a 37-year-old gentleman who is now 15 months out after having 2210 grafts transplanted to the frontal region of the scalp. Since the last visit, he feels the hairs are thickening and maturing. Overall he is extremely happy with the results. He is able to trim his hair pretty short as seen in the photos and it still has a very natural, full appearance. He is also able to cut the donor area hair down without any evidence of the donor scar showing.
  16. This patient is a 34 year old gentleman who was unsatisfied after two prior transplants to the frontal hairline at another clinic. He had his transplants at an institution that has centers throughout the country. He felt that the results were not what was promised. Despite the procedures, he felt the frontal hairline was thin to the point that only a small percentage of the hairs grew, and most concerning, was that what grew was uneven. Therefore, as I discussed with the patient, our goals would be to design a hairline that would make it even from the right and left sides, and also increase the density in the first to second centimeter. In one session, 1024 grafts were placed in the first and second centimeter as shown in the photos. It was imperative that the slits were placed in exact locations not to damage the existing hairs, and to make sure that the frontal hairline had the correct angulation and hair direction to blend in with the existing hairs. From a technical point of view, when placing grafts, we put a lot of emphasis on making sure that the natural curvature of the placed grafts are oriented correctly. If the grafts are placed correctly, a more natural appearance is obtained; if the grafts are placed with the natural curvature of the hairs not oriented in the exact direction of the natural hair, the results can be suboptimal. The postoperative photographs show very closeup detail of the results obtained (the most closeup photographs were obtained using a 60 mm macro lens at a distance of a few inches from the scalp). I wanted the photographs to line up as close as possible between the preoperative and postoperative shots so an objective comparison would be possible, which I present to the patients so they can see the changes. Additionally, I placed a ruler in several of the photographs to show the high density slit and graft placement. The patient felt extremely pleased with the results so far. We look forward to continued improvement in growth and density over the next year.
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