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Found 9 results

  1. Dear all, I would like to share the following informative video with the community. At his Darling Buds Clinic in India, Dr Bhatti has been treating bad FUT scars for the past 15 years. Strip scars from the FUT technique after a bad hair transplant are managed by W-Plasty surgical revision and body hair transplant in some selected cases. Also scalp micro-pigmentation can play a great role in camouflaging a bad FUT strip scar.
  2. Hi all. Would appreciate advice of some knowledgeable members. Long story short, had a few hts in the 80s and 90s which left me linear scars, depleted donor area and with the need to wear a piece. Had a mega bht session in 2004 which didn’t produce anything mega but still left me me some additional hair. In 2011, had some bht transplanted into the linear scar. This seemed to work pretty well meaning I could cut my remaining scalp hair shorter before the scar becomes noticeable. This allows me to also have the piece cut shorter which I prefer. I’ve been reading a bit about micropigmentation lately and it has me thinking. 1. If I got some ink put in my linear scar, would it increase the illusion of hair to the point that I could cut the remaining scalp hair (and the piece) even shorter? 2. If it does allow me to cut my remaining hair very short (although I wouldn’t like as far as a buzz cut) is it feasible that I could have a procedure to spread my limited remaining donor hair over my scalp to give the “less is more” illusion of hair coverage to allow me ditch the piece. Just for clarity, I have some growing grafts on my scalp. Just not enough on their own to give even the illusion of coverage. Thanks in advance for any help.
  3. This 42-year-old patient underwent a craniotomy for a malignant brain tumor. Her recovery from this illness was successful. However, she was reminded of this unpleasant chapter on a daily basis because of the scar atop her head. She underwent an FUT procedure with Dr. Wesley in which 1696 grafts were transplanted into and around the region of scarring. She can be seen before and 17 months after her FUT procedure.
  4. This 53-year-old patient underwent a follicular unit extraction (FUE) session with Dr. Carlos K. Wesley in which a total of 111 grafts were placed In order to effectively conceal the scar tissue (which has minimal to no blood supply), hair follicles were incubated in autologous (the patient’s own) platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs in cicatricial (scarring) alopecia. Details of PRPs benefit in this context are described in this video of Dr. Wesley’s Grand Rounds Lecture. Rather than a larger FUE punch used by a robotic approach, Dr. Wesley used a smaller caliber hand-held motorized punch to performed the donor harvest. This approach better enabled the capture of donor hair roots that are slightly curved beneath the skin surface. Upon completion of the harvest, the patient’s donor area was treated with PRP and ACell in order to not only minimize scar tissue formation, but also encourage partial regeneration of donor hair follicles. The patient returned nine months after the FUE procedure and images of the patient can be seen below.
  5. Hi everyone, Thought I would share my experience and ask for some advise? ?? Around six years ago i had a strip surgery that left me with very wide scar. I have had 2 Fut procedures the first as mentioned 6years ago, i am new here and not sure if I am allowed to say who did the bad one so wont at this point. And the second in December 2015 with hasson and wong which has turned out great and has left a thin scar, he also mentioned the first one was stretched because the other clinic had placed it so low on my head. I would like scalp or body hair placed into both scars and would also like to have some hair into my temple triangles too if possible, my main aim after the procedure would be to be able to wear my hair short with a nice frame to my face, so if future loss occurs i can still crop my hair fairly short, without using concealer on my scar. My current choice at the moment is dr Lorenzo mainly because of the answers he has givin me, his documented patient result including scar work and also his attention to scalp donor depletion. I was also looking at dr koray erdogan for the same reasons, although He has stated he must have a face to face consultation before he advise which is arkward as he is in Turkey it would mean two trips, he is also quite a bit cheaper although I would not base my dicision fully on costs, I also liked he does long hair fue which would be ideal as if possible it would be great not to have to shave my whole head especially exposing my scars fully, Although again I would if it came down to that being the only way to get a great result at the end. I would love peoples advise, or anyone has had a similar experience who has had fue or bht into a scar and can now where there hair short. Or any other surgeons that would be worth considering? Thanks in advance ✌?
  6. I am 32 and made the mistake of having a hair transplant when I simply do not have a enough hair on my head to fill my frontal or crown. Not enough supply for the demand. I should have paid more attention in economics class before undergoing the procedure. So, now I am stuck with the typical ear to ear FUT scar with a balding top of my head. I think I can maintain this for at least 10 years and look simply like a thin 30 something old. My question is should I attempt an excision/revision or simply put FUE into my scar in attempt to trim it down to a respectable level all around (hoping for 1/4 inch or less with slight scar showing only)? My scar is 2-3 mm wide all around. I know there are plenty of you out there that have had this decision to make and it either bit you or you were successful. Maybe it is not worth the risk for the possibility of a 50% improvement? Let me know what you guys think?
  7. This gentlemen came into AHR wanting to restore his hairline and crown. Dr. Arocha performed an FUE procedure and was able to make a previous FUT scar (performed by another Hair Transplant clinic) disappear through transplantation of the follicular units obtained through the FUE harvesting procedure.
  8. I'm new to the forum but have used this site as a resource for years. About a week ago I went to Dr. Gabel for a scar revision along with around 450 graphs. So far I am very pleased with the results. I turned 30 last week, and this most recent surgery was my 5th. Boy, have I learned allot over the past 9 years... I wanted to share my history, since I have learned so much from everyone else on this board. My first HT was in 2004 in Spokane WA with Dr. Brown. I was 22 years old at this time enrolled in college. My hair was just beginning to thin slightly but enough to bother me. I can't remember how I heard about Dr. Brown, I think it was in the paper or saw a commercial. Whatever the case the marketing ploy worked... Initially I went to a consult with Dr. Brown, I didn't anything about HTs or possible alternatives. Dr Brown advised me that the other products such as finasteride and minoxidil where expensive really didn't work. Dr Brown stated a HT was the only permanent solution. He went on to say it was an out-patient procedure and made the impression to me that it was not a major procedure. I went ahead and had 600 graphs put into the frontal area of the hairline a week or so later. I was so naive, the night before the surgery I was partying and drinking til 4am, the surgery was at 7am... I was still half in the bottle when I arrived that morning. The transplant went fine but I was left with a major scar due to the strip procedure. At the time I buzzed my hair really short, I wish I would have understood that the procedure would leave this scar which would prevent me from keeping my hair this short unless I wanted the scar to show. I was young, didn't do my research and thought I could simply solve my "self contentious issue" with a simple procedure. 2 years later, at age 24 my hair loss continued and was amplified by the fact I needed to leave my hair longer to cover the scars, the thinning where the graphs were place made the transplanted hairs look "graphy", I elected to have another procedure with Dr. Brown for about 600 more graphs to try and band-aid the first procedure, for some reason he also put 100 graphs in the crown... The Surgery again went fine but the scar got larger... I had no idea what I was getting into. Again the past transplanted hairs looked unnatural and I was very self conscious about my hairline. now not as much that my hair was thinning but the fact but the fact that the graphs looked so bad and the scar on the back of my head. I wanted to do something about it. After completing college and growing up a bit, I started researching online and and came across this board. I wanted to do things right this time, I decided to have a transplant with Dr. Gabel in 2008. He was very cautious of the amount of graphs, the placement the scar etc. due to my age, it was decided we would go ahead with around a 1,400 graphs to the frontal area where the previous graphs were placed. in an effort make this area look more natural. I really appreciated the straight forward communication from Dr. Gabel, he was honest about what he could and couldn't do, not giving me false expectations. He made sure I was aware that I would likely need future surgeries as my hair loss progressed over age, he also prescribed/ recommended finasteride, minoxidil, and Ketoconazole shampoo. My first procedure with Dr. Gabel went really well. I really appreciated his attention to detail and skill, along with this staff. I was astonished with my results several moths later when everything was healed and the graphs where growing my hairline looked completely natural! The front and hairline of my scalp looked pretty good but the top and crown of my scalp was beginning to look very thin (except for the 100 graphs Dr. Brown had put in my crown in 2004). In July of 2011 I elected to have a second procedure with Dr. Gabel, this time around 2000 graphs, to the top and crown areas. Due to the amount of scarring from the previous surgeries and the amount of graphs for this surgery, I would need a scar revision 6 months to a year down the road. I really wanted to try and do this revision at the same time as getting the graphs. Dr. Gabel again was straight forward again, telling me it needed to wait. Looking back I am very appreciative his professionalism and expertise. After this surgery there was a huge improvement. Friends, coworkers, and family were complimenting how good my hair looked (I usually wore a hat and never told any of my family members, and only my best friend about the procedures). I felt so good, like a weight had been lifted off my shoulders, the only weight left was the massive scar... Almost a year has gone by, which brings us to last week. I had the revision surgery, along with about 450 graphs put into the crown and top area of my scalp. I get the sutures out tomorrow! I couldn't be more happy with the results so far, the scar looks like it is about 1/3 of what it used to be. he graphs look great as well but the most importantly to me was the scar. l have been very diligent in applying Polysporin and will be going forward with Mederma to treat the scar area. In the future if I elect for another HT in the future, I will surely go with Dr. Gabel, and will going with the FUE method vs the strip. After 9 years and 5 surgeries, I truly feel relieved. I highly recommend Dr. Gabel and his staff to anyone looking for consult or a HT. Thanks You.
  9. An interesting repair case that took place in our practice recently: a 26-year-old Asian patient who had previously undergone FUE with a different surgeon at an out-of-state practice presented for scar revision. He was originally under the impression that FUE is a "scarless" procedure, but due to a number of factors, developed noticeable punctate scars in his donor area that bothered him considerably. Those factors include a slightly-lower-than-average donor density coupled with his coarse caliber hair follicles (common amongst the Asian patient population). The previous surgeon's diligence in staying within the "safe donor zone" constrained him to extract FU more closely packed in order to achieve a 1000+ FUE session using a 1.0mm FUE punch. After being thoroughly advised during the initial consultation in our practice about the advantage of wearing his hair at a different length and the possibility of tattoos into the hyperpigmented scars to conceal them, the patient remained adamant about undergoing a repair session. Therefore, using a smaller, 0.8mm, FUE punch a total of 388 FU were extracted in a sparsely-distributed fashion from within the fringe of the "safe donor zone" (3rd image) before being transplanted in a similarly sparse fashion into the punctate scars within the donor area (images 4 and 5). While this repair approach will obviously not completely "erase" the punctate scars with which he presented, smaller scars in a more spread out distribution will likely soften the marked noticeability left from his initial surgery.
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