1 Mega Session of 4776Gr/9845 Hairs w/ Dr. Ron Shapiro!!!!!

[Janna]

Hi,

This patient came in last week for a big session of 3-4000 grafts. After talking to Dr. Shapiro at length regarding his expectations and goals, they decided to achieve as much as possible since he had very good laxity and donor density. In the end, Dr. Ron could have taken more donor but felt 9800+ hairs will give this patient a good transformation.

 

Graft Breakdown:

 

1's 1135

 

2's - 2393

 

3's - 1068

 

4's - 180

 

Total - 4776 Grafts = 9845 Hairs

 

 

 

[Janna]

[M&M]

Wow! 4776 grafts in one session - very impressive. Is this Dr. Shapiro's largest one-day session, or are there others out there and I've just missed them? This is one lucky patient to have that level of laxity.

 

I still can't get over how clean everything looks immediately post-op and this patient's hairline looks great. I hope he keeps us posted on his progress as this will be fun to see the transformation as time progresses.

 

M&M

[Forrest Gump]

Nice! In about a year's time, this guy is going to have a very dense hairline. I like the dense hairline designs of Dr Shapiro. Look forward to seeing this guy's progress.

[aaron1234]

Is it too far a stretch to say that Dr. Shapiro's 1 Day post-op pics often look better than some doctor's 1 Year post-op pics?!?

 

But seriously, some of the cleanest work you'll ever see. Especially with almost 5K grafts!

[hdude46]

Janna this is impressive. Dr. Shapiro has an artistic eye that is second to no one. Can I ask how old the patient is and how many grafts dr. shapiro thinks he has left? i also cant tell if the patient has some thinning on the sides that might drop his patttern to nw5 or 6 in time. it could just be the lighting though and i could be mistaken.

[Bill - Seemiller]

I bet this is going to be one killer result when it all grows out.

 

And I agree that this is some very clean work.

 

All the Best,

 

Bill

[hair_me_out]

Very nice. Looking forward to seeing the updated pics.

[Janna]

M&M,

 

I agree it'll be great to follow his progress. He stated he will keep us posted. I believe Dr. Ron and Dr. Paul have each done a session slightly bigger but the hair count was probably similar. I'm hoping those patients will send updates soon. This was obviously a big session but it could have easily been bigger if doc had wanted to push the envelope. But taking the benefit to risk factor into consideration, he opted wisely, imo.

 

Hdude,

This patient is in his early 30's. He is fortunate to have above average donor supply. I believe Dr. Ron said he has approx. 4K to 5K+ grafts left in the donor bank to address future loss.

 

Thanks everyone, we'll certainly try to keep you updated on his progress.

[hdude46]

Janna, this might be a stupid question, but is there any way to tell how good a patients donor supply might be w/o microscopic analysis (ie by the patient himself or if he sent photos with a comb lifted in the back)?

[Janna]

Well, generally, you know if you have thick or thin hair so that's a good indicator. If you have average density, you likely will shrug and won't be able to tell one way or another. We can tell somewhat from a photo with a comb but we'd only be able to give you a range - an estimate. When you are seen in person, we get get a good idea but won't know better until we take the density picture to actually count each hairs or start cutting grafts under the microscope. BTW, not a stupid question at all.

[Raphael84]

Wow, work looks some of the cleanest Ive seen and the hairline design looks faultless. I genuinley feel that come next Christmas time, maybe earlier with a little luck, this guy will have one pretty amazing result. Congratulations to all involved!

[the B spot]

To follow up on what Janna said, hair characteristics play such an important role regarding coverage. Aside from the raw numbers, which are certainly a nice indicator, assessing the hair characteristics of a patient as just as important. Hair to scalp contrast plays a role as well.

 

This patient has very nice hair, good donor and laxity so he should achieve an excellent result.

 

Of course, once the hair greed bug bites.....well, we all know where that leads ;-)

 

Jason

[thanatopsis_awry]

If there is such a thing as HT-porn this is it. Truly is some of the cleanest work I've ever seen, and everything about this case has the glow of perfection to it.

 

Hope I don't have a girlfriend by the time this grows 'r else I'm going to have to explain why I'm salivating at a dude's portrait.

[dabuski]

He,s gonna be one happy hairy camper in a years time.

[hdude46]

Hey Janna,

 

When you say both the patient and Dr. Shapiro discussed expectations and goals, can you explain that a bit further by what you mean. Just using this case as an example, what did Dr. Shapiro say was possible given this particular patients characteristics and what did the patient expect was possible when he entered the clinic? Might be kind of a weird question, but always wondered about this part of the procedure/consultation.

[Blake Bloxham]

This is some serious density.

[Mp96]

Crazy, the patient appears to have very minimal swelling in the forehead after receiving almost 5000 grafts!!

[Janna]

Hdude, I won't be able to relay their hours of discussion on the subject. But the jist of it is that the patient had a specific density and look he wanted to achieve. Denisty was very important to him. He picked out a patient results of ours and basically said, "I want that". The hair characteristics and density are different so he won't be able to see the same result but it should be similar IF his existing hairs stay intact. Dr. Ron felt more comfortable performing a large session on him since he had very good laxity and density. And, Dr. Ron felt there would be enough donor remaining if his hairloss progressed further.

[NewJack]

Great work as usual.

Cant wait to see these results

[jjmfe]

Originally posted by Janna:

 

they decided to achieve as much as possible since he had very good laxity and donor density. In the end, Dr. Ron could have taken more donor but felt 9800+ hairs will give this patient a good transformation.

Total - 4776 Grafts = 9845 Hairs

 

Janna,

 

1) How long did that procedure take. I had a little less than half that in '03 (from Ron Shapiro & you as lead tech), and it took until about 6:30pm.

a) Did you do multi-day split sessions like some of the docs I review, or did you just schedule more graft prep techs?

 

2) Also wondering if shock loss is greater with a mega session like that. I'm thinking not, because insertions are so minimally traumatic.

 

jf in cali

 

I echo the sentiments of the other responders, nice looking work. My own hair has continued to thin, but with the Shapiro artistic touch, there are no islands of tufts, just a natural thinning, but and natural borders. Time to begin thinking about another procedure...

[orangehair]

high expectations for this one, as there should be looks great so far J

[hdude46]

Hey Janna any updates from this patient? Also did you happen to get my email? thanks!

[Sparky]

yeah updates would be nice, if hes stayed in contact

[hdude46]

Hey Janna, any updates from this patients? Thanks!