Dr. Vladimir Panine/Chicago Hair Transplant Clinic/ Corrective Surgery/Body Hair Transplanted to Scalp

[Stuart01]

This Patient was a 42 year that had multiple procedures overseas over 15 years ago. The procedures were done with large grafts that has left him with a very pluggy look. The problem was that he did not have sufficient donor area left to remove a strip that would give us much hair and there would be a strong possibility that he would be left with a bad scar. Dr. Panine felt the best solution for him would be to use body hair plus do some F.U.E.'S from the back of the scalp. The objective was to make the hairline look more natural, get away from the pluggy look in the mid area and crown. The patient new that he would still have a see through look, but the end result will give him a more comfortable look.

 

The patient had 2 sessions,

1st session 325 FUE's from scalp

351 FUE's from chest/stomach

745 strip from both armpits

2nd session 652 FUE's chest/stomach

 

[Bill - Seemiller]

Stuart,

 

Well this is certainly an interesting case isn't it?. I have to admit, that strip harvested from the armpit looks incredibly painful!

 

I'd be curious to hear why Dr. Panine decided to take hair from the nape section of the neck. It's my understanding that nape hair is considered unsafe since it can be genetically predisposed to pattern baldness.

 

Overall, the patient has had a good deal of improvement considering the number of grafts used, the area of baldness, and the large grafts to camouflage.

 

Best wishes,

 

Bill

[thanatopsis_awry]

Interesting was exactly the first thing I was going to, as well. I would also love to hear Dr. Panine's stance on nape hair -- it doesn't seem vulnerable to MPB, but how typical is this, and what time frame can the patient expect to enjoy the fine, nape hairs?

 

I think that the patient has truly enjoyed a very nice transformation here, especially from the frontal view (arguably the most important). In fact, this is one of the best BHT cases I have seen, especially considering how few BH was used.

 

What would you estimate his yield to have been on the BHT? It's my understanding that it takes a *lot* of BH to create equal illusion to traditional donor. Also, why the strip excision for his underarms vs. simply using FUE?

 

Very interesting case, once again, and I would love to hear Stuart or Dr. Panine's thoughts.

[aaron1234]

Definitely an improvement. The hairline still looks a bit rigid from his previous hack work. Doesn't he have a few hundred FUE's from the sides of head, like above his ears? I would think that zone seems a bit more DHT resistant than the nape hair.

[Sparky]

well, nape hair falls out as we all know so why transplant it? I also heard on here from other doctors, that the armpits are classed as a "wet" area and shouldnt be harvested, I would of thought he would lose some lifting your arms over your head movement from this.

[rpachigo]

Very interesting case and very impressive results with such few grafts! Armpit incision looks clean and should have no problems lifting arms up - they use that incision for boob jobs sometimes. Very crafty approach and would be curious of other MDs' opinions on this approach.

[Stuart01]

Bill,

 

I agree the armpit area might look painful, but the experience from multiple patients have stated that there was not much discomfort.

 

Since this patient was in his 40's and according to him the lower occipital area/nape area has been stable for at least 10 years, we wanted to use this type of hair to refine the hairline, which was the main concern of the patient. The body hair was used to create as much density as possible (characteristics of the body hair was a close match to his scalp hair).

 

In a normal circumstance we would not have used the lower occipital hair, but due to his depleted donor area with thought it was exceptable for refining the front hairline.

 

Thanatopsis_awry the armpit tissue is not firm enough to perform F.U.E.'S. Also, from experience disecting F.U.T.'S from armpit tissue gets a better yield then performing F.U.E.'S. The yield is comparable to that of traditional F.U.T's

 

I think this is a very interesting case for people to view,

 

Dr. Vladimir Panine

[TC17]

I agree with aaron that the hairline is still not perfect, but very much improved. I really like the work of Dr. Panine.

 

Sparky, what do you mean "wet" area and why shouldn't the armpit be harvested?

[Forrest Gump]

Very interesting! I think this is the first time I am seeing transplant of armpit hair.