Steven Gabel, MD, FACS Posted October 30, 2010 Share Posted October 30, 2010 This patient is a 69 year old gentleman who two years ago underwent a 3129 graft hair transplant to the central aspect of his scalp. Interestingly, he had a nice central forelock/tuft of hair, but the lateral frontal aspect of the hairline was sparse at best. He had a decent amount of hair in the lateral aspect of the scalp (above his ears), which he used the hair in that area to cover and comb over the central thinning. His hair characteristics were thinner for his age. His hair color was a mix of brown to grey, which added to a contrast differential to his skin. He did have a nice wave to his natural hair in the donor area. His skin laxity was average as well. His main goal was to cover the central balding areas adding a natural layer of fullness and hair to the central scalp. Our plan was to transplant into all the areas in the central scalp that were devoid of hair and blend into the thinning areas this way there would not be a demarcation between his natural hair and the transplanted hair. The strip size was 25.5 x 1.5 cm with a trichophytic skin excision and double-layered closure technique. The final graft count was the following: 1 hair grafts: 550 2 hair grafts: 1951 3 hair grafts: 529 4 hair grafts: 99 He is now 2 years following surgery and very happy with the results. Unfortunately, the preoperative photos were not standardized as I do now with all photos, but they give a nice representation of his initial hair loss. I choose the postop photos that were closely matched to the preoperative photos to give the best comparison. He filled in the central scalp very well, and the wavy structure to his hair gives adds to the density of the hair (which helps make up for the thin hair he has). Steven Gabel, MD, FACS, FISHRS Diplomate, American Board of Hair Restoration Surgery Diplomate, American Board of Facial Plastic and Reconstructive Surgery Diplomate, American College of Surgeons Gabel Hair Restoration Center Portland, Oregon 503-693-1118 Email Dr. Gabel directly at drgabel@gabelcenter.com Dr. Gabel's Website Dr. Steven Gabel is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Steven Gabel, MD, FACS Posted November 1, 2010 Author Share Posted November 1, 2010 Thanks Spex. Steven Gabel, MD, FACS, FISHRS Diplomate, American Board of Hair Restoration Surgery Diplomate, American Board of Facial Plastic and Reconstructive Surgery Diplomate, American College of Surgeons Gabel Hair Restoration Center Portland, Oregon 503-693-1118 Email Dr. Gabel directly at drgabel@gabelcenter.com Dr. Gabel's Website Dr. Steven Gabel is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member RCWest Posted November 3, 2010 Senior Member Share Posted November 3, 2010 Another amazing job, Dr. Gabel. One thing, it looks like his scalp may still be red after the transplant. Is that just a glitch in the photo? Finasteride 1.25 mg. daily Avodart 0.5 mg. daily Spironolactone 50 mg twice daily 5 mg. oral Minoxidil twice daily Biotin 1000 mcg daily Multi Vitamin daily Damn, with all the stuff you put in your hair are you like a negative NW1? Link to comment Share on other sites More sharing options...
Senior Member waveskier Posted November 3, 2010 Senior Member Share Posted November 3, 2010 Another amazing job, Dr. Gabel. One thing, it looks like his scalp may still be red after the transplant. Is that just a glitch in the photo? Isn't that normal? Link to comment Share on other sites More sharing options...
Steven Gabel, MD, FACS Posted November 3, 2010 Author Share Posted November 3, 2010 Another amazing job, Dr. Gabel. One thing, it looks like his scalp may still be red after the transplant. Is that just a glitch in the photo? RCWest Thanks for you positive comments. In person, he did not have an intense red hue, but his skin did have some demarcations of white and red. If you look closely at his preoperative photos, he did have a “blotchiness” appearance to his skin. Certainly after surgery, the scalp does have a more intense red hue, but this fades over time. Actually for him, a little color actually helps the appearance and gives his scalp a fuller look with the contrast difference between his skin and hair color. Steven Gabel, MD, FACS, FISHRS Diplomate, American Board of Hair Restoration Surgery Diplomate, American Board of Facial Plastic and Reconstructive Surgery Diplomate, American College of Surgeons Gabel Hair Restoration Center Portland, Oregon 503-693-1118 Email Dr. Gabel directly at drgabel@gabelcenter.com Dr. Gabel's Website Dr. Steven Gabel is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member bullitnut Posted November 3, 2010 Senior Member Share Posted November 3, 2010 awesome work doc well done!! 2 poor very poor UK ht's 2 world class repairs with Shapiro Medical Group original thread http://www.hairrestorationnetwork.co...d.php?t=134995 Dr Paul's procedure http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=1710 Dr Ron's procedure http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=1128 Link to comment Share on other sites More sharing options...
Mick from Farjo Posted November 4, 2010 Share Posted November 4, 2010 Dr Gabel, After spending some extended time with you in Boston, i can completely understand how you are able to reproduce such excellent results on an ongoing basis. Mick Patient coordinator for Dr. Bessam Farjo who is an esteemed member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member RCWest Posted November 4, 2010 Senior Member Share Posted November 4, 2010 Thanks for clearing that up Doc! Finasteride 1.25 mg. daily Avodart 0.5 mg. daily Spironolactone 50 mg twice daily 5 mg. oral Minoxidil twice daily Biotin 1000 mcg daily Multi Vitamin daily Damn, with all the stuff you put in your hair are you like a negative NW1? Link to comment Share on other sites More sharing options...
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