Dr. Paul Shapiro—3138 FUT grafts on ClassI V Patient. One year post op

[Dr. Paul Shapiro]

Dr. Paul Shapiro—3138 FUT grafts on ClassI V Patient. One year post op

This 50 year old male has fine light brown hair. He had a limited donor density of about 70

FU/sq.cm and an average scalp laxity. I was able to remove a strip that was 1.8 cm wide by 10 cm long in the middle and 1.6cm wide by 16.5 cm long on the sides. That means I removed a total of 44.4 sq.cm. of donor hair. This was after doing stretching exercise. Because the closure was on the tight side I did not do a trichophytic closure but as you can see the scar is minimal.

His hair count was as follows:

· 732 one hair FU

· 1966 two hair FU

· 417 three hair FU

· 14 four hair FU

Total FU-3138, Total hairs- 6000

He was a candidate for a larger case but with his donor density below average and his scalp laxity being average I got the 3,138 FU. He is very happy with his results but is going to schedule a second surgery to get more density.

[hairthere]

Looks great! Bit surprised he needs more density than that though.

[MusoInOz]

Hey guys,

 

I don't mean to come across as negative Nancy but the eagle eye photographs are fairly deceptive, you can clearly see the lighting differences from pre to post op status and the hair is also parted from further toward the patients left side than before thus aiding the illusion of dentisy.

 

Just saying.

 

Cheers,

[MusoInOz]

I see that I am yet to be challenged on my claims...

 

I expected at least one SMG fan would chime in ;-)

 

Cheers,

[multiplier]

Agreed - there is little lighting or flash in the After shot from overhead. Still, seems like a good result.

[aaron1234]

Looks great! Very age appropriate hairline.

 

I think the after photos might actually be taken in a different room, thus the different shade of blue paint on the wall. I know my before and after pictures were taken by different people in different rooms. No shenanigans, it was just whoever was free at the moment.

[MusoInOz]

I think you will find that they have taken the photographs in the same room minus flash.

I am certainly not knocking the post operative result it seems very age appropriate as mentioned, however post op photos when accompanied by pre op photos should relate as close as possible to determine the final result.

 

It can be somewhat deceptive to newer forum member researching into HT procedures.

 

PS: I find it highly unlikely that SMG would colour co-ordinate their office with different shades of blue.

 

:-)

 

Cheers,

[RCWest]

I've noticed most post ht photos are shown with either the hair parted on the side or combed straight back. It helps coverage. But this is a nice case considering the area they had to cover with those 3138 grafts. If the grafts had been restricted to the frontal half or third, it would have been super dense. I'd like to see this patient after his second procedure. I believe it will be a homerun!

[bullitnut]

Hey guys,

 

I don't mean to come across as negative Nancy but the eagle eye photographs are fairly deceptive, you can clearly see the lighting differences from pre to post op status and the hair is also parted from further toward the patients left side than before thus aiding the illusion of dentisy.

 

Just saying.

 

Cheers,

 

 

If there was meant to be any deception, or photo tricks then why is the pre op and 1 day post op picture two different shades of blue?. Obviously they cant make a 1day post op placement picture look more dense.

 

I know ive personally had pictures taken by Dr Ron and Matt ....and come on most of the pics were taken 1 yr apart so whats to say its even the same camera or room.... I think the important factor here is the pictures are VERY clear and in focus so anyone can see that its a great result!!!

 

And before anyone says im a biased SMG fan ....i am a great fan of many other clinics as well as SMG......Rahal, True and Dorin, Bisanga, Feriduni amongst others really impress me....im just saying the pics look great on my pc as does the result Well done Dr Paul on a very nice result

[Janna]

I'd like to clarify that we take ALL our photos with flash (pre-op, intra op, post ops). In our experience, the pictures turn out the most clear in our office with the flash. We have two different rooms but same shade of blue where we take photos depending on who is taking them. If Matt's isn't able to take photos in his office then there are few others trained to take them in another room. We try to take consistent pictures of same angle, lighting, and distance, however, since we aren't in a photo studio and none of us are professional photographers, there is bound to be slight difference in picture quality. We have two cameras that are the same make and model for the two rooms on AUTO settings. So depending on the day and the amount of sun light in each room, the picture lighting varies to a certain degree.

 

No camera/picture deception practiced at SMG. We welcome suggestions on how to get same lighting from two difference rooms. We like putting the pictures side by side to give better idea of before and after results. This side by side technique is not used by majority of clinics when they post their results because it is difficult to duplicate the same lighting.

[multiplier]

(Just wanted to chime in and say, I definitely did not mean to imply there was anything resembling deliberate deception by SMG, not at all. More that the lighting should be matched more closely in before/after photos so the results can be seen more clearly).

[Janna]

We would prefer that our pictures had same lighting as well. In fact, we have tried all different settings with flash and without flash. But the AUTO settings produce the best pics. But even in the same room the picture can have different shade of lighting depending on the time of day, not to mention our other room gets slightly different sunlight altogether.

If a person researched all photos of results online, they would find that the background is slightly different color. Here are two of our results with different color background even though each patient's pics were taken in same room. Notice the female patient's 1 yr post op has the lightest background, her immed post op has the darkest. The male patient's before is darker than the 1 day post op.

Edited March 7, 2011 by Janna

[Mick from Farjo]

Janna,

 

Just keep what you are doing because it is all good stuff.

 

Mick