Regular Member Dr. William Lindsey Posted April 19, 2011 Regular Member Share Posted April 19, 2011 This fellow came in last June and we preserved that frontal tuft he had and did a big "U" case. He stopped in our area last Friday and is growing pretty well. I expect to travel to his town in June to get 1 year pics which will be even better. In my opinion, his transplant is already thicker than the tuft which we didn't touch. Also his scar looks fantastic, or rather doesn't look at all. Also shown are pics around 3 month when not much was going on. Dr. Lindsey McLean VA William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey 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 April 20, 2011 Senior Member Share Posted April 20, 2011 Great coverage for the number of grafts used. Does he have plans for another session? 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 TC17 Posted April 20, 2011 Senior Member Share Posted April 20, 2011 Very nice job! Link to comment Share on other sites More sharing options...
Mick from Farjo Posted April 20, 2011 Share Posted April 20, 2011 Dr Lindsay, I bet he is happy to just need a proper haircut, good stuff. 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 Sean Posted April 21, 2011 Senior Member Share Posted April 21, 2011 Awesome coverage and 9 month growth for 3200 grafts! Link to comment Share on other sites More sharing options...
Senior Member Blake Bloxham Posted April 21, 2011 Senior Member Share Posted April 21, 2011 Dr. Lindsey, A very substantial transformation! Nicely done. "Doc" Blake Bloxham - formerly "Future_HT_Doc" Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum All opinions are my own and my advice does not constitute as medical advice. All medical questions and concerns should be addressed by a personal physician. Link to comment Share on other sites More sharing options...
Senior Member TakingThePlunge Posted April 21, 2011 Senior Member Share Posted April 21, 2011 Dr. Lindsey, Beautiful work! He must be a very happy man. David - Former Forum Co-Moderator and Editorial Assistant I am not a medical professional. All opinions are my own and my advice should not constitute as medical advice. View my Hair Loss Website Link to comment Share on other sites More sharing options...
Senior Member Janna Posted April 21, 2011 Senior Member Share Posted April 21, 2011 Results are fantastic. Great yield in a large recipient area. The donor scar is great too. I recall reading that you do the two layer closure, right? I think the two layer produces the best donor scars (or lack of). Patient Care Services & UK Patient Advisor for Shapiro Medical Dr. Ron Shapiro, Dr. Paul Shapiro and Dr. David Josephitis are members of the Coalition of Independent Hair Restoration Physicians. http://shapiromedical.com/info@shapiromedical.com http://shapiromedical.com/contact/request-a-consultation/janna@shapiromedical.com Link to comment Share on other sites More sharing options...
Regular Member limitlesshair Posted April 22, 2011 Regular Member Share Posted April 22, 2011 Wow one happy patient, Great work Dr Lindsey! Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted April 25, 2011 Author Regular Member Share Posted April 25, 2011 Thanks And yes Janna, I always do a 2 layer closure....occasionally 3 layers if its a scar revision and wide and tight. I'm convinced that for me its the best option of minimizing scar problems, although its not a guarantee. I still get scars that I'm not proud of, just not as often as I did prior to adopting this closure technique. And the downside is that those deep sutures can extrude and cause a little trouble in about 10% of patients, but I think its a good tradeoff given the scar improvement that I see at my office. Dr. Lindsey McLean VA William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Guest Ian512017155 Posted April 25, 2011 Share Posted April 25, 2011 Very good results! Link to comment Share on other sites More sharing options...
Senior Member Cam Simmons MD ABHRS Posted April 26, 2011 Senior Member Share Posted April 26, 2011 Dr. Lindsey Very nice work! Your donor scar is very hard to see. I adopted a method similar to the one Dr. Arthur Tykocinsky developed and presented in Boston and Dr. Parsley published in the Forum. They (and now I) use running horizontal deep sutures in the fat under the follicles and superficial running vertical sutures to close the skin. (These are simple running sutures and not mattress sutures.) I also don't pull the deep layer tight. This technique gives the advantage of a 2-layer closure without any extruded sutures. Your method obviously works well but you might like Arthur's too. Kind regards, Cam Simmons MD ABHRS Seager Medical Group, Toronto, Ontario, Canada Dr. Cam Simmons is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted April 28, 2011 Author Regular Member Share Posted April 28, 2011 So are there cutaneous sutures that you remove too? Sounded like there is a really deep layer and then a subQ layer....or is that second layer cutaneous? Thanks, sounds interesting. Dr. L William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member Cam Simmons MD ABHRS Posted April 28, 2011 Senior Member Share Posted April 28, 2011 Dr. Lindsey The deep layer is absorbable and lies in the fat below the bulbs. I use Maxon but others may use Vicryl. The cutaneous sutures have to be removed. I use Prolene but others may use Nylon. Dr. Tykocinsky uses the deep layer to bring the edges closer together so there is almost no tension on the surface. I found that tension in the deep layer caused more post-op discomfort for my patients. Instead I use the deep layer to convert the gap from a "U" shape to a "V" shape then the cutaneous sutures to approximate the edges "U -> V -> l". This 2-layer closure also keeps the hair in both edges and the trichophytic hairs more parallel. You are always generous in sharing your ideas and experience so I hope that this is helpful for you. Ultimately we create techniques and/or adopt other's ideas then adapt them to make them work in our own hands. Cam Simmons MD ABHRS Seager Medical Group, Toronto, Ontario, Canada Dr. Cam Simmons is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted May 3, 2011 Author Regular Member Share Posted May 3, 2011 Sounds interesting. Thanks for the tip. Dr. L William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
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