Patient Results for Dr. Wesley - 2160 Grafts"

[Dr. Carlos Wesley]

This 56-year-old patient received 2160 FU throughout the frontal third of his scalp. Thickening the hairline and bringing to the temporal recessions to a level that they were at years ago was his stated goal. In addition, we rebuilt his temple anteriorly in order to provide a healthy "base" for the advanced hairline. This patient underwent a trichophytic closure due to the contrast between the color of his hair and his scalp. After pictures are taken 8 months postoperatively.

[RCWest]

This is a nice change in density for this patient. Well done. I'm glad to see any shock loss he had did come back.

[Dr. Carlos Wesley]

Thanks, RCWest, for your comment. Fortunately, this patient did not experience any noticeable post-operative effluvium. While this is certainly more of a concern in our female patient population (approximately 50% of women may experience some temporary hair loss), a combination of minimizing epinephrine usage and simply going very slowly and carefully when designing the recipient sites through hair-bearing areas (I generally take over 2 hours to complete a pattern) helps significantly reduce the percentage of male patients who experience telogen effluvium in our practice.

[TakingThePlunge]

Dr. Wesley,

 

Thank your for sharing these results with the community. This guy is very lucky to have had the hair he started with at his age and his new hairline is really the icing on the cake!

 

The work looks perfectly natural and already quite dense at only 8 months.

[RCWest]

So epinephrine is a major factor in shock loss? Is it because it starves the native hair for blood during surgery? I've always wondered. I'm aware that shock loss can be brought on by being careless making the recipient sites.

[Dr. Carlos Wesley]

Although there has yet to be a thorough controlled, double-blinded study to prove this theory, many physicians feel that excessive use of epinephrine may contribute to post-operative telogen effluvium. In general, factors that may cause an "insult" to the local blood supply (epi is a known vasoconstrictor) in a hair-bearing area have this potential.

[Billena]

The true extent of donor scarring is revealed when clipping the hair above and below the scar.

 

 

 

This patient returned for a follow-up session to a different area. So, his donor scar can be viewed in its entirety.