Dr N Farjo crown work

[Mick from Farjo]

This patient came to us with a slightly less than typical request.He simply wanted a subtle change to his crown.This was fine as this area can simply eat up grafts anyway.He has been using medications for a while and feels that these have helped delay further loss.He is very happy and does not intend to have further treatment.The follow up pictures are at around 10 months.

 

1520 Follcular units.

 

Mick

[bonkerstonker]

Wow i'm not being funny but it sure ate them 1500 grafts up. Maybe it could be styled a little better for more coverage.

[alix]

Wow i'm not being funny but it sure ate them 1500 grafts up. Maybe it could be styled a little better for more coverage.

I agree.

[joeyz400]

seems like a lot of graphs didn't make it.... sorry.

[Bill - Seemiller]

Well the crown isn't referred to as the "black hole" for grafts for nothing...

 

Mick, for 1520 grafts in the crown, this is a nice result. This patient definitely received the subtle improvement he was looking for. In order obtain higher density in the crown, he would have required a lot more.

 

Thanks for posting this.

 

Bill

[Mick from Farjo]

Bill,

 

I am pleased you saw the point.Although Bs you are also right regarding the styling.

The crown is a black hole for sure and even thoughb this will thicken up over the next few months , it will still be a thin appearance.Joey hair characteristics play a huge part and the older a patient is, (generally) the less their expectations.

This guy wanted things to look a little better, in fact he was pretty sure about this to the extent that we had reccommended more but it was not in his plans.

It really is no good always putting examples of patients who achieve a hairy mop.It is important to understand the limitations when working in the crown.it will be interesting to compare pictures in around 8 months time.

 

Mick

[Mick from Farjo]

Spex,

 

I sometimes pinch a line of you where you referred once to the crown being like a desert and it simply eats up grafts.This is part of the realisation process that patients have to face and where the expectation management levels are crucial.

 

Thanks for the input.

 

Mick

[El Nino]

This looks about right for the amount of grafts and 10 months post op, my first crown HT wasn't fully matured until about 15 months post op. The crown takes longer than the front.

 

The crown takes up more grafts because it is ball shaped and not flat like the hairline. The hair goes in different directions and exits the scalp at different angles. This makes it much harder than the front to create the illusion of density where you get more of a layering effect with the grafts.

[bonkerstonker]

I had a uk butcher put 800 in my crown about the same size and it covers a lot better than that did but if it got messy or away from how I styled it would not look as good.

 

My crown was still producing new hairs through the scalp at 12 month too for some reason crowns take a lot longer.

[El Nino]

I had a uk butcher put 800 in my crown about the same size and it covers a lot better than that did but if it got messy or away from how I styled it would not look as good.

 

My crown was still producing new hairs through the scalp at 12 month too for some reason crowns take a lot longer.

 

Just had a look at your pics bonkerstonker and you have very thick and coarse hair which is great for transplants, especially in the crown where hair characteristics play a big part.

 

Also the hair count is very important. Someone with less grafts could get more hair.

 

You are going to be transformed when your HT with Dr. Hasson grows in, congrats.

[hairthere]

ElNino, Well, no part of the scalp is really flat. The hairline has just as much curve. I think it has more to do with the sheer size of the crown.

[El Nino]

ElNino, Well, no part of the scalp is really flat. The hairline has just as much curve. I think it has more to do with the sheer size of the crown.

 

Of course the hairline isn't completely flat but I think it would be fair to say the crown is more rounded.

 

And yes the crown is a lot bigger too and can open up in four directions where as the hairline can only recede backwards.

[bonkerstonker]

Thanks pal fingers crossed my hair problems will be over soon.

 

I think the ht in question here should improve after 12 month so I'm looking forward to seeing the difference.

[MusoInOz]

I don't understand. If this client is at a mature age and on meds why would you only extract 1500 grafts for the crown? It is clear in the pre op picture he would require more than this. Clearly I am not a doctor but I will hold my ground on this statement.

Another semi irritating point is the "Black Hole" fiasco, the frontal thirds can be just as big of not bigger than the crown. I have read the posts and seen many many results of crown work. It looks to me that some doctors are great at it and some are not. Is it possible certain HT surgeons are caught up in frontal coverage and do not harness further skills within the crown. I am NOT saying that said doctor would not be able to transplant here or would not understand the methods involved of course they would, they are doctors for god sake. I am merely trying to say if you are good in one area and not another would you not go further yourself. Think of guitar, I can play blues and jazz quite well...ask me to shred like an 80's metal head and I cannot, this doesnt mean I am an incompentent guitar player I have just not furthered my skill in the particular area. Same goes with this in my mind. I like analogies.

 

Also, I am not bashing any particular doctors even though I have chosen to comment on this posted result.

 

Cheers,

Edited May 20, 2011 by MusoInOz

[Cant decide]

I can understand why this patient would want a subtle change. Maybe he is just a conservative guy by nature. Maybe he could not afford more. Or, maybe he did not want it to look obvious that he had anything done.

What confuses me and always has is how crown results can vary as much as they do from patient to patient. They vary allot more than frontal results in my opinion. For example, look at the famous Bobman. He had about 3000 grafts in his second procedure which covered a MASSIVE area on his crown. Likely three times the size of this guys crown loss. Yet, when it grew it, the density was very good. Then with others, the crown seems to eat grafts up and only provide a subtle change. I know one can point to characteristics but come on, it’s not like Bobman had the coarsest of hair. It just seems that there is something else at play here with these crowns.

[bonkerstonker]

I can understand why this patient would want a subtle change. Maybe he is just a conservative guy by nature. Maybe he could not afford more. Or, maybe he did not want it to look obvious that he had anything done.

 

What confuses me and always has is how crown results can vary as much as they do from patient to patient. They vary allot more than frontal results in my opinion. For example, look at the famous Bobman. He had about 3000 grafts in his second procedure which covered a MASSIVE area on his crown. Likely three times the size of this guys crown loss. Yet, when it grew it, the density was very good. Then with others, the crown seems to eat grafts up and only provide a subtle change. I know one can point to characteristics but come on, it’s not like Bobman had the coarsest of hair. It just seems that there is something else at play here with these crowns.

 

Mick has said on page 1 that the client didn't want anymore grafts and that they recommended more but it wasn't in his plans.

 

I find the black hole excuse that clinics use very irritating too i think it would be better to say it takes longer to grow there because i know first hand it does but there's not much talk about that.