Senior Member Dr. Paul Shapiro Posted July 29, 2011 Senior Member Share Posted July 29, 2011 Dr. Paul Shapiro: 4400 FUT grafts on 28 year old Norwood type 4. 14 Days Post Op with hair cut short. This 28 year male came by for his suture removal 2 weeks post op. His native hair was buzz cut so all the hair you see on the top of the scalp and hairline is transplanted hair. A lot of patients want to know what they will look like after the surgery. Like this patient, most patients redness and scabbing is gone by 2 weeks. As you can see, with a good haircut, it is difficult to tell that he had a hair transplant. Most likely all the transplanted hair will shed in a month, but his native hair should grow about ? to ? inch a month. His graft count was as follows: · 1 hair - 1113 · 2 hair – 2484 · 3 hair – 756 · 4 hair – 47 · Total grafts – 4400 · Total hairs – 8564 Link to comment Share on other sites More sharing options...
Senior Member haircut Posted July 29, 2011 Senior Member Share Posted July 29, 2011 14 days post-op and you can't even tell that he had surgery. That is amazing! This is going to be one of those famous SMG hairlines. Great job! Link to comment Share on other sites More sharing options...
Senior Member aaron1234 Posted July 29, 2011 Senior Member Share Posted July 29, 2011 He's a lucky guy. He seems to have a fair, pale complexion like me but doesn't have any residual redness. Can't wait to see his results in a few months! Dr. G: 1,000 grafts (FUT) 2008 Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013 Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020 My Hair Transplant Journey with Shapiro Medical Group Link to comment Share on other sites More sharing options...
Mick from Farjo Posted July 29, 2011 Share Posted July 29, 2011 Dr Shapiro, This looks to be very clean and refined and as always i expect to see a great end result. 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 Cant decide Posted July 30, 2011 Senior Member Share Posted July 30, 2011 Very nice work. Dr. Shapiro - Can you tell me why you opted to go back into the crown? I ask because I hear of some docs not wanting to touch the crown until a patient is much older and more progressed. This patient is a NW4 at 28 but theoretically, his crown could open up much further. Thanks in advance. My Hairloss Web Site - Procedure #1: 5229 Grafts with Dr. Rahal Oct, 2010 Procedure #2: 2642 Grafts with Dr. Rahal Aug, 2013 7871 Grafts http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2452 Link to comment Share on other sites More sharing options...
Senior Member Dr. Paul Shapiro Posted August 3, 2011 Author Senior Member Share Posted August 3, 2011 Cant Decide: There is no set rule whether to put hair in the crown or not. What is important is that we take in future hair loss into consideration so that if the patient progresses there is enough donor to make the hair transplant look natural. In this case the patient did not want his hairline very low and was happy with a mature frontal-temporal angle. I kept the front of his hairline high at 9 cm above the glabella and his frontal temporal angles mature. In these patients I will shrink the crown, but not completely cover it. It is usually safe to put hair at the top of the crown. Also the hair in the top of the crown is at a lesser density of around 25 to 30 FU/sq.cm to give it some coverage, but not very dense. In the photograph of his crown I have drawn in green the potential future crown hair loss and in red how far down I would go in his case. So if he becomes a Norwood type 6 or 7 he will still have some crown showing. I hope this answers your question. Link to comment Share on other sites More sharing options...
Senior Member Cant decide Posted August 3, 2011 Senior Member Share Posted August 3, 2011 Dr. S - Thanks so much for the explanation. That is very helpful. Again, nice work. Take Care, CD My Hairloss Web Site - Procedure #1: 5229 Grafts with Dr. Rahal Oct, 2010 Procedure #2: 2642 Grafts with Dr. Rahal Aug, 2013 7871 Grafts http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2452 Link to comment Share on other sites More sharing options...
Senior Member orlhair1 Posted August 4, 2011 Senior Member Share Posted August 4, 2011 Looks really good.....he healed up super fast Surgery - Dr. Ron Shapiro FUT 6/14/11 - 3048 grafts Surgery - Dr. Ron Shapiro FUE 1/28/13 & 1/29/13 - 1513 grafts http://www.hairrestorationnetwork.com/orlhair1 Link to comment Share on other sites More sharing options...
Senior Member Cant decide Posted August 4, 2011 Senior Member Share Posted August 4, 2011 Dr. Shapiro - If you would not mind, I have one more question. Is it advisable to transplant the crown laterals at a denser rate while leaving the center top of the crown at 25? When I refer to "laterals", I mean the left and right side of the crown between the red and greem marks on the pic you posted. For me, I would want the laterals to be as dense as possible thus locking up the side profiles and conceed the center top as thinner since the only way to view that would be from the back or with the head down. Is this rational sound? Thanks in advance My Hairloss Web Site - Procedure #1: 5229 Grafts with Dr. Rahal Oct, 2010 Procedure #2: 2642 Grafts with Dr. Rahal Aug, 2013 7871 Grafts http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2452 Link to comment Share on other sites More sharing options...
Senior Member Dr. Paul Shapiro Posted August 4, 2011 Author Senior Member Share Posted August 4, 2011 Cant Decide: I understand what you are saying and I do think it is importatn to give these areas good density. They usually are not as dense as the central core area, but should be dense enough to block light and frame the face. What density I plant there can really vary by case. But you are correctr in saying thi is an important area to frame head. That is why I make a circle in the crown with those side angles down lower. I hope this makes sens Dr. Paul Link to comment Share on other sites More sharing options...
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