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Dr. Sanusi Umar

Patient Results for Dr. Sanusi Umar – 5,800 Grafts Using BHT

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Before Surgery:

This patient underwent a previous strip surgery of 1800 grafts at another clinic. He was dissatisfied with the overall coverage, hairline, and strip scar. His advancing hair loss encouraged him to pursue repair with BHT or, more specifically, facial hair to head transplant (FHHT).

 

Surgery:

Dr. Umar performed three surgeries, using an approximate total of 5800 grafts. Donor hair came from:

 

beard: ~3800 grafts

nape: ~1500 grafts

head: ~500 grafts

 

The recipient areas consisted of the temple points, hairline, frontal scalp, mid scalp, and crown.

 

Post-Surgery:

The patient requested laser treatment to the beard area 2 weeks post procedure.

 

The patient feels enough liberation from the strip scar, and confidence in his hairline and overall fullness to wear a shorter haircut. “After” images are from seven months post-third surgery (except for the first "after" image, of the top of the patient's head, which was taken only 2 weeks post-op).

 

 

watch?v=bhdMrx9oDfo&feature=player_embedded

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Edited by Dr Umar

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Dr. Umar, this looks like a great scar repair case and use of nape, head, and beard hair.

 

For beard hair/body hair transplantation, does a person need to get off of propecia and rogaine?

 

Do you have more case you can show utilizing body hair and beard hair? I have seen a bunch of your youtube videos and would like to see more and more of your procedures including beard/body hair as I think you are somehow able to use it effectively with regular head hair. I don't think I have seen anyone use it as effectively as you have so far. If this patient was to grow the hair little longer, would the body hair grow longer or is there a limit? What was the density from the 500 grafts head hair (1's, 2's, 3's?) and are the body hair/beard hair grafts all one's or do they also come in two's like head hair?

 

Do you normally mix all the hairs in one zone or bht/beard hair mostly used around the crown region? I also see that laser treatment was used in this case post op. Is there a benefit to the use of laser treatment in the beard area after extraction?

 

It looks great though. I think there is a substantial difference all around and around the scar region. Even with a closer buzz, you can't see the scar and I am sure if there was no repair to that region, the scar would be clearly visible. This patient must be very happy. Thanks for sharing.

Edited by Sean

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Dr Umar,

 

Thank you for sharing this case. This appears to be a success on all fronts. I'm curious how you feel about scalp micropigmentation as an adjunct to BHT. It seems that this would be an ideal combination.


David - 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

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Hello Sean,

 

 

For beard hair/body hair transplantation, does a person need to get off of propecia and rogaine?

 

If there is evidence of body/beard hair loss subsequent to the use of finasteride, then it should be discontinued to give the procedure a chance to succeed. If there has been no evidence of body/beard hair loss despite finasteride usage, then it may not be necessary to discontinue it.

 

Minoxidil is more likely to benefit than hurt the procedure

 

 

Do you have more case you can show utilizing body hair and beard hair?

 

 

Yes

 

 

If this patient was to grow the hair little longer, would the body hair grow longer or is there a limit?

 

The body hair would grow only as long as it would normally do in its original body location. Beard hair would rival head hair in length, but it is coarser and more wiry

 

 

What was the density from the 500 grafts head hair (1's, 2's, 3's?) and are the body hair/beard hair grafts all one's or do they also come in two's like head hair?

 

The head hair was used up mostly in the front. It was scattered amongst pre0-existing hair. The number of hair shafts per follicle varies from person to person

 

Do you normally mix all the hairs in one zone or bht/beard hair mostly used around the crown region?

 

Surgical plan varies from one individual / goal to another

 

 

I also see that laser treatment was used in this case post op. Is there a benefit to the use of laser treatment in the beard area after extraction?

 

It could hasten the healing process. Typically, the patients make the choice in this regard.

 

 

 

Hello Takingtheplunge,

 

I'm curious how you feel about scalp micropigmentation as an adjunct to BHT. It seems that this would be an ideal combination.

 

Good question. I have found it (tattooing - micropigmentation) to be of some benefit in patients with white strip scars seeking repair. After grafting the strip scars optimally with hair, the white line may persist. In these instances, after suffusing the scar with hair, it may be beneficial to consider cosmetic tattooing by well qualified providers. In due course I will show a couple of patients who used this approach successfully. As a treatment for hair loss, I will urge caution and a careful consideration of the indications and benefits when compared to real hair growth by way of transplants. Most individuals would favor hair to camouflage.

Edited by Dr Umar

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Wow! A rare appearance from Dr. Umar. I guess this is my best chance to ask some questions that I've had for him.

 

1. Lately, it seems that the FUE technique is coming under increased attack from some of the more-prominent surgeons, who claim that it produces inferior yield and, most alarmingly, carries a substantial risk of a depleted, moth-eaten donor area. How do you respond to that criticism?

 

 

2. I've been told that the efficacy of FUE is much to do with whether the patient's skin allows the grafts to be extracted easily. Is this true, and is there anything you can do to treat a person with tougher skin?

 

 

3. Do you think the total available donor area is smaller for a FUE patient than for a strip patient?

 

 

 

Thanks.

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Dr. Umar,

 

Thank you for sharing this interesting case with the community. It's great to see some new examples of your work.

 

Altogether, I think this patient looks great. It was clearly a difficult repair case, but you've done a very nice job repairing the damage and creating a very youthful and aesthetically pleasing midscalp and hairline. Additionally, I think the BHT grafting into the previous "strip scar" is fantastic.

 

I do have a few questions:

 

1. Do you have any pictures (or can you obtain any) with the patient's hair "grown out" a bit longer? The work is clearly very refined and the short cropping looks great, but I am curious to see how it would look a bit longer and grown out.

 

2. Is the laser work in the beard (post-operative) simply to "even out" areas where grafts were extracted. If so, is this only performed in patients who will not utilize any beard hair grafts in the future (assuming the laser treatments kill certain beard follicles to "even out" the post extraction appearance).

 

Again, great work! Thank you for sharing.


"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.

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Just terrific. Can't tell any of the grafts on top are BHT. Would love to see more presentations from Dr. Umar of these type of cases. Love the video too.

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WOW this is a 100 % turnaround! Great hairline and all. Dr. Umar, you are very talented.


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? :D

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Dr. Umar,

 

Thanks for taking the time to share these results. FUE in particular has become increasing popular and has advanced a lot over the last year. Thus, as one of the world's leading surgeons utilizing FUE and BHT, I'm looking forward to seeing more of your work as we consider you for potential recommendation on our community.

 

Best wishes,

 

Bill


I am the managing publisher of the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog and this Hair Loss Forum. I am also a 4 time hair transplant patient. View my patient hair loss website to view my entire hair restoration journey with photos.

Remember, true beauty radiates from within, not from the skin.

I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own.

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This is a great result, body hair has many limitations such as using your hair short but if a patient's needs are towards that direction, Dr.Umar is the best way to go.

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