Regular Member Dr. Sanusi Umar Posted November 15, 2011 Regular Member Share Posted November 15, 2011 (edited) Before Surgery: NW 3 MPB No previous surgery Used comb-overs to disguise thinning Surgery: 2500 grafts from nape and head donors Surgery Results: Results shown in photos and video at 1 year after surgery Edited February 22, 2013 by Dr Umar Dr. Sanusi Umar is recommended on the Hair Transplant Network Visit Derm Hair Clinic on: Facebook, Twitter You Tube Link to comment Share on other sites More sharing options...
Senior Member Sean Posted November 15, 2011 Senior Member Share Posted November 15, 2011 Looks very natural. Great work! Link to comment Share on other sites More sharing options...
Senior Member TomCruise Posted November 15, 2011 Senior Member Share Posted November 15, 2011 Thank you Dr. Umar. I enjoy seeing your work. Do you have any photos of the nape area, both post-op and healed? Link to comment Share on other sites More sharing options...
Senior Member Blake Bloxham Posted November 15, 2011 Senior Member Share Posted November 15, 2011 Dr. Umar, Thank you for continuing to share your work with the community. Again, this is an impressive case. A few questions: 1. What proportion of the grafts (roughly) came from nape hair versus scalp hair? 2. What are your thoughts on the longevity of nape hair grafts? Do you believe they are more DHT resistant than scalp hair in the non-donor region (i.e. hairs from the midscalp and hairline)? "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 mars Posted November 16, 2011 Senior Member Share Posted November 16, 2011 really good result! Link to comment Share on other sites More sharing options...
Senior Member aaron1234 Posted November 16, 2011 Senior Member Share Posted November 16, 2011 Big improvement. The video does the result far more justice than the photos. 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...
Regular Member Dr. Sanusi Umar Posted November 16, 2011 Author Regular Member Share Posted November 16, 2011 Hello Future HT Doc, For most individuals, nape hair* is more DHT resistant than the hair in the area of baldness. In other words, nape hair is not necessarily lost in all cases of MPB. What more? The safe donor area (SDA) is functionally the area bordering the fringe of hair that would be left in a terminally bald person. (NW7+). yet we know that the majority of individuals do not experience this degree of baldness. The role of nape hair has hitherto been defined by 1. The notion that it is generally DHT susceptible 2. It is not typically an area subject to harvest given the limitations of the strip harvesting methods available. The second factor has been cancelled by the advent of FUE. Since then nape and temple hair (donor areas outside the SDA) have been widely used in successful repairs of strip-donor- depleted patients. These would be patients whose capacity for further strip surgeries has been exhausted. It is the extension of these experiences with repairs that opened the prospect of using nape hair as the vanguard hair of transplanted hairlines. Obviously, patient selection is key. Using criteria such as the degree of baldness relative to age, visual evidence etc. nape hair can play an important role in hair transplantation. * For the purpose of this discussion, nape hair use in hairline and temple creation refers to hair in the area below the SDA including areas around the ears. Dr. Sanusi Umar is recommended on the Hair Transplant Network Visit Derm Hair Clinic on: Facebook, Twitter You Tube Link to comment Share on other sites More sharing options...
Senior Member Blake Bloxham Posted November 16, 2011 Senior Member Share Posted November 16, 2011 Dr. Umar, Good to hear from you. Thank you for the very thorough explanation! "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 Spanker Posted November 16, 2011 Senior Member Share Posted November 16, 2011 what s the age of the paitent? That is quite a large area for the grats used compared to most surgeries I see today. I like the hairline design. I can't see the video, but the pictures look a little thin, yet natural. This is the result I would expect for any top surgeoun based on the grafts used. As long as the patient had these espectations, I would consider it a sucessful HT. I am an online representative for Dr. Raymond Konior who is an elite member of the Coalition of Independent Hair Restoration Physicians. View Dr. Konior's Website View Spanker's Website I am not a medical professional and my opinions should not be taken as medical advice. Link to comment Share on other sites More sharing options...
Senior Member Shadow of the EMpire State Posted November 16, 2011 Senior Member Share Posted November 16, 2011 what s the age of the paitent? That is quite a large area for the grats used compared to most surgeries I see today. I like the hairline design. I can't see the video, but the pictures look a little thin, yet natural. If you saw the video, you wouldn't feel that way. Link to comment Share on other sites More sharing options...
Senior Member hairthere Posted November 18, 2011 Senior Member Share Posted November 18, 2011 Very nice result Dr. Umar. I am the owner/operator of AHEAD INK a Scalp Micropigmentation Company in Fort Lee, New Jersey. www.aheadink.com Link to comment Share on other sites More sharing options...
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