Dr. Raymond Konior Posted February 11, 2012 Share Posted February 11, 2012 This is a 39 year old male who requested frontal hairline restoration. He presented to my office with a history of previously undergoing a frontal restoration that did not accomplish his density goals. A total of 3165 grafts were placed in his thinning frontal tuft and empty frontotemporal recessions. Two year postoperative photographs demonstrate his final hairline. A comparison view uses arrows to identify several skin markers so as to provide a perspective of the lowering that was achieved. Dr. Ray Konior is a highly esteemed member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member NEWHAIRPLEASE Posted February 11, 2012 Senior Member Share Posted February 11, 2012 Dr Konior...that is an unbelievable transformation...I wouldn't expect anything less from you...your work is incredible....hope you enjoyed your working vacation!!!!llol Newhairplease!! Dr Rahal in January 19, 2012:) 4808 FUT grafts- 941 singles, 2809 doubles, 1031 triples, 27 quads My Hairloss Website Link to comment Share on other sites More sharing options...
Senior Member lukeyb1687 Posted February 11, 2012 Senior Member Share Posted February 11, 2012 Wow what an amazing transformation! Is he on any meds? What are the graft breakdowns? 12/2017 - 3500 Grafts- Dr. Emrah Cinik Follow my progress: Link to comment Share on other sites More sharing options...
Senior Member BadBeat Posted February 11, 2012 Senior Member Share Posted February 11, 2012 Wow, that's amazing! Must be nice to be a NW1 again! Link to comment Share on other sites More sharing options...
Senior Member RCWest Posted February 11, 2012 Senior Member Share Posted February 11, 2012 What an outstanding hairline! Excellent density too. Perfect. 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? Link to comment Share on other sites More sharing options...
Senior Member hairthere Posted February 11, 2012 Senior Member Share Posted February 11, 2012 Stellar hairline work! 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...
Senior Member irishsailor Posted February 11, 2012 Senior Member Share Posted February 11, 2012 That is one sweet hairline. That patient must be over the moon with that result. Absolutely fantastic results Hair Transplant Dr Feller Oct 2011 Hair Transplant Dr Lorenzo June 2014 Link to comment Share on other sites More sharing options...
Senior Member chrisdav Posted February 11, 2012 Senior Member Share Posted February 11, 2012 That is a impressive result Dr Konior. Patient must be thrilled. 2 poor unsatisfactory hair transplants performed in the UK. Based on vast research and meeting patients, I travelled to see Dr Feller in New York to get repaired. Link to comment Share on other sites More sharing options...
Senior Member Dutch Posted February 12, 2012 Senior Member Share Posted February 12, 2012 Very nice natural hairline, excellent work from you as usual. http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2329 Link to comment Share on other sites More sharing options...
Senior Member Sean Posted February 12, 2012 Senior Member Share Posted February 12, 2012 Looks Great! Very nice work. Link to comment Share on other sites More sharing options...
Senior Member Montreal Posted February 12, 2012 Senior Member Share Posted February 12, 2012 thats excellent work. Link to comment Share on other sites More sharing options...
Senior Member orlhair1 Posted February 12, 2012 Senior Member Share Posted February 12, 2012 That is an outstanding result......nice work! 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 Shyguy Posted February 12, 2012 Senior Member Share Posted February 12, 2012 WOW! Great hairline! Using Propecia since 1997 Using Rogaine Foam once a day since 2012 Using Niazoral 2% once a week since 2012 Link to comment Share on other sites More sharing options...
Senior Member wylie Posted February 16, 2012 Senior Member Share Posted February 16, 2012 Beautiful result! Link to comment Share on other sites More sharing options...
Senior Member StaggerLee123 Posted February 16, 2012 Senior Member Share Posted February 16, 2012 Ditto, ditto, ditto, and ditto! Infinity... Link to comment Share on other sites More sharing options...
Senior Member JayWalker Posted February 16, 2012 Senior Member Share Posted February 16, 2012 That is absolutely outstanding work!!!!!!!! http://www.hairtransplantnetwork.com/blog/journal.asp?CopyID=10024&WebID=2832 October 2011 - 1647 FUT - Dr Dorin January 2014 - 1580 FUT - Dr Dorin Link to comment Share on other sites More sharing options...
Senior Member Buzz2 Posted February 17, 2012 Senior Member Share Posted February 17, 2012 Im not the most educated on the subject, but this is one of the best results I have ever seen !!! HT No1 : Nobel clinic, Gatwick 500 grafts - Terrible result, left with bumpy skin HT No2 : Marwan Saifi 1680 grafts. Great result HT No3 - Marwan Saifi 1250 grafts. Another good result. HT No4 - Hakan Doganay 2134 grafts. Result TBA Total 5134 grafts. Link to comment Share on other sites More sharing options...
Regular Member ManinSpace Posted February 17, 2012 Regular Member Share Posted February 17, 2012 That looks fantastic. What is the consensus regarding this patients decision to close the temples as he has. Is the hair behind it in the lateral region considered safe as it as receded so far? Link to comment Share on other sites More sharing options...
Dr. Raymond Konior Posted February 18, 2012 Author Share Posted February 18, 2012 ManinSpace – You pose an outstanding question regarding his decision to aggressively fill the frontotemporal recessions. I believe that the strategy of how one approaches hairline design in terms of location and density is based on several key parameters – each of which must be factored into the final decision as to what should or should not be done with respect to designing the frontal restoration zone. Here are some of the key components that I factored into his plan. A prediction as to the final hair loss pattern – Although there is no way to assess the definitive final pattern for many patients, an educated prognosis can often be made based on age, examination for presence or absence of miniaturization and family history. Analysis of these factors for this case suggested that his final pattern would support the long term aesthetic benefit of the restoration that was performed. Personally, I spend much more time trying to convince patients to be conservative with respect to hairline location and density as there seems to be more patients presenting to my office with the potential for progression to an advanced pattern that would not support aggressive hairline restoration. Fortunately this patient appeared to have just the right combination of factors to allow for the restoration performed. Stabilization therapy – This patient has been on stabilization therapy with finasteride for over 10 years. His examination showed advanced miniaturization confined to the frontal region and very limited miniaturization in the crown. He stated that he had maintained a good response over the treatment period and that he had no plans to alter the treatment regimen. Donor site availability for future treatment – Careful assessment of graft availability within the donor site must be completed to generate a treatment plan that includes planning for any potential future grafting needs that may arise from progression of a pattern. This particular patient had ideal donor characteristics – excellent density, elasticity and healing characteristics. His graft “reserve” was factored into a treatment plan that should allow his overall long-term goals to be fulfilled if his pattern progress. Patient goals – Both short-term and long-term goals need to be prioritized in developing such a grafting scheme. With the understanding that the donor site is finite and that a full head of thick hair is impossible for patients with advanced patterns, a discussion of what would be done in the event of pattern progression must be undertaken with all patients prior to committing to any hairline restoration plan. A patient who has no concern about crown restoration in the short-term or the long-term has the ability to do more in the frontal region than someone who prioritizes coverage from front to back. With respect to this case the front was defined as the highest priority from both a short-term and long-term perspective. Thanks to everyone for their positive comments. This patient had absolutely wonderful hair characteristics which contributed significantly to his final result. Dr. Ray Konior is a highly esteemed member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Regular Member ManinSpace Posted February 18, 2012 Regular Member Share Posted February 18, 2012 (edited) Thank you Dr Konior for taking the time to send such a detailed respond, It is very helpful to see the processes behind the decision laid out so clearly. I find the temple regions to be an interesting point of discussion and I have mixed opinions about whether or not to get mine closed, but I will probably err on the side of caution and not address them. This is an absolutely fantastic result and i must say one of the best I think I have seen. I imagine he must be ecstatic with his new look. Edited February 18, 2012 by ManinSpace Link to comment Share on other sites More sharing options...
Raphael84 Posted February 22, 2012 Share Posted February 22, 2012 Thanks Dr Konier for such a personal and informative post. This result is undoubtedly, as good as it gets and both you yet more so your patient must be so pleased. Your results are consistantly up amongst the best, always look forward to seeing your work! Patient Advisor for Dr. Bisanga - BHR Clinic ian@bhrclinic.com - BHR YouTube Channel - https://www.youtube.com/channel/UCcH4PY1OxoYFwSDKzAkZRww I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
Senior Member England Posted February 22, 2012 Senior Member Share Posted February 22, 2012 This result is outrageously good. Phenomenal, the best I've ever seen. Link to comment Share on other sites More sharing options...
Mick from Farjo Posted February 24, 2012 Share Posted February 24, 2012 Dr Konior, Excellent feedback regarding this case and a truly wonderful outcome. 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...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now