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  • Senior Member
Posted

Hello everyone,

I am waking up now, in quite a bit of pain, but the pills I took are starting to kick in. I was in Manhattan all day yesterday, for a 10 hour session with Dr. Carlos Wesley. We had planned on a 2200 procedure, but my harvested strip yielded a couple hundred more.

 

My experience with Wesley, was completely different than my experience a year ago with Dr. Ivan Cohen. Cohen did a refined job, and excellent work, but the results I was expecting, from the recommended number of grafts, were quite disappointing. Also, it felt like I was in and out of Cohen's office, like Wham Bam, thank you Ma'am. He harvested the strip quickly, and before I knew it, I was already sewn up with a trichophytic closure, that left a significant scar. I wouldn't go back to him, but then again, I don't think I I will ever need to go back to anyone. Wesley's results should prove to be most satisfactory.

 

Wesley took his time, and at no point did I feel rushed. He encouraged you to bring your own music, so make things more "enjoyable", haha. So as I had my own Ipod playing my playlist, we began the procedure. I was given a fast acting Benzo via IV, which also kept me hydrated, it was a LONG day. After anesthetizing me, he began to excise the strip. He did this in a careful, slow, and meticulous manner. and while he was cauterizing some vessels, and carefully stitching me up, his staff had already began dissecting the strip. I have/had a very dense donor area, and we harvested as much as we could, considering my level of laxity, and the need to minimize scarring. If, and I repeat IF, any future work is required, we will have to harvest via FUE, but most likely will use Wesley's new scarless technique that will be available to patients by the time I would need any further work. We focused exclusively on the frontal third, and I know that people think and have voiced their opinion on Wesley's conservative approach to transplantation, by only going as high as 35 FU by CM2. This is not an issue at all, because he uses larger grafts as opposed to other surgeons "Dense Packing" of far more grafts into a square centimeter, they may be packing 70 or some odd FU's into that area, but they may possible be only 1 and two hair follicular family's. I had MANY 3 and 4 hair ff's put behind the hairline, single hairs were exclusively used in the front of the hairline, to create a soft transition from forehead to scalp. The overall density I hope to achieve will be fantastic. Wesley prefers to wrap the head on the fist nght, so I haven't been able to examine my head in the mirror yet, as I plan on doing later in the day, and taking pictures to document the journey I have just began.

 

I go to Manhattan again this morning, to have the bandage/wrap removed, and have my first shampoo.

 

So far I am more than satisfied with my experience with Wesley, and am optimistic and excited about the results I should receive. It really was a great experience, my younger brother, who remained very patient with me, it was a 10 hour procedure, was able to participate by pushing the clicking counter, as the Dr. made the recipient incisions. He bought us both lunch as well.

 

Based on my experiences with him, both in the clinical trial for his new technique, and my traditional FUT procedure yesterday, I can honestly say that I have full faith in his ability, and recommend him as a surgeon to anyone, without hesitation.

 

I will post photo's later today. Wish me luck on my new journey toward hair restoration. My best to all of you as well, my shiny headed brethren.

 

-Trees

2/14/2011 Surgery #1 Dr. Ivan Cohen - 1539 grafts, 1's - 475

2's - 989

3's - 75

 

2/20/2012 Surgery #2 Dr. Carlos Wesley - 2570 grafts

  • Senior Member
Posted

Congrats!

 

Question: You wrote that if you need another, it will need to be via FUE since your laxity is not good. After only About 3800 grafts and 2 strips, your laxity is already gone?

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

  • Senior Member
Posted

Thanks Cant Decide. I really appreciate the support. Now to respond to your question. I tend to lean toward the conservative side, as does Dr. Wesley. My laxity is currently at it's low point, after excising a large strip yesterday. I am concerned with scarring afterward, and having a donor site heal perfectly. So I am not about to push the envelope when it comes to this. I don't think I will require any additional procedures, except maybe filling in the linear scar vie FUE or Dr. Wersley's new technique, once available.

 

My laxity wasn't extraordinary to begin with, but I was able to increase it by doing excersizes, and believe I could do so again, if necessary. But I don't want to risk having a large linear scar, so that is why I would opt out another Strip surgery. Actually, I think I would consider an additional procedure, focusing on the crown area, which was not addressed in yesterday's procedure. So at 30, taking Finasteride and Minoxidil, and two surgeries in, I can't say anything with absolute certainly. I hope that answers your question.

Cheers,

-Trees

2/14/2011 Surgery #1 Dr. Ivan Cohen - 1539 grafts, 1's - 475

2's - 989

3's - 75

 

2/20/2012 Surgery #2 Dr. Carlos Wesley - 2570 grafts

Posted

fakeplstctrees,

 

Thanks for posting a detailed account of your hair transplant experience with Dr. Wesley. Now all that's missing is some photos :-).

 

I hope you'll present some pictures of your scalp post-hair transplant when you get a chance. In the meantime, get your rest and be careful of those freshly transplanted grafts.

 

Best wishes,

 

Bill

  • Senior Member
Posted

I have uploaded some new photo's if anyone is interested in viewing them. Thank you my brothers!

2/14/2011 Surgery #1 Dr. Ivan Cohen - 1539 grafts, 1's - 475

2's - 989

3's - 75

 

2/20/2012 Surgery #2 Dr. Carlos Wesley - 2570 grafts

  • Senior Member
Posted

Looks good man. To tell you the truth, your first poceedure ended up much better that I thought it would when you first showed up. For the number of grafts, I would not call it a failure.

 

I think that this proceedure will put you over the top.

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.

  • Senior Member
Posted
Looks good man. To tell you the truth, your first poceedure ended up much better that I thought it would when you first showed up. For the number of grafts, I would not call it a failure.

 

I think that this proceedure will put you over the top.

 

 

Thanks Spanker, That actually means a lot coming from you, you were my toughest critic last time, although I know your intentions were good, they bugged me out the most. But I am very optimistic about this procedure with Wesley.

 

With his conservative approach, using larger FU's, in smaller amounts per CM2, we should yield great coverage, with near perfect survival of the grafts.

 

One issue you had brought up last time, was the miniaturization of the untouched forelock follicles. This time, the entire frontal third was addressed, and many 4 hair FF's were placed in perfect location and direction for optimal density.

 

These were all fully discussed, several times pre-op, including the morning of. This was not the case with Cohen during my first procedure. Although it was certainly not a failure, we sort of rushed through the motions, and I left completely uninformed. I had to find out for myself, what should have been brought to my attention. Things such as white spots after my first shampoo at home, I panicked and thought I was losing my grafts. I should have been told this was going to happen, and was normal for the epidermis of the actual grafts to expand when wet.

 

Anyway, I am still in a fair deal of pain, and have some good medication about to kick in. I feel great otherwise, and CAN'T wait for the final result months down the road. I know I am going to look damn good, haha.

 

-Trees

2/14/2011 Surgery #1 Dr. Ivan Cohen - 1539 grafts, 1's - 475

2's - 989

3's - 75

 

2/20/2012 Surgery #2 Dr. Carlos Wesley - 2570 grafts

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