Steven Gabel, MD, FACS Posted July 1, 2012 Share Posted July 1, 2012 This 58 year old male was concerned about the progressive alopecia of the frontal area and crown regions of his scalp. He described it as a slow loss over the past 2 decades. He noticed that along with the alopecia, that his hair was gradually thinning as well. When he presented at the clinic, he had significant alopecia of the frontal scalp and some alopecia of the crown. His hair was blond mixed with grey, but very thin. Additionally, the density of his donor hair was on the low side. We discussed his options in detail. He had been on a regimen of minoxidil and shampoos. Although we discussed the role of finasteride, he was not interested. In terms of a surgical transplant procedure, we discussed the potential outcomes given his lower density of donor hair and and the fine texture of the hair. On the plus side, his hair color/skin contrast difference would give him a more favorable outcome as they were similar. If his hair would be black, the result would be much thinner; however, since his hair color is blond, it was to his advantage in this situation. Given these facts, he understood that the end result would improve his appearance, but he would always have a thinner look given the characteristics of his donor hair. The photographs presented are 2 years following surgery which show the transplanted hairs filling the frontal and crown areas very well with the rest of the hair on his scalp. Although the density of his donor hair was low, the 2195 grafts were able to fill in the frontal and crown areas sufficiently to give him a natural, fuller appearance which he ultimately desired. Steven Gabel, MD, FACS, FISHRS Diplomate, American Board of Hair Restoration Surgery Diplomate, American Board of Facial Plastic and Reconstructive Surgery Diplomate, American College of Surgeons Gabel Hair Restoration Center Portland, Oregon 503-693-1118 Email Dr. Gabel directly at drgabel@gabelcenter.com Dr. Gabel's Website Dr. Steven Gabel is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member Spanker Posted July 1, 2012 Senior Member Share Posted July 1, 2012 Nice result and a sweet scar. 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 chrisdav Posted July 1, 2012 Senior Member Share Posted July 1, 2012 Nice result and great presentation. 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 BadBeat Posted July 1, 2012 Senior Member Share Posted July 1, 2012 Very nice change. Link to comment Share on other sites More sharing options...
Senior Member orlhair1 Posted July 1, 2012 Senior Member Share Posted July 1, 2012 A nice transformation especially given the limitations described. 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 PupDaddy Posted July 1, 2012 Senior Member Share Posted July 1, 2012 This gentleman looks great, and the result achieved by Dr. Gabel is all the more impressive considering how challenging a case this was. Beautiful planning and work. Well done! Link to comment Share on other sites More sharing options...
Mick from Farjo Posted July 12, 2012 Share Posted July 12, 2012 Dr Gabel, This is great work and documentation. 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 irishsailor Posted July 15, 2012 Senior Member Share Posted July 15, 2012 Great presentation and stellar results as always doc :cool: Hair Transplant Dr Feller Oct 2011 Hair Transplant Dr Lorenzo June 2014 Link to comment Share on other sites More sharing options...
Steven Gabel, MD, FACS Posted July 27, 2012 Author Share Posted July 27, 2012 I would like to thank everyone for their positive comments. In reviewing this case, it is important to note that even though men with thin hair may not obtain the thickest results centrally in their scalp, a positive aspect for them is a natural, soft hairline which can be a very desirable characteristic for many people. Steven Gabel, MD, FACS, FISHRS Diplomate, American Board of Hair Restoration Surgery Diplomate, American Board of Facial Plastic and Reconstructive Surgery Diplomate, American College of Surgeons Gabel Hair Restoration Center Portland, Oregon 503-693-1118 Email Dr. Gabel directly at drgabel@gabelcenter.com Dr. Gabel's Website Dr. Steven Gabel is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
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