Regular Member Steph Posted September 7, 2012 Regular Member Share Posted September 7, 2012 Hello everyone I have been following the forum for a while but I have never posted. I will be posting photos and stories for Dr. Simmons. Here is my first post: This 40 year-old gentleman had thinning hair in a Norwood 5A pattern. He had less hair loss in his midfrontal forelock and that made his hair look better in the frontal view. His hair loss was more noticeable when he tipped his head down. He had finer than average, straight, dark brown hair and light skin. Dr. Simmons transplanted 3602 grafts in front, going a little further back on his left part side but still keeping an oval-shaped non-transplanted area in his midscalp and crown. By sampling, he had about 638 ones (18%), 2206 twos (61%), 600 threes (17%), and 158 fours (4%). He had scoring-blunt dissection and a 2-layered trichophytic closure. He started Finasteride at the same time. 9 months later, he is happy with his transplanted hairline and his thicker hair in front. His hair in his crown has also improved because of the Finasteride. Link to comment Share on other sites More sharing options...
Senior Member SADbutTRUE Posted September 7, 2012 Senior Member Share Posted September 7, 2012 huge improvement, good job Link to comment Share on other sites More sharing options...
Senior Member chrisdav Posted September 7, 2012 Senior Member Share Posted September 7, 2012 Big improvement. 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...
Regular Member AGL77 Posted September 8, 2012 Regular Member Share Posted September 8, 2012 Very nice work and the scar looks very impressive. What's the 2 layer closure? I don't think that it's very common. Link to comment Share on other sites More sharing options...
Senior Member GBU Posted September 8, 2012 Senior Member Share Posted September 8, 2012 I like the combination surgery and finasteride approach for this patient . Link to comment Share on other sites More sharing options...
Senior Member Spanker Posted September 8, 2012 Senior Member Share Posted September 8, 2012 Looks great. Consistent pics as well. Nice job. 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...
Regular Member Steph Posted September 10, 2012 Author Regular Member Share Posted September 10, 2012 Thanks for all of your kind words! AGL77- I will ask Dr. Simmons to explain the 2-layered closure. Link to comment Share on other sites More sharing options...
Senior Member Cam Simmons MD ABHRS Posted September 11, 2012 Senior Member Share Posted September 11, 2012 Very nice work and the scar looks very impressive. What's the 2 layer closure? I don't think that it's very common. Thanks everyone. AGL77, Many doctors use a 2-layered trichophytic closure. The deep layer of (dissolving) sutures go under the hair follicles in the fat layer to close the gap and to reduce tension on the surface. After that layer, I test to make sure the the edges will come together easily then remove a 1 mm wide and 1 mm deep ledge from an edge of the incision. That trims just the surface of the skin and the tips of the hairs. Finally, I use fine sutures to bring the edges of the skin together without tension. I remove the surface sutures after 7 days so they don't leave suture marks. The trimmed hair will later grow back through the narrow scar. For the first 6 months, I suggest that patients keep their hair at least 1 inch long but after that most can hide the scar with hair cut with a #4 clipper (1/2 inch long.) Some can go shorter but I can't promise that up front. Scoring-blunt dissection is a method I developed to preserve as much hair as possible along the edges of the incision. Cam Simmons MD ABHRS Seager Medical Group, Toronto, Ontario, Canada Dr. Cam Simmons is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Regular Member AGL77 Posted September 13, 2012 Regular Member Share Posted September 13, 2012 Thanks for your reply Dr. Simmons. Can you explain (or direct me to the location on the forum if you already have) why your clinic no longer exists and you joined/merged with Seager. I've also notice that Mark McKenzie is no longer a member of the IAHRS and you are. How did that come to be? Did you go through the same scrutiny that Dr. McKenzie did or does it have to do with your new involvement with Seager? Thanks Link to comment Share on other sites More sharing options...
Senior Member Janna Posted September 13, 2012 Senior Member Share Posted September 13, 2012 Great pictures and presentation, Steph. The result looks great too. Patient Care Services & UK Patient Advisor for Shapiro Medical Dr. Ron Shapiro, Dr. Paul Shapiro and Dr. David Josephitis are members of the Coalition of Independent Hair Restoration Physicians. http://shapiromedical.com/info@shapiromedical.com http://shapiromedical.com/contact/request-a-consultation/janna@shapiromedical.com Link to comment Share on other sites More sharing options...
Senior Member Cam Simmons MD ABHRS Posted September 14, 2012 Senior Member Share Posted September 14, 2012 Thanks for your reply Dr. Simmons. Can you explain (or direct me to the location on the forum if you already have) why your clinic no longer exists and you joined/merged with Seager. I've also notice that Mark McKenzie is no longer a member of the IAHRS and you are. How did that come to be? Did you go through the same scrutiny that Dr. McKenzie did or does it have to do with your new involvement with Seager? Thanks Hi AGL77 Here is the explanation: http://www.hairrestorationnetwork.com/eve/167059-dr-cam-simmons-has-reunited-seager-medical-group.html Spencer invited me to apply to join the IAHRS a couple of years ago but I had already joined the hair transplant network and didn't have time to be involved with both. My return to Seager has given me more time and more support staff. We had to submit photos to be vetted by the IAHRS. Cam Simmons MD ABHRS Seager Medical Group, Toronto, Ontario, Canada Dr. Cam Simmons is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Mick from Farjo Posted September 18, 2012 Share Posted September 18, 2012 Steph, Dr Simmons has produced the goods again with a great 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...
Regular Member Steph Posted September 18, 2012 Author Regular Member Share Posted September 18, 2012 Thanks Janna and Mick! I appreciate the feedback. Link to comment Share on other sites More sharing options...
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