Steven Gabel, MD, FACS Posted November 29, 2012 Share Posted November 29, 2012 This 36-year-old patient desired to have his hair restored in the frontal region of the scalp and the frontotemporal angles. A total of 2210 grafts were placed into the frontal hairline, scalp, and frontotemporal angles. Preoperative and postoperative photographs are presented at only 6 months growth. Close up photographs of the donor area show no evidence of the donor area scar despite the very short haircut. A video is also presented to show the results with a comb being run through his hair. 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 GBU Posted November 29, 2012 Senior Member Share Posted November 29, 2012 Hey, that looks great Dr Gabal . Link to comment Share on other sites More sharing options...
Senior Member Spanker Posted November 29, 2012 Senior Member Share Posted November 29, 2012 Excellent result. Doesn't get any better. Took those grafts a long way! 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 SADbutTRUE Posted November 30, 2012 Senior Member Share Posted November 30, 2012 great result and great scar, doc what are your clinics graft surival rates and on average how wide, are your patients scars, thanks Link to comment Share on other sites More sharing options...
Senior Member Blake Bloxham Posted November 30, 2012 Senior Member Share Posted November 30, 2012 Great result! Thank you for sharing. "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...
Steven Gabel, MD, FACS Posted December 5, 2012 Author Share Posted December 5, 2012 SadbutTrue Thanks for your comments. To answer your question about survival, I cannot give you an exact answer as that may be virtually impossible based on the number of grafts transplanted; however, the graft survival is very high based on my examination that there are not any areas of poor growth or density at this point. If my examination would show areas of poor/no growth, one may conclude that a patient had graft failure; but as you can see objectively in the photographs and the video documentation combing through his hair, the growth so far is going very well in all areas. Also, keep in mind, that he is only 6 months out from his procedure, so if there are any sparse areas, he is still in the early stages of hair growth and a re-examination in 6 months will give a much better representation if he did have areas that did not grow. So far with this patient, we are on track for an excellent result. Overall, your question is spot on: it is so important to constantly evaluate patient results by objectively analyzing the progress of patient's growth. I take detailed notes on every procedure and when I see excellent growth like this patient, I review what I did and make sure I continue that technique. For analysis, I standardize my photographs as much as possible by using the same camera and lighting (I do not use flash) and taking each photograph so each view of the patient is as close to the previous photo taken by that same patient with a standardized background. In my room I have dedicated to photographs and video, I actually have markers in exact locations and angles where the patient looks so that the photographs are standardized and one can make an accurate evaluation of growth. When I can, I also take close up photographs with a 60 mm macro lens to see the fine detail of the frontal hairline, which is also demonstrated in this patient. In terms of scars, I also try to take photographs of the donor scar, whether it is from a strip procedure or FUE procedure, and evaluate the results. On average, my scars are very small as seen in this patient. Again, I pay close attention to detail with my surgical technique to minimize the scars on patients. There are so many factors that play into the development of scars, many intrinsic to the patient (how well do they heal) and extrinsic (surgical technique). Again, attention to detail is king. 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 chrisdav Posted December 5, 2012 Senior Member Share Posted December 5, 2012 Great work. I like how you present your work Dr, and it is always of a very high standard. 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 Janna Posted December 5, 2012 Senior Member Share Posted December 5, 2012 That's a "wow" result, especially for 6 months. Great documentation. 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 Davis91 Posted December 5, 2012 Senior Member Share Posted December 5, 2012 Dr. Gabel, Could you please desribe some of the extrinsic techniques used to mitigate scar formation? Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted December 6, 2012 Regular Member Share Posted December 6, 2012 That is a home run. Nothing could have been better. Good job. Dr. Lindsey McLean VA William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member M1A1 Posted December 13, 2012 Senior Member Share Posted December 13, 2012 Dr Gabel, Great result, great video, great pictures, and one super happy patient. Can please provide the lenght of the scar along with his donor density, density strategy you used, and any medication he used if any. Again, great job. Best, My Hair Loss Website - Hair Transplant with Dr. Ron Shapiro Link to comment Share on other sites More sharing options...
Senior Member PupDaddy Posted December 13, 2012 Senior Member Share Posted December 13, 2012 As others have said, Dr. Gabel, Wow! This fellow's hair and scar (what scar?) already look amazing, yet he's only 6 month post-op. I don't know how you managed to recreate a hairline and temple angles and densify the hair behind them using only 2200 grafts, but it looks great and should only look better six months from now. Beautiful work. Link to comment Share on other sites More sharing options...
Regular Member MJ2012 Posted December 13, 2012 Regular Member Share Posted December 13, 2012 Very impressive work. I am jealous. Link to comment Share on other sites More sharing options...
Mick from Farjo Posted December 17, 2012 Share Posted December 17, 2012 (edited) Dr Gabel, That is pretty impressive Mick Edited December 17, 2012 by Mick from Farjo 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 SADbutTRUE Posted December 19, 2012 Senior Member Share Posted December 19, 2012 Dr.Gabel thanks for such a detailed response, and taking the time out of your schedule to answer my question, Link to comment Share on other sites More sharing options...
Senior Member orlhair1 Posted December 19, 2012 Senior Member Share Posted December 19, 2012 Excellent result.....very nice! 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 agenteye Posted December 19, 2012 Senior Member Share Posted December 19, 2012 Really nice job Dr. Gabel! WOW! I love the length and style.....I hope I can get away with styling my hair similarly when my transplant grows and matures in a year!! It's how I used to wear my hair, and how I hope to in the future! Thanks for sharing....I can't wait to follow this case and see what the future holds for this gentleman!! =) 4737 FUT with Dr. Rahal on 11/16/2012 Daily regimen: 1/4 Proscar (1.25 mg Finasteride), Rogaine Foam (twice daily), 1000 mcg Biotin, 1 combo Vitamin D/Calcium/Magnesium, 1500 mg Glocosamine, 750 mg MSM, 1200 mg Fish Oil, 2000 mg Vitamin C, Super B-Complex, 400 I.U Vitamin E. I am not a medical professional. All views and opinions expressed in this forum are of my own. Link to comment Share on other sites More sharing options...
Senior Member agenteye Posted December 19, 2012 Senior Member Share Posted December 19, 2012 Sorry, me again! I was just curious if this was FUT (and I'm assuming it was by the singular use of "scar" in most of the posts in this thread)? I can't seem to see anywhere that is says definitively, however. If this was a strip procedure, KUDOS.... it is amazing work. I can't seem to detect even the slightest hint of a scar at 6 months out, and he wears his hair pretty short....that's some clean work!! Also, what kind of hair characteristics did this patient have? Did he have really coarse, thick hair? 2210 grafts gave him great coverage....so I'm guessing he had better than average hair characteristics??? Thanks again for posting...... 4737 FUT with Dr. Rahal on 11/16/2012 Daily regimen: 1/4 Proscar (1.25 mg Finasteride), Rogaine Foam (twice daily), 1000 mcg Biotin, 1 combo Vitamin D/Calcium/Magnesium, 1500 mg Glocosamine, 750 mg MSM, 1200 mg Fish Oil, 2000 mg Vitamin C, Super B-Complex, 400 I.U Vitamin E. I am not a medical professional. All views and opinions expressed in this forum are of my own. Link to comment Share on other sites More sharing options...
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