Senior Member Billena Posted January 22, 2013 Senior Member Share Posted January 22, 2013 While not every patient is a candidate for this approach, this 46-year-old patient received a smaller, focused session to reinforce his temporal recessions. Using only 1365 grafts to add density specifically to these areas (and partially into surrounding areas of future loss), this patient, and others like him, may save not only donor hair for the future but also the financial cost of a larger session. Specific criteria should be met to make this focused approach a viable option: adequate donor density, ample density in the areas not being treated, and a prognosis of only moderate MPB (that can be effectively treated in the future, based on donor availability). This focused approach, in which the area of greatest cosmetic importance is addressed, is much more commonly used in female patients (with FPHL) who may not have subsequent thinning to the same degree as some young men. --------- Carlos K. Wesley, M.D. is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member Slickers Posted January 22, 2013 Senior Member Share Posted January 22, 2013 Sweet result. Lucky guy to have that much hair and to be as thick as it is in his forties! Link to comment Share on other sites More sharing options...
Senior Member Blake Bloxham Posted January 23, 2013 Senior Member Share Posted January 23, 2013 Excellent transformation! 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...
Senior Member Dr. Carlos Wesley Posted January 28, 2013 Senior Member Share Posted January 28, 2013 Thanks for the comments. The density of transplantation in this case was still about 35-40 grafts/cm2. Dr. Carlos Wesley is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member zenmunk Posted January 28, 2013 Senior Member Share Posted January 28, 2013 Excellent result! Very natural. No doubt the patient's thicker caliber hairs contribute greatly to making 35-40 grafts/cm2 look like higher numbers. Link to comment Share on other sites More sharing options...
Senior Member hairthere Posted January 29, 2013 Senior Member Share Posted January 29, 2013 Looks great! 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 Shyguy Posted January 29, 2013 Senior Member Share Posted January 29, 2013 Very nice doc. Would you recommend saving scalp donor hair and using some body hair away from the hairline to achieve this same type of result? 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 Dr. Carlos Wesley Posted February 5, 2013 Senior Member Share Posted February 5, 2013 Thanks for all of your comments. @Shyguy, because this patient has such great donor reserve for his age (almost 50), his donor-to-recipient ratio (the number of scalp donor follicles he'll have to treat the anticipated areas of hair loss in the future) probably won't require more than what he has "in the bank", so to speak (what's available in his scalp safe donor). However, I do think that the use of body hair is a reasonable option in patients with a more limited scalp donor hair follicle reserve. Ideally, the initial recipient pattern creation would account for how many 'permanent' donor hair follicles the patient is destined to have over his or her lifetime. Perhaps this has earned me the label of "conservative", but it is certainly important to not use all of your lifetime available follicles in one area of your scalp without accounting for what you'll likely want in the future. Dr. Carlos Wesley is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member orlhair1 Posted February 5, 2013 Senior Member Share Posted February 5, 2013 Looks really good! 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 Spanker Posted February 5, 2013 Senior Member Share Posted February 5, 2013 Thanks for all of your comments. @Shyguy, because this patient has such great donor reserve for his age (almost 50), his donor-to-recipient ratio (the number of scalp donor follicles he'll have to treat the anticipated areas of hair loss in the future) probably won't require more than what he has "in the bank", so to speak (what's available in his scalp safe donor). However, I do think that the use of body hair is a reasonable option in patients with a more limited scalp donor hair follicle reserve. Ideally, the initial recipient pattern creation would account for how many 'permanent' donor hair follicles the patient is destined to have over his or her lifetime. Perhaps this has earned me the label of "conservative", but it is certainly important to not use all of your lifetime available follicles in one area of your scalp without accounting for what you'll likely want in the future. I think the density planted is conservative, but the area planted was pretty aggressive. That said, he is in his mid to late 40's is in pretty good shape. I don't think he will run out either. Looks good. 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 GBU Posted February 8, 2013 Senior Member Share Posted February 8, 2013 His native hair is great and the transplant suits him well . 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