Dr Mwamba + My WHTC -1920 grafts repair case with FIT shaven technique

[Dr. Patrick Mwamba]

 

 

 

 

THE PATIENT PRESENTED ABOVE IS 40 YEARS OLD WITH A NORWOOD 3 VERTEX PATTERN.

HE IS ON PROPECIA FOR 3 YEARS .HE CAME TO OUR OFFICE DISSAPOINTED AFTER A FIRST ATTEMPT OF FUE SURGERY IN ANOTHER CLINIC TO CORRECT HIS RECEDING TEMPLES.

RESULT FROM FIRST SURGERY:

1. POOR YIELD IN THE TEMPLES WITH LOW DENSITY

2. BAD HAIR ANGULATION THAT LOOKS LIKE HORNS

3. PLUGGY LOOK WITH SCARRING TISSUE IN RECEDED TEMPLES.

4. WHITE DOTS IN DONOR AREA BARELY NOTICEABLE WITH SHORT HAIR CUT

 

TO REPAIR THIS CASE, WE RECOMMENDED THE FOLLOWINGS ACTIONS:

A. LOWERING FRONTAL HAIR LINE TO DISGUISE PREVIOUS WORK

B. GRAFTING DENSITY OF 50 FU/CM2 IN FRONTAL HAIR LINE AND 40 FU/CM2 IN TEMPLES

C. ADD ANAGEN STIMULATORS (HELP HAIR PROTEIN SHAKE AND VITAMINS ,LASER CAP OR ROGAINE TO HIS CURRENT ANTI-DHT TREATMENT

WE PERFORMED HIS SURGERY IN 2 DAYS :FIT SHAVEN 1920 GRAFTS .IN IMMEDIATE POST OP ,WE EXPOSED PATIENT TO LED LIGHT ( TRIWINGS ) TO ENHANCE HAIR GROWTH , PROVIDE ANTIOXYDANT EFFECT AND PROMOTE BLOOD CIRCULATION AND ANTIINFLAMMATORY PROCESS ( HELPS TO DECREASE PAIN AND EDEMA IN POST OP ) .HE ALSO APPLIED THE HAIR CYCLE BIOTIN SPRAY AS MOISTURIZER IN THE FIRST DAYS POST OP AND HAIR CYCLE SHAMPOO .

THE PATIENT NOTICED FIRST GROWTH AROUND 5 MONTHS POST OP AND FULL GROWTH AT 7 MONTHS .WE ARE PRESENTING HIS RESULTS AT 9 MONTHS POST OP.

 

 

 

 

 

[irishsailor]

Lovely work as always doc. I have a question regarding temple points, do you find cherry picking hairs a better option that strip or do you believe either procedure works well?

[Mickey85]

Amazing work, documentation and hairline as per usual Doctor.

[hairshopeing]

Nice!! Great write up and details !

[Mickey85]

Lovely work as always doc. I have a question regarding temple points, do you find cherry picking hairs a better option that strip or do you believe either procedure works well?

 

Remind me to send you a photo of a patient who had fut and then fue for his hairline and temples with the same doc. The difference is staggering.

[irishsailor]

Remind me to send you a photo of a patient who had fut and then fue for his hairline and temples with the same doc. The difference is staggering.

 

Yes please mickey, that would be very appreciated.

[Blake Bloxham]

Great work!

[Dr. Patrick Mwamba]

I will say that you have greater flexibility with FUE to choose grafts that could match with temples points works . With strip harvesting , we like to use grafts from temporal region ( auricular region) because of their thin texture and close look to temples points hairs .Unfortunately ,some other patients have lightly pigmented hairs in the temples points .And just after it , you have strong pigmented hairs in temporal region and it continues in the occipital region .Those are the classic area for strip harvesting .

To find similar hairs , you need to go in the nape hairs region , region forbidden for strip harvesting .

[TakingThePlunge]

Great hairline work Dr. Mwamba!

[HARIRI]

I will say that you have greater flexibility with FUE to choose grafts that could match with temples points works . With strip harvesting , we like to use grafts from temporal region ( auricular region) because of their thin texture and close look to temples points hairs .Unfortunately ,some other patients have lightly pigmented hairs in the temples points .And just after it , you have strong pigmented hairs in temporal region and it continues in the occipital region .Those are the classic area for strip harvesting .

To find similar hairs , you need to go in the nape hairs region , region forbidden for strip harvesting .

 

Interesting info Doc...I have 2 questions for you.

 

1) How many healthy grafts can nape hair area give in average? I'm thinking to restore my temple points using my nape hair.

 

2) Whats the difference between FUE and CIT? I noticed that you are using the CIT term instead of FUE!

 

Thank you.

[McdesSLK]

please also consider my question Dr. Mwamba

1 how many heallthy graft from donor hair give in average? ( example 100 graft from 300 punches)

2 Some surgeon recommend betadine shampoo instead of baby shampoo after ht, is it damaged the graft?

Edited June 3, 2013 by McdesSLK

[Dr. Patrick Mwamba]

Thank you for your questions .

Let me start with Hariri .

-The number of grafts you may get from the nape hairs depend on your nape hairs characteristics in terms of texture , and density .Some patients have hair loss in that area and you can not use such grafts .

I my own experience , I have been able to harvest around 1200 grafts in the region below the occipital protuberance or the forbidden area for strip .

-I do not use CIT but FIT . FIT stands for Follicular Isolation Technique .The last technique ( FIT ) was developed at IHTI Dr Rose and the entire team were involved in finding a way to ease the FUE process .We end up by hiring engineer to create appropriate tools to decrease the transection rate and came up with the depth control concept and the use of stainless still sharp punch with a specific design ( called today CIT punch ) .We wanted to put a brand name to our FUE protocol.

 

McdesSLK , I don't really know if I get your question right but I will try to answer >

An average donor area with 70 to 80 fu/cm2 has 14000 to 16000 follicles .You can harvest up to 40% in total to be safe but in one session , you can go up to 20 % .So 2800 grafts to 3200 grafts is the average grafts you can harvest safely in majority of patients .

 

From your example , it seems like you are asking about graft yield from the FUE .In my hand , I average 98 to 99% .If I do 300 punches , I will usually get 295 to 300 grafts .

 

I used to recommend it to patients too .But it dries the skin and some patients may experience skin irritation .And others patients may have allergy to this product ( from literature ) .It doesn't damage the grafts but you can cause discomfort to the patients if he falls in those sensitive to the product .I prefer to use baby shampoo or non medication neutral shampoo .If I see a clear sign of skin infection ( commonly folliculitis ) , then I will use isobetadine shampoo or hibiscrub soap .

Edited September 20, 2013 by David - TakingThePlunge