Steve Gabel, MD – Portland, Seattle – 2098 Graft Crown Transplant

[Steven Gabel, MD, FACS]

This 53-year-old gentleman started thinning years ago at the top and crown areas of his scalp. He had tried medications without any significant growth.

 

We transplanted 2098 grafts into the crown approximately 6 months ago. The series of photographs show the scalp as he presented before any surgery or haircuts, another photograph depicting the area of transplant showing his natural swirl pattern with blue markings, and the 6-month preliminary results.

 

The swirl pattern was created by following some the “wispy” natural hairs that he had so I am able to make the slits in the natural direction and angle of his native hair. At 6 months, the transplanted follicular unit grafts are growing very well. He said that he did not shed that much after surgery and he has been already cutting his hair regularly. Also, the video shows the close up of the donor scar, which is thin and difficult to see even with his hair cut very short.

 

Overall the hair growth is excellent at this stage and we anticipate that the number of hairs will continue to increase and his hair will also thicken over time. He said he would come back in 3-month intervals to show his growth over time.

 

 

 

[Spanker]

Looks like a sweet transplant, but the guy should lose the wings.

[hairthere]

I agree with Spanker on both counts. Nice result, one odd choice of hairstyle.

[tacolinowest]

im baffled at this mans choice of hairstyle , good ht tho

[Steven Gabel, MD, FACS]

I appreciate the positive comments about the hair transplant; in terms of his hair style, he usually grows it longer, but since it will take time for the crown to catch up to the sides, he is trying out a new style. Usually those "wings" are in a ponytail and he was kind enough to let us take it down for the photographs and video. (The rubber band that holds it together is actually seen on my assistants finger during the video).

 

Out of respect for the patient, I would ask that we focus on the results of the transplant, and how happy he is with the growth. When he puts the hair in a ponytail, we are not able to see the results as clearly - that is why I asked him to take it down. Once everything is grown out, I'll take some photos of his final hair style.

 

Thanks.

[Spanker]

Dr. Gabel,

 

I can respect that. I have a question about this patient tho.

 

Did he discontinue meds? Also, you can see a NW5 pattern formed including the frontal non-transplanted area. Considering the mans age, is a man that begins to form a pattern like that, that holds the hair late into life, destine to lose it and be an actual NW5 that is mostly bald in that area? Or is likely to keep a good portion of the hair but still thin some? I always wonder in older gentlemen if once a pattern forms that they are gonners in that area or if fate possibly has something else in store for them.

 

I thought I read once that if a person has 5 percent miniaturization in an area that the will eventually lose it there, but that does not seem to take in consideration any other factors at all.

Edited August 20, 2013 by Spanker

[Mercury]

Wow - for only 6 months, and his short hair cut this is going to come out great.

 

dr gabel - awesome job and nice pics and video

[irishsailor]

Lovely work as always dr gabel, and great use of grafts.

[Blake Bloxham]

Nice work! Thank you for sharing.