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Dr. Lindsey 12 month check on 2700 on very fine haired man with short haircut McLean


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This fellow is 12 months out from a 2700 graft case with good growth. Shown are periop, 1 week, 1 month scar check, 6 and 12 month pictures.

He’s got a bit of an interesting problem in that he has VERY fine donor hair, keeps a pretty short haircut, and has a lot of surface area to cover. We agreed on a pretty conservative hairline that ought to look natural whether or not he proceeds with a second case. He is planning a second case to work behind the original work next month. I think we’ll likely use a few singles to bolster his thin hair’s hairline on the left at the part as well. Hopefully we’ll be able to keep his scar as good as it is now.

 

Dr. Lindsey McLean VA

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William H. Lindsey, MD, FACS

McLean, VA

 

Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians

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Well done on that scar doc. Will a second case jeopardize the scar or will it be the same odds? What would the plan for the second operation consist of in terms of coverage area? I would assume the patient has accepted a balding crown as a trade off for coverage in the front.

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Nicely done!

"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.

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Interesting that this pt has a mild case of CVG it appears.

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.

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I would be over-the-moon with such a result with such relatively few grafts.

 

Those of us who are more follically challenged than most people on this forum (and who have done our research) know that a full head of hair is not usually possible and have to be realistic about what results we can expect to achieve. The key is achieving something that looks natural.

 

I am looking forward to seeing the results of HT2 in time.

 

Well done to the surgeon!

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  • 2 weeks later...

Here are pictures from last weeks case number 2. I think he looks fantastic. That aside...his left frontal corner is a little thin and we're doing the back...so we have some singles to spare. I convinced him to let me put 300 singles and a few doubles along that left corner and I think it will pay off next year.

 

We got 2400 grafts and placed them as shown.

 

Please note his old donor scar which is hard to see AND is in the center of his donor strip that you see already excised. Hopefully we'll get a decent scar this time too, but only time will tell.

 

I post alot of my thoughts on scars and blatantly say that I get 4 poor scars per year, every year. I just don't know who they'll be in. ALL patients hear that disclaimer at the office the day of our consultation and then preop as well. I also say that I get 8 perfect scars a year. This is what I think is a perfect hair transplant scar. And we get about 105-110 really quite good, but not perfect scars each year as well.

 

He'll get his sutures out tomorrow and I'll post updates at the 1 month scar check.

 

Dr. Lindsey McLean VA

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William H. Lindsey, MD, FACS

McLean, VA

 

Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians

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I hope you follow up on this case. I will be interested to know if the CVG affected area yields as well. Was there anything remarkable about the surgery in this area? Tougher skin? Need to plant deeper or shallower? Seems like a great opportunity for a case study because there is such little info out there about it. Luckily for this gentleman his seems very mild.

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.

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He and I discussed this in detail after I believe you brought the question up in the original post last year.

 

No, his scalp was and is unremarkable EXCEPT his dermis is thin. That is the layer of skin below the part you can see and above the fatty layer, and contains much of the pilosebaceous unit (hair root stuff).

 

Now Wendy, my tech, and I have a theory that we as yet can't prove that says that people who have thin dermis have thinner donor hair and less fabulous results...but if you look at this guy who has really thin dermis and yet got a really nice result with thin hair....our theory is worthless.

This fellow lives nearby and I'll get pics periodically.

 

 

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

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Looks great, Dr. L. Huge transformation, for sure.

 

Speaking of fine-haired individuals… It's looking as though maybe it was mostly my doomed-to-a-slow-death frontal/top hairs that were "fine." My transplanted hair appears to have some density to it -- and it's kind of CURLY, too. lol I think it's actually providing more coverage than had it been just like the hair it replaced.

 

Only "problem" is that I'm not used to dealing with curly hair (nor this much of it). It's a great problem to have, that's for sure.

 

Coming up on 10 months this Friday. I can't believe it's been that long.

 

Looking forward to visiting closer to the 1-year mark. I think you and your staff will be impressed and shocked. I know I am!

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