Dr Hasson 1755 grafts to front and SMP to crown.

[Garageland]

Well I did it again over 7 years on from my repair with Dr Hasson and 3 years on from my scar repair and hairline refinement I decided my scalp was loose enough to go for one last session!

I had been working on my scalp exercises for several months before the surgery but on and off for a year or more now. My original idea had been to give a little extra density to the crown but with the number of grafts that were going to be available the logical decision to add density to the frontal area would have had the biggest impact.

Due to the extend of my loss and despite having a decent number of grafts in the past I am still limited to how I style my hair as all Norwood 6 patients are. I have a very large area to cover and my crown is huge. Once the decision to SMP the crown and mid scalp was made it seemed to make sense to place the grafts into the frontal area to give me greater density here with a view to wearing my hair a little shorter.

For those who don't know my case if that is possible lol!

 

I had 3 old style transplants in 1996/7 and 1998 for around 450 grafts each time, the first one at the age of 23, the result was 3 wide scars and a pluggy unnatural hairline which was initially covered by my native hair. I had very aggressive hair loss and progression to a Norwood 6 pattern, I was not taking any medication or using Rogaine partly because in the early stages neither were available in the UK and I was put off using Propecia by a hair Trichologist.

After loosing nearly all of my native hair by 2002 aged 29 I had pretty much given up on ever looking normal and covering this unnatural hairline that people would double take. By accident in 2005 a pop up for hair transplants started my obsession again into researching what could be done. On the 1st of June 2006 I had a 4856 graft procedure with Dr Hasson, this procedure was going to be my last throw of the dice to get as much coverage as possible and hide that old pluggy hairline.

The hairline was lowered a fraction and many grafts were placed into the frontal area to cover the old mini and micro grafts, the density was then reduced as we went into the mid scalp and the crown was given a light coverage. To maximize the number of grafts available it was agreed that a new scar should be taken. After one year there was quite a transformation both in my hair and personality and I enjoyed this new look for 4 years.

In 2010 I had a scar revision with Dr Hasson to remove part of an old scar that had stretched, at the same time I guess around 300 grafts were gained and these were split into 623 singles to refine the hairline. Nearly everything you see on the top of my head is the result of hair transplants.

I won't go into the full detail on here but have done that on my blog if you would like more detail. My latest surgery was on October 10th 2013.

 

My graft breakdown of the 1755 grafts of which 584 were single, 1048 were doubles and 123 were 3’s or 4 hair grafts.

On day 10 post op I had SMP into my mid scalp directly behind where the new grafts were placed and through the mid scalp to the lower part of my crown. I also had SMP into my old donor scars.

Here's how I looked before my latest surgery after I would imagine 6500 to 6700 grafts or thereabouts.

 

 

 

 

 

 

 

 

 

Post Op Day 3 - This photo diary is to hopefully help new patients with their research on the post op healing process.

 

 

Swelling in my forehead.

 

 

 

 

 

Day 4

Swelling has moved from my forehead to the bridge of my nose.

The Density was higher on my left side which is why it looks a little more red.

 

 

 

 

Day 5 and time for a haircut to even things up. Swelling has more or less gone now.

 

 

 

 

 

Day 6 Looking tired!!!

 

 

 

Day 7

 

 

 

Day 10 Before SMP Into Crown

 

 

Old donor scar from 1997 that is too low to revise before SMP

 

 

 

 

Day 12 After SMP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[sl]

Heal well Dave and sure it will give even more improvement for you.

[Spanker]

Any photos of the smp into the old scar? Have you considered FUE into your old scar?

[hsrp10]

That's going to be another amazing transformation in a couple months for sure! Congrats

The pics immediately after "Swelling in my forehead" look like me about 3-4 months ago, my hair is the same color and texture when dry.

Are you currently on Propecia btw?

[TakingThePlunge]

Congratulations! I can't wait to see how this matures!

[abcd0000]

Congratulations! Looking great! Any images of SMP?

[Garageland]

Day 15 Post op

 

 

 

 

 

 

 

Day 16 Close up SMP

 

 

SMP into old scar

 

 

Day 18

 

 

 

Day 23

 

 

 

 

Compare SMP before and after

 

 

 

1 Month

 

 

 

 

 

 

 

[Garageland]

Thanks Steve, hope you are well?

 

Spanker and abcd I have just uploaded some photos of the SMP into my crown and scars. I have certainly considered FUE into the scars before I will see how long the SMP lasts first though.

 

Thanks David and hsrp, swelling on both my procedures has been in my forehead and bridge of my nose never dropped down to my eyes before. I have been taking quarter tab of branded Proscar for 7 years now. I had a spell when I got lazy in 2009 and stopped taking it as I was traveling and I think I lost ground. For me I don't think I have gained much from it but I certainly haven't lost anymore hair.

[abcd0000]

That.looks.amazing. You also did SMP with H&W, right? How much do they charge?

[Spanker]

Looks awesome

[rev333]

what a journey!

god bless and grow thick

 

love the H&W standardized pics

[Garageland]

Thanks guys for the comments. I will be uploading some 2 month photos soon. Yes I had SMP with H&W, Joe would be the guy to speak with regarding pricing as I am not sure if we have set a price yet.

 

Rev- Thanks very much. At nearly 2 months I like my new shorter look and like anyone am excited to see what it is going to look like at month 12. Glad you like the photos Joe has taught me well!

[greatjob]

Really glad you and Joe posted up these results of smp into existing hair, thanks. It looks really good, I think I might have to look into this for my thin non-transplanted areas in order to maybe hold me over until I can afford another HT procedure.

[Number47]

Its unbelievable how younger and better you look with the short hairstyle vs the style in the first pictures. Also your hair looks better kept at a short length than grown too much out.

 

I think you should try to keep it at the minimum length you can given the old scars cause you just look too good in it. I know hair numbers is important but sometimes its the hairstyle that gives character to someone and boy do you rock the short cut!!!

 

Excellent pics and great look! all the best

[Cowhorns]

Its unbelievable how younger and better you look with the short hairstyle vs the style in the first pictures. Also your hair looks better kept at a short length than grown too much out.

 

 

 

I was thinking exactly that as i was looking at the pics. You look younger and better with short hair....

 

Good Luck!

[Garageland]

Thank you so much to Greatjob, Number 47 and Nick72 for your really kind comments. I have had good comments in person about the new look so it will be staying.

 

So here are the 2 month updates. I had a haircut a couple of weeks ago by the other half at the sides and back to even things out and have kept growing the top.

 

 

 

 

 

 

 

 

 

[fueonly]

garageland did the needle pain u little bit whenthey did smp.

I would like to know how long smp session took place.

I mean to say was it fro hours.

How is it fading. I mean does it start fading right away slowly or after certain months.

Please let me know about how thin and long is needle for smp

[Garageland]

Hi Fueonly,

 

Yes it hurts a little but nothing too much. The pain when it was done into my low strip scar was painful and I understand at the sides of your head where the skin is softer will hurt more.

 

My SMP lasted 6 hours. Yes it fades from day 1 after washing but is very gradual, mine has faded but is still making a huge difference in effect. How quickly it fades depends on the individual and something that as a clinic we are watching. The needle is placed just under the surface of the skin so is not that long and not placed very deep, there will be some bleeding in places.

 

You sound like you have a fear of needles?

[sl]

I agree, like the shorter hair style does look good.

[hairthere]

Looking good GL!

 

Fueonly, the needle is only .5mm in length.

[Garageland]

Here we are at month 3. Feeling lots of stubble over the entire recipient area which is a good sign of early growth.

 

 

 

 

 

 

 

 

 

 

[sl]

Looking very good and will make a nice improvement in time for the summer.

[Garageland]

So here we are at the 4 month mark. My hair is longer than the 3 month update that I posted so it is difficult to assess in person let alone from the photos but this is just the start I have lots of stubble around the hairline and frontal area that I can feel with my fingertips. The back of my scalp above the scar is still feeling partially numb although more feeling returns here. I had a little shock loss around the scar which is growing back as I can feel some stubble around that area too.

I think the biggest noticeable difference is my lack of anxiety this time round compared to 2006 when I was constantly looking for progress in the mirror on a daily basis, as I am comfortable that it will grow and it will add a nice improvement and of course I have every faith in Dr Hasson and his team this surgery has been so much easier than last time around.

Last time around I was a patient that had been burnt 3 times with poor surgery and had so much to loose again, another poor result would have been devastating for me. I had so much resting on the 2006 repair to make me look normal again.

 

 

 

 

 

 

 

 

 

 

 

Compare 3 to 4 months

 

[SADbutTRUE]

looking good, your on your way. good stuff

[Greg187]

Looks really good, you must be over the moon so far!