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Dr Cooley FUT then FUE, 8,630 grafts


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This patient is in his mid 30's. Initially, his goals were to restore the frontal zone including a conservative, natural hairline and to add a little density to the midscalp and crown. We did 4000 grafts by FUT and he is shown at 9 months. He was very happy and wanted to lower the hairline some more. We did a little over 2,500 grafts by FUT and he is shown 1 year later. Although he could have stopped there, he wanted to do more, in fact as much as I thought was possible. Given this was his last procedure for any forseeable time, we opted do FUE. We performed over 2,000 grafts, and grafted the frontotemporal hairline, crown, and linear donor scar from FUT. Over the three procedures, we performed 8,630 grafts (16,792 hairs) He is shown 1 year later. Given the contrast between his hair and scalp, I don't think his donor area would have looked as good if all of the grafts had been taken by FUE.

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it looks really reALLY good, but 8k grafts? it looks like 4k , it scares me cuz some ppl , like me dont have anywhere near 8k left and have alot more loss than this guy

 

Taco,

I feel like this person may have lost a lot of his native in the miniaturized area from pre op to post, although I don't know this for sure. Three procedures in that area gives a lot of room for shocking out weak hair.

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I am not a medical professional and my opinions should not be taken as medical advice.

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Looks great! 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.

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it looks really reALLY good, but 8k grafts? it looks like 4k , it scares me cuz some ppl , like me dont have anywhere near 8k left and have alot more loss than this guy

 

If you consider that almost 200cm2 of scalp was covered with 8000 grafts, that only comes to 40 grafts/cm2. Of course the grafted density is higher in certain areas, and lower in others. I don't think he lost much native hair, which was pretty weak in the midscalp and crown to begin with. I think he would have looked good stopping after 4000 grafts but he wanted a lower more youthful hairline. This involved going to 7cm hairline with significant work in the temples, which requires alot of grafts.

 

Most people won't need this many grafts (or don't have the donor or budget). One of the main reasons I presented it is to show that FUE after FUT is a good strategy for some patients to move alot of grafts and cover the linear scar from FUT.

 

Thanks for the comments.

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If you consider that almost 200cm2 of scalp was covered with 8000 grafts, that only comes to 40 grafts/cm2. Of course the grafted density is higher in certain areas, and lower in others. I don't think he lost much native hair, which was pretty weak in the midscalp and crown to begin with. I think he would have looked good stopping after 4000 grafts but he wanted a lower more youthful hairline. This involved going to 7cm hairline with significant work in the temples, which requires alot of grafts.

 

Most people won't need this many grafts (or don't have the donor or budget). One of the main reasons I presented it is to show that FUE after FUT is a good strategy for some patients to move alot of grafts and cover the linear scar from FUT.

 

Thanks for the comments.

Scar looks great, but how many grafts did you put in that scar of the 2000 FUE you took on the last procedure?

I like that idea…I just wouldn't wanna burn half my grafts back there…Just curious..looks great

Newhairplease!!

Dr Rahal in January 19, 2012:)

4808 FUT grafts- 941 singles, 2809 doubles, 1031 triples, 27 quads

 

My Hairloss Website

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Scar looks great, but how many grafts did you put in that scar of the 2000 FUE you took on the last procedure?

I like that idea…I just wouldn't wanna burn half my grafts back there…Just curious..looks great

 

We put 350 single hairs into the scar. Thanks for your comments

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