Regular Member Dr. William Lindsey Posted March 11, 2014 Regular Member Share Posted March 11, 2014 This really interesting fellow came over last year for repair work on a sparsely transplanted hairline. Shown are his day of surgery, one week (during which it looks like he did no cleaning), and 10 months out. He sent me another really interesting picture of himself on his job…but unfortunately it shows his face and I don’t have his permission to post it. I’ll ask him to put that up and we’ll see. It is a truly memorable picture that happens to show a good hairline. Of note…you will see that he has 2 poor scars with good hair in between them. I’m constantly amazed at why doctors just don’t either excise the old scar (particularly for little cases like he had before coming to me) or at least just sew up to the old scar so men only have 1 scar on the back of their heads. Given his need and scars, we simply excised the good hair between his scars and sewed them together. Not perfect but better than a third scar. Also I put up a few pics showing how sparsely his hairline was even after 2 cases elsewhere. Now he does have fine hair but I think we were able to improve his hairline significantly as he shows in the 10month pictures that he emailed in. 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 Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted March 11, 2014 Author Regular Member Share Posted March 11, 2014 Sorry for the couple upside down pics..not sure what happened. Windows 8? Dr. L William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
HeadH Posted March 12, 2014 Share Posted March 12, 2014 Good work! Shame they left him with two scars. It looks like the new strip was taken exactly between the scars. If the scars were closer to each other, would it be possible to take out half of the upper and half of the lower scar? I mean, can you close the wound with scar tissue against scar tissue or would that not heal properly regarding stretching, healing time,...? Link to comment Share on other sites More sharing options...
Senior Member hsrp10 Posted March 13, 2014 Senior Member Share Posted March 13, 2014 very good work, looks much thicker now did you have to use a lot of 3-4 hair grafts immediately behind the hairline to achieve density on a patient with fine hair? what was the approach? go dense or go home Unbiased advice and opinions based on 25 plus years of researching and actual experience with hair loss, hair restoration via both FUT & FUE, SMP, scalp issues including scalp eczema & seborrheic dermatitis and many others HSRP10's favorite FUT surgeons: *Dr. Konior, *Dr Hasson, Dr. Rahal HSRP10's favorite FUE surgeons: *Dr. Konior, *Dr. Bisanga, Dr. Erdogan, Dr. Couto (*indicates actual experience with doctor) Link to comment Share on other sites More sharing options...
Senior Member TommyLucchese Posted March 14, 2014 Senior Member Share Posted March 14, 2014 Great result Dr. Lindsey that's a huge improvement, bet he's really happy. Only 10 months too! 2,000 grafts FUT Dr. Feller, July 27th 2012. 23 years old at the time. Excellent result. Need crown sorted eventually but concealer works well for now. Propecia and minoxidil since 2010. Fine for 8 years - bad sides after switching to Aindeem in 2018. Switched to topical fin/minox combo from Minoxidil Max in October 2020, along with dermarolling 1x a week. Wrote a book for newbies called Beating Hair Loss, available on Amazon Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted March 18, 2014 Author Regular Member Share Posted March 18, 2014 Thanks for the comments. First off, yes I could have gotten part of each scar...but I suspect that his resultant wound tension would have been high enough that he'd have just stretched back out. If you really want an explanation of this search a couple of my posts that have "the double edged sword" in the title that discuss the trouble of getting more hair with increasing wound tension and worsening of a bad scar. Next, we almost never do 4 hair grafts except way back. They seem to end up looking pluggy and this is a little frontal case. Now on occasion a patient with really fine and sparse hair will agree to me telling the cutters to "cut them chuncky" so we get 4s but that is almost always in sparse straggly hair and way back from the hairline. IF he comes back in the future...the price will include an incentive for him to post that picture that I refer to above...meaning a discount if he'll put it up. Hard to tell if he'll go for it but I'd love to have it on this thread. 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 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted March 19, 2014 Senior Member Share Posted March 19, 2014 Such a good improvement ! Always good hairlines :-) Link to comment Share on other sites More sharing options...
Senior Member Since21 Posted March 19, 2014 Senior Member Share Posted March 19, 2014 Much improved. And thanks for not showing the strip, doc. 3,425 FUT grafts with Dr Raymond Konior - Nov 2013 1,600 FUE grafts with Dr Raymond Konior - Dec 2018 Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted April 1, 2014 Author Regular Member Share Posted April 1, 2014 Thanks I still usually show the strip but not the donor site....although I think folks ought to know what is happening during the case. Turns out I'm likely to need surgery on both of my ankles soon....I personally want to see what happens in the surgery before I sign up. Dr. L William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member Since21 Posted April 1, 2014 Senior Member Share Posted April 1, 2014 I think that's fair. I do feel like that part of the procedure is downplayed when in fact it's pretty invasive. 3,425 FUT grafts with Dr Raymond Konior - Nov 2013 1,600 FUE grafts with Dr Raymond Konior - Dec 2018 Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted April 15, 2014 Author Regular Member Share Posted April 15, 2014 You are correct sir. I was up over the weekend and was watching You Tube videos of the ankle surgery that I'm getting ready to have. On one hand its pretty cool to be able to see what will be done (I haven't studied the ankle since the spring of 87's anatomy class in medical school); and on the other....it looks like it will hurt(although I'm getting a nerve block and some sedation). Likely very similar feelings that my patients have when they roll in for surgery. Dr. Lindsey William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member Since21 Posted April 15, 2014 Senior Member Share Posted April 15, 2014 Surgeons are a different breed. I'm always surprised how matter-of-fact you guys are about it. I get it. Part of my job is managing fear and I imagine my clients wonder how I can be so calm about something they spend weeks/months fretting over. But the idea of surgery does make most of us pretty squeamish. I could not watch videos of donor strips being harvested. However, after having had my first HT 5 months ago and realizing afterwards it was a pretty significant thing, I now appreciate that part of your documentation. It's the 'reality' of it. I wish you all the best with your surgery and a speedy recovery. 3,425 FUT grafts with Dr Raymond Konior - Nov 2013 1,600 FUE grafts with Dr Raymond Konior - Dec 2018 Link to comment Share on other sites More sharing options...
Regular Member Dr. William Lindsey Posted April 22, 2014 Author Regular Member Share Posted April 22, 2014 Thanks for the well wishing. Dr. L William H. Lindsey, MD, FACS McLean, VA Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
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