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Dr. Lindsey 1 year out from 3000+ up front in fine haired man, McLean VA


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This nice fellow stopped in our area a few weeks ago, now about a year out from a decent sized frontal 1/3 case. He looks good and is happy. Shown also are pictures at the one month scar check. His family tends to turn out class 6 or 7 so we opted for a fairly conservative hairline. I think he’s contemplated medical therapy too but at this point is holding off. I’ll likely run into him in August at the beach and get an 18month picture to put up taken outside as well.

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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Overall transplanted density looks on the low side especially for FUT. Any idea what the approximate yield was? Doesn't seem like it was very high.

 

I disagree. If you look at the pre-op photos you can tell the patient mostly covers his frontal area with a comb over and is nearly completely bald. All the hair you see in the post-op is transplanted hair, which I consider to be right in line with the 3000 graft estimate.

 

With the patient's genetic hair loss traits I would highly recommend he approach this issue with the help of Fin. It's not a good look to have the front covered so well and to lose everything around it! There's only so much hair to be transplanted after all.

 

But as it stands now I think it looks like a nice improvement. Nice work.

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very nice result for fine hair and the level of baldness

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)

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I disagree. If you look at the pre-op photos you can tell the patient mostly covers his frontal area with a comb over and is nearly completely bald. All the hair you see in the post-op is transplanted hair, which I consider to be right in line with the 3000 graft estimate.

 

Yeah I think I was too harsh in general, overall this is a pretty good result. I still suspect some yield issues though. I'm mainly comparing pic 8 of 20 with 20 of 20. If each of the elevated "pimples" sort of speak in immediate post op pic 8 is a graft, I would not have expected such a soft hairline in the result shown in pic 20.

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This is why I think there was an issue with yield,

 

https://www.hairrestorationnetwork.com/eve/174776-3101-fue-injertocapilar-farjo-dr-lorenzo.html

 

In the above case, Lorenzo transplanted 3100 grafts with FUE over an area that I'd say is as large if not larger (the crown was included) and the difference in density and consistency is night and day compared to this case.

 

The case in this thread was FUT, which should be advantageous for yield.

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Rootz, seriously, how can you compare the two? You have to take into consideration the caliber of hair and breakdown of grafts. The Lorenzo patient clearly has a thicker caliber of hair, whereas Dr. Lindsey states that this patient has fine hair. One of the advantages of FUE is that the surgeon can cherry pick grafts and I've noticed that a lot of Lorenzo's cases are stacked with 2s, which would naturally increase density. I don't think this has anything to do with yield. That said, it does appear that this patient still has to work a 'comb over' to cover the mid-scalp area, but at least now he has a decent hairline.

3,425 FUT grafts with Dr Raymond Konior - Nov 2013

1,600 FUE grafts with Dr Raymond Konior - Dec 2018

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Rootz, seriously, how can you compare the two? You have to take into consideration the caliber of hair and breakdown of grafts. The Lorenzo patient clearly has a thicker caliber of hair, whereas Dr. Lindsey states that this patient has fine hair. One of the advantages of FUE is that the surgeon can cherry pick grafts and I've noticed that a lot of Lorenzo's cases are stacked with 2s, which would naturally increase density. I don't think this has anything to do with yield. That said, it does appear that this patient still has to work a 'comb over' to cover the mid-scalp area, but at least now he has a decent hairline.

 

I've never heard that as an advantage with FUE before, interesting. However I think most would agree all else being the same a FUE result will be less than or equal to a FUT. I think you're right about this guy having fine hair, but I don't think that fully justifies the difference. In Lorenzo's video he combs through the hair and the consistency of the yield is phenomenal. Now look at picture 20 of 20 in this case. You could have convinced me this was FUE and Lorenzo's was FUT.

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