Senior Member Injertocapilar.com Posted July 6, 2014 Senior Member Share Posted July 6, 2014 64 years-old patient. No med's. Multiple procedures in the last 30 years (as he say: the HT history), some of them outside of the safe area (fut, punch graft, scalp reduction...). He think he has a last bullet. what to do? Jose Antonio ICC-Injertocapilar.com-Dr. Lorenzo, Dra Vila. - I work in ICC-Spain human resources, I’m not a sales rep/patient liaison. - For information, valuations and budget: coordinadorpacientes@injertocapilar.com(Spain); Mick@farjo.com (MCR) - New Vimeo Website: https://vimeo.com/user23345553/videos - New Youtube Website:https://www.youtube.com/shubbapahte - Facebook: https://www.facebook.com/injerto.capilar - Twitter: https://twitter.com/Injertocapilar Dr. Jose Lorenzo is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Senior Member voxman Posted July 6, 2014 Senior Member Share Posted July 6, 2014 He may think he has a bullet left, but the powder is wet and the hammer won't cock. Certainly there are some good haberdasheries close by... Seriously, the donor area is pretty depleted and what there is wouldn't cover much. Shave the dome, grow the sides and back a bit to cover the scars. I'm serious. Just look at my face. My Hair Regimen: Lather, Rinse, Repeat. Link to comment Share on other sites More sharing options...
Senior Member Spanker Posted July 6, 2014 Senior Member Share Posted July 6, 2014 (edited) I don't know but I'm looking forward to the result. He doesn't have much scalp hair left to work with at all. Looks like his punch grafts have thinned as well (from his donor). I would consider bht as an option in conjunction with any scalp fue he has left. Rare to see someone with such an extensive history. Edited July 7, 2014 by Spanker words are not my friend 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. Link to comment Share on other sites More sharing options...
Senior Member voxman Posted July 6, 2014 Senior Member Share Posted July 6, 2014 There you go, typing and driving at the same time... I'm serious. Just look at my face. My Hair Regimen: Lather, Rinse, Repeat. Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted July 6, 2014 Senior Member Share Posted July 6, 2014 Poor guy. Unless he has a hell of a lot of possible BHT things are not going to improve. His donor looks over harvested to me already. Link to comment Share on other sites More sharing options...
Senior Member garethbale Posted July 6, 2014 Senior Member Share Posted July 6, 2014 64 years old, multiple procedures already. Terrible donor Let it go and accept reality Link to comment Share on other sites More sharing options...
Senior Member Mickey85 Posted July 7, 2014 Senior Member Share Posted July 7, 2014 Extract the strip and plug grafts and use them to fill up the strip and plug scars. Use some beard hair if needed. At least his donor area will appear more natural and he will have a natural norwood pattern this way. Without very extensive body hair transplant(10000+) i cant see this guy getting away with a decent head of hair sadly. So saddening... The only 2 threads you will ever need: Revamped Advantages/Disadvantages of FUE. Myths dispelled. Educate yourself Everything FUE. Manual, motorized, ARTAS, NeoGraft, physician details and more Link to comment Share on other sites More sharing options...
Senior Member StaggerLee123 Posted July 7, 2014 Senior Member Share Posted July 7, 2014 What a shame. The only "bullet" he has left resides in his chin and chest hairs. At 64 it's a tough call but if he has the funds and the will, somebody like Umar will be his only course of action. He definitely should let his hair grow in the back to provide some coverage for the punches and strip scars. Link to comment Share on other sites More sharing options...
Senior Member hsrp10 Posted July 7, 2014 Senior Member Share Posted July 7, 2014 shave it and FUE in the scars with remaining donor and also seek some SMP treatment for anything not covered by the FUE grafts 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 Injertocapilar.com Posted July 7, 2014 Author Senior Member Share Posted July 7, 2014 shaved area: Jose Antonio ICC-Injertocapilar.com-Dr. Lorenzo, Dra Vila. - I work in ICC-Spain human resources, I’m not a sales rep/patient liaison. - For information, valuations and budget: coordinadorpacientes@injertocapilar.com(Spain); Mick@farjo.com (MCR) - New Vimeo Website: https://vimeo.com/user23345553/videos - New Youtube Website:https://www.youtube.com/shubbapahte - Facebook: https://www.facebook.com/injerto.capilar - Twitter: https://twitter.com/Injertocapilar Dr. Jose Lorenzo is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Senior Member hairshopeing Posted July 7, 2014 Senior Member Share Posted July 7, 2014 Come on man where's the result!!!!! Who ever did this to the poor bloke should be struck off period!! I'm hoping dr Lorenzo has worked his magic!! Link to comment Share on other sites More sharing options...
Senior Member Injertocapilar.com Posted July 7, 2014 Author Senior Member Share Posted July 7, 2014 1501 FU's: 1001 from scalp (387FU1/ 482FU2/ 131FU3/1FU4), and 500 from beard (485FU1/ 15FU2) Jose Antonio ICC-Injertocapilar.com-Dr. Lorenzo, Dra Vila. - I work in ICC-Spain human resources, I’m not a sales rep/patient liaison. - For information, valuations and budget: coordinadorpacientes@injertocapilar.com(Spain); Mick@farjo.com (MCR) - New Vimeo Website: https://vimeo.com/user23345553/videos - New Youtube Website:https://www.youtube.com/shubbapahte - Facebook: https://www.facebook.com/injerto.capilar - Twitter: https://twitter.com/Injertocapilar Dr. Jose Lorenzo is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted July 7, 2014 Senior Member Share Posted July 7, 2014 Ok the guy has pulled the trigger, But why wasnt more taken from the beard? as opposed to what looks like a already over harvested donor area. And with all the scars etc in his donor area?! surely it would have been better to leave that alone in the hope it might disguise some of the previous work?? Looks like the guy has got a great beard and im guessing he must have some chest hair also?? Link to comment Share on other sites More sharing options...
Senior Member hairshopeing Posted July 7, 2014 Senior Member Share Posted July 7, 2014 Could the guy get smp into his donor??? Would it take on scar tissue?? This poor blokes life has been ruined by hair loss!! I'm rooting for him!!! Link to comment Share on other sites More sharing options...
Senior Member Injertocapilar.com Posted July 7, 2014 Author Senior Member Share Posted July 7, 2014 You must go step by step, it can't be sorted up in one procedure. 5 months: Jose Antonio ICC-Injertocapilar.com-Dr. Lorenzo, Dra Vila. - I work in ICC-Spain human resources, I’m not a sales rep/patient liaison. - For information, valuations and budget: coordinadorpacientes@injertocapilar.com(Spain); Mick@farjo.com (MCR) - New Vimeo Website: https://vimeo.com/user23345553/videos - New Youtube Website:https://www.youtube.com/shubbapahte - Facebook: https://www.facebook.com/injerto.capilar - Twitter: https://twitter.com/Injertocapilar Dr. Jose Lorenzo is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Senior Member wylie Posted July 7, 2014 Senior Member Share Posted July 7, 2014 Could the guy get smp into his donor??? Would it take on scar tissue??This poor blokes life has been ruined by hair loss!! I'm rooting for him!!! That's an excellent suggestion. SMP would be the route I would take with the scars. As far the work so far, he will have a much improved hairline with this added, and the option for more beard hair behind the hairline can be done in Round Two. My first repair was 1500 grafts into the hairline, I had only a bit more scalp available than this guy. The downside was harvesting scalp hair around extensive scarring only makes the scarring more apparent. The addition of around 700 beard into my strip scars made a huge difference, and when I added temporary SMP on top of it, it allows me to cut my hair in back to a #1 guard. Repair on patients like this usually starts at the hairline, then the real work begins. I was in a somewhat similar situation as this chap (without punch graft scars and the scalp reduction) and my crown did not have the scars as his does. When you have this level of damage, you have to know what areas to address, and which ones you have to leave alone. I'm fortunate enough to leave the crown alone, and this guy should probably do the same. I find crowns to be black holes when you need work from the hairline all the way back (and if you have the finances, some folks can go all the way south) Round Two: Assess whether or not beard is needed from hairline to mid-scalp. I think it will be necessary, so add beard grafts to this area. Ultimately I believe he will need, at minimum, a few thousand grafts, I did around 4500 in a similar area, and my hair is much more fine than this guy's, so he would need less. I personally worry about the transection rate when adding a large amount of beard hair to a smaller area of scalp. Round Three: Finish the top and determine whether or not to address the punch scars in the donor region with more beard. Also, consider adding some density to the plug grafts located near the crown. It may be cosmetically the best course of action to leave them there and add hair around them, if this is feasible and not requiring too many grafts. Removal of these plugs will leave more tell-tale scarring. And also I would be consulting with HIS about SMP into those plug scars. Kudos to Dr. Lorenzo for working on such a challenging case, massive improvement thus far! Link to comment Share on other sites More sharing options...
Senior Member hsrp10 Posted July 8, 2014 Senior Member Share Posted July 8, 2014 so he did go ahead with another surgery,,,, mixed feelings here.... wish he'd just shave it and then seek out scar repair with HIS and FUE with remaining donor maybe Lorenzo can make his magic work though, will check in for the next segment 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 Mickey85 Posted July 8, 2014 Senior Member Share Posted July 8, 2014 My god... Those plug scars.. I hope Dr Lorenzo can fix this patient up. The 5 month post-operative shots are showing a pretty significant improvement already... The only 2 threads you will ever need: Revamped Advantages/Disadvantages of FUE. Myths dispelled. Educate yourself Everything FUE. Manual, motorized, ARTAS, NeoGraft, physician details and more Link to comment Share on other sites More sharing options...
Senior Member Injertocapilar.com Posted July 9, 2014 Author Senior Member Share Posted July 9, 2014 2nd procedure at 5 months: 1505 FUE 1001 scalp: 397FU1/ 526FU2/ 91 FU3 504 bht beard: 495FU1; 8 FU2 Jose Antonio ICC-Injertocapilar.com-Dr. Lorenzo, Dra Vila. - I work in ICC-Spain human resources, I’m not a sales rep/patient liaison. - For information, valuations and budget: coordinadorpacientes@injertocapilar.com(Spain); Mick@farjo.com (MCR) - New Vimeo Website: https://vimeo.com/user23345553/videos - New Youtube Website:https://www.youtube.com/shubbapahte - Facebook: https://www.facebook.com/injerto.capilar - Twitter: https://twitter.com/Injertocapilar Dr. Jose Lorenzo is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Senior Member Mickey85 Posted July 9, 2014 Senior Member Share Posted July 9, 2014 This is a very ambitious case. Most other surgeons wouldn't touch a case like this. Kudos to guys like Lorenzo, Umar and Bisanga for giving these poor guys a second chance. The only 2 threads you will ever need: Revamped Advantages/Disadvantages of FUE. Myths dispelled. Educate yourself Everything FUE. Manual, motorized, ARTAS, NeoGraft, physician details and more Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted July 9, 2014 Senior Member Share Posted July 9, 2014 Must be costing the poor guy a fortune just disguising the previous poor work that has been done. I still am suprised they are taking from his donor area to be honest, it looks so over harvested as it is. Link to comment Share on other sites More sharing options...
Senior Member Injertocapilar.com Posted July 10, 2014 Author Senior Member Share Posted July 10, 2014 5 months after 2nd procedure: Jose Antonio ICC-Injertocapilar.com-Dr. Lorenzo, Dra Vila. - I work in ICC-Spain human resources, I’m not a sales rep/patient liaison. - For information, valuations and budget: coordinadorpacientes@injertocapilar.com(Spain); Mick@farjo.com (MCR) - New Vimeo Website: https://vimeo.com/user23345553/videos - New Youtube Website:https://www.youtube.com/shubbapahte - Facebook: https://www.facebook.com/injerto.capilar - Twitter: https://twitter.com/Injertocapilar Dr. Jose Lorenzo is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Senior Member Mickey85 Posted July 10, 2014 Senior Member Share Posted July 10, 2014 Wow, quite impressive. What are the future plans? Very nice. The good growth here proves that 'patient physiology' is probably used as an excuse for bad growth more often than it should. The only 2 threads you will ever need: Revamped Advantages/Disadvantages of FUE. Myths dispelled. Educate yourself Everything FUE. Manual, motorized, ARTAS, NeoGraft, physician details and more Link to comment Share on other sites More sharing options...
Senior Member Garageland Posted July 10, 2014 Senior Member Share Posted July 10, 2014 Wow I really feel for this guy and looking at the pre op situation I really wasn't sure what you would be able to do for him. The front looks much better already but what is the plan for the donor area to cover the scars? --- Former patient and representative for Hasson & Wong. Dr. Victor Hasson and Dr. Jerry Wong are esteemed members of the Coalition of Independent Hair Restoration Physicians. My opinions are my own and do not necessarily reflect the opinions of Hasson & Wong. My Hair Loss Website - Hair Transplant with Dr. Hasson Link to comment Share on other sites More sharing options...
Regular Member Rez1 Posted July 10, 2014 Regular Member Share Posted July 10, 2014 Wow!Just wow!I have a feeling this case will turn out to be even more incredible.Dr.Lorenzo is a genius. Link to comment Share on other sites More sharing options...
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