6404FUE. Advanced alopecia. Shaved HT. Medium coverage. Dr. Lorenzo

[Injertocapilar.com]

This 35 years-old patient comes without medical treatment, arrives shaved at his first consultation, so seems to be a poor candidate. We recommend starting with finasteride. We again evaluate his donor area after one month, without shaving and we followed up after 6 months, viewing a slight improvement of the recipient, but a better quality of the donor hair. At this point we programmed a strategy in 2 or 3 surgeries. In the first procedure, carried out at 7 months on meds, 3101 grafts were extracted (6495 hairs; 2.1 hair per graft; 45 to 50 microns of hair; 0.8 mm punch; 531FU1/ 1796FU2/ 728FU3/ 42FU4) for the frontal and mid areas and temporal points. 9 months later we did the second procedure in the crown, with reinforcement of previous areas: 3303 grafts (6904 hairs; 2.09 Hairs per graft; 0.8 mm punch; 614FU1/ 1874FU2/ 723FU3/ 88FU4/ 3 FU5/ 1FU6). Dr. Jose Lorenzo. Injerto Capilar. Madrid. Spain.

We will have the next 2000 grafts procedure in September.

 

 

 

 

 

 

 

Comparative before med's:

 

And after med's:

[KO]

*Applause*

 

I am curious to know why Dr Lorenzo would consider him a poor candidate, his donor seems to be fairly dense.

[Spanker]

Really nice. Hope his meds hold up because it looks like he was headed towards a nw7. I really wish the clinic would post level frontal shots to see the hairline height. You cab usually catch it in the video but photos would be nice.

[glocktop]

Nice improvement. The donor does look pretty thin in the pre-med photo at 00:10 in this video.

 

This actually highlights a question I am curious about: is shaving pre-op / pre-consultation a bad idea? Does having a #2 or longer haircut assist the surgeon in assessing donor density and recipient area characteristics the first time they meet and see you?

 

I am considering shaving 1 - 2 months pre-op so my coworkers will get used to seeing me with little hair. However, if it assists the doctor to see the hair without shaving, then I definitely would not shave pre-HT!

Edited August 26, 2014 by glocktop
typo

[KO]

I see....yeah his donor did dramatically improve on meds. Good reason why even advanced cases should try finasteride.

[Mickey85]

Mindblowing as usual. I've seen other cases of patients with similar baldness patterns who had 10,000 grafts and not look as good as this. Bravo.