Regular Member DrSamvanEeden100 Posted September 10, 2014 Regular Member Share Posted September 10, 2014 Age: 25 Date of Surgery:13/04/2013 BP: Pulse: Diagnosis: Male Androgenetic Alopecia – Norwood: 4 Surgeon: Dr. Sam van Eeden Assistants: 7 Donor area: Scalp prepared, shaved, marked and sterilized – 70% Alcohol – Chlorhexidine washes . Recipient Area: RESTORING FRONTAL HAIRLINE – BARRIER ROCEDURE - Recipient area discussed, designed, marked and consented – Limited budget – only 1000 FUE – 2800 advised to include frontal/ midscalp Written Consent completed: Yes Anaesthesia: Local Anesthetic: Marcaine + 1/1:100000 Adrenaline : Occipital nerve block with ring nerve block of post great auricular, lesser occipital, auriculotemporal, zygomaticotemporal, supraorbital and supratrochlear nerves Infection Control: Claforan IVI 1000 mg Total FUE Grafts: 1000 Single hair FUE: 200 Double hair FUE: 800 Density measure - H : 45 FUE /cm2 Density measure - F : 45 FUE /cm2 Density measure – High Density: 45 FUE /cm2 Density measure -Fe: 35 FUE /cm2 Density measure – M: 30 FUE /cm2 Density measure – V: 30 FUE /cm2 Post-operative Comments / Complications: None POST OP – 12 MONTHS POST OP PHOTOS Link to comment Share on other sites More sharing options...
Senior Member Mickey85 Posted September 12, 2014 Senior Member Share Posted September 12, 2014 I'm not particularly impressed with the work of this clinic on a whole really... With this case, I know only a small amount of grafts were used, but the look is still very incomplete after the surgery. 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...
Regular Member DrSamvanEeden100 Posted September 12, 2014 Author Regular Member Share Posted September 12, 2014 Agree the look is very incomplete after the surgery keeping in mind only a small amount of grafts were used - see the original procedure planning Recipient Area. However, making the most of the opportunity given and delivering the best possible result with what you are given to work with is the challenge of the HR surgeon. Objectively reviewing the areas clearly marked on the photos and keeping in mind that dense packing was not requested or indicated given the request to use only a small amount of FUE, the results changed the appearance dramatically and successfully addresses the main concern of the client. The main concern of this student was to correct the 2 natural horns splitting his forelock in two and causing him a lot of slack from friends and even strangers!!! Focussing on correcting this and blending this to the lateral temporal areas was quite a challenge. This was well achieved and he got rid of the bull's horns and is a happy customer He is certainly going to attend me to complete the original plan once he is qualified!! I will gladly update these photos as the time goes on to show how one can maximise and correct challenging cases using the minimum amount of follicles.. PS: I have further uploaded the detailed studies of the forelock bull's horn before and after FUE for your perusal Mickey and trust this will clarify your concern. Regards Dr. Sam van Eeden Link to comment Share on other sites More sharing options...
Senior Member Loags79 Posted September 12, 2014 Senior Member Share Posted September 12, 2014 yeh sure, it's an improvement from pre-op but not by much. It still looks awkward having a tuff in the front and no density behind it. The texture of the hair is rather un-natural also. my HT thread: http://www.hairrestorationnetwork.com/eve/175267-dr-radha-fut-3261-grafts-photo-word-heavy.html Link to comment Share on other sites More sharing options...
Senior Member london81 Posted September 12, 2014 Senior Member Share Posted September 12, 2014 I think he did need a lot more grafts and as the surgeon said but the patient didn't have the funds. I think with the full grafts the surgeon quoted this result would have been much better. If you are quoted 2800 grafts and only have 1000 then of course the result isn't going to look complete. The patient would have been aware of this fact. Link to comment Share on other sites More sharing options...
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