Results in Real-Time: Dr. Steven Gabel Patient, 3439 Grafts Frontal Hairline

[Steven Gabel, MD, FACS]

I am presenting this patient who had surgery on September 3, 2014, and will display her results every month on this thread to document the progression of growth in hair restoration surgery. This patient had 3439 grafts placed in the frontal hairline and temples to augment and bring down her hairline.

 

She has graciously volunteered to return each month to my office for the next year so we will be able to present her photographs in real-time. I feel this is instructive for patients inquiring about the progression of hair restoration surgery and how they may look each month.

 

[bismarck]

Dr. Gabel, looks really great, and the fact that you're willing to post pictures in real time speaks to your confidence in your craft.

 

Please also feel free to continue posting more of your already completed cases. Specifically, if you have more FUE cases, that would be really appreciated.

[TakingThePlunge]

Wonderful idea Dr. Gabel! I look forward to following this case to its end.

[Pete-from-Farjo]

Great idea Dr. Gabel. This could prove to be a very helpful thread for people.

 

I look forward to the monthly updates.

[Steven Gabel, MD, FACS]

I am presenting a patient in real time. Here are the 10 day suture removal photos. I tried to attach these to the original post, but I was not able to edit the original post.

 

As seen, the hairs are all growing which indicates to me that the transplanted hairs are all viable. When patients come back for the suture/staple removal at 10 days, I point this out to them because in a short time, over the next 3 weeks, most of the transplanted hairs will fall out. Some patients become concerned about the hairs falling out so I refer them to these photos that show all the transplanted hairs growing. Also at this time, there is a small amount of exudate or crusting that should be almost gone. All patients will develop some type of exudate and it is important that they follow their physician's postoperative instructions for proper care in the postoperative period.

 

[SADbutTRUE]

I love how clean everything looks post op, at 10 days the hair looks like it was buzzed cut, question for you doc, if the grafts grow before they shed ,does that mean that they took and will regrow after they shed,

[Squatch]

Good work Dr. I just had a procedure done November 3rd by Dr. Gabel. Very professional work done at his Center. As soon as I get a few pics I will post up.

[JoeTillman]

Very nice hairline design, Dr. Gable. Well done.

[BUSA]

nice work, great hairline.

[dsm2894]

I agree with the above posters: great hairline work.

[Pete-from-Farjo]

Looking good

[Steven Gabel, MD, FACS]

Here are the month 2 photos:

 

At this point, all the transplanted grafts have shed, which is expected at this point. There is a faint redness where the grafts were placed in a high-density type fashion. The redness is also fading over time.

 

 

Edited December 25, 2014 by Steve Gabel, M.D.
added title

[Steven Gabel, MD, FACS]

Here are her 3 month results, which were just taken 3 days ago on December 22, 2014, as shown in the newspaper she is holding.

 

At this point, her hair is now just starting to grow. It is still sparse, but slowing starting to fill in. Only a small % of the grafts have started growing at this point. This is certainly an exciting time for patients because it is proof that the grafts survived and the results are starting to show.

 

[Spanker]

Is the pt already shaved in the outlined photos? The headline shape looks a little different in the outlined and non outlined photos, but it could just be the hair band positioning.

[Steven Gabel, MD, FACS]

Is the pt already shaved in the outlined photos? The headline shape looks a little different in the outlined and non outlined photos, but it could just be the hair band positioning.

 

Spanker

 

In the outlined photos, the patient was not shaved at that point. That is how she presented on the day of surgery as we did a complete reconstruction of the frontal-temporal angles on her.

 

I agree about the shape: Although I do my very best to line up the head position for every photo, her head is slightly tilted more forward then the original photo giving that appearance. Also, she had been wearing a fitted hat for entire day so her hair was flattened.

[Steven Gabel, MD, FACS]

We are now presenting the 4-month update from our patient who has graciously come in each month to document her progress. We have presented each month from the day of surgery through yesterday, January 5, 2015 (the front page of the Oregonian shows the article on the matchup between Oregon and Ohio State for the National Championship, and the lessons to share on legal weed – Oregon approved this in the last election).

 

The patient is now 4-months out and the transplanted hairs are starting to sprout in a much more vigorous fashion. They are thin at this stage, and there are still many to erupt through the skin, but the results are starting to show.

 

The transplanted hairs at this stage come out of the scalp rather thin and wavy, and over the next year or more, the hairs will thicken up as the hair shaft diameter increases. She will be back in one month for the month-5 photos.

 

 

[SADbutTRUE]

LOOKING GREAT DOC, awesome job.

[Steven Gabel, MD, FACS]

Here are the 5-month update photos. This patient has been coming into the office each month to display her progress each month.

 

As shown, the transplanted hairs are all erupting well. She still has a long way to go, but the results are definitely showing. The patient is certainly excited to see this as the transitional period is always the most difficult time since the results are not instantaneous.

 

It is very interesting to see the progress this patient has made from before surgery, and each month following the procedure. She will be back at show her 6-month result.

 

[Shadow of the EMpire State]

Looking good, although, in fairness, the "now" pictures are rather fuzzy.

[1978matt]

Looks very nice already. I don't think the hairline could have been designed better.

[Squatch]

Looking good, although, in fairness, the "now" pictures are rather fuzzy.

They look the same to me. Looks like some real good growth. I'm sure she is happy.

[Shadow of the EMpire State]

It just occurred to me that this is a woman!

 

What a strange, strange balding pattern for a woman to have. I mean, that couldn't be her natural hairline, could it? This is hair loss, right?

[Steven Gabel, MD, FACS]

Shadow: Great observation!

 

Women have several types of hair loss patterns, but we tend to see these more often:

1. Central "christmas tree" pattern

2. Diffuse thinning

3. Frontal-temporal recession - this can be congenital (tend to be great candidates for a hair transplant as most have no hair loss except in the frontal-temporal area and therefore have great donor hair)

 

I have presented many female patients with deep frontal-temporal recession type patterns. For woman with deep frontal-temporal recessions, they feel that they are limited in how they are able to style their hair - specifically, they are not able to style their hair back or to the side as they feel it exposes too much scalp giving a more "male" hair loss pattern. In fact, I just did a hair transplant on a woman 2 days ago that had even deeper recessions then the patient I am presenting for the monthly follow up and the patient below. We transplanted over 3200 grafts just into the frontal-temporal angles. I will put those photos together and show the outline that we transplanted.

 

Here is another example of a woman that we transplanted a few years ago with deep frontal-temporal recessions. She had no other areas of hair loss with excellent donor density which made her a perfect candidate for a hair transplant. This was congenital meaning that she was born with absent hair in the frontal-temporal areas. (The background is different as she lives out of state and the post operative photos were not taken in my office.)

 

 

[Blake Bloxham]

Fantastic!

[Steven Gabel, MD, FACS]

My patient is now 6-months following 3439 grafts to the frontal hairline and front-temporal angles. She had severe recession and desired to fill in the areas.

 

The hair is growing longer, filling in areas of alopecia very nicely and the density of the transplant is showing well. I plan to post video with the next month.