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Dr Cooley 3,205 grafts


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This patient presented several challenges. He is in his mid 40's and has type IV evolving into a type V hair loss. He did not want to take finasteride despite my recommendations. His donor density was average but the hairs/FU count was below average. Given that future loss will occur, we came up with a conservative plan to give him nice improvement but also buffer the expected future loss. We did FUT 3,205 grafts ( 1-1123, 2-1538, 3-544; 5,831 hairs) and covered the front with medium density and the back with lighter density. Making the hairline lower and putting all the grafts in the front might have looked better in the short term but would have resulted in an unnatural front heavy look as hair loss progressed in the midscalp and crown. Overall, he was very pleased with the outcome, shown at 9 months.

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  • Senior Member

Really nice result, Dr Cooley

 

I actually think he looks better with a slightly higher hair line as he has a slim face and I think the hair line actually complements it.

 

As he is not on meds and likely to lose more native hair, I presume he still has a fair bit of donor left?

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Really like the approach taken and looks to have made a real difference.

I am an online representative for Farjo Hair Institute

 

Dr. Bessam Farjo is an esteemed member of the Coalition of Independent Hair Restoration Physicians

 

I am not a medical professional and my words should not be taken as medical advice. All opinions shared are my own.

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Really nice result, Dr Cooley

 

I actually think he looks better with a slightly higher hair line as he has a slim face and I think the hair line actually complements it.

 

As he is not on meds and likely to lose more native hair, I presume he still has a fair bit of donor left?

 

I would estimate that he has another 4-5 thousand grafts in his donor via strip/FUE. And by that, I mean that given his hair and donor characteristics, this could be safely removed without leaving him visibly thin with his current hair style.

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  • 2 weeks later...
  • Senior Member

I'd like to really offer a congratulations on this case. IMO it was perfectly planned and turned out really really good. This is going to serve the pt well now and in the future.

I am an online representative for Dr. Raymond Konior who is an elite member of the Coalition of Independent Hair Restoration Physicians.

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I am not a medical professional and my opinions should not be taken as medical advice.

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  • Senior Member

Great work Dr.Cooley. Very natural placement. I think the patient would've had even more outstanding results had he been on meds for the last 5 years don't you think?

I'm keen to see the results of 2nd HT and where the hair placements are going to be.

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  • Senior Member

Pup...I totally agree..

Just as I thought I narrowed my best HT Drs down & this guy keeps coming up with stella results.

This Dr cooley is really into his job & it shows from his clients & CV.

 

Great job Doc...keep pushing your research to the limits.

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  • 2 weeks later...
  • Senior Member
major difference.. i always wonder why dr's leave the recession on the sides so high up ?? is it because the lack of hairs to be transplanted??

 

I talked to my doc about this very topic before I had my ht, because I really wanted temple peaks back. For older patients where a higher hairline plan is in place due to a Norwood 4 or greater status, it looks more natural to leave recession on the sides, especially if the patient already has a little temple peak left. If you add temple peaks and bring the side recession forward, then a lower hairline is needed to match that, and yes, you will run out of grafts for a single procedure, and maybe run out altogether. Pretty soon the expectation is to have young-looking sides plus a lower hairline, which may not be possible on most patients...certainly not in a single session...and it may not look natural for the age.

 

I think this patient got a great result for his age, and this will look excellent as he continues to age as well. His peaks transition well into some side recession, but now with a full head of hair on top he projects an athletic, healthy, distinguished, and confident look.

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