Carlos K. Wesley, M.D. (NYC) - Frontal Coverage (2434 FU)

[Billena]

A 46-year-old man came to Dr. Carlos K. Wesley's surgical center in order to return the frontal hair fullness that he once had. A 2343-graft session to the frontal half of his scalp can be viewed before and 12 months later. One important aspect of achieving his results was the use of DFUs (double follicular units) as well as the combined use of PRP and ACell as storage solutions while the grafts were incubating out of the body.

 

[PupDaddy]

Beautiful, natural work by Dr. Wesley with a conservative number of grafts. Excellent!

[Billena]

Thank you for your comments, PupDaddy! We have attached a few images of the pattern designed by Dr. Wesley. In this case, he used a number of double follicular units (DFUs) that are tucked away from the hairline in order to generate a backdrop of healthy density within the surrounding fine micrografts.

 

[Billena]

Here is a video update on the progress of this patient of Dr. Wesley's in NYC.

 

 

 

 

[Spanker]

Great case. I respect your work.

 

This video is set to private btw.

[PupDaddy]

Would like to see the video update, but as Spamker noted, it's set to private. Love Dr. Wesley's work on this fellow's case. Undetectable as transplant work, and beautiful density behind the hairline thanks to the clever incorporation of DFU"s.

[Dr. Carlos Wesley]

Thank you all for letting me know! We've updated the privacy of the video (seen above in this thread) so that it is now public and able to be viewed by all.

[TakingThePlunge]

Excellent case! What I really like is that we got to see video footage of his hair pre-op. In most of the videos I've seen from various clinics, we typically only get photos pre-op. It really helps make a better comparison.

[Stig]

Love the natural hairline. Question though, it always amazes me when you see HTs where the recipient area isn't shaved. Isn't it a lot safer to shave it down for the procedure and why wouldn't you make shaving mandatory like a lot of other clinics do?

[Dr. Carlos Wesley]

Thanks for your comment, David!

 

Stig, great observation. For both my FUT AND FUE cases, patients are not required to shave their recipient areas. I've presented a few video examples of this in a previous thread.

 

Now, every physician is different, but in my hand it is certainly just as safe to not shave it down and let patients keep their recipeint hair at its normal length. It may be a bit faster to make the recipient sites as quickly as possible when the hair is shaven, but - aside from the slight ease of site making in the short term - I simply don't see a long-term benefit to the patient.

 

Much has to do with the physician's comfort zone and during my days of surgical training, all of my patients came in with their normal length recipient hair. They appreciated being able to return to work and social activities within 10 days (or even sooner). It does take a little longer to meticulously part the normal-length hair in order to create recipient sites within the pre-existing hairs, but it is well worth it for patient recovery. In addition, if the hair is wet preoperatively, it's very easy to see the areas of future loss and plan your recipient area accordingly.