Senior Member Ali Emre Karadeniz Posted November 20, 2014 Senior Member Share Posted November 20, 2014 Young patient with a close to Norwood 4A hair loss. 3650 grafts FUE was performed using a 0.8 mm motorised sharp punch. The graft distribution was: 900 singles, 1150 doubles and 1600 three and more haired grafts. A high hairline was designed at about 8 cms, due to both his young age and the exceptionally wide forehead which consumed more grafts than expected. His temple points were slightly brought forward. The recipient site incisions were done by custom made blades. Coronal incisions were used for the hairline and sagittal incisions for the the rest of the area. Ali Emre Karadeniz, MD (Dr. K) AEK Hair Institute Istanbul, Turkey Link to comment Share on other sites More sharing options...
Senior Member TakingThePlunge Posted November 21, 2014 Senior Member Share Posted November 21, 2014 Nice plan and natural result for this young man. He must be very pleased. David - Former Forum Co-Moderator and Editorial Assistant I am not a medical professional. All opinions are my own and my advice should not constitute as medical advice. View my Hair Loss Website Link to comment Share on other sites More sharing options...
Senior Member Ali Emre Karadeniz Posted November 21, 2014 Author Senior Member Share Posted November 21, 2014 Nice plan and natural result for this young man. He must be very pleased. Thanks David. You are right, he was happy. Ali Emre Karadeniz, MD (Dr. K) AEK Hair Institute Istanbul, Turkey Link to comment Share on other sites More sharing options...
Senior Member KO Posted November 21, 2014 Senior Member Share Posted November 21, 2014 Looks good, I like the conservative hairline placement. Did midscalp improve on fin? 3382 FUE Lupanzula http://www.hairrestorationnetwork.com/eve/185463-3382-grafts-lupanzula.html Link to comment Share on other sites More sharing options...
Senior Member Ali Emre Karadeniz Posted November 21, 2014 Author Senior Member Share Posted November 21, 2014 Looks good, I like the conservative hairline placement. Did midscalp improve on fin? I can't tell exactly if fin improved the mid scalp as it was okay before surgery, but a close look at the photos suggests that it did help. I do believe in the importance of using fin especially in the 20's and 30's. Ali Emre Karadeniz, MD (Dr. K) AEK Hair Institute Istanbul, Turkey Link to comment Share on other sites More sharing options...
Senior Member Number47 Posted November 22, 2014 Senior Member Share Posted November 22, 2014 Am I the only one to think that this looks very thin for 3600 grafts? I zoom in the after pics and it looks very sparse! I mean its 4000 grafts for most its more than half of our donor supply and the hairline still looks like undefined! Link to comment Share on other sites More sharing options...
BUSA Posted November 23, 2014 Share Posted November 23, 2014 hairline way too high imo Link to comment Share on other sites More sharing options...
Senior Member hadenough2014 Posted November 23, 2014 Senior Member Share Posted November 23, 2014 hairline way too high imo I can't imagine it lower. That wouldn't look right with the side/temporal recession he has. Hairline is right imo Link to comment Share on other sites More sharing options...
BUSA Posted November 23, 2014 Share Posted November 23, 2014 I can't imagine it lower. That wouldn't look right with the side/temporal recession he has. Hairline is right imowhich is exactly why the side/temporal needs to be addressed as well so the face can be framed appropriately. Link to comment Share on other sites More sharing options...
Senior Member hadenough2014 Posted November 23, 2014 Senior Member Share Posted November 23, 2014 I would agree if he has another procedure and addresses the sides and temporal, then the hairline can move down a bit as well. I do believe it is a nice improvement as-is. Link to comment Share on other sites More sharing options...
Senior Member KO Posted November 23, 2014 Senior Member Share Posted November 23, 2014 Am I the only one to think that this looks very thin for 3600 grafts? I zoom in the after pics and it looks very sparse! I mean its 4000 grafts for most its more than half of our donor supply and the hairline still looks like undefined! I do agree with this to some extent. The result looks good and surely the patient is happy, but this is a lot of grafts in a fairly small area with no temple closure. Furthermore, the patient seems to have very good density with 2.4 hairs/graft and what appears to be a thick hair caliber. To me, I would say this probably looks more like 2.5k grafts. But that's just my opinion. 3382 FUE Lupanzula http://www.hairrestorationnetwork.com/eve/185463-3382-grafts-lupanzula.html Link to comment Share on other sites More sharing options...
1966kph Posted November 24, 2014 Share Posted November 24, 2014 Its a definite improvement but as has already been mentioned further work is necessary. I would be a bit concerned as his loss progresses if there may be a donor shortage problem to cover what is lost. Patients happy thats all that matters. have a good day Link to comment Share on other sites More sharing options...
Senior Member Ali Emre Karadeniz Posted November 24, 2014 Author Senior Member Share Posted November 24, 2014 Dear Number and Busa, It is not very evident from photos how wide the front of this patient actually is, as the third dimension is not completely felt. The transplanted area is about 100 cm2. Given that about 400-500 fine haired grafts were used at the sides, this leaves us at a density of little over 30 grafts per cm2. I actually think the density looks as expected if not better than 30/cm2. Had I lowered the hairline by the slightest, I would be needing more than 1000 grafts more. Some people emphasise a lot on framing, but I think that some patients don't have the luxury to have the ideal framing, otherwise they will run into severe trouble in the future, having an isolated frame in the front without adequate hair behind it. Ali Emre Karadeniz, MD (Dr. K) AEK Hair Institute Istanbul, Turkey Link to comment Share on other sites More sharing options...
Senior Member Number47 Posted November 24, 2014 Senior Member Share Posted November 24, 2014 Dear Number and Busa, It is not very evident from photos how wide the front of this patient actually is, as the third dimension is not completely felt. The transplanted area is about 100 cm2. Given that about 400-500 fine haired grafts were used at the sides, this leaves us at a density of little over 30 grafts per cm2. I actually think the density looks as expected if not better than 30/cm2. Had I lowered the hairline by the slightest, I would be needing more than 1000 grafts more. Some people emphasise a lot on framing, but I think that some patients don't have the luxury to have the ideal framing, otherwise they will run into severe trouble in the future, having an isolated frame in the front without adequate hair behind it. Thank you doctor for the explanation. I didn't understand that it was such large area to be covered from the pics. Link to comment Share on other sites More sharing options...
Regular Member lifeisbeautiful Posted November 25, 2014 Regular Member Share Posted November 25, 2014 thanks doctor for all the info. the result looks satisfactory at this point. Link to comment Share on other sites More sharing options...
tommy3g Posted December 9, 2015 Share Posted December 9, 2015 This looks fantastic. I'll be in contact with AEK! Link to comment Share on other sites More sharing options...
Senior Member gbhscot Posted December 10, 2015 Senior Member Share Posted December 10, 2015 Hi Dr Karadeniz, When you say wide forehead...what defines a wide forehead and how is this measured? This is something I hadn't yet factored into my HT research and because it obviously has an impact on the attainable density, I would be interested in finding out more. Also, off topic, but do you have any examples of blonde haired patients? Link to comment Share on other sites More sharing options...
Senior Member Ali Emre Karadeniz Posted December 10, 2015 Author Senior Member Share Posted December 10, 2015 Density is defined simply by the coverage per area. This is the number of hairs (not grafts) multiplied by the diameter of the hair shaft. People tend to think of a graft number and the expected coverage from this number, but frequently forget considering the area to be transplanted. In small heads with a balding area that is narrow all across the head, 100cm2 may be 2/3 of the balding area, where as in wide foreheads, only the hairline and frontal forelock may be more than 100cm2; just like in this case. Besides, the hairline needs a much higher density for a satisfactory coverage than lets say the midscalp. So in wide foreheads we may end up using 3000-3500 grafts just at the front, in spite of designing a high hairline like in this case. Ali Emre Karadeniz, MD (Dr. K) AEK Hair Institute Istanbul, Turkey Link to comment Share on other sites More sharing options...
Senior Member Wwiizzkkiidd24 Posted December 10, 2015 Senior Member Share Posted December 10, 2015 hey doc I thought you left this site? nice to see you back in enjoyed reading your threads. will you be posting any results? Link to comment Share on other sites More sharing options...
Senior Member Mickey85 Posted December 11, 2015 Senior Member Share Posted December 11, 2015 I'm confused.... 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...
Senior Member Wwiizzkkiidd24 Posted December 11, 2015 Senior Member Share Posted December 11, 2015 what are u confused about Mickey85? Link to comment Share on other sites More sharing options...
Senior Member Mickey85 Posted December 12, 2015 Senior Member Share Posted December 12, 2015 what are u confused about Mickey85? Dr Karadeniz's name is not listed on the recommended surgeon's list at the time of writing. So was he posting under the status of a recommended surgeon or not? I'd be more than happy with his official return. 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...
Senior Member Wwiizzkkiidd24 Posted December 12, 2015 Senior Member Share Posted December 12, 2015 Yeah that's true maybe a mod could clear this up for us. me too I'd like to see him back he was a hair geek and he told it how it was regardless of what people thought. Link to comment Share on other sites More sharing options...
Senior Member Ali Emre Karadeniz Posted December 15, 2015 Author Senior Member Share Posted December 15, 2015 Mickey85 is correct. I am no longer a recommended doctor on this forum because I decided to cancel my sponsorship in August. I was not happy with the way this forum operates and how I and my friend and business associate Joe was treated. When I made the announcement of my departure with detailed explanation of the reasons it was deleted within ten minutes, which is why none of you were aware of my exit. I replied to a recent question on this thread that came to my email account, but this does not mean that I will be back as a recommended doctor. I frequently post on other forums however so I have not disappeared. In fact, I am quite active and quite busy as well. This is my final post on this. Thank you for your kind comments. I wish you all the best. Ali Emre Karadeniz, MD (Dr. K) AEK Hair Institute Istanbul, Turkey Link to comment Share on other sites More sharing options...
Bill - Seemiller Posted December 15, 2015 Share Posted December 15, 2015 Dr. Karadeniz, It's interesting that despite the fact that we spoke on Skype and you acted like you understood our point of view and why we handled the situation with Joe the way we did that you would still make statements on our forum that you are not happy with the way your "friend Joe was treated". How about the fact that he to this day makes public knowingly false statements about our community and the way we recommend physicians on his website? I'm not going to get into all the details about what happened leading to Joe's departure and how we made you aware privately of the situation. I'm also not going to get into how we made it clear both publicly and privately to you that we were no longer going to host comments about it which is why your comment was removed. I really thought we came to an understanding when we spoke via Skype. But apparently you can't let the past go and want to mischaracterize our community along with Joe. Certainly that's not characteristics of a physician we want recommended on our community. I am now locking this topic. Bill Link to comment Share on other sites More sharing options...
Recommended Posts