'Extracting grafts' - Dr De Reys, 1640 Grafts FUE

[NickBaron]

My name is Nicholas Baron and I work for Dr De Reys.

 

We are currently putting cases forward for approval by the forum to reach recommended surgeon status.

 

This is the second of those cases and today we are looking at Dr De Reys' technique for extracting grafts.

 

You can find the first case, which was about creating hairlines, as a thread on this forum too.

 

http://www.hairrestorationnetwork.com/eve/177660-making-hairline-dr-de-reys-2700-grafts-'>http://www.hairrestorationnetwork.com/eve/177660-making-hairline-dr-de-reys-2700-grafts-'>http://www.hairrestorationnetwork.com/eve/177660-making-hairline-dr-de-reys-2700-grafts-fue.html'>http://www.hairrestorationnetwork.com/eve/177660-making-hairline-dr-de-reys-2700-grafts-fue.html

 

Following on from a question asked on that post by a senior member, Sean, we've chosen to make this post about graft extraction.

 

Extractions: The Technique

 

The extraction process itself is a two-step procedure.

 

First Dr De Reys uses a manual punch to release the hair follicle. Many follicles are released in this stage.

 

In the next stage, the newly released follicles are 'harvested' and then placed immediately into a nutrient-rich solution called HyperThermosol in order to preserve them.

 

The 'releasing' stage with the punch involves making an incision into the skin.

 

This is entirely performed by Dr De Reys. Every single punch and incision is made by the doctor himself.

 

The harvesting stage is performed by the doctor and his staff together.

 

Having two people harvesting at the same time minimises the time that the grafts may be out of the body and so prevents any loss of grafts.

 

Here is a photo of the doctor 'harvesting' grafts with his team after the punches have been made.

 

 

In the photo, the doctor can be seen holding a small circular vessel to place the grafts into.

 

Here's a close-up of that vessel:

 

 

If you look closely at this photo, you can see that every single graft in that bowl has only a single hair attached to it.

 

Separating single-hair grafts and multi-hair grafts is essential for a good result in a hair transplant.

 

Single-hair grafts are placed in two rows at the front to create a natural-looking hairline.

 

Multi-hair grafts are placed behind the hairline to create density.

 

So the focus in any operation will be to restore the hairline first and then create density throughout the scalp.

 

Extractions: The Philosophy

 

Dr De Reys specialises in a manual punch technique which causes as little damage as possible to the 'sheath' around the hair which is known as the follicle.

 

You can see that the follicles in the above photo are all intact.

 

Dr De Reys' view is that this technique is safer than using an automatic drill and means the final growth rate is much higher.

 

For more on this manual technique, please read our first post on making a hairline.

 

http://www.hairrestorationnetwork.com/eve/177660-making-hairline-dr-de-reys-2700-grafts-fue.html

 

Patient Case 2: 1640 Grafts FUE

 

FUE performed on a patient with hair loss mainly on the temples. Hair loss was stable at the time the patient came to the clinic.

 

Treatment plan:

 

1640 grafts were implanted over two days.

 

For the hairline around 60-65 Grafts/cm?.

 

Day 1: 800 Grafts

Day 2: 840 Grafts

 

The hairline was restored using single-hair grafts placed in two, densely-packed rows. Around 600 single-hair grafts were used for the hairline. The temples were filled with multi-hair grafts

 

All grafts were stored using HyperThermosol.

 

The patient was very happy with the results and sent pictures at 10 days, 26 weeks and 34 weeks.

 

Patient Photos

 

Immediately post-op:

 

 

 

 

 

10 days post-op:

 

 

 

 

 

26 weeks:

 

 

 

34 weeks

 

 

 

 

Clinic Photos

 

Please note that I have no formal medical training and so please do not read my words as those of a medical professional.

 

If you have any questions then I will try my best to answer them here on the forum and will refer them to the doctor where necessary although referral may take time since Dr De Reys is often in surgery. I may not be able to answer all of your questions and I apologise now for those I do not have time to answer.

 

Before finishing this post, I'd like to add that the photos of surgery taken above were in Dr De Reys' old clinic.

 

The clinic now has a new facility which includes its own private in-patient bedroom where patients stay throughout their visit (and on the night they arrive).

 

Here are some photos of the new clinic:

 

 

 

 

Edited December 10, 2014 by NickBaron

[KO]

Yay, look forward to seeing more of Dr dR.

[1966kph]

The work looks very nice.

Nice densely packed areas.

I look forward to seeing and hearing more of your clinic.

Have a nice day

[TakingThePlunge]

Excellent work and presentation! Thank you!

[Yonex]

very impressive photo presentation

[Pete-from-Farjo]

I agree.

 

Work looks very good with informative write-up and pics.

[paddyirishman]

With good presentations like these and great natural looking hairlines , if the price is right this Dr. Reys is going to kick ASS in the FUE world.....

 

Paddy.

[Td06]

Very nice hairline on patient #2!