Guest Dr. Brandon Ross Posted July 8, 2009 Share Posted July 8, 2009 This 38 y/o patient had a total of 2966 grafts placed over two procedures. The grafts were placed throughout the front, middle and crown portions of scalp with a slight weight towards the frontal region. Link to comment Share on other sites More sharing options...
Senior Member PLEASE GROW PLEASE Posted July 8, 2009 Senior Member Share Posted July 8, 2009 Sorry not impressed but there is a nice improvement Link to comment Share on other sites More sharing options...
Senior Member aska Posted July 8, 2009 Senior Member Share Posted July 8, 2009 Sorry not impressed. Link to comment Share on other sites More sharing options...
Guest Dr. Brandon Ross Posted July 8, 2009 Share Posted July 8, 2009 it is a nice improvement, but you're not impressed? huh... Sorry you two don't think its that great, but the patient is ecstatic. To each there own, I suppose. Link to comment Share on other sites More sharing options...
Senior Member PLEASE GROW PLEASE Posted July 8, 2009 Senior Member Share Posted July 8, 2009 I was trying to be somewhat nice . Sorry I didnt praise you but it is what it is. I would expect much more with 2 procedures ,plus he has a pretty wide scar Most top clinic would do this in one. Have you ever had surgery? Staples in your head twice sucks when it could be accomplished in one surgery. Just because there an improvement doesnt mean I have to be impressed. Trust me I have no problem giving you kudos if warranted As long as hes happy then thats all that matters. Link to comment Share on other sites More sharing options...
Senior Member aska Posted July 8, 2009 Senior Member Share Posted July 8, 2009 If he's happy it's ok. But what i mean is that if I was him i would be not happy with this result. So, it not impresses me. Link to comment Share on other sites More sharing options...
Guest Dr. Brandon Ross Posted July 8, 2009 Share Posted July 8, 2009 Yes, I have had the procedure. I don't use staples to close. This patient is African American, and as such, much larger sections must be taken to ensure follicular survival compared to Caucasian grafts. Because each follicular unit takes up more space (the follicles have a tendency to be shaped like fish hooks rather than straight lines), it is not possible to acheive the same level of dense packing that might be accomplished with another patient. Furthermore, a given amount of African American donor tissue produces a much lower total number of grafts than the same size donor section of Caucasian tissue. There are a lot of factors that help guide the progression of a procedure. Every patient has their own set of factors, and as a physician I must work within the boundaries presented by each individual patient to ensure the patient's safety and protect the overall outcome of the work. In an ideal world, every surgery would be 5000 grafts and every patient would only need one surgery. However, in real life, a surgeon is limited by the amount of donor tissue which can be safely harvested for surgery. It is important not to exceed such a limitation to ensure proper donor wound healing to result in an infection-free, small donor scar. Link to comment Share on other sites More sharing options...
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