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Carlos K. Wesley, M.D. (NYC) - Short hair. More hair. (2331 grafts)

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A 32-year-old liked his short hairstyle. However, the progressive thinning atop his scalp became hard to ignore despite his near-shaven look. He was skeptical of finasteride and preferred to address his hair loss with a follicular unit extraction (FUE) procedure with Dr. Carlos Wesley (NYC). Using a 0.8mm motorized punch, 2331 grafts were harvested and stored in the patient's platelet-rich plasma (PRP) and ACell prior to subsequent implantation. Results can be seen before and postoperative day #1.

 

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The works looks very clean and refined. I look forward to following his progress.


David - 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.

 

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Yep work looks good.

 

Is this standard practice to leave Folicals in PRP/Acell? & if so how long for?

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Looking forward to seeing the matured result for this one. Dr. Wesley executes some of the most interesting and unique frontal hairline recipient designs for a natural, non-transplanted look.

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Thanks, all, for your kind words. Although I cannot speak for every hair restoration specialist, it is standard operating procedure in our practice to use a combination of PRP and ACell as a storage solution for follicular units when they are out of the body in both our FUE and FUT cases.

 

The upside: It has been demonstrated to generate a statistically significant improvement in survival and caliber (thickness) of transplanted hair follicles. I've also found the hair growth to occur earlier and the redness to be minimized.

 

The downside: It demands a large, dedicated staff as the process requires a staff member to focus on the isolation and creation of the PRP as the surgical procedure is taking place.

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Your patient has a lot to look forward to Dr. Wesley. Looks like a fine job.


I am an online representative for Carolina Hair Surgery & Dr. Mike Vories (Recommended on the Hair Transplant Network).

View John's before/after photos and videos:  http://www.MyFUEhairtransplant.com

You can email me at johncasper99@gmail.com

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

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Wow impressive Dr. Wesley, it looks like you've been honing your FUE skill, i'm very impressed.


I do not provide medical advice, recommendations, all responses are my opinion.

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Melvin- Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog.

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Thanks for the comments, all.

 

@mav23100gunther, I'm never really sure how to answer that question because the pattern is designed with a density gradient in mind. As the finest-caliber is placed in the front, the density is higher (45-65/cm2) than the graft density in an area full of thick-caliber 3's and FFs (20-35/cm2). This variation is based as much on blood supply as it is on aesthetic outcome.

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Pretty much the ideal HT candidate. Great hair characteristics and a good hair loss pattern. His sides/temple points hadn't receded at all. Pretty rare to see a NW3 with remnants of his NW1 hairline.

 

So it's a great result, but I think that's due to the patient's qualities rather than the actual work that was done.

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Pretty much the ideal HT candidate. Great hair characteristics and a good hair loss pattern. His sides/temple points hadn't receded at all. Pretty rare to see a NW3 with remnants of his NW1 hairline.

 

So it's a great result, but I think that's due to the patient's qualities rather than the actual work that was done.

 

 

so you can have great qualities such as hair characteristics etc + bad or inferior work and in your mind you can end up with this type of result? :confused:

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so you can have great qualities such as hair characteristics etc + bad or inferior work and in your mind you can end up with this type of result? :confused:

 

I just think this was a particularly simple case. It didn't even require any real artistry since his natural NW1 hairline that he transplanted to was still halfway intact.

 

The average NW3 can't expect this result with that number of grafts.

 

I mean, it's a fine result, but it gets a bit tiresome seeing surgeons posting almost exclusively patients with excellent characteristics for marketing purposes.

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with all due respect, you're entitled to your opinion but you're not entitled to your own set of facts, saying any surgery is an "easy" case is ridiculous from the start - ask members who have had "failed" surgeries from recommended docs due to low growth yield, improper technique, etc.

 

the top knotch docs make it look "easy", this gentleman had NO hairline, his entire frontal zone was completely restored in this procedure, the hairline was completely rebuilt (artistically and naturally I would add) and appropriate density was added behind it - if you see a natural NW1 hairline on this fellow, you should get your eyeglass prescription checked

 

the fact that he has good hair characteristics is just a bonus for the patient's end result which happened to come out spectacular -

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Home.

If I am correct the O.P was trying to say that due to this patients hair chararistics & hair loss was In his favor more than most patients.

 

I dont think he was really trying to say it was a easy job but the odds of a very good outcome was in the patient's favor & the Dr, unlike if this patient was a High NW with not great chararistics/ donor supply blah blah would any clinic be rushing out there press release such as forums like this? I very much doubt it.

 

Im going to write a post on this here soon, as I do think clinics do cherry pic what they want to show & sometimes what patients they want to work on to give them the most media attention.

 

I do understand that & respect tbat Drs has patients tbat walk from the street & the Dr can only work of whats in front of him,, I get it but only to show consistent patients like by clinics this makes me wonder & I say to myself.....do they only show stella results like this to market themselves?

 

Europe & Turkey is the leader of this so called sexy marketing & I feel that the US is slowly catching on in doing this also.

 

My comments has nothng to do with this result as it is a good outcome for patient & Clinic alike.

but I see more & more clinics bragging offf such patients with a lot favourable outcomes as this patient.

Edited by ontop
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Home.

If I am correct the O.P was trying to say that due to this patients hair chararistics & hair loss was In his favor more than most patients.

 

I dont think he was really trying to say it was a easy job but the odds of a very good outcome was in the patient's favor & the Dr, unlike if this patient was a High NW with not great chararistics/ donor supply blah blah would any clinic be rushing out there press release such as forums like this? I very much doubt it.

 

Im going to write a post on this here soon, as I do think clinics do cherry pic what they want to show & sometimes what patients they want to work on to give them the most media attention.

 

I do understand that & respect tbat Drs has patients tbat walk from the street & the Dr can only work of whats in front of him,, I get it but only to show consistent patients like by clinics this makes me wonder & I say to myself.....do they only show stella results like this to market themselves?

 

Europe & Turkey is the leader of this so called sexy marketing & I feel that the US is slowly catching on in doing this also.

 

My comments has nothng to do with this result as it is a good outcome for patient & Clinic alike.

but I see more & more clinics bragging offf such patients with a lot favourable outcomes as this patient.

 

Ontop, obviously the clinics are going to cherry pick their best results - I am yet to see many clinics post bad ones, and why in the world would they, that's just plain stupidity. That's why I always take the presented cases with a grain of salt. The key are patients posting their results, that's how you really get a good feel for it. There are some recommended surgeons with very few patient presented cases. That's when the red flags should start being noted. Goodness, it were the patient results that got Doganay suspended as a recommended surgeon. Okay maybe that was due to Paleo - but still.

 

With regards to Dr Wesley, I agree with Home on this one - I think Matt has a lot of deep hate towards the good Dr, and it's unnecessary to tear apart such an outstanding result. Although he focuses on smaller cases at a time, I have been very impressed with what I have seen come out of this clinic at late. Definitely still waiting to see a higher NW being transformed, but I would betcha he has those. In addition, I consulted with Dr Wesley myself and he is one of the nicest guys around, plus out of all the surgeons I consulted with, he gave out the most information. He never uttered a negative word about any surgeon even though I was pressing him. A true professional and a true gentleman, so Matt27, I suggest you find someone else to tear apart.

Edited by mav23100gunther

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Mav

I dont know the history of the O.P & the good Dr, neither do I really care to be honest but for me was just a overall observation on the industry as a whole.

& yep your dead right that why should clinics post below average results? I get it but like I said, maybe me or you we take stuff like this like a pinch of salt but others most likely dont, which bothers me, that they see these stella out of the park results bombarded everyday like thats the norm, when in reality its not.

Edited by ontop
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Mav

I dont know the history of the O.P & the good Dr, neither do I really care to be honest but for me was just a overall observation on the industry as a whole.

& yep your dead right that why should clinics post below average results? I get it but like I said, maybe me or you we take stuff like this like a pinch of salt but others most likely dont, which bothers me, that they see these stella out of the park results bombarded everyday like thats the norm, when in reality its not.

 

I hear you buddy, I really do, but what's the solution other than trying to educate prospective patients? My favorite is when veterans advise patients to ask the surgeons for a couple of patient's phone numbers and call them up. I always laugh at his one, because obviously the clinics are only going to give out numbers for hand picked happy patients. I think it was Murray Campbell, a rep for Dr Rahal who offered to give me 5 patient numbers to call and I told him to f#ck off politely. These mean nothing. Next time, I am going to ask for 5 numbers of the most unhappy or unsatisfied patients.

 

It's the same as walking into a Best Buy shopping for a new TV. Ever notice how they calibrate the TV's with very bright vivid pictures showing specific content in dark areas. That's not how those TVs are going to look playing SD content in a living room with bright light shining in. The smart customers will ask them to pop in a SD DVD or something and turn the lights to be very bright

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Well for me I would like to see more clinics to show videos just like Dr Deip does but to a certain degree I feel he cherry pics what he shows also but its definitely the way forward though to show to the prospective hairloss guys & women alike.

 

Yep Best Buy is the worst offenders of the sexy marketing ploys they come with in fact I read the other day that some guys went in there who was a TV tech & called them out on the settings they had on each TV so customers would go for the brightest TV which of course was the pricest one or end of line stock to get rid of.

but it obviously works for best buy its all marketing the product, which I do get but it is deceiving to the public & the hairloss industry which is worth billions of dollars is just one of those things.

Edited by ontop
shitty keyboard

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The reason I posted what I did is most people apparently can't tell what I said. So you get lots of positive responses and this enables this form of misleading advertising.

 

I feel I can be a bit negative on this forum sometimes, but only because I feel compelled to balance out the excessively positive responses with some realism.

 

This forum is used as a billboard for surgeons to advertise their best results, but its purpose is honest and critical discussion.

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