Senior Member Ali Emre Karadeniz Posted July 28, 2015 Senior Member Share Posted July 28, 2015 (edited) This 46 year-old patient with a Norwood 4A hair loss pattern with persistent frontal tuft, came in for FUE. 2502 grafts FUE was performed using a 0.8mm motorised sharp punch. The graft breakdown was as follows: Singles: 250 Doubles: 600 Triples: 800 Quadruples: 852 A conservative hairline was designed after discussing options with the patient, so that the upper part of the crown was also strengthened. Custom made pre-cut surgical blades were used to do sagittal (parallel) incisions. Photos were provided by the patient 12 months after surgery. BEFORE AND AFTER 12 MONTHS Edited July 28, 2015 by drkaradeniz Ali Emre Karadeniz, MD (Dr. K) AEK Hair Institute Istanbul, Turkey Link to comment Share on other sites More sharing options...
Senior Member stinger99 Posted July 28, 2015 Senior Member Share Posted July 28, 2015 very nice result Link to comment Share on other sites More sharing options...
Senior Member ontop Posted July 28, 2015 Senior Member Share Posted July 28, 2015 Yep I agree very natural looking & loving the hairline for a 46yr old. For just 2500 grafts this is a good result. Great job Doc. Link to comment Share on other sites More sharing options...
Senior Member Sean Posted July 28, 2015 Senior Member Share Posted July 28, 2015 So the frontal zone as well as upper part of crown was addressed with just 2500 grafts? This is fantastic yield and result based on recipient area versus x number of grafts used. This approach was not detrimental to a patient and was well thought out. There virtually no sign of transection or shockloss as a result of careful planning and an excellent FUE surgical protocol. Result Looks considerably dense as well even though a conservative design was used. Based off the facial structure and physiology of the patient, you pulled the conservative framing off well. It doesnt suit everyone, but it flows well here. Great job Dr. Karadeniz! Link to comment Share on other sites More sharing options...
Senior Member ontop Posted July 28, 2015 Senior Member Share Posted July 28, 2015 sean, i agree but what need to be noted that this Pt had good graft count with high quadruples folicals which helps a great deal behind the soften hairline. so put in the mix good planning, mature hairline and with what i call above average donor count plus a good Dr the odds are defo in this guys favor. Link to comment Share on other sites More sharing options...
Senior Member Ali Emre Karadeniz Posted August 1, 2015 Author Senior Member Share Posted August 1, 2015 Thanks Stinger99, Ontop and Sean for your positive comments. Please note that from the 2502 grafts that were extracted, the total hair count was 7258, which means an average hair per graft rate of 2.9; that is an exceptionally high number. Such good quality grafts can be obtained only when there is a combination of a good donor area and a good surgical technique. People frequently talk about graft numbers and forget that it is the number of hairs that gives the coverage. The value of these grafts in my opinion are comparable to 4000 grafts with a hair per graft rate just below 2. This may open a new discussion that is perhaps too complicated to cover here; that is, 'if it is always to the patients benefit to try and get the highest number of grafts. This obviously leads to a lower hair per graft rate due to, 1. Using a smaller punch than needed to be able to make more punches per area. 2. Having to extract from areas that may contain too many nonpermanent hairs. 3. Having to extract from areas that contain follicular units with a lower hair number. 4. Increasing the speed of extraction while trying to finish the high graft number in that session. 5. Fatigue of the surgeon. It is possible to avoid the last two by dividing the session into two days, but the first three can not be avoided. We can add to all the above that the yield may also be better with these smaller number of healthier grafts that have a lower transection rate and thus a high hair per graft rate. Ali Emre Karadeniz, MD (Dr. K) AEK Hair Institute Istanbul, Turkey Link to comment Share on other sites More sharing options...
Senior Member Mick50 Posted August 1, 2015 Senior Member Share Posted August 1, 2015 I've noticed guys who seem to have that permanent tuft as the Dr points out, always seem to get a great result Link to comment Share on other sites More sharing options...
Senior Member RecedingTide Posted August 2, 2015 Senior Member Share Posted August 2, 2015 Dr. Karadeniz you are quickly establishing yourself as a member of the top tier of docs. I appreciate how you explained about looking to transfer more hair, not necessarily more grafts. This is refreshing. Link to comment Share on other sites More sharing options...
Senior Member Sean Posted August 3, 2015 Senior Member Share Posted August 3, 2015 Dr. Karadeniz, thank you for that clarification. I agree with other posters, you are clearly establishing yourself amongst the top FUE docs. Thanks for being clear and up front. Link to comment Share on other sites More sharing options...
Senior Member TakingThePlunge Posted August 3, 2015 Senior Member Share Posted August 3, 2015 Super result Dr. Karadeniz! 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 Dolph1969 Posted August 5, 2015 Senior Member Share Posted August 5, 2015 Great result. Can anyone explain why those forelocks don't seem to be pre dispositioned to dht? Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted August 5, 2015 Senior Member Share Posted August 5, 2015 Your doing some excellent work. I'm always impressed with your results. I agree that your in the top Drs that are currently doing FUE/BHT. Have you got anymore combo cases to post ? where you have done FUT/FUE together. Link to comment Share on other sites More sharing options...
Senior Member irishsailor Posted August 8, 2015 Senior Member Share Posted August 8, 2015 Very impressive doc. Pushing out a lot of great results :cool: Hair Transplant Dr Feller Oct 2011 Hair Transplant Dr Lorenzo June 2014 Link to comment Share on other sites More sharing options...
Senior Member NoTakeBacks Posted August 8, 2015 Senior Member Share Posted August 8, 2015 Great result. Can anyone explain why those forelocks don't seem to be pre dispositioned to dht? This is something I always wondered as well. It's a great advantage in my eyes, over those who have the diffuse "a" patterns (like myself) and obviously higher norwood. Either way, great result! Link to comment Share on other sites More sharing options...
Senior Member wibbles180 Posted August 9, 2015 Senior Member Share Posted August 9, 2015 Really like this result , was the patient on meds ? I suppose his age went with him ? I'm 33 and similar sort of pattern developing been on finasteride for 4 years , would you suggest waiting to see how my patter develops ? I also have the permanent tuft thing going on I think ? Link to comment Share on other sites More sharing options...
Senior Member aaron1234 Posted August 9, 2015 Senior Member Share Posted August 9, 2015 Radical! Those resilient frontal tufts are a bonus, especially since the eye is often drawn to that area. Dr. G: 1,000 grafts (FUT) 2008 Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013 Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020 My Hair Transplant Journey with Shapiro Medical Group Link to comment Share on other sites More sharing options...
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