Senior Member Billena Posted October 28, 2015 Senior Member Share Posted October 28, 2015 This 32-year-old male had been on Propecia (finasteride 1mg) therapy for over a year and hadn't seen the improvement of crown coverage that he desired. He then underwent a 2228-micrograft FUT procedure with Dr. Carlos Wesley in NYC. The patient can be seen both before and one year following his hair restoration surgery to his crown. During the procedure the patient's grafts were stored in a mixture of platelet-rich plasma (PRP) and ACell. --------- Carlos K. Wesley, M.D. is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member Cant decide Posted October 28, 2015 Senior Member Share Posted October 28, 2015 For that many grafts and with proper styling, I would have expected a better result. In other words, I think for the area covered, 1500 grafts should have been enough for how it is styled now. I do realize crowns take more grafts but even still, I have seen much better results with far fewer grafts. My Hairloss Web Site - Procedure #1: 5229 Grafts with Dr. Rahal Oct, 2010 Procedure #2: 2642 Grafts with Dr. Rahal Aug, 2013 7871 Grafts http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2452 Link to comment Share on other sites More sharing options...
Senior Member NEWHAIRPLEASE Posted October 29, 2015 Senior Member Share Posted October 29, 2015 I think it's a pretty good result. I just hate the idea of losing 2300 grafts to the crown. Newhairplease!! Dr Rahal in January 19, 2012:) 4808 FUT grafts- 941 singles, 2809 doubles, 1031 triples, 27 quads My Hairloss Website Link to comment Share on other sites More sharing options...
Senior Member win200 Posted October 29, 2015 Senior Member Share Posted October 29, 2015 I think the result is fine; it's just a lot of grafts for that area. I'd really like to see a comb-through video, and an "after" wet hair pic to match the wet "before" one. With the hair that long, it's tough to see how dramatically things have improved. Hair in the crown can swirl around really easily to create a false impression of coverage. Link to comment Share on other sites More sharing options...
Senior Member Dr. Carlos Wesley Posted November 4, 2015 Senior Member Share Posted November 4, 2015 I appreciate your comments and I certainly agree that it's not a good idea to be packing too many grafts into the crown. This patient's pattern addressed (but was not limited to) his crown. It actually focused more on his mid scalp region. The first image in the original post of this thread shows the general idea with the back border drawn with a black wax pencil - the concave arc that bends around in keeping with the eventual crown border extending beneath it. The last image pair in the original post also shows the general pattern borders planned as drawn with a wax pencil. The back border touches the vertex transition point - where the scalp begins a downward slope. To better illustrate this idea, I have attached an intra-operative image of this patient. You can see that the surgical pattern extends well beyond his pre-existing hair into areas of future loss. This ensures that the transplanted hair pattern holds stable, even when the pre-existing hair is lost over the years. Another patient in whom the mid scalp (not the crown) was treated with his future crown hair loss in mind can be seen below. Dr. Carlos Wesley is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
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