Dr. Jean Devroye Posted October 30, 2015 Share Posted October 30, 2015 This patient of 24 years old would like to find a solution to his baldness on the anterior area. A big surgery has been realized: Number of grafts:*4575 Number of hair:*9224 1h:*912**2h:*2784**3h:*772**4h:*107 I'm very satisfied with the density obtained on the covered area. Even if the hairloss continues to evolve on the posterior area, the anterior area will stay stable definitively. The patient will probably need another surgery when the part more posterior will disappear. Dr. Jean Devroye HTS Clinic - Bruxelles Email: info@hts-clinic.com Telephone: +32 2 880 70 60 Website: https://www.hair-transplant-surgery.com/en/home Online consultation: https://www.hair-transplant-surgery.com/en/Online-diagnostic Devroye Instruments: https://www.devroyeinstruments.com/ Dr. Devroye is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Dr. Jean Devroye Posted July 2, 2018 Author Share Posted July 2, 2018 In details + 2 years post-op update Dr. Jean Devroye HTS Clinic - Bruxelles Email: info@hts-clinic.com Telephone: +32 2 880 70 60 Website: https://www.hair-transplant-surgery.com/en/home Online consultation: https://www.hair-transplant-surgery.com/en/Online-diagnostic Devroye Instruments: https://www.devroyeinstruments.com/ Dr. Devroye is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member TrixGlendevon Posted July 2, 2018 Senior Member Share Posted July 2, 2018 Great result Dr Devroye. I am sure he will be very pleased with it. May I ask, is the patient on medication? Why did you do the crown work when he is so young? Surely this area will continue to deteriorate and you cannot know the pattern it will take at such a young age. Link to comment Share on other sites More sharing options...
Dr. Jean Devroye Posted July 5, 2018 Author Share Posted July 5, 2018 On 02/07/2018 at 10:54 PM, TrixGlendevon said: Great result Dr Devroye. I am sure he will be very pleased with it. May I ask, is the patient on medication? Why did you do the crown work when he is so young? Surely this area will continue to deteriorate and you cannot know the pattern it will take at such a young age. TrixGlendevon, thanks for your comment. Yes, I confirm that the patient is on medication, taking Finasteride since the surgery. He was also applying Minoxidil 5%, nevertheless he has stopped the treatment some months after the procedure because he was bothered by the greasy and oily hair texture caused by the lotion. As agreed with the patient, we have performed a FUT ASMAP (As Much As Possible) procedure with the first objective of covering the frontal and midscalp areas with a maximal density so that, even if he will lose his hair in the future, these areas will be permanently stable. Depending on the final numbers of grafts included in the strip, we reserved the possibility to reinforce also the vertex area, which was starting to thin as well (as noticeable in the pre-operative pictures). We finally managed to extract 4575 grafts, therefore we had the opportunity to add coverage to the vertex as well. The patient has been informed prior to the surgery and is perfectly aware that he may need a further procedure in the vertex area in the future, if his hair loss will continue. His family hair loss history shows however very limited cases of baldness. Specifically : his father has lost his temples corners and is slightly thinning on the vertex area; his grandfather (paternal side) lost his vertex; no hair loss problem detected on his maternal side. In general, I consider these as positive indications in regards of the patient's future hair loss. Nevertheless, the patient donor area can still supply several thousand of grafts if a further procedure will be needed - via one or even two additional FUT procedures, plus a FUE complement if necessary. Dr. Jean Devroye HTS Clinic - Bruxelles Email: info@hts-clinic.com Telephone: +32 2 880 70 60 Website: https://www.hair-transplant-surgery.com/en/home Online consultation: https://www.hair-transplant-surgery.com/en/Online-diagnostic Devroye Instruments: https://www.devroyeinstruments.com/ Dr. Devroye is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member hairlossPA Posted July 5, 2018 Senior Member Share Posted July 5, 2018 this is a great result Link to comment Share on other sites More sharing options...
Senior Member TrixGlendevon Posted July 5, 2018 Senior Member Share Posted July 5, 2018 4 hours ago, Dr. Jean Devroye said: TrixGlendevon, thanks for your comment. Yes, I confirm that the patient is on medication, taking Finasteride since the surgery. He was also applying Minoxidil 5%, nevertheless he has stopped the treatment some months after the procedure because he was bothered by the greasy and oily hair texture caused by the lotion. As agreed with the patient, we have performed a FUT ASMAP (As Much As Possible) procedure with the first objective of covering the frontal and midscalp areas with a maximal density so that, even if he will lose his hair in the future, these areas will be permanently stable. Depending on the final numbers of grafts included in the strip, we reserved the possibility to reinforce also the vertex area, which was starting to thin as well (as noticeable in the pre-operative pictures). We finally managed to extract 4575 grafts, therefore we had the opportunity to add coverage to the vertex as well. The patient has been informed prior to the surgery and is perfectly aware that he may need a further procedure in the vertex area in the future, if his hair loss will continue. His family hair loss history shows however very limited cases of baldness. Specifically : his father has lost his temples corners and is slightly thinning on the vertex area; his grandfather (paternal side) lost his vertex; no hair loss problem detected on his maternal side. In general, I consider these as positive indications in regards of the patient's future hair loss. Nevertheless, the patient donor area can still supply several thousand of grafts if a further procedure will be needed - via one or even two additional FUT procedures, plus a FUE complement if necessary. Thanks for this thorough answer. I have booked into see you for a consultation at the start of September when you re-open the clinic at the end of August. Link to comment Share on other sites More sharing options...
Dr. Jean Devroye Posted July 6, 2018 Author Share Posted July 6, 2018 22 hours ago, hairlossPA said: this is a great result Thank you for your appreciation hairlossPA. 18 hours ago, TrixGlendevon said: Thanks for this thorough answer. I have booked into see you for a consultation at the start of September when you re-open the clinic at the end of August. It will be my pleasure TrixGlendevon. Dr. Jean Devroye HTS Clinic - Bruxelles Email: info@hts-clinic.com Telephone: +32 2 880 70 60 Website: https://www.hair-transplant-surgery.com/en/home Online consultation: https://www.hair-transplant-surgery.com/en/Online-diagnostic Devroye Instruments: https://www.devroyeinstruments.com/ Dr. Devroye is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member TrixGlendevon Posted July 6, 2018 Senior Member Share Posted July 6, 2018 (edited) 36 minutes ago, Dr. Jean Devroye said: It will be my pleasure TrixGlendevon. I have 2 more questions though (sorry). 1) Are there any pictures of the donor and the scar both immediately post-surgery and at the points in time you have shown the front 3rd (1 month, 4 months, 6 months, 2 years etc)? and 2) Why is the hairline that you have drawn in the last 0- picture not symmetrical? Looking at the second 0+ photo as well as the 1 month ones, this is clearly noticeable. Was this intentional? Thanks! Edited July 6, 2018 by TrixGlendevon Link to comment Share on other sites More sharing options...
Dr. Jean Devroye Posted July 12, 2018 Author Share Posted July 12, 2018 On 7/6/2018 at 5:03 PM, TrixGlendevon said: I have 2 more questions though (sorry). 1) Are there any pictures of the donor and the scar both immediately post-surgery and at the points in time you have shown the front 3rd (1 month, 4 months, 6 months, 2 years etc)? and 2) Why is the hairline that you have drawn in the last 0- picture not symmetrical? Looking at the second 0+ photo as well as the 1 month ones, this is clearly noticeable. Was this intentional? Thanks! Concerning the scar: unfortunately we do not have any pictures taken at the clinic other than the immediate after surgery. Since the patient lives abroad, I didn't have the opportunity to see him in a post-operative consultation so far. However, I can share with you the pictures the patient posted in a French hair loss forum while sharing his experience. Please find them below. Pre-Op / Immediate Post-Op: +37 days: +69 days: +103 days (haircut 9mm): The asymmetrical hairline design was indeed intentional and agreed with the patient. I translate below his comments on the subject (original comment located on the first page, first post of the following thread: http://www.international-hairlossforum.com/tomish-4575-fut-devroye-2015-t3776.html) : "As you can see in the pictures, Dr. Devroye has drawn my original hairline, asymmetrical and slightly conservative. I told him that it's perfect, because I always had this asymmetry, it's part of me and I didn't want to change it." Dr. Jean Devroye HTS Clinic - Bruxelles Email: info@hts-clinic.com Telephone: +32 2 880 70 60 Website: https://www.hair-transplant-surgery.com/en/home Online consultation: https://www.hair-transplant-surgery.com/en/Online-diagnostic Devroye Instruments: https://www.devroyeinstruments.com/ Dr. Devroye is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member TrixGlendevon Posted July 12, 2018 Senior Member Share Posted July 12, 2018 That's great. Thanks for the reply. The scar looks very clean too (if you do mine, please do it like that ) It is a shame we cannot see another picture of the scar once it has healed but c'est la vie. See you in September! Link to comment Share on other sites More sharing options...
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