Senior Member Dr. Carlos Wesley Posted June 13, 2016 Senior Member Share Posted June 13, 2016 This 48-year-old was left with severe scarring alopecia on the caudal region of his scalp for over a decade. The cause was an aggressive scalp condition called folliculitis decalvans. He had undergone various antibiotic therapies to control the condition and stabilize it for about 11 years. Finally, because of the significant cosmetic impact it had on his day-to-day life, he reached out to our team to treat the area with surgical hair restoration. There were numerous aspects of this 2074-graft follicular unit transplantation (FUT) case that made it memorable. Scalp thickness and health in the recipient area is often compromised from this condition. Platelet rich plasma (PRP) coupled with an extracellular matrix may have helped graft viability in the recipient area.. However, within a few months, he could already see improvement and one year later, his confidence was back as his scalp coverage was as seen in the images below. While not all instances of cicatricial alopecia result in this type of transformation, it is certainly treatable. For those interested, I co-authored a chapter on this condition years ago in the textbook, Dermatologic Therapy. I believe the full text is available for free. Dr. Carlos Wesley is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member Ernie Posted June 13, 2016 Senior Member Share Posted June 13, 2016 Life-changing result. Bravo Dr. Wesley. 3185 FUT with Dr. Rahal on 2/17/16 http://www.hairrestorationnetwork.com/eve/182611-fut-3185-dr-rahal-day-after-pics.html 1204 FUT with Dr. Rahal on 3/27/17 http://www.hairrestorationnetwork.com/eve/186586-round-2-rahal-1204-fut-frontal-third-same-area.html ---> total of 4389 grafts to my frontal third via FUT ---> 1mg finasteride daily since 1999 Link to comment Share on other sites More sharing options...
Senior Member BadBeat Posted June 13, 2016 Senior Member Share Posted June 13, 2016 Well done doc! I'm sure he is absolutely thrilled with this result. Link to comment Share on other sites More sharing options...
Senior Member ModernHair Posted June 14, 2016 Senior Member Share Posted June 14, 2016 Wow...very good coverage with a small number of grafts! 1,792 graft FUE with Dr. James Harris (Denver, Colorado) on April 2-3, 2015 313 graft FUE with Dr. James Harris (Denver, Colorado) on May 3, 2016 to make it perfect!!! Link to comment Share on other sites More sharing options...
Senior Member lakes9925 Posted June 14, 2016 Senior Member Share Posted June 14, 2016 do some docs get better coverage then others with the same amount of grafts?? or is it pretty much the same Link to comment Share on other sites More sharing options...
Senior Member TakingThePlunge Posted June 15, 2016 Senior Member Share Posted June 15, 2016 Very impressive result! I"m sure it must have exceeded the patient's expectations given his condition. 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 Billena Posted June 15, 2016 Senior Member Share Posted June 15, 2016 Yes, the patient was truly thrilled- thank you all for your comments. --------- 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 pkipling Posted June 15, 2016 Senior Member Share Posted June 15, 2016 Woah! These results are outstanding. I can't even imagine how thrilled he must be. I am a patient advocate for Dr. Parsa Mohebi in Los Angeles, CA. My views/opinions are my own and don't necessarily reflect the opinions of Dr. Mohebi and his staff. Check out my hair loss website for photos FUE surgery by Dr. Mohebi on 7/31/14 2,001 grafts - Ones: 607; Twos: 925; Threes: 413; Fours: 56 Link to comment Share on other sites More sharing options...
Senior Member Mickey85 Posted June 17, 2016 Senior Member Share Posted June 17, 2016 Dramatic difference. The only 2 threads you will ever need: Revamped Advantages/Disadvantages of FUE. Myths dispelled. Educate yourself Everything FUE. Manual, motorized, ARTAS, NeoGraft, physician details and more Link to comment Share on other sites More sharing options...
Senior Member Dr. Carlos Wesley Posted June 27, 2016 Author Senior Member Share Posted June 27, 2016 Thanks for your comments! Another interesting aspect of his surgery was that his scalp was markedly thinner than a healthy scalp. This forced graft site creation and placement to occur at a much more acute angle than normal in order for the graft to be fully embedded within the thin scalp. It's exciting to see this type of healthy growth as it's an indicator that other patients with scalp conditions akin to his may also benefit from surgical hair restoration. Dr. Carlos Wesley is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member MarieEvo Posted March 28, 2017 Senior Member Share Posted March 28, 2017 I have worked with 26 different hair restoration doctors throughout my career. I have now been a nurse with Dr. Wesley for more than a decade. Dr. Carlos Wesley is an elite member of the Coalition of Independent Hair Restoration Physicians. 1050 Fifth Avenue, New York, NY 10028 Ph (844) 745-6362 www.drcarloswesley.com Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now