Senior Member Dr. Lupanzula Emorane Posted November 3, 2016 Senior Member Share Posted November 3, 2016 PATIENT'S BACKGROUND - Age: 40 y.o. - NW: VI - Medicaments: Finasteride 1g, since 8 years - Donor area density: - 90 FUs/cm2 in the occipital region - 85 FUs/cm2 in the parietal region - 75 FUs/cm2 in the temporal region - Donor capacity: ~8000 FUs - Recipient area surface - Front/Mid: ~80 cm2 - Recipient area surface - Vertex: ~80 cm2 RECOMMENDED PLAN & TREATMENT When the patient met Dr. Lupanzula for the first time was wearing a hairpiece and wanted a similar density as the wig he was wearing (reason for which his operation was refused by another clinic). Dr. Lupanzula made him understand that his expectations were unrealistic and proposed him the following approach: Given the extended hair loss the patient suffered (NW VI), Dr. Lupanzula recommended a strategy consisting in two separated sessions. The first one, 3500-4000 FUs, aiming at restoring the patient's hairline and adding density in the frontal area until the upper part of the mid-scalp. The second one, 3000-3300 FUs, with the purpose of restoring and adding density in the vertex. Finally the patient underwent both surgeries, one three months after the other, and we're glad to show below the final result of the two surgeries - respectively at the 12th and 9th post-operative month. Moreover, as soon as we will meet the patient again, we will post an update showing the final result. SURGERIES TECHNICAL DATA 1st surgery - Hairline / Front / Mid-scalp 3819 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 593 Single FUs * 2127 Double FUs * 1012 Triple FUs * 87 Quadruple FUs Average Hair/FUs: 2.15 2nd surgery - Vertex (3 months after the first surgery) 3275 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 731 Single FUs * 1856 Double FUs * 643 Triple FUs * 45 Quadruple FUs Average Hair/FUs: 2.00 Dr. Emorane Lupanzula PREVIEW IN DETAIL Dr Lupanzula E. MeDiKemos Hair Transplantation Dr. Emorane Lupanzula is recommended on Hair Transplant Network Email: info@medikemos.com Telephone: + 32 2 535 55 40 Website: http://fuehairdoctor.co.uk/ Youtube: http://www.youtube.com/user/MHairTransplantation Link to comment Share on other sites More sharing options...
Senior Member Arrie Posted November 3, 2016 Senior Member Share Posted November 3, 2016 fantastic work on such a difficult case! Love the transparency in showing results bravo! You only live once... Link to comment Share on other sites More sharing options...
Senior Member delancey Posted November 4, 2016 Senior Member Share Posted November 4, 2016 I cannot see the pictures, so I cannot comment on the case. Although I see that it's a higher Norwood case which is always welcome. Does Dr. Lupanzula believe that wearing a hair system may negatively affect growth of a future hair transplant? More specifically, if someone is wearing, and then stops wearing, could the extended period of time with glue on the scalp, for instance, negatively affect a hair transplant? I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
Senior Member andy_+_+ Posted November 5, 2016 Senior Member Share Posted November 5, 2016 (edited) Such a great result... Great documentation as well. If he wanted to he could put some toppix in and it would be like a full head of hair. But I imagine is he over the moon with this result. Edited November 5, 2016 by andy_+_+ add more Link to comment Share on other sites More sharing options...
Senior Member Ernie Posted November 6, 2016 Senior Member Share Posted November 6, 2016 Life changing result. Well done. 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 chris39 Posted November 6, 2016 Senior Member Share Posted November 6, 2016 Nice result and honestly presented photo's . Makes the good point that expectations need to be realistic , more so in the case of higher NW's . Exceptional circumstances apart , higher NW's are never gong to achieve the cosmetic effects of super high density . Link to comment Share on other sites More sharing options...
Senior Member Mickey85 Posted November 6, 2016 Senior Member Share Posted November 6, 2016 Very nice. Precision work right there. 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 JON86 Posted November 6, 2016 Senior Member Share Posted November 6, 2016 Doctor Lupanzula consistently does amazing work. Some of the cleanest and best planned cases I have seen. Link to comment Share on other sites More sharing options...
Senior Member Dr. Lupanzula Emorane Posted November 15, 2016 Author Senior Member Share Posted November 15, 2016 Dear all, Many thanks for your kind comments and appreciations about this presentation. Such a great result... Great documentation as well. If he wanted to he could put some toppix in and it would be like a full head of hair. But I imagine is he over the moon with this result. Dear andy, As you say, the patient is extremely satisfied with the result already achieved. He considered the usage of toppik but he actually prefers to keep a more natural appearance without the usage of additional products. I cannot see the pictures, so I cannot comment on the case. Although I see that it's a higher Norwood case which is always welcome. Does Dr. Lupanzula believe that wearing a hair system may negatively affect growth of a future hair transplant? More specifically, if someone is wearing, and then stops wearing, could the extended period of time with glue on the scalp, for instance, negatively affect a hair transplant? Dear delancey, Thanks for your query. Definitely yes, wearing a hair system can negatively affect both native and transplanted hair; as you say, this is mostly due to the glues used, which don't allow the skin of the scalp to perspire, to "breathe" in a correct way. This could turn out in a poor regrowth after a hair transplant, or in a more significant hair loss in a normal situation. Sincerely, Dr Lupanzula E. MeDiKemos Hair Transplantation Dr. Emorane Lupanzula is recommended on Hair Transplant Network Email: info@medikemos.com Telephone: + 32 2 535 55 40 Website: http://fuehairdoctor.co.uk/ Youtube: http://www.youtube.com/user/MHairTransplantation Link to comment Share on other sites More sharing options...
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