Senior Member Dr. Lupanzula Emorane Posted November 8, 2016 Senior Member Share Posted November 8, 2016 PATIENT'S BACKGROUND - Age: 32 y.o. - NW: IV - Medicaments: Minoxidil 5%, twice per day, started 5 months before the surgery - Donor area density: - 100 FUs/cm2 in the occipital region - 90 FUs/cm2 in the parietal region - 90 FUs/cm2 in the temporal region RECOMMENDED PLAN & TREATMENT 2800-3200 FUs procedure with FUE technique with the purpose of restoring the patient's hairline and adding density to the frontal area up to the mid-scalp. At the moment of the consultation, Dr. Lupanzula also suggested a second procedure of approximately 2000 FUs in order to restore the patient's vertex area. SURGERY TECHNICAL DATA 3175 FUs: FUE Manual Punch, 0.9mm Incisions: Lateral Slit N° of Hair per Follicular Unit: * 540 Single FUs * 1439 Double FUs * 1029 Triple FUs * 167 Quadruple FUs Average Hair/FUs: 2.25 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 wibbles180 Posted November 9, 2016 Senior Member Share Posted November 9, 2016 Once again beautiful work and presentation, please may I ask with the patient being only on minoxidil and not finasteride was the doctor confident that this man will keep the existing native hair in his bridge area between the front and the vertex ? We're measures taken to allow for if this patient looses the bridge area ? And will he be able to cover future loss even after he has potentially 2000 grafts in the vertex ? Very interested in how a plan is made to keep things looking natural even if further loss occurs later in life ? Thanks Link to comment Share on other sites More sharing options...
Regular Member hopeisthebestthingihave Posted November 13, 2016 Regular Member Share Posted November 13, 2016 Once again beautiful work and presentation, please may I ask with the patient being only on minoxidil and not finasteride was the doctor confident that this man will keep the existing native hair in his bridge area between the front and the vertex ? We're measures taken to allow for if this patient looses the bridge area ? And will he be able to cover future loss even after he has potentially 2000 grafts in the vertex ? Very interested in how a plan is made to keep things looking natural even if further loss occurs later in life ? Thanks I also think he should be on fin. But i'm guessing what happened is that he tried it out and got side effects. So he just decided to take the shot and get a HT regardless Link to comment Share on other sites More sharing options...
Senior Member wibbles180 Posted November 15, 2016 Senior Member Share Posted November 15, 2016 Once again beautiful work and presentation, please may I ask with the patient being only on minoxidil and not finasteride was the doctor confident that this man will keep the existing native hair in his bridge area between the front and the vertex ? We're measures taken to allow for if this patient looses the bridge area ? And will he be able to cover future loss even after he has potentially 2000 grafts in the vertex ? Very interested in how a plan is made to keep things looking natural even if further loss occurs later in life ? Thanks Would love to hear back from the clinic on my above questions please . Link to comment Share on other sites More sharing options...
Senior Member Dr. Lupanzula Emorane Posted November 16, 2016 Author Senior Member Share Posted November 16, 2016 Once again beautiful work and presentation, please may I ask with the patient being only on minoxidil and not finasteride was the doctor confident that this man will keep the existing native hair in his bridge area between the front and the vertex ? We're measures taken to allow for if this patient looses the bridge area ? And will he be able to cover future loss even after he has potentially 2000 grafts in the vertex ? Very interested in how a plan is made to keep things looking natural even if further loss occurs later in life ? Thanks Hi wibbles180, Thanks for your appreciation and for your queries. At the moment of the pre-operative consultation Dr. Lupanzula suggested the patient to start a Finasteride treatment, but the patient refused for personal reasons. Consequently, he was informed that this choice could result in the need of additional surgeries in the future, given that the Doctor could already foresee a loss in the vertex area. The patient eventually accepted this approach, also considering that his donor capacity was assessed as approximately 7500 FUs, amount that guarantees the resources for a future coverage of the vertex and of the mid-scalp too if needed. 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...
Senior Member wibbles180 Posted November 16, 2016 Senior Member Share Posted November 16, 2016 Thanks for your reply , just goes to show how being conservative in the placement of the hairline is the way to go especially if future loss is obviously apparent . Thanks again , keep the results coming Link to comment Share on other sites More sharing options...
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