Giuseppe-HDC Posted December 20, 2016 Share Posted December 20, 2016 This was one day surgery for 2250 grafts. This patient, who is 32 years old, wanted as less grafts as possible and we left his front middle hair untouched as you can see in the post op photo. See his result with this kind of design of leaving some area with his own hair. Obviously in a few years these hair will start to miniaturize but also the hair behind will start to thin out too. So by this time the patient will need an additional HT to cover the new thinning areas. Regards, Giuseppe Before Immediately after 1 Year Post op Giuseppe Grezzi Representative of HDC Hair Clinic and Head Hair transplant Technician Email : giuseppe@hdc.com.cy Whatapp +357 97 741250 HDC Whatsapp +357 99 205741 Link to comment Share on other sites More sharing options...
Senior Member TakingThePlunge Posted December 20, 2016 Senior Member Share Posted December 20, 2016 Nice looking case! Is this patient on meds? 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...
Giuseppe-HDC Posted December 20, 2016 Author Share Posted December 20, 2016 Nice looking case! Is this patient on meds? The patient use finasteride Giuseppe Grezzi Representative of HDC Hair Clinic and Head Hair transplant Technician Email : giuseppe@hdc.com.cy Whatapp +357 97 741250 HDC Whatsapp +357 99 205741 Link to comment Share on other sites More sharing options...
Regular Member herculesTang Posted December 22, 2016 Regular Member Share Posted December 22, 2016 hello, Do you often employ this design of leaving the middle area untouched? And what are the variable that lead you to take this decision? Link to comment Share on other sites More sharing options...
Giuseppe-HDC Posted December 29, 2016 Author Share Posted December 29, 2016 hello, Do you often employ this design of leaving the middle area untouched? And what are the variable that lead you to take this decision? This is a valid question, in fact when we believe is necessary we tend to leave the middle area untouched. The factors taking into consideration are the following: • Obviously the first factor is the density of the middle area. If it is dense enough adding hair may cause shock loss. • The miniaturization of the existing hair. Sometimes the density may be high but the hair are miniaturized which means that this hair do not give enough coverage to match the transplanted hair that will growth around it. In this case we may take the decision to cover the middle area so the the result will be homogenous in all transplanted area. • The age of patient. This factor may be consider differently in a patient who is 25 years old than somebody who is 40 years old. For a patient of 40 who’s propensity to lose hair is less than a patient of 25, we may decide that it is better not to touch this area. • The donor capability. For patient with poor donor it is better not to touch the middle area if the density is sufficient. We may transplant the surrounded area with less density too. These are the main factors. Another case similar is the following: Giuseppe Grezzi Representative of HDC Hair Clinic and Head Hair transplant Technician Email : giuseppe@hdc.com.cy Whatapp +357 97 741250 HDC Whatsapp +357 99 205741 Link to comment Share on other sites More sharing options...
Regular Member herculesTang Posted January 4, 2017 Regular Member Share Posted January 4, 2017 Thank you Giuseppe for the detail reply. This covers my question. It will be very interesting to see the result of the addition example that you have shown but I guess this will take until the summer of 2017. Link to comment Share on other sites More sharing options...
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