#BAM Getting My Natural Appearance Back-FUE Revision (2153 grafts)Carlos K. Wesley MD

[Billena]

#BeforeAndAfterMondays

 

This 37-year-old man underwent a follicular unit extraction (FUE) session with Dr. Carlos K. Wesley in which a total of 2153 grafts were placed.

 

His hair follicles were incubated in autologous (his own) platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs.

 

Rather than a larger FUE punch used by a robotic approach, Dr. Wesley used a smaller caliber hand-held motorized punch to performed the donor harvest. This approach better enabled the capture of donor hair roots that are slightly curved beneath the skin surface. Upon completion of the harvest, the patient’s donor area was treated with PRP and ACell in order to not only minimize scar tissue formation, but also encourage partial regeneration of donor hair follicles.

 

The patient returned one year after his procedure and images of the patient can be seen below.

 

 

IMG]http://www.drcarloswesley.com/images/big/ra/Slide04-6.jpg[/img]

 

[MarieEvo]

Attached are Intraoperative pictures.

 

An important element of the revision surgery was actually punching out grafts that were inappropriately positioned by the previous surgeon along the hairline. As the follow-up images show - those punch sites are not evident (even with the patient's darker pigmentation).