Senior Member Dr. Richard Keller Posted September 23, 2018 Senior Member Share Posted September 23, 2018 63 year old with a class 6 hair loss pattern who wished to have a more youthful appearance. The patient states he is extremely happy with his 1 year results and his wife is ecstatic with his new look. Patient has previously been on medical therapy without much success. Photos shown are pre-op, intra-op, and 1 year post-op using 3,650 FU. Comments welcome. Dr. Keller Dr. Keller is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Senior Member voxman Posted September 24, 2018 Senior Member Share Posted September 24, 2018 Nice transformation - a real Home Run result. I'm serious. Just look at my face. My Hair Regimen: Lather, Rinse, Repeat. Link to comment Share on other sites More sharing options...
Senior Member lukeyb1687 Posted September 24, 2018 Senior Member Share Posted September 24, 2018 Great transformation, not too aggressive and very fitting for this paitents age. It suits him! Way to go! 12/2017 - 3500 Grafts- Dr. Emrah Cinik Follow my progress: http://www.hairrestorationnetwork.com/eve/188512-3500-scheduled-dr-cinik-12-12-a.html Link to comment Share on other sites More sharing options...
PeloDinero Posted September 24, 2018 Share Posted September 24, 2018 Excellent, efficient use of grafts and very natural. Link to comment Share on other sites More sharing options...
Senior Member andy_+_+ Posted September 26, 2018 Senior Member Share Posted September 26, 2018 Great job doc! A lot of real estate to cover and you hit it out of the park!... Maybe too many analogies haha Very impressive. Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted September 26, 2018 Administrators Share Posted September 26, 2018 Great results, how many grafts were concentrated on his crown? Im impressed to see it’s fully covered. Equally impressed to see he has almost no grey hair at 63 ; ) I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Senior Member garethbale Posted September 27, 2018 Senior Member Share Posted September 27, 2018 Excellent result. One minor 'criticism' if you can call it that. Why not use more grafts? He's lost a lot of hair so appears there's no risk in doing that. I have seen results where 6,000 - 8,000 grafts were used on cases such as this which obviously allows for greater coverage. thanks Link to comment Share on other sites More sharing options...
Senior Member andy_+_+ Posted September 28, 2018 Senior Member Share Posted September 28, 2018 A lot of doctors don't feel comfortable doing that many grafts because of extent of trauma and scar enclosure and stretching. Many doctors think that they can do 2 procedures (3000 grafts + 3000 grafts) and have a better outcome. Hasson and Wong is really the king of mega sessions and there aren't that many competitors when you get into the number of grafts your talking about. Link to comment Share on other sites More sharing options...
Senior Member Dr. Richard Keller Posted September 29, 2018 Author Senior Member Share Posted September 29, 2018 Hello, Thank you for the positive comments. The patient is very happy with his results. 3650 follicular units were utilized due to the patient's donor laxity and the his budget for the procedure. Melvin, approx. 900 FU were placed in the crown region to match existing hairs. 6000-8000 follicular units are not possible in one session unless you split the follicular units into smaller grafts. If you split the follicular units into smaller grafts you could injure the follicular sub-structures, which decrease the longevity and survival of those grafts. Approx. 10,000 follicular units exist in the donor region. Donor laxity does not allow 8000 true follicular units to be extracted in most patients-this would cause donor depletion, which would not allow for future restoration if the patient continues to lose hair. I consider the patient's family history an important part of his plans. My results made a great improvement in this patient's overall appearance. Regards, Dr. Keller Dr. Keller is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Senior Member AnalogFeel Posted November 16, 2018 Senior Member Share Posted November 16, 2018 (edited) Doc those are spectacular results considering it's 3600 grafts and the balding area is very significant. The crown density now is pretty amazing does this patient have tremendous donor density and very coarse hair? What would you say contributes to such a significant difference with only 3600 grafts? Edited November 16, 2018 by AnalogFeel Link to comment Share on other sites More sharing options...
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