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This patient decided to undergo hair restoration to fill in his hairline. This patient chose not to take Propecia prior to his procedure, but has since begun taking Propecia. He underwent a 1800 FUE procedure with Dr. Arocha and team. The after images were taken 10 months after his procedure!

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Representative and Patient Educator for: Dr. Bernardino A. Arocha, Coalition Member. I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are mine.

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How are these fair comparison shots to show the improvement? The hairline is totally covered in the after shots. I don’t understand these pictures at all

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theres no way to see any cosmetic improvement as a result of the surgery. He could easy have this hair style before surgery...

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In all honesty, 1,800 grafts seems a lot just for what looks to be a slim area, and the after pictures are of no help in showing true results due to the hair styled forward. I would have expected better.

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Great before photos....Need same position photos, post procedure, to admire the work.  

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10 hours ago, CosmoKramer said:

In all honesty, 1,800 grafts seems a lot just for what looks to be a slim area, and the after pictures are of no help in showing true results due to the hair styled forward. I would have expected better.

I feel the graft count may actually be justified based on the patient's goals and consultations I've had thus far with a few clinics. It's a bit hard to tell what the final outcome is though because as mentioned the hairline itself is not really visible in the after pictures. The only area we can see is part of the corners just above the temple.

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would be nice to get some more info on this one; e.g. how old is the patient and how far forward did you extend his hairline exactly?

it looks to be less than 1cm, which given the fact he wears his hair down, coupled with the exceedingly high graft count, makes you wonder what was the point of surgery at all. If he happens to be young and future hair loss is a potential issue then I'd be concerned.

And most guys would kill to have the hair he does in that first before photo.

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Hi everyone, 

Thanks for your comments as always! Dr. Arocha and I talked about this result, and we are going to go ahead and bring the patient back in so doc can replicate the exact "before" photos with the patient's hair pulled back. Look forward to updating you all as soon as possible. 

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Representative and Patient Educator for: Dr. Bernardino A. Arocha, Coalition Member. I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are mine.

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I honestly think this patient should've been told that he is one of the luckiest ones.... and should be modelling for hair products. He never should've gone for a HT for such a minor change, i mean its not even detectable if you ask me

Before/After should be renamed as same/same  lol :) unless there are clearer pics posted to see deeper comparison 

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12 minutes ago, HLPToronto said:

I honestly think this patient should've been told that he is one of the luckiest ones.... and should be modelling for hair products. He never should've gone for a HT for such a minor change, i mean its not even detectable if you ask me

Before/After should be renamed as same/same  lol :) unless there are clearer pics posted to see deeper comparison 

Hi HLPToronto, 

This patient did have a change. Doc is bringing him back into the office to pull the hair back so you can see the change he underwent. I'll update as soon as I have those photos. 

 

Thanks so much!

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Representative and Patient Educator for: Dr. Bernardino A. Arocha, Coalition Member. I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are mine.

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Hi all, 

The patient came in for his one year follow-up visit. Wanted to update you with new photos below. Dr. Arocha took these images himself to make sure they were consistent, and that the hair is pulled back with a comb to mimic the before images. 

Thank you!

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Representative and Patient Educator for: Dr. Bernardino A. Arocha, Coalition Member. I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are mine.

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First of all this guy has great hair to begin with ,but at the same time his original hair-line was not solid and in my opinion it would have receded  .Now that he is on Fin hopefully he won't lose too much hair behind the new hair-line for a good while and if he does he will have enough grafts for a second or third procedure .I cant see any thinning in the crown, again the Fin hopefully will keep that in tact,I am sure Dr Arocha would have taken any future hair-loss into account.  I think this kind of hair -line work on a guy who has great hair to begin with can be difficult and takes skill to achieve a good result ,as I have seen many cases where   transplanted hair creating a new hair-line just doesn't match the native density, and patient actually looks worse than pre- transplant ,which is certainly not the case here. Great result.   

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Glad we were able to get clearer images of the hairline work, because that looks great. Truly no indication that he had a procedure at all, and the result blends in perfectly with the native hair.

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Sorry to disagree with everyone but I don't see any major cosmetic change here and I still think the operation was unnecessary

It looks like the hairline was brought down less than 1cm, which would suggest an area of around 16cm2 was dense packed with 1800 grafts. If i am correct that not only seems unethical but quite frankly absurd

Do you have any immediate post-op work pics? That would probably answer all the questions forum members have concerning this patient's operation.

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Posted (edited)

Guys,

I agree that in this case, the after photos are not ideal and it would certainly be much better if pictures were taken with the hairline combed back so we could genuinely appreciate the results. But we also have to remember that Dr. Arocha has a long history of producing outstanding results and an excellent online reputation for being amongst the best.   Therefore, there is no reason to think that anyone from the clinic Is trying to deceive. 

The truth is, many surgeons are hard pressed for help and try to do everything with only a few people helping them. Sure, they may have a number of technicians doing surgery, but when it  comes to office management, many surgeons lack knowledgeable help to take and present outstanding photos along with other aspects of the business.   Dr. Arocha has always been one of these people. In my opinion,   He is an outstanding surgeon and one of the nicest, most genuine people you’ll ever meet.    But it’s obvious that he needs a little help from someone knowledgeable about taking and presenting optimal photos.   Once he does this, I’m sure we will truly be able to appreciate his outstanding results  which I’m sure includes this one. 

Regarding the number of grafts, 1800 is a relatively small number and even though the area to cover is small, I trust that the patient met the appropriate conditions for a densely packed hairline.     Perhaps Dr. Arocha or one of the staff can explain these conditions to address any concerns  

Best wishes,

Bill

Edited by Bill - Seemiller

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2 hours ago, Bill - Seemiller said:

Guys,

I agree that in this case, the after photos are not ideal and it would certainly be much better if pictures were taken with the hairline combed back so we could genuinely appreciate the results. But we also have to remember that Dr. Arocha has a long history of producing outstanding results and an excellent online reputation for being amongst the best.   Therefore, there is no reason to think that anyone from the clinic Is trying to deceive. 

The truth is, many surgeons are hard pressed for help and try to do everything with only a few people helping them. Sure, they may have a number of technicians doing surgery, but when it  comes to office management, many surgeons lack knowledgeable help to take and present outstanding photos along with other aspects of the business.   Dr. Arocha has always been one of these people. In my opinion,   He is an outstanding surgeon and one of the nicest, most genuine people you’ll ever meet.    But it’s obvious that he needs a little help from someone knowledgeable about taking and presenting optimal photos.   Once he does this, I’m sure we will truly be able to appreciate his outstanding results  which I’m sure includes this one. 

Regarding the number of grafts, 1800 is a relatively small number and even though the area to cover is small, I trust that the patient met the appropriate conditions for a densely packed hairline.     Perhaps Dr. Arocha or one of the staff can explain these conditions to address any concerns  

Best wishes,

Bill

They did post updated photos with the hair pushed back.....

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I used to think this thread was interesting being it was a clinic result (i.e. showcase result) where a doctor demonstrated to the public his abilities as a HT doc and was NOT a patient complaining that they had undergone a medical procedure for what amounts to no discernible cosmetic difference.

I now believe it has become more interesting in terms of the arguments put forward to support such a result; staggered work? A HT as a preventive measure against an unstable hairline when the patient wasn’t even taking fin before the procedure? The doctor has other good results and is nice? The doctor needs some help with his photography?

While I am all for giving the benefit of the doubt (and 100% support Bill's suggestion that Dr. Arocha or one of the staff can explain this more fully), the doctor has been in the business for decades and very clearly has a backdrop and a lighting rig set up in order to showcase his results so it's not like he's not making an effort. 

Bizarre

 

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On 8/21/2019 at 12:37 PM, Bill - Seemiller said:

Guys,

I agree that in this case, the after photos are not ideal and it would certainly be much better if pictures were taken with the hairline combed back so we could genuinely appreciate the results. But we also have to remember that Dr. Arocha has a long history of producing outstanding results and an excellent online reputation for being amongst the best.   Therefore, there is no reason to think that anyone from the clinic Is trying to deceive. 

The truth is, many surgeons are hard pressed for help and try to do everything with only a few people helping them. Sure, they may have a number of technicians doing surgery, but when it  comes to office management, many surgeons lack knowledgeable help to take and present outstanding photos along with other aspects of the business.   Dr. Arocha has always been one of these people. In my opinion,   He is an outstanding surgeon and one of the nicest, most genuine people you’ll ever meet.    But it’s obvious that he needs a little help from someone knowledgeable about taking and presenting optimal photos.   Once he does this, I’m sure we will truly be able to appreciate his outstanding results  which I’m sure includes this one. 

Regarding the number of grafts, 1800 is a relatively small number and even though the area to cover is small, I trust that the patient met the appropriate conditions for a densely packed hairline.     Perhaps Dr. Arocha or one of the staff can explain these conditions to address any concerns  

Best wishes,

Bill

Bill, 

Please see the updated images that were posted last Thursday, August 15. Dr. Arocha took the updated images with this Network in mind. The hair is pushed back and combed in these new photos. 


Representative and Patient Educator for: Dr. Bernardino A. Arocha, Coalition Member. I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are mine.

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I’m not trying to be a jerk or be disrespectful but this guy did not need a transplant in my opinion and his results look no different than the before pics. (Because he didn’t need one in the 1st place.) If the result makes him happy, then good for him and I am happy for him. 

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On 8/22/2019 at 8:57 PM, Triple7 said:

I’m not trying to be a jerk or be disrespectful but this guy did not need a transplant in my opinion and his results look no different than the before pics. (Because he didn’t need one in the 1st place.) If the result makes him happy, then good for him and I am happy for him. 

Triple7,

This patient has significant diffuse thinning and regression of the frontal temple areas and hairline. He has coarse-caliber hair due to his ethnicity, and the hair is very straight - falling forward, so it obscures your visibility. We have provided additional views below so you can see the thinning in the frontal-third. As someone requested, we have also provided post-placement images to further show you the grafts he received. 

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Representative and Patient Educator for: Dr. Bernardino A. Arocha, Coalition Member. I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are mine.

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The temporal recession on the patient's left is pretty noticeable in the top down photo but, but the post op photos really help to confirm how much work was done on those corners/sides which definitely LOOKED thicker in the initial after photos. I just wasn't sure whether some of that had been a change in hair styling.

Is he thinning at the fringes towards the back at all? The top down makes me wonder a little with the hair combed back, but I could be imagining that.

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CEAF9AE9-5E1B-429B-BB45-89CD20F20484.thumb.jpeg.18ca91050a1fc25284fcea635020ff76.jpeg236EF74D-6A07-4EA6-9D4E-87EDE2D66DA6.thumb.jpeg.1caf8f25b179c66d87ce23b750f87665.jpeg

Im sorry,  but have you got the before and afters mixed up? because the before looks so much better!!

In the second picture, he actually does look like he has thinning of the hairline. Like other members have said this guy has hair that most guys would kill for, and the Dr should never of accepted  him as a patient. I am truly gob smacked, “significant diffuse thinning” are you serious? Well he has now. Sorry to be so brutal but what a complete waste of this guys money. As a senior member Bill and a very well respected one at that, I’m very surprised and disappointed in your comments, no matter how nice you think he is. This was a poor decision in my opinion to do this transplant, and wasted 1800 grafts that the guy might genuinely need, further on in life!

Rant over 😤

 

 

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I have had a procedure performed by Dr Arocha so some of you may see this opinion as biased. It’s not biased, however, (well, maybe a little🙂) as I have made this argument at least twice with  posters about two other doctors with whom I have no association.

Not that it may matter to anyone but I see some very astute observations by some posters on the thread and others that leave me scratching my head wondering what you’re talking about...

I agree that the photos from the very first post should match up from the befores to the afters. They should 100% be more comparable from the get go. That’s the only thing I can agree with, though. I don’t have a problem seeing the difference between the photos...

I can personally see the difference from this,838172C3-83EC-4B22-A5A8-AEE433F14FD0.jpeg.56bddc9622ca452844ba52e9a0c43fda.jpegto this,D688C3CA-135F-463C-8246-29D22BC79E78.jpeg.4ffce5aae92bca71f4cdd61a3191868c.jpegto the final outcome.65D4A032-EA00-4AA5-95F0-DA761BFFF633.jpeg.c240408ae7a67cde76576a65775671aa.jpeg

That, to me, is a significant change. There was visible diffuse thinning throughout the front that doesn’t seem so visible anymore.

This,6BF2C4E1-176C-4BFD-9A2F-BA9869FA6DF8.jpeg.f5513fb403f5bdf137a5e6e0a99ec71d.jpegto that,06E833AB-4036-4B2E-9C0E-784C0200F216.thumb.jpeg.04a49f2f73d506c5b8a5a7c3ac91704e.jpegis significant.

If you don’t agree or can’t see the difference that’s fine. Photos from any doctor can sometimes make it hard to tell. If the hairline is maybe not your personal taste in aesthetic...okay.

Anyone saying that the doctor should never have agreed to this case, that it was unethical, is making an assumption that the doctor didn’t do his due diligence and discuss family history and so on. He did and they did. It says so in the very first post that the patient decided to start taking propecia post-op.

My last point: Who is anyone here to say that a person shouldn’t try to achieve their goals more than another. The patient is dealing with his hair loss the same as everyone else here. It’s a deeply personal process that we all go through. He sought out a great doctor and decided to go forward with the procedure. It is no one’s place here or anywhere else to say how someone should deal with their own personal journey. What you see as insignificant loss he sees as extremely significant. Otherwise he wouldn’t be seeking the same treatment that everyone else here is seeking.

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Posted (edited)
2 hours ago, Steeeve said:

My last point: Who is anyone here to say that a person shouldn’t try to achieve their goals more than another. The patient is dealing with his hair loss the same as everyone else here. It’s a deeply personal process that we all go through. He sought out a great doctor and decided to go forward with the procedure. It is no one’s place here or anywhere else to say how someone should deal with their own personal journey. What you see as insignificant loss he sees as extremely significant. Otherwise he wouldn’t be seeking the same treatment that everyone else here is seeking.

Because it was a clinic posting, not a patient posting.

If it were a patient posting I'd be more empathetic and supportive, but as it was a clinic posting where a doctor operated on a patient who was not even taking meds at the time (it's considered standard practice to take fin for at least a year prior to surgery), and whose pre-op hair most guys on this forum would strangle a few kittens just to have, it is more than fair to question the doctor's approach/ethical stance. 

Edited by transplantedphil

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