Dr. Hasson /4,699 Grafts/ FUE/ 1 Session/ 11 months post-op

[H & W Doug]

This Vancouver-area patient in his early 40’s approached Hasson & Wong in the hopes of restoring density to his frontal zone, mid-scalp and crown. He first began to lose his hair around the age of 25 characterized by recession in the temples and thinning of the crown. Without intervention, Dr. Hasson estimated his likely progression to be a stage 6-7. Upon review of this patient’s case, Dr. Hasson determined that he was a good candidate for a large-scale FUE procedure to address the areas of concern. He also recommended that the patient use Finasteride in order to minimize further hair loss and improve the mid-scalp. During the course of a two-day FUE procedure, Dr. Hasson and his team successfully harvested 4699 grafts that were transplanted into his hairline/frontal zone and crown. Of these grafts, 300 were singles, 2485 were doubles and 1914 were 3-4 hair grafts.These photos were taken approximately 11 months post-op.

 

 

Edited February 22, 2020 by H & W Doug
added photos

[Steeeve]

Unbelievably refined work. As usual. Such a perfect, natural looking frame for his face. 

[Mycroft]

I feel like we don't usually see cases from Dr. Hasson highlighting crown work over hairline work, so this is a pleasant surprise. Were all grafts done in one sitting? What is the patient's future FUE donor capacity given that Dr. Hasson estimated a high level of possible hair loss in the future?

[OliverAtom]

Looking good and what I really like is that donor, it seems like no grafts were taken from there at all... This extraction was beautifully done!!!

I am missing some more clear photos of the CROWN. Could we see more focalized crown photos?

Also, could we get the data of how many grafts were used on the crown itselft?

[H & W Doug]

 

Thanks for the comments Steeeve, Mycroft and OliverAtom!

Mycroft: Day 1 was devoted to the hairline where 2537 grafts were employed. Day 2 consisted of all the crown work using 2162 grafts. This patient has above average donor area density and Dr. Hasson estimates another 7,000 grafts available via FUE.

OliverAtom: Here’s another shot of the crown.

The goal here is to greatly improve the appearance of the crown while also striking a good balance with the mid scalp/front. To responsibly manage the donor reserves we don’t want to commit too many grafts to the crown but just enough to create the desired cosmetic impact while still maintaining a fairly seamless transition into the mid-scalp. 

 

Stayed tuned for some post-op shots of the donor area.

[Tbcruz]

39 minutes ago, H & W Doug said:

Dr. Hasson estimates another 7,000 grafts available via FUE.

Wow 11699 total donor is crazy and saying fue sounds crazier lol. 

[hairlossPA]

amazing work. thanks for sharing doug

[Hair4Days]

3 hours ago, Tbcruz said:

Wow 11699 total donor is crazy and saying fue sounds crazier lol. 

This is the complete opposite of Dr Bloxham’s philosophy lol.

[Tbcruz]

1 hour ago, James C said:

This is the complete opposite of Dr Bloxham’s philosophy lol.

Yea saying you can do 11k - 12k grafts fue from someones donor is hard to believe. In theory you can take even more out but will it look good and not depleted ? Find it hard to believe.

I know some people have really good donor that you can keep digging into and it will hold up but I think that amount is kinda pushing it. I could be wrong I’m no doctor.

Edited February 21, 2020 by Tbcruz

[H & W Doug]

 

Here are a few photos 1 day post-op. When trying to determine how skilled a clinic is at extracting grafts, look for the smallest possible punch size (while still preserving graft integrity) and an even distribution of extraction sites. (Of course don’t neglect the recipient site regarding growth rates, angle direction control of transplanted hair, hairline design, densities among other factors). Or just look at the quality and consistency of the results over many years😊. Also keep in mind the harvest is important in preserving the donor hair for future considerations. If the harvest is not properly executed, collateral damage to the surrounding follicles can occur and therefore diminish the donor area reserves. An improper harvest can also prevent the purpose of being able to wear the hair short without any noticeable defects.  This patient’s remaining donor reserves have been carefully preserved. Notice the uniform spacing of the extraction sites, how small they are and how quickly they start to heal.

 

[H & W Doug]

I've also added these donor shots to the original post.

[yesplease]

On 2/20/2020 at 3:15 PM, H & W Doug said:

 

Thanks for the comments Steeeve, Mycroft and OliverAtom!

Mycroft: Day 1 was devoted to the hairline where 2537 grafts were employed. Day 2 consisted of all the crown work using 2162 grafts. This patient has above average donor area density and Dr. Hasson estimates another 7,000 grafts available via FUE.

OliverAtom: Here’s another shot of the crown.

The goal here is to greatly improve the appearance of the crown while also striking a good balance with the mid scalp/front. To responsibly manage the donor reserves we don’t want to commit too many grafts to the crown but just enough to create the desired cosmetic impact while still maintaining a fairly seamless transition into the mid-scalp. 

 

Stayed tuned for some post-op shots of the donor area.

Considering that the overall FUE capacity is estimated at >10k, what do you suppose would be the lifetime donor capacity had this patient first opted for FUT and then underwent FUE for any subsequent procedures? 

[Melvin- Admin]

Excellent crown work, truly amazing.

[Mycroft]

That's an incredible donor capacity for FUE. The patient is extremely fortunate to have so much in reserve on top of having an existing result like this.

[H & W Doug]

Thanks for the comments guys.

yesplease,

Dr. Hasson estimates an additional 2,000 grafts may have been available with an initial FUT depending on scalp laxity.

 

Doug Kline

Edited February 26, 2020 by H & W Doug

[home1212]

I wish H&W was doing FUE when I had my HT! excellent work

Edited March 8, 2020 by home1212

[LonelyGraft]

Hey Doug what size punch was used for this case?

[H & W Doug]

Hi LonelyGraft,

 

.85 mm punch.

[Melvin- Admin]

It’s crazy how H&W have transformed into one of the industry’s elite FUE clinics. I’m really glad to see this transition, as it’s good to have surgeons that do both.

[Cahustler]

damn , makes me want  to go now and just fill the shit out of my crown now even though i am just 12 days Post op

Edited March 11, 2020 by Cahustler

[FuriousGeorge]

Is it my computer/browser or are the photos not showing up anymore for everyone else?

Edited March 13, 2020 by FuriousGeorge

[pkipling]

3 hours ago, FuriousGeorge said:

Is it my computer/browser or are the photos not showing up anymore for everyone else?

I'm not able to see the pics either.... So def not just your browser. 

[H & W Doug]

Hi Guys,

We had a issue with the server hosting our photos. We hope to have it resolved sometime today. Sorry for the inconvenience.  

[Melvin- Admin]

Just now, H & W Doug said:

Hi Guys,

We had a issue with the server hosting our photos. We hope to have it resolved sometime today. Sorry for the inconvenience.  

Everything looks resolved thanks Doug

[yesplease]

8 minutes ago, Mark Wolfer said:

Hi @H & W Doug I am trying to decide between FUE and FUT for my first surgery and I'm curious about your comment here. Are you saying that 2,000 possible donor grafts are now no longer available because FUE was chosen for this patient instead of FUT?

Yes. If you start with FUT, then switch to FUE, you will have more grafts available to transplant over your lifetime. 
 

if you start with FUE, the scarring and extractions in the donor area will make it difficult to subsequently do FUT. at a minimum it would reduce FUT yield.