Senior Member TorontoMan Posted July 1, 2020 Senior Member Share Posted July 1, 2020 I know we all like to fall victim to clinics marketing their results on YouTube, especially that of dr. Couto, but if a result like this is possible with that many grafts, are we getting to a point where transplants are good enough to suffice for restoration? it seems to me that this guy will get complete coverage even if his loss continues. Is this rare? How far could someone expect their donor area to take them? i ask this of course because if hair transplants could give us all our coverage back, we likely wouldn’t ever medicate, even with less density. Are there a lot of cases where patients opt out of medication and just play their chances with donor management ? Link to comment Share on other sites More sharing options...
Senior Member aaron1234 Posted July 1, 2020 Senior Member Share Posted July 1, 2020 What works for one patient won't necessarily work for another. This patient appears to have strong donor characteristics (no retrograde alopecia), a favorable hair loss pattern (his crown is still intact), and he still has native hair in his frontal tuft. He'll probably be ok without Fin. However, I'd like to see where his lateral humps are in 10-15 years and if his frontal tuft looks this good after the native hair falls out. And just because the crown looks good now doesn't mean he won't lose more in that area. To your point, he has great donor hair to deal with these areas should he continue to lose - not every patient is this lucky. Still, if you can hold on to your native hair I think you should. 1 Dr. G: 1,000 grafts (FUT) 2008 Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013 Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020 My Hair Transplant Journey with Shapiro Medical Group Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted July 1, 2020 Administrators Share Posted July 1, 2020 He still has a lot of hair left to lose, his crown can open, and his sides can drop. 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 karatekid Posted July 1, 2020 Senior Member Share Posted July 1, 2020 Usually couto shows also a video of the results while brushing through the patient's hair, I wonder why he didnt do it here. This is much better demonstration of the quality than a simple picture Link to comment Share on other sites More sharing options...
Senior Member 1978matt Posted July 1, 2020 Senior Member Share Posted July 1, 2020 "Donor density 80+" well it could be 100 for all we know. It certainly looks dense. The patient has a slightly egg shaped head which is advantageous since the bald area to be treated will be smaller. The lighting where these videos are taken is always favourable. I havent checked for a while but there wasn't more than about 100 couto results posted like this over the last 10 years. If he's doing at least 250 a year then these are the top 5% result. A good reality check is when walking around, observe the donor areas of people in their 50s, 60s, 70s... 4,312 FUT grafts (7,676 hairs) with Ray Konior, MD - August 2013 1,145 FUE grafts (3,152 hairs) with Ray Konior, MD - August 2018 763 FUE grafts (2,094 hairs) with Ray Konior, MD - January 2020 Proscar 1.25mg every 3rd day Link to comment Share on other sites More sharing options...
Senior Member Gabreille Nelson Mukhia Posted July 2, 2020 Senior Member Share Posted July 2, 2020 21 hours ago, TorontoMan said: I know we all like to fall victim to clinics marketing their results on YouTube, especially that of dr. Couto, but if a result like this is possible with that many grafts, are we getting to a point where transplants are good enough to suffice for restoration? it seems to me that this guy will get complete coverage even if his loss continues. Is this rare? How far could someone expect their donor area to take them? i ask this of course because if hair transplants could give us all our coverage back, we likely wouldn’t ever medicate, even with less density. Are there a lot of cases where patients opt out of medication and just play their chances with donor management ? Baldness is unpredictable and it also depends on the family history of each individual to what extent he might lose hair. As even in the index patient depicted in the video, he seems to have a lot of pre-existing hair. A transplant would definitely cover the entire scalp in the first sitting itself since he seems to have a good donor. But with age, the hair on the periphery can start to miniaturise. Sure, he could opt to go for multiple procedures as he keeps losing hair but his donor is not going to have the same amount of hair. Plus if a patient is looking to have a considerable density on his scalp after the procedure then less donor can mean a thin coverage and no volume. Also, going for multiple transplants is a hassle as it involves the investment of capital, emotions and time. For patients who have a lot of pre-existing hair, Finasteride would be highly beneficial if they are comfortable to use it. It is a great medication and can completely stabilise the progression of baldness. They would not only have their hIr maintained but the medication would also revive certain hair that might've been in the process of miniaturisation . Official representative of Eugenix Hair Sciences Dr. Arika Bansal & Dr. Pradeep Sethi https://www.youtube.com/channel/UC5crlGyTac2hlU1gHneADzQ Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted July 4, 2020 Moderators Share Posted July 4, 2020 On 6/30/2020 at 11:49 PM, transplantedphil said: In terms of the result his hair is quite long so it definitely helps gives the "illusion of density." Ive also had doctors tell me 4000 well placed grafts in the hairline and midcscalp should be enough to get good coverage. So if Cuoto can achieve that result with that few a grafts it does says something about his surgical skill and growth rates. This patient had 1521 triple hair grafts and 449 four or five hair grafts. That's a total of 1970 triples or higher out of 3225 grafts. The total hairs transplanted are 8601. That's one part of what allows this patient to get great results from 3225 grafts. I would have gotten only about half that amount of hairs from the same number of grafts. Then there's the fact that he has very high sides with little to no crown loss. Third he still has some hair in the area that was covered which helps the overall result. 1 Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted July 4, 2020 Moderators Share Posted July 4, 2020 On 6/30/2020 at 10:58 PM, TorontoMan said: it seems to me that this guy will get complete coverage even if his loss continues. This person is classified as a NW 4. You need to take a look at some actual NW 7 people and remember that at some point earlier in their life they had a full head of hair. Then imagine if those NW 7 men had a hair transplants when they were at NW 3 or NW 4. Do you still think those men would be able to continue having transplants to keep full coverage? I'm attaching a picture of Steve Balmer to give you an idea of the difference in the amount of hair between him and the NW 4 patient who got 3225 grafts. Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted July 4, 2020 Moderators Share Posted July 4, 2020 Here is a random bald guy pic I pulled off the internet. What if he had a hair transplant when his sides were much higher up and he didn't have any crown loss. Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted July 4, 2020 Senior Member Share Posted July 4, 2020 NW7 pattern loss is actually a pretty uncommon stage to reach, for the majority of AA sufferers. A decent donor region, with good hair characteristics and groupings, combined with 750-1000 BHT grafts should provide a NW6 patient with a visually nice head of hair under a skilled surgeon, FUT or FUE. Link to comment Share on other sites More sharing options...
Senior Member TorontoMan Posted July 4, 2020 Author Senior Member Share Posted July 4, 2020 1 hour ago, BeHappy said: This person is classified as a NW 4. You need to take a look at some actual NW 7 people and remember that at some point earlier in their life they had a full head of hair. Then imagine if those NW 7 men had a hair transplants when they were at NW 3 or NW 4. Do you still think those men would be able to continue having transplants to keep full coverage? I'm attaching a picture of Steve Balmer to give you an idea of the difference in the amount of hair between him and the NW 4 patient who got 3225 grafts. You’re definitely right if everyone who has AA will reach that point. My father is 64 and went as far as a NW4 pattern. His hair is generally thinner throughout now which is normal given his age, but we laugh that if he got a transplant now he’d look 20 years younger Link to comment Share on other sites More sharing options...
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