Dr. De Freitas extracting way out of the patient's safe zone?

[JohnBob]

What do you guys think?

 

 

 

Edited December 9, 2020 by JohnBob

[JohnBob]

Another one. Aggressive extraction area just for 3k grafts

 

[Louisjams]

Def outside of the safe zone. Sadly, you see more and more of this these days. 

[Louisjams]

I see a lot of docs going not just too high, but too low on the donor area. Both are worrisome.

[gillenator]

WOW!...😬

[Gatsby]

This is exactly how Dr Zarev gets the results that he does. I imagine that the patients are on DHT blockers or if they're are not then they would want to be.

[JohnBob]

38 minutes ago, Gatsby said:

This is exactly how Dr Zarev gets the results that he does. I imagine that the patients are on DHT blockers or if they're are not then they would want to be.

I disagree. Dr. Zarev doesn't go as high in the crown as those De Freitas pictures show. 

 

Compare both back of the heads - not even close. 

 

Zarev:

 

Freitas:

 

 

[JohnBob]

Remember, De Freitas does up to 4 surgeries per day and the people doing the extractions are the technicians, not him, so that may explain?

Edited December 9, 2020 by JohnBob

[PizzaWolf]

43 minutes ago, JohnBob said:

Remember, De Freitas does up to 4 surgeries per day and the people doing the extractions are the technicians, not him, so that may explain?

How does that explain? Are you saying his technicians have gone rogue?

[JohnBob]

16 minutes ago, PizzaWolf said:

How does that explain? Are you saying his technicians have gone rogue?

I don't know, maybe with so much surgeries per day and technicians involved it is harder to do proper quality control? How to you explain going so out of the safe zone for just 3k grafts?

Edited December 9, 2020 by JohnBob

[PizzaWolf]

3 minutes ago, JohnBob said:

I don't know, maybe with so much surgeries per day and technicians involved it is harder to do proper quality control? How to you explain going so out of the safe zone for just 3k grafts if not for carelessness?

Aren't you the one who just posted those amazing De Freitas transformations in another thread? That doesn't seem like careless work.

Maybe he uses his own judgment on a case by case basis to determine his extraction zone?

[JohnBob]

18 minutes ago, PizzaWolf said:

Aren't you the one who just posted those amazing De Freitas transformations in another thread? That doesn't seem like careless work.

Maybe he uses his own judgment on a case by case basis to determine his extraction zone?

Yes, because I posted some amazing results from Dr. Freitas I can only point out good things about him now? 

For me it doesn't make sense to use such aggressive extraction zone just for 3K grafts. But I'm not a doctor and I started this thread to read the opinion of other people, including yours.  

Edited December 9, 2020 by JohnBob

[PizzaWolf]

1 minute ago, JohnBob said:

Yes, because I posted some amazing results from Dr. Freitas I can only point out good things about him now? 

For me it doesn't make sense to use such aggressive extraction zone just for 3K grafts. But I'm not a doctor and I'm started this thread to read the opinion of other people, including yours.  

You can post whatever you want about him. I was asking the questions to try and clarify what you meant about the technicians.

I had an online consult with him recently (or his staff, who really knows). He won't do a HT on anyone who isn't using a DHT blocker, and I suspect that influences how he approaches surgery.

[JohnBob]

1 minute ago, PizzaWolf said:

You can post whatever you want about him. I was asking the questions to try and clarify what you meant about the technicians.

I had an online consult with him recently (or his staff, who really knows). He won't do a HT on anyone who isn't using a DHT blocker, and I suspect that influences how he approaches surgery.

Interesting, are you going to have a procedure with him?

If the hair loss pattern is aggressive enough I don't believe DHT blockers make any difference.

[PizzaWolf]

4 minutes ago, JohnBob said:

Interesting, are you going to have a procedure with him?

If the hair loss pattern is aggressive enough I don't believe DHT blockers make any difference.

You could be right about the DHT blockers and super-aggressive MPB.

I decided against De Freitas. I can't find any patients who have hair close to mine. It's always the Spanish-type guys, much like Dr. Couto's results.

[Melvin- Admin]

I don’t know how many times I have to say it, but THERE IS NO UNIVERSAL SAFE ZONE! 

We all have different balding patterns, this patient may have no family history of crown loss, and he might be on finasteride long-term we don’t know, but I’ll give the doctor the benefit of the doubt. There’s no problem with extracting grafts outside of the traditional Norwood 6-7 pattern, it depends on the patient. Everything must be tailored to the specific patient.

We cannot make blanket statements, like “thats outside the safe zone” maybe your safe zone, but not that patients safe zone. There’s no one size fits all to surgery. There are men who die Norwood 2,3 with no crown loss, for those men that hair is safe. There are men who die with half an inch of hair, for them the so-called “universal” safe zone isn’t safe. 

edit:

Looks like a reasonable extraction pattern for a Norwood 5a. He went slightly higher on the sides, which don’t drop in 5a’s.

[Melvin- Admin]

2 hours ago, JohnBob said:

I disagree. Dr. Zarev doesn't go as high in the crown as those De Freitas pictures show. 

 

Compare both back of the heads - not even close. 

 

Zarev:

 

Freitas:

 

 

That’s not a fair comparison, obviously Zarev isn’t going to extract where there’s no hair. 

[JohnBob]

23 minutes ago, Melvin-Moderator said:

That’s not a fair comparison, obviously Zarev isn’t going to extract where there’s no hair. 

That's the point. Some people say Zarev only does his giga sessions because he extracts beyond the patient safe zone. But the patient already lost all his "unsafe" hair, so how could it be? lol

[JohnBob]

41 minutes ago, Melvin-Moderator said:

edit:

Looks like a reasonable extraction pattern for a Norwood 5a. He went slightly higher on the sides, which don’t drop in 5a’s.

That looks reasonable. Now compare it with that de Freitas Patient:

 

Is it reasonable to extract so high in the back of the head? Nobody knows for sure how much his hair loss pattern will progress, but you can see implanted hairs right above the head, suggesting he is already losing hair in a spot relatively close to the area the doctor started extracting the hairs. Maybe he will never lose that far, but it does look risky.

[Melvin- Admin]

36 minutes ago, JohnBob said:

That looks reasonable. Now compare it with that de Freitas Patient:

 

Is it reasonable to extract so high in the back of the head? Nobody knows for sure how much his hair loss pattern will progress, but you can see implanted hairs right above the head, suggesting he is already losing hair in a spot relatively close to the area the doctor started extracting the hairs. Maybe he will never lose that far, but it does look risky.

That’s the same patient, I took a screenshot from the video you posted.

[JohnBob]

14 minutes ago, Melvin-Moderator said:

That’s the same patient, I took a screenshot from the video you posted.

Same person true but that seems to be a different line in the second picture. Compare the distance from the ears - I doubt it's just a matter of different angles.

Edited December 9, 2020 by JohnBob

[JohnBob]

2 hours ago, PizzaWolf said:

You could be right about the DHT blockers and super-aggressive MPB.

I decided against De Freitas. I can't find any patients who have hair close to mine. It's always the Spanish-type guys, much like Dr. Couto's results.

True. Which doctor you're inclined to pick?

[PizzaWolf]

11 minutes ago, JohnBob said:

True. Which doctor you're inclined to pick?

I'm leaning towards Dr. Bisanga (Brussels) or HLC (Turkey).

[BjornBorg]

10 hours ago, JohnBob said:

Remember, De Freitas does up to 4 surgeries per day and the people doing the extractions are the technicians, not him, so that may explain?

 

The Dr maps out the extraction zone with the same pen he designs the hairline. The tech doing the extraction doesn't just randomly go about the back of the head.

[Melvin- Admin]

10 hours ago, JohnBob said:

Same person true but that seems to be a different line in the second picture. Compare the distance from the ears - I doubt it's just a matter of different angles.

He went higher on the sides, which is safe in a Norwood 5a, as previously mentioned. It’s clear that’s his pattern from the screenshot. Safe zones vary from person to person. Based on the pictures, he didn’t extract outside of this patients safe zone. 

 

This particular doctor has no affiliation with out network, but fair is fair.