Dr. Rafael de Freitas - 2.006 Grafts / 4.905 Hairs - REPAIR SURGERY

[De Freitas Clinic]

Patient´s details

Sex: Male                                       

Age: 28 years old

NW: II-III 

Characteristics/Hair: Light brown, medium caliber and straight hair.

Surgical Plan: Restoration of frontal line, central area and entrances.

Note: Hair transplant performed to repair a previous surgery carried out in a low cost clinic.

 

Grafts breakdown:

1 Grafts - 216 = 216 hairs.

2 Grafts - 834 = 1668 hairs.

3 Grafts - 803 = 2409 hairs.

4 Grafts - 153 = 612 hairs.

 

Total: 2.006 Grafts = 4.905 Hairs.

Average: of 2.44 hairs/Grafts.

Post-Op treatment:

Individualized pharmacological treatment is chosen for each patient.

 

Before:

 

Shaved and design:

 

Placement:

 

9 Months later:

 

12 Months later:

 

Wet hair:

 

Comparatives:

 

Video:

 

 

We hope you like it. Have a nice week!

[Melvin- Admin]

Absolutely incredible 👏🏼

[Shifty]

wow great job and great presentation

[Britanium]

Truly stunning result ! 👏 

[Curious25]

Another great result.

Good responder to the meds here, as his untouched crown has strengthened considerably going off the 12 month photos. 

I am intrigued by the Dr's extraction pattern - I think I may have asked in a previous thread, but don't believe I got an answer, as to what factors Dr DF takes into consideration when planning a patients donor area.

I am not implying anything negative by saying this, but I notice in the placement photos, that the grafts have been harvested from a zone that wouldn't be classed as safe if the patient was to go on to reach a NW6 or higher. 

Thankyou 

[ITA]

Fantastic 👏👏👏👏👏

[tressful11]

Wow! That man could get into hollywood with that hairline.

[DrTBarghouthi]

Brilliant outcome. Very nice case. 

[De Freitas Clinic]

On 3/29/2021 at 9:45 PM, Curious25 said:

Another great result.

Good responder to the meds here, as his untouched crown has strengthened considerably going off the 12 month photos. 

I am intrigued by the Dr's extraction pattern - I think I may have asked in a previous thread, but don't believe I got an answer, as to what factors Dr DF takes into consideration when planning a patients donor area.

I am not implying anything negative by saying this, but I notice in the placement photos, that the grafts have been harvested from a zone that wouldn't be classed as safe if the patient was to go on to reach a NW6 or higher. 

Thankyou 

Good morning. Thank you very much for your interesting question.

We have consulted the Dr. about it, in order to provide you with accurate information.

The factors taken into consideration to determine the donor area are the followings:- Density per cm2 (number of hairs per cm2).
- Extent of the donor area.
- Thickness of the hair, important to generate greater density effect.

We hope we have clarified your doubts and we send you our best regards.

[Curious25]

54 minutes ago, De Freitas Clinic said:

Good morning. Thank you very much for your interesting question.

We have consulted the Dr. about it, in order to provide you with accurate information.

The factors taken into consideration to determine the donor area are the followings:- Density per cm2 (number of hairs per cm2).
- Extent of the donor area.
- Thickness of the hair, important to generate greater density effect.

We hope we have clarified your doubts and we send you our best regards.

Thankyou. 
 

I was actually more referring to how the doctor is able to ascertain the size of the individuals donor area . . So what criteria does the patient have to present for the Dr to be comfortable extracting outside of the traditional parameters of a NW6 loss pattern, as has been carried out in this particular case. 
 

Again, I want to reiterate I am not implying anything negative with this line of probing, I personally believe that donor areas aren’t a universal measurement, and agree that ‘safe zones’ are unique to the individual . . However I’m trying to gather as much information as is possible as to how different doctors around the globe are attempting to distinguish what is safe and what isn’t on their patients. 
 

 

[De Freitas Clinic]

9 minutes ago, Curious25 said:

Thankyou. 
 

I was actually more referring to how the doctor is able to ascertain the size of the individuals donor area . . So what criteria does the patient have to present for the Dr to be comfortable extracting outside of the traditional parameters of a NW6 loss pattern, as has been carried out in this particular case. 
 

Again, I want to reiterate I am not implying anything negative with this line of probing, I personally believe that donor areas aren’t a universal measurement, and agree that ‘safe zones’ are unique to the individual . . However I’m trying to gather as much information as is possible as to how different doctors around the globe are attempting to distinguish what is safe and what isn’t on their patients. 
 

 

According to the way in which the three factors mentioned above are presented, the Dr. will decide which is the safe area to perform the extraction.

These three factors combine in many different ways in each individual, and this distribution determines the limits of the patient's donor area.

Best regards!

[Curious25]

42 minutes ago, De Freitas Clinic said:

According to the way in which the three factors mentioned above are presented, the Dr. will decide which is the safe area to perform the extraction.

These three factors combine in many different ways in each individual, and this distribution determines the limits of the patient's donor area.

Best regards!

Ok so the second variable you mention, the ‘extent of donor area’ - this is what I’m particularly interested in learning about how it is measured (as accurately as can be possible).
 

Thankyou 

[Gatsby]

A fantastic outcome. The patient must be extremely happy!

[Curious25]

To be honest, the more I look at the extraction pattern, I suppose it could be within a NW6 parameter. 
 

The extractions are beautifully spread out, allowing for a symmetrical and homogeneous effect.  

[DrTBarghouthi]

1 hour ago, Curious25 said:

To be honest, the more I look at the extraction pattern, I suppose it could be within a NW6 parameter. 
 

The extractions are beautifully spread out, allowing for a symmetrical and homogeneous effect.  

By looking at the plan, I think you can see around a 2 cm margin from the existing loss or the current margins and the extraction margins. This would hopefully be enough of protection against loss.