Dr. Jean Devroye, HTS Clinic / Grafts removal + 3936 Combo Repair + 1479 FUE Donor Restocking

[Dr. Jean Devroye]

 

PATIENT'S DETAILS

✓ 32 years old, had undergone two failed procedures via "3D grafts" technique.

✓ Started applying Minoxidil and taking Finasteride few months before the first surgery.

✓ Average caliber hair.

✓ Strong follicular units.

✓ Medium % of hair in telogen phase.

 

RECOMMENDED TREATMENT

This 32-year-old man wished to correct his previous procedures bad results. He had two "3D grafts" procedures done in another clinic in the past, that resulted in a pluggy and unnatural hairline and, also, partially depleted and heavily damaged his donor zone due to the large punches used to extract the grafts - besides focusing the extractions only on the central portion of the donor. The patient had consulted with other reputable clinics as well, who nevertheless weren't willing to operate since his case was considered too complicated and challenging to be handled.

His situation actually wasn't simple to be corrected. Firstly, I recommended him to remove most of the big and wrongly placed grafts in his hairline.

In April 2019, I extracted 95 of these grafts in order to reshape the hairline. Less than one month later we proceeded with the main surgery. Given his donor conditions, I felt that a Combo FUT + FUE procedure was the best way to proceed in this case : by means of FUT technique, we could have reduced the damaged surface and at the same time harvested some precious grafts; additional resources would have been available via the FUE technique. The surgery final count was as follows : 3936 grafts - 2415 FUT and 1521 FUE grafts - that were used to restore the whole of the patient's scalp thinning areas.

Nine months later, in February 2020, the patient undergone a third procedure with the aim of repairing the FUT scar and restocking the donor area by inserting grafts in the majority of the big, round scars caused by the previous procedures. FUE technique was exclusively employed this time, for a total of 1479 grafts.

We have recently received some photos showing his final results (1 year and 9 months after the Combo procedure, 1 year after the FUE donor repair). I am extremely pleased to appreciate such an improvement both on the recipient and donor areas and I am gladly sharing this patient's journey with the whole community.

 

SURGERIES DETAILS

1st Surgery - April 2019

✓ 95 grafts removal

 

2nd Surgery - May 2019

✓ 3936 grafts

✓ Technique : Combo FUT (2415 FUs) + FUE (1521 FUs)

✓ Recipient area repair

✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it.

✓ Incisions : 35-40/cm2

✓ Grafts Breakdown :
☞ 772 Single FUT + 315 Single FUE                  =     1087 Single grafts
☞ 1152 Double FUT + 770 Double FUE             =      1922 Double grafts
☞ 471 Triple FUT + 426 Triple FUE                   =      897 Triple grafts
☞ 20 Quadruple FUT + 10 Quadruple FUE       =      30 Quadruple grafts

✓ Total number of Hair : 4569 (FUT) + 3173 (FUE)     =   7742

✓ Average Hair/Graft : 1.96

 

3rd Surgery - February 2020

✓ 1479 grafts

✓ Technique  : FUE

✓ Donor area repair/restocking

✓ FUE scoring and extractions executed with my WAW system.

 

Dr. Jean Devroye

 

 

 

 

 

 

 

 

 

 

 

 

 

Edited May 3, 2021 by Dr. Jean Devroye
Spelling

[Britanium]

Fantastic presentation 👏 you have turned this guys hair around ! It’s now looking so much better (and natural) amazing 🤩 

[Melvin- Admin]

10/10 presentation and fantastic results 👏🏼

[Dr. Jean Devroye]

John, Melvin, thank you for your kind words.

The patient has just sent in some additional photos showing his hairline 1 year and 11 months following his recipient area repair surgery, which I'm gladly sharing below.

 

[Melvin- Admin]

Looks fantastic 

[A Fue Good Men]

Love it when repair surgeries go right.

 

@Dr. Jean Devroye

-how many grafts during the first surgery were from fut vs fue harvesting?

-can the patient now wear short hairstyles with the donor restocking?

- how well do grafts grow in scars such as those punch grafts in the donor?

-how many grafts went into the strip scar vs the depleted areas?

 

thanks in advance 

[Dr. Jean Devroye]

Hi @5BetaReductase, thanks for your comment and queries.

The first surgery final count was as follows : 2415 grafts FUT, 1521 grafts FUE.

Indeed, the patient can now wear his donor hair shorter following the donor zone repair, as it can be appreciated on the last set of pictures he sent one year after the procedure. In a scarred tissue such as these big round scars, implanted grafts have practically a standard regrowth rate.

I implanted approximately 400 grafts in the strip scar, while the remaining grafts (+/- 1050) were used to fill in the big round scars and restock the patient's donor area. 

[Britanium]

Many thanks for the additional pics 🙏 

[Dr. Jean Devroye]

Please find below some additional photos which may be useful to get a better understanding of the work done on this gentleman's donor area :

 

 

[Melvin- Admin]

Look forward to seeing the results