De Freitas Clinic Posted June 18, 2021 Share Posted June 18, 2021 REPAIR + RETOUCHING Patient operated by F.U.E. technique, with poor growth in recipient areas (entrances and frontal line). He presents fibrosis in all areas, with predominance in the temples. The donor and recipient areas in both cases are affected by fibrosis generated by the surgical material used. In addition there is a non-homogeneous and non-uniform extraction of the occipital area (more in the bilateral lower occipto-temporal area) with depletion of the same, where it is noticeable when wearing the hair shorter. Surgical plan for the 1st operation: Repair of the hair line and entrances in 2 days of intervention. Retouching after one year to increase density in frontal and receding hairline with naturalization of the frontal line. We will proceed to the extraction of multiple follicles of the first line and some misdirected follicles of the temples. Patient’s details: Sex: Male Age: 28 years old Level of alopecia: NW III Hair characteristics: Brown, straight and thin. Density: 69 Ufs/cm2 aprox. Grafts breakdown: 1 Grafts - 228 = 228 Hairs. 2 Grafts - 852 = 1704 Hairs. 3 Grafts - 1040 = 3120 Hairs. 4 Grafts - 187 = 748 Hairs. 5 Grafts - 5 = 25 Hairs. Total: 2.312 Grafts = 5.825 Hairs. Average: 2,51 Hairs/Graft. Post-Op treatment: Finasterida 1 mg/day. BEFORE DESIGN PLACEMENT 12 MONTHS RESULT RETOUCHING Sex: Male Age: 29 years old. Level of alopecia: NW III Hair characteristics: Brown, straight and thin. Surgical plan: Retouching of hair line, entrances and bilateral temples in 1 day of intervention. Grafts breakdown: 1 Grafts - 193 = 193 Hairs. 2 Grafts - 397 = 794 Hairs. 3 Grafts - 472 = 1416 Hairs. 4 Grafts - 55 = 220 Hairs. Total – 1.117 Grafts = 2.623 Hairs. Average 2,34 Hairs/Graft. Post-Op treatment: Finasterida 1 mg/día DESIGN PLACEMENT FINAL RESULT: DRY HAIR WET HAIR COMPARATIVES VIDEO We hope you like it. Best regards to all members of the forum! 2 ▪️Ignacio Torres Blanchard - Representative of De Freitas Clinic▪️https://www.injertocapilar-alopecia.es/en - https://www.clinicadefreitas.com▪️(+34) 681 273 588 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 18, 2021 Senior Member Share Posted June 18, 2021 What a fantastic repair! You really turned this guys hair around 🙏 awesome pics and presentation as always 👌 1 Link to comment Share on other sites More sharing options...
De Freitas Clinic Posted June 18, 2021 Author Share Posted June 18, 2021 7 minutes ago, JohnAC71 said: What a fantastic repair! You really turned this guys hair around 🙏 awesome pics and presentation as always 👌 We really appreciate your support, JohnAC71 🙌 Best regards. 1 ▪️Ignacio Torres Blanchard - Representative of De Freitas Clinic▪️https://www.injertocapilar-alopecia.es/en - https://www.clinicadefreitas.com▪️(+34) 681 273 588 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted June 18, 2021 Administrators Share Posted June 18, 2021 Absolutely incredible 👏🏼👏🏼 1 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 nicoandgello Posted June 18, 2021 Senior Member Share Posted June 18, 2021 54 minutes ago, JP28 said: It always takes two passes to achieve a good density anyway… I’m more curious about the temple points work tho, it looks like it’s still missing quite a bit. overall good job! Temple peaks should never be done if someone wants too keep tight look on sides 1 Link to comment Share on other sites More sharing options...
Senior Member rob7331 Posted June 18, 2021 Senior Member Share Posted June 18, 2021 Wow, hugest respect to Dr. Freitas and his clinic. This is incredible work - I can't imagine the tension this poor gentlemen felt when he got his original results (especially in his mid 20s). For him to get it fixed and looking that good must've breathed new life into him. Big kudos for taking on this repair case and absolutely acing it. 3 Follow my second hair transplant journey below Caucasian - 4613 Grafts - Eugenix, Dr. Arika Bansal Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 18, 2021 Senior Member Share Posted June 18, 2021 1 minute ago, rob7331 said: Wow, hugest respect to Dr. Freitas and his clinic. This is incredible work - I can't imagine the tension this poor gentlemen felt when he got his original results (especially in his mid 20s). For him to get it fixed and looking that good must've breathed new life into him. Big kudos for taking on this repair case and absolutely acing it. Very well said 🙏 1 Link to comment Share on other sites More sharing options...
Senior Member Mycroft Posted June 18, 2021 Senior Member Share Posted June 18, 2021 This guy had to have grafts removed from the recipient in the first round in addition to having new ones placed. That severely limits what the surgeon can do with new graft placement in the same surgery. 4 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 18, 2021 Senior Member Share Posted June 18, 2021 No 2 repair cases are the same. I think a 2 step recovery was well planned by the clinic and the patient. With a previous poor procedure, thin hair and not so good donor area amongst other issues they were wise to tread carefully. 1 Link to comment Share on other sites More sharing options...
Senior Member MachoVato Posted June 20, 2021 Senior Member Share Posted June 20, 2021 I love this work! Just when I thought I made up my mind to go to Bisanga for my second HT, I see this. 2 HLC Ankara | 4261 Grafts | Nov 7, 2020 (Hairline) Dr. Bisanga, BHR Clinic in Brussels | 1528 Grafts | Aug 12, 2021 (Crown and Temples) Link to comment Share on other sites More sharing options...
Senior Member follically challenged Posted June 20, 2021 Senior Member Share Posted June 20, 2021 9 minutes ago, GUCCI said: Mate i think that you are not able to understand that a good surgeon who is skilled enough can easily finish norwood 3 patiens with one pass, when they have enough donor, even if its a repair, with no fear of average growth. It is always better and less risky to finish one area with one pass, than going second time and put grafts between existing hair follicles, since there is a chance of shock loss. You need to understand that there is always more risk when the doctor tries to implant between previous transplanted hairs, than finishing one area with one pass so there is no chance of shock loss or to damage existing hair follicles from the previous procedure. I cannot explain it anymore if you cannot understand it, sorry. Could you list some of the surgeons you're talking about which can get a great results in one pass...? Cheers 1 Link to comment Share on other sites More sharing options...
Senior Member follically challenged Posted June 20, 2021 Senior Member Share Posted June 20, 2021 On 6/18/2021 at 4:08 PM, De Freitas Clinic said: REPAIR + RETOUCHING Patient operated by F.U.E. technique, with poor growth in recipient areas (entrances and frontal line). He presents fibrosis in all areas, with predominance in the temples. The donor and recipient areas in both cases are affected by fibrosis generated by the surgical material used. In addition there is a non-homogeneous and non-uniform extraction of the occipital area (more in the bilateral lower occipto-temporal area) with depletion of the same, where it is noticeable when wearing the hair shorter. Surgical plan for the 1st operation: Repair of the hair line and entrances in 2 days of intervention. Retouching after one year to increase density in frontal and receding hairline with naturalization of the frontal line. We will proceed to the extraction of multiple follicles of the first line and some misdirected follicles of the temples. Patient’s details: Sex: Male Age: 28 years old Level of alopecia: NW III Hair characteristics: Brown, straight and thin. Density: 69 Ufs/cm2 aprox. Grafts breakdown: 1 Grafts - 228 = 228 Hairs. 2 Grafts - 852 = 1704 Hairs. 3 Grafts - 1040 = 3120 Hairs. 4 Grafts - 187 = 748 Hairs. 5 Grafts - 5 = 25 Hairs. Total: 2.312 Grafts = 5.825 Hairs. Average: 2,51 Hairs/Graft. Post-Op treatment: Finasterida 1 mg/day. BEFORE DESIGN PLACEMENT 12 MONTHS RESULT RETOUCHING Sex: Male Age: 29 years old. Level of alopecia: NW III Hair characteristics: Brown, straight and thin. Surgical plan: Retouching of hair line, entrances and bilateral temples in 1 day of intervention. Grafts breakdown: 1 Grafts - 193 = 193 Hairs. 2 Grafts - 397 = 794 Hairs. 3 Grafts - 472 = 1416 Hairs. 4 Grafts - 55 = 220 Hairs. Total – 1.117 Grafts = 2.623 Hairs. Average 2,34 Hairs/Graft. Post-Op treatment: Finasterida 1 mg/día DESIGN PLACEMENT FINAL RESULT: DRY HAIR WET HAIR COMPARATIVES VIDEO We hope you like it. Best regards to all members of the forum! Please keep up the great work and fantastic documentation that is transparent for all to see! Other surgeons should take note that your documenting style of results should be the industry standard! 2 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 20, 2021 Senior Member Share Posted June 20, 2021 Just now, follically challenged said: Please keep up the great work and fantastic documentation that is transparent for all to see! Other surgeons should take note that your documenting style of results should be the industry standard! Totally agree 👌 1 Link to comment Share on other sites More sharing options...
Senior Member MachoVato Posted June 20, 2021 Senior Member Share Posted June 20, 2021 1 hour ago, follically challenged said: Could you list some of the surgeons you're talking about which can get a great results in one pass...? Cheers I would prefer they take it to a new thread. Instead of hijacking this use case. 2 HLC Ankara | 4261 Grafts | Nov 7, 2020 (Hairline) Dr. Bisanga, BHR Clinic in Brussels | 1528 Grafts | Aug 12, 2021 (Crown and Temples) Link to comment Share on other sites More sharing options...
Senior Member BDK081522 Posted June 21, 2021 Senior Member Share Posted June 21, 2021 @GUCCI this will be my last response to you as you have made it abundantly evident that you don't truly grasp the concept of surgical hair restoration. You keep repeating that a great surgeon should attempt full dense packing of a repair area with one pass. You mention that it is wrong to attempt a conservative restoration with a plan of coming back to fine tune the area in a subsequent procedure. Your reason being that it is more harmful to existing grafts to implant in between them with another surgery. Do you not understand that newly implanted hair follicles have to establish an adequate blood supply for them to take? It's termed neogenesis of blood vessels and there are hundreds of physiological factors at play to initiate and maintain this genetic sequence. Essentially, all these newly implanted grafts compete for that same blood supply. If you dense pack a small area in scar tissue there is a higher likelihood of the grafts failing to establish adequate blood supply. Mainly, because more grafts competing in a smaller area with reduced blood flow due to previous scar tissue. Think about that concept before you go around making false statements about elite clinics approach to surgery. In addition, don't come at me with the do more research and look at elite clinics results shtick. I've had three transplants with my last and next being with arguably the best surgeon in the world, Dr Konior. I've done my research mate. 3 Bosley 11-2016 FUE - 1,407 grafts Dr. Diep 09-2017 FUE - 2,024 grafts Dr. Konior 03-2020 FUE - 2,076 grafts Dr. Konior 09-2021 FUE - 697 scalp to scalp, FUE - 716 beard to beard Total scalp FUE - 6,204 grafts Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted June 21, 2021 Administrators Share Posted June 21, 2021 18 hours ago, Gasthoerer said: Either you can't or you do not want to understand it. Yes, he had enough donor left...because he had great growth in his second surgery. Why is that after a failed initial procedure with horrendous growth? Cause the clinic went conservative as almost always in repair cases and a scared recipient. If the clinic would have gone full density and the growth was below average, then there would have been no Plan B. The outline of the procedure was defined by the first (failed) surgery. Going more conservative in the hairline would have required even more graft to be punched out to relocate them. Much more risky than the selected path. This is my last post on this issue with you. It has come to my attention this guy is no more than an undercover schill or troll. He defended a certain Turkish hair mill, and constantly undermines a quality doctor for no apparent reason. These trolls need to do a better job because the posting history is very telling. 2 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...
Administrators Melvin- Admin Posted June 21, 2021 Administrators Share Posted June 21, 2021 Letting the community know. I’ve removed posts from an undercover schill and the replies. Let’s keep this thread clean. 2 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...
De Freitas Clinic Posted June 21, 2021 Author Share Posted June 21, 2021 Thank you very much for your efforts, Melvin. And the support of the forum members. Of course opinions, views and suggestions are always welcome in our threads. However, like all honest forumers, we expect it to be done well intentioned and without ulterior motives. Best wishes to all. 1 hour ago, Melvin- Moderator said: Letting the community know. I’ve removed posts from an undercover schill and the replies. Let’s keep this thread clean. 2 ▪️Ignacio Torres Blanchard - Representative of De Freitas Clinic▪️https://www.injertocapilar-alopecia.es/en - https://www.clinicadefreitas.com▪️(+34) 681 273 588 Link to comment Share on other sites More sharing options...
Senior Member A Fue Good Men Posted June 23, 2021 Senior Member Share Posted June 23, 2021 @De Freitas Clinic approximately how many grafts does this patient have in reserve? Wonderful set of pictures presenting the case as usual btw. Link to comment Share on other sites More sharing options...
De Freitas Clinic Posted June 23, 2021 Author Share Posted June 23, 2021 29 minutes ago, 5BetaReductase said: @De Freitas Clinic approximately how many grafts does this patient have in reserve? Wonderful set of pictures presenting the case as usual btw. Thank you for your interest and inquiry. Unfortunately I do not have this information. Best regards! ▪️Ignacio Torres Blanchard - Representative of De Freitas Clinic▪️https://www.injertocapilar-alopecia.es/en - https://www.clinicadefreitas.com▪️(+34) 681 273 588 Link to comment Share on other sites More sharing options...
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