Dr. Rafael de Freitas - 1570 Grafts - 3972 Hairs

[De Freitas Clinic]

Patient´s details:

Sex: Male

Age: 27 years old

Level of alopecia: NW II

Hair characteristics: Brown, straight and medium thickness hair.

Surgical plan: Frontal line and receding hairline restoration in 1 day of intervention.

 

Grafts breakdown:

x1 Grafts - 226 = 226 Hairs.

x2 Grafts - 452 = 904 Hairs.

x3 Grafts - 734 = 2202 Hairs.

x4 Grafts - 150 = 600 Hairs.

x5 Grafts - 8 = 40 Hairs.

 

Total: 1.570 Grafts = 3.972 Hairs.

Average: 2.52 hairs per graft.

 

The post-op pharmacological treatment is individualized for each patient. 

 

Before

 

Design

 

Placement

 

3 Months later

 

12 Months later

 

Wet hair

 

Comparatives

 

Video

 

 

We hope you like it. Best regards!

 

 

 

 

 

 

 

 

 

 

 

 

 

[Melvin- Admin]

Excellent results 10/10

[Mike10]

Good result. But in my opinion, HT was too soon. The patient should have waited  

[Curious25]

7 minutes ago, Mike10 said:

Good result. But in my opinion, HT was too soon. The patient should have waited  

Totally disagree - he has a good donor and seemingly strong beard, no signs of miniaturisation elsewhere, and is taking medication. 
 

Considering it was relatively speaking a small amount of grafts used, yet able to have such an impact in visually improving the patients frontal appearance, at what can be considered a pivotal age in life, the rewards far outweigh whatever ‘waiting it out’ would achieve. 
 

Nice result. 

[Mike10]

29 minutes ago, Curious25 said:

Totally disagree - he has a good donor and seemingly strong beard, no signs of miniaturisation elsewhere, and is taking medication. 
 

Considering it was relatively speaking a small amount of grafts used, yet able to have such an impact in visually improving the patients frontal appearance, at what can be considered a pivotal age in life, the rewards far outweigh whatever ‘waiting it out’ would achieve. 
 

Nice result. 

I used to think like you but I changed my view. But it is only my personsal opinion which is that you should not do this kind of small hair line Ops before age 35-40. Why? Because Fin is far from a miracle drug and hair loss will progress regardless of Fin. If the hairline moves back an inch...ou already need another OP and you may be around 35., long way to go. You have to keep in mind also that Fin is really proven for other areas than hairlone.  Therefore, I think it is better to delay these kind of Ops until at least age 35-40.I may be in small  minority but I tell you truth 🙂 

 

   

[Curious25]

18 minutes ago, Mike10 said:

I used to think like you but I changed my view. But it is only my personsal opinion which is that you should not do this kind of small hair line Ops before age 35-40. Why? Because Fin is far from a miracle drug and hair loss will progress regardless of Fin. If the hairline moves back an inch...ou already need another OP and you may be around 35., long way to go. You have to keep in mind also that Fin is really proven for other areas than hairlone.  Therefore, I think it is better to delay these kind of Ops until at least age 35-40.I may be in small  minority but I tell you truth 🙂 

 

   

You’re just stating what 100% of hair transplant patients should already know, and that is that hair loss is progressive. This is where it is the responsibility of the surgeon to educate patients about the likelihood they will continue to require surgeries later on in life, and why donor management and smart planning is imperative. 
Pretty much no one who goes under the knife will be done and dusted in one surgery - therefore your belief that this patient should have spent the next 8-13 years of his life with a receded hairline, just on the assumption that he may continue to lose more in that time is counter intuitive as to what the primary goal of hair restoration is about - and that is improving ones self confidence and image. 
If he is to lose more within this time frame, why can’t he have another small procedure, and continue to do so as and when? This approach isn’t suited for everyone , and is dependant on hair loss progression and donor strengths - but as I have previously mentioned, the patient looks to be in great shape, and is on medication.

You should read the boards more and keep up to date with how far hair restoration has came in the last 5 years. With the advances in extraction patterns, and also successfully utilising beard grafts, your conservative approach is fast becoming a prehistoric industry consensus. 
 

[Britanium]

All 1570 grafts put to excellent use here ! Very nice work 👍🏽 Top notch presentation as always ! This chap now has a pretty perfect hairline, and I’m not jealous at all 😉

[Mike10]

25 minutes ago, Curious25 said:

You’re just stating what 100% of hair transplant patients should already know, and that is that hair loss is progressive. This is where it is the responsibility of the surgeon to educate patients about the likelihood they will continue to require surgeries later on in life, and why donor management and smart planning is imperative. 
Pretty much no one who goes under the knife will be done and dusted in one surgery - therefore your belief that this patient should have spent the next 8-13 years of his life with a receded hairline, just on the assumption that he may continue to lose more in that time is counter intuitive as to what the primary goal of hair restoration is about - and that is improving ones self confidence and image. 
If he is to lose more within this time frame, why can’t he have another small procedure, and continue to do so as and when? This approach isn’t suited for everyone , and is dependant on hair loss progression and donor strengths - but as I have previously mentioned, the patient looks to be in great shape, and is on medication.

You should read the boards more and keep up to date with how far hair restoration has came in the last 5 years. With the advances in extraction patterns, and also successfully utilising beard grafts, your conservative approach is fast becoming a prehistoric industry consensus. 
 

Again this is my personal opinion. It is not meant to be understood in absolute terms at all. This means personally I would not have done it, especially with what I know now at age 40. But what is right for me may not be necessary right for others 🙂 

In a case like this, I am looking at NW2 and age 27-it would not bother me much to begin with. What most do not realize, your perspective changes with age on this. Add to that, donor assessment is more certain around age end 30s and risks aregenerally lower. And the idea of having 2 hair transplants before age 40 is not very appealing. Also, the more transplants you get, the more chances are increased  something that yoiu have an outcome you do not like.  It is all about being smart you know and think long term.

But if it bothers you very much, I can understand going ahead with this at age 27. It is not shocking to me. 

 

 

 

 

Edited December 3, 2021 by Mike10

[Future Hair Doc]

That's very nice dense packing and a great, completely natural hairline. Thanks for sharing

[digi23]

16 hours ago, Mike10 said:

Again this is my personal opinion. It is not meant to be understood in absolute terms at all. This means personally I would not have done it, especially with what I know now at age 40. But what is right for me may not be necessary right for others 🙂 

In a case like this, I am looking at NW2 and age 27-it would not bother me much to begin with. What most do not realize, your perspective changes with age on this. Add to that, donor assessment is more certain around age end 30s and risks aregenerally lower. And the idea of having 2 hair transplants before age 40 is not very appealing. Also, the more transplants you get, the more chances are increased  something that yoiu have an outcome you do not like.  It is all about being smart you know and think long term.

But if it bothers you very much, I can understand going ahead with this at age 27. It is not shocking to me. 

 

 

 

 

Not sure why you would not fix this, he has a higher forehead with a pretty noticeable receded hairline. 1570 grafts will do absolutely NOTHING to his donor, he has sick donor with 10k+ grafts, on top of that he is on medication. He can in 10 years just do a small top up and have perfect hair for the rest of his life probably.

On topic: From receded hairline to hollywood hairline, nice work.

Edited December 4, 2021 by digi23

[Mike10]

6 hours ago, digi23 said:

Not sure why you would not fix this, he has a higher forehead with a pretty noticeable receded hairline. 1570 grafts will do absolutely NOTHING to his donor, he has sick donor with 10k+ grafts, on top of that he is on medication. He can in 10 years just do a small top up and have perfect hair for the rest of his life probably.

On topic: From receded hairline to hollywood hairline, nice work.

I explained it in my post, so I recommend you read that again. And I also qualified it that this is my personal opinion. So you think hair loss is finished after age 37? You must be very naive then.  If you call NW 2 very noticable you must still be very young. Anyway, my opinion stands whether you agree or not I do not care. 

Edited December 4, 2021 by Mike10

[Melvin- Admin]

Guys,

Stop de-railing this thread. You can continue your conversations over pm. 
 

Onwards,