Senior Member mister_25 Posted January 27, 2023 Senior Member Share Posted January 27, 2023 One of the Best Norwood 7 results Ive seen. Top 5 for sure. Would be very interested to see his 4th surgery. 1 12+ Months Finasteride + Minoxidil 3872 FUE w/ Dr Hasson | November 2022 Link to comment Share on other sites More sharing options...
Regular Member Tony711 Posted January 27, 2023 Regular Member Share Posted January 27, 2023 On 9/10/2022 at 10:28 AM, Dr. Felipe Pittella said: Asked him and he just sent me these pictures from last week. So this is a 2 and a half years update. Tell me what you think about it ☺️ And this one is only after the one procedure? 1 Link to comment Share on other sites More sharing options...
Senior Member airporteffect Posted January 29, 2023 Senior Member Share Posted January 29, 2023 Phenomenal work, Doc! 1 Link to comment Share on other sites More sharing options...
Valued Contributor A_4_Archan Posted January 29, 2023 Valued Contributor Share Posted January 29, 2023 @Dr. Felipe Pittella That is the best result we all would have seen for someone who is norwood 7...over harvesting the donor in such an artistic way would help get more grafts and even make the overall density looks better..plz post results of the follow up surgery as well..😊 1 Check Out My Hair Transplant Journey --> My Thread 3611 FUE Grafts With Dr Kongkiat Laorwong | Norwood 5 | 2nd May 2023 Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted February 1, 2023 Author Share Posted February 1, 2023 I'm doing his surgery TODAY. If you want to follow it closely, look at my Instagram page. I'll post details of the strategy on the stories and soon a review of the case https://www.instagram.com/dr.felipepittella/ 2 1 Link to comment Share on other sites More sharing options...
Regular Member Rafael Manelli Posted February 4, 2023 Regular Member Share Posted February 4, 2023 (edited) Great work Seeing the photos I have a few questions. How do you distinguish nw6 from nw7? He looks more like a 6 to me as his sides and crown don’t dip all that low. If you were able to extract 8k grafts, and have his donor area still look thick when it’s grown out, in what sense did he have a weak donor? What I particularly appreciate about this is the drs willingness to go to the very edge of the donor and harvest as much as possible, with the goal of homogenising the donor with the recipient. I’ve always thought this was a good idea for high Norwoods. Depleting the donor to the point it looks thinner doesn’t sound like the nicest idea, but sometimes it’s either that or the recipient, and I know I’d rather the recipient be as thick as the donor than have a clear demarcation between the two, with the donor being thicker. also appreciate dr Pitella’s clear passion for the craft and good communication on the forum, I would consider going to him for surgery myself. Clearly a rising star. Now I’m curious what the patient has done for his latest surgery. Did he densify the crown? Lower the hairline perhaps? Maybe some temples? Hopefully find out soon Edited February 4, 2023 by Rafael Manelli Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted February 5, 2023 Moderators Share Posted February 5, 2023 (edited) 14 hours ago, Rafael Manelli said: Seeing the photos I have a few questions. How do you distinguish nw6 from nw7? He looks more like a 6 to me as his sides and crown don’t dip all that low. It's always a bit subjective and everyone has different balding patterns, so it's not always easy to pinpoint a specific NW level on everyone. In this particular case, if you look at him from the front it does appear that he had high sides, but when you see his side view that's when you can really see how low the sides have dipped. I've seen some other patients be labeled by clinics as NW 7 when they are clearly not, but I think this person can be labeled a NW 7 in my opinion. Edited February 5, 2023 by BeHappy Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Senior Member TheGreatPretender Posted February 5, 2023 Senior Member Share Posted February 5, 2023 Insane result, couldnt have imagined it any better. Link to comment Share on other sites More sharing options...
Senior Member Z-- Posted February 5, 2023 Senior Member Share Posted February 5, 2023 Very, very impressive — certainly one of the best results here. I appreciate the transparency here as well. Link to comment Share on other sites More sharing options...
Regular Member Joseph James Posted February 5, 2023 Regular Member Share Posted February 5, 2023 That is an amazing result, and NO FINASTERIDE. The patient must be thrilled. Link to comment Share on other sites More sharing options...
Regular Member Rafael Manelli Posted February 5, 2023 Regular Member Share Posted February 5, 2023 47 minutes ago, Joseph James said: That is an amazing result, and NO FINASTERIDE. The patient must be thrilled. Finasteride is kind of pointless when there’s nothing left to save. All his DHT prone hairs are already destroyed. Unless he develops the dreaded donor thinning BUPA, he should be okay Link to comment Share on other sites More sharing options...
Regular Member Joseph James Posted February 5, 2023 Regular Member Share Posted February 5, 2023 8 minutes ago, Rafael Manelli said: Finasteride is kind of pointless when there’s nothing left to save. All his DHT prone hairs are already destroyed. Unless he develops the dreaded donor thinning BUPA, he should be okay I've heard that most surgeons prefer patients are on finasteride to thicken the donor hair. Link to comment Share on other sites More sharing options...
Regular Member Rafael Manelli Posted February 5, 2023 Regular Member Share Posted February 5, 2023 Just now, Joseph James said: I've heard that most surgeons prefer patients are on finasteride to thicken the donor hair. They prefer them to be on fin to save the natives in the recipient and prevent further loss. It only thickens the donor in those rare cases where androgenic alopecia affects the donor too, aka BUPA Link to comment Share on other sites More sharing options...
Regular Member Joseph James Posted February 5, 2023 Regular Member Share Posted February 5, 2023 11 minutes ago, Rafael Manelli said: They prefer them to be on fin to save the natives in the recipient and prevent further loss. It only thickens the donor in those rare cases where androgenic alopecia affects the donor too, aka BUPA I've heard dht can eventually thin the donor hair as well. There's lots of conflicting information out there. Link to comment Share on other sites More sharing options...
Regular Member Rafael Manelli Posted February 5, 2023 Regular Member Share Posted February 5, 2023 Just now, Joseph James said: I've heard dht can eventually thin the donor hair as well. There's lots of conflicting information out there. Yes but it's rare, it's called BUPA. Link to comment Share on other sites More sharing options...
Regular Member CharlesBarkley Posted March 13, 2023 Regular Member Share Posted March 13, 2023 On 9/10/2022 at 4:28 PM, Dr. Felipe Pittella said: Asked him and he just sent me these pictures from last week. So this is a 2 and a half years update. Tell me what you think about it ☺️ Quite a transformation. Brilliant result by Dr Pitella! Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted March 17, 2023 Moderators Share Posted March 17, 2023 On 2/5/2023 at 1:29 PM, Joseph James said: I've heard dht can eventually thin the donor hair as well. There's lots of conflicting information out there. I have a lot of thinning throughout the entire donor area, so it does happen to some people. 1 Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Regular Member Joseph James Posted March 17, 2023 Regular Member Share Posted March 17, 2023 1 hour ago, BeHappy said: I have a lot of thinning throughout the entire donor area, so it does happen to some people. Are you on finasteride? Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted March 17, 2023 Moderators Share Posted March 17, 2023 12 minutes ago, Joseph James said: Are you on finasteride? I was on it a long time ago for about 11 years, but I was still thinning, although probably slower than I would have been without it. Being a NW 7 and no useable scalp donor left I knew I needed to use a lot of body hair and Finasteride was thinning my body hair, so I stopped using it. I’ve since had over 6500 body grafts transplanted to my scalp. I will never go back on Finasteride because at this point it wouldn’t be worth thinning out the body hair grafts that were transplanted to try to improve the natural scalp hair. 2 Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Regular Member Joseph James Posted March 17, 2023 Regular Member Share Posted March 17, 2023 1 hour ago, BeHappy said: I was on it a long time ago for about 11 years, but I was still thinning, although probably slower than I would have been without it. Being a NW 7 and no useable scalp donor left I knew I needed to use a lot of body hair and Finasteride was thinning my body hair, so I stopped using it. I’ve since had over 6500 body grafts transplanted to my scalp. I will never go back on Finasteride because at this point it wouldn’t be worth thinning out the body hair grafts that were transplanted to try to improve the natural scalp hair. Interesting. Thanks for your reply. Link to comment Share on other sites More sharing options...
Regular Member Joseph James Posted March 17, 2023 Regular Member Share Posted March 17, 2023 1 hour ago, BeHappy said: I was on it a long time ago for about 11 years, but I was still thinning, although probably slower than I would have been without it. Being a NW 7 and no useable scalp donor left I knew I needed to use a lot of body hair and Finasteride was thinning my body hair, so I stopped using it. I’ve since had over 6500 body grafts transplanted to my scalp. I will never go back on Finasteride because at this point it wouldn’t be worth thinning out the body hair grafts that were transplanted to try to improve the natural scalp hair. If you have photos I'd be interested to see them. Also, who was your doctor, if you don't mind me asking? Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted March 17, 2023 Administrators Share Posted March 17, 2023 1 hour ago, BeHappy said: I was on it a long time ago for about 11 years, but I was still thinning, although probably slower than I would have been without it. Being a NW 7 and no useable scalp donor left I knew I needed to use a lot of body hair and Finasteride was thinning my body hair, so I stopped using it. I’ve since had over 6500 body grafts transplanted to my scalp. I will never go back on Finasteride because at this point it wouldn’t be worth thinning out the body hair grafts that were transplanted to try to improve the natural scalp hair. You’re a good example of how medications may not work if you have an extreme sensitivity to DHT. 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...
Dr. Felipe Pittella Posted March 18, 2023 Author Share Posted March 18, 2023 15 hours ago, BeHappy said: I was on it a long time ago for about 11 years, but I was still thinning, although probably slower than I would have been without it. Being a NW 7 and no useable scalp donor left I knew I needed to use a lot of body hair and Finasteride was thinning my body hair, so I stopped using it. I’ve since had over 6500 body grafts transplanted to my scalp. I will never go back on Finasteride because at this point it wouldn’t be worth thinning out the body hair grafts that were transplanted to try to improve the natural scalp hair. Very interesting case. You would benefit a lot by the use of oral minoxidil because it'll increase the diameter of your body-hair and therefore the diameter of the transplanted grafts. Helping your future HT and also your performed ones. 2 Link to comment Share on other sites More sharing options...
Regular Member lunch_owl Posted March 20, 2023 Regular Member Share Posted March 20, 2023 Dr, in this particular case, is it possible to lower the hairline 10-20mm? Link to comment Share on other sites More sharing options...
Dr. Felipe Pittella Posted March 21, 2023 Author Share Posted March 21, 2023 On 3/19/2023 at 11:46 PM, lunch_owl said: Dr, in this particular case, is it possible to lower the hairline 10-20mm? Yes it is and I did it in this last procedure 1 month ago. I'll post updates soon 4 Link to comment Share on other sites More sharing options...
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