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Dr. Pittella • Norwood 7, Large head, Poor donor, Thin Hair: Come and see (WET)


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Being conservative allows for the surgeon to see in a year or so if more refinement is possible (ie hairline lowering, temple points, crown, etc). Also many people have different goals and having hair back for a Norwood 7 can transform a person's life while for others it can be viewed as a big mistake. It's entirely subjective really.

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On 3/21/2023 at 4:35 PM, Dr. Felipe Pittella said:

Yes it is and I did it in this last procedure 1 month ago. I'll post updates soon 

Would love to see if there's an update on this.

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@Dr. Felipe Pittella 

This is an impressive result. Congrats. 

I cannot help but ask: Usually body and bear hair does not look great on scalp, I have seen only very few exceptions.  Did you feel comfortable with him doing so because of specific characteristics of his body/bear hair? 

He beard hair looks relatively straight. 

 

Thanks 

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On 4/20/2023 at 12:58 AM, BaldV said:

I really dont get why anyone would go for a hair transplant with such a high hairline and low density, it literally looked better when he was bald, I just hope the patient himself is happy.

I disagree completely. Hair transplants will never look perfect unless the patient is a NW2 or NW3. You can't compare this patient to those guys, or even a NW7 with thick hair. In this patients case, there was so much bald area to cover with low diameter donor hair it's kind of incredible what the Dr did.

Sure it's not super dense and the hairline is high, but that's quite literally impossible with current technology.

What the patient did get was a head of hair good enough to frame his face handsomely and that makes a great difference regardless.

Edited by alopeciaphobia
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On 4/19/2023 at 6:58 PM, BaldV said:

I really dont get why anyone would go for a hair transplant with such a high hairline and low density, it literally looked better when he was bald, I just hope the patient himself is happy.

 

He didn't choose to be a NW 7. He didn't choose to not have unlimited donor hair, so he could be a NW 0. Nobody chooses those. You have to do the best you can with what life gives you. If you really think guys look better bald then why would you even be here in a hair transplant forum? You could just go on your merry way and let your hair fall out and enjoy being better looking every day as you get more bald. The fact that you are here proves you don't believe that to be true.

If men really did look better bald then every 16 year old boy would be shaving their heads daily to impress high school girls with their great looking bald head. The fact that that doesn't happen and that you don't see high school and college girls going crazy over bald guys proves that men look better with hair.

 

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Al

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(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.

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13 hours ago, BeHappy said:

 

He didn't choose to be a NW 7. He didn't choose to not have unlimited donor hair, so he could be a NW 0. Nobody chooses those. You have to do the best you can with what life gives you. If you really think guys look better bald then why would you even be here in a hair transplant forum? You could just go on your merry way and let your hair fall out and enjoy being better looking every day as you get more bald. The fact that you are here proves you don't believe that to be true.

If men really did look better bald then every 16 year old boy would be shaving their heads daily to impress high school girls with their great looking bald head. The fact that that doesn't happen and that you don't see high school and college girls going crazy over bald guys proves that men look better with hair.

 

 

Thats what you understood from my comment?

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On 5/28/2023 at 10:11 PM, Prof101 said:

@Dr. Felipe Pittella 

This is an impressive result. Congrats. 

I cannot help but ask: Usually body and bear hair does not look great on scalp, I have seen only very few exceptions.  Did you feel comfortable with him doing so because of specific characteristics of his body/bear hair? 

He beard hair looks relatively straight. 

 

Thanks 

Yes and I do BHT with beard as donor on every high norwood classes (in the PRECISE scale a class 5 or higher). I do not chose certain types of beard as a pre requisite to BHT. I mean, I do it regardless of the kind of the beard. Of course the expected result should take this into account though

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On 1/27/2023 at 7:49 PM, mister_25 said:

One of the Best Norwood 7 results Ive seen. Top 5 for sure. Would be very interested to see his 4th surgery.

Lets go! Finally. We are now 5 months from the 4th procedure. 

I'll post the strategy here first. video first and photos below.

STRATEGY
Increase density on these areas and advance little bit the hairline. BHT beard leftovers as donor, plus sideburns and chest and abdominal hair.

IMG_01772.thumb.PNG.9c365311a49ce82c3c9fbadc5ccb86c2.PNGIMG_0179.thumb.jpg.a2a0547107ddf2f1102a68c00f4d23f6.jpgIMG_0178.thumb.jpg.f7c713569f35f85b5eec0d0d4ba4388b.jpg

leftovers from beard (notice no scars from previous procedures)

IMG_01812.thumb.PNG.59fbe7b90afdada38161f34def5380c7.PNG

 

INTRAOP

Increasing density by transplanting in between previously transplanted grafts

IMG_01802.thumb.PNG.6879d59c04db778ccf5d3cb208f58cc4.PNG

 

IMEDIATE POSTOP

IMG_01852.thumb.PNG.2ab7b3489c2575593997342638199497.PNGIMG_0183.thumb.jpg.df40d1009e5749c8bd47a1b1903d5822.jpgIMG_01822.thumb.PNG.5ea951c1e1d56bb8713027a63831fe9c.PNGIMG_0184.thumb.jpg.201a0db08424e140c7d97539da15b10d.jpgIMG_01862.thumb.PNG.167b80cddb6da4ebf86cbc98ac32a727.PNG

 

SECOND DAY POSTOP (notice fast beard recovery)IMG_0189.thumb.jpg.c889da4afdf3356c71276ab44fccff0e.jpgIMG_01902.thumb.PNG.34f0ab152545b1e29f4c5e316cfea5ab.PNGIMG_01882.thumb.PNG.18c3af76c531bc89a3ca34105b1b9682.PNG

 

 

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This is gonna be one of the hall of fame transformations 


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.

 

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On 5/28/2023 at 6:21 PM, Fox243 said:

Would love to see if there's an update on this.

 

On 7/17/2023 at 1:37 PM, For80 said:

Hi @Dr. Felipe Pittella hope you are doing well! You mentioned you lowered this patient hairline, so I'd love to see an update of the new procedure if possible. Thanks!

 

He sent me those photos from Spain: Now with only 5 months

c4130c2f-b37c-4fd5-9953-ef68e1cf29082.thumb.JPG.e88bad9e852e1004441d08bf6f4be727.JPGc93b27aa-e8ed-4c77-b000-a546603ccaeb2.thumb.JPG.9a6fa44eb92ba3703bec1c7d63ee9a31.JPG

 

density still improving 

a6fe4cfe-cb0e-403e-82f0-604b785c90192.thumb.JPG.f241cfd33b5ad312b38c6e5ca447557d.JPGc77ed79d-1370-4b74-b49b-249f4936ea232.thumb.JPG.323d1ef8558689b508e3cde104a2ebdd.JPG

1e760066-fb6d-4fc2-8335-1989153a31ad2.thumb.JPG.b915673b1d054946d728d7ee8e18bf09.JPG

 

Beard healing

9537a5c8-d5d2-4b5e-84f8-16d89bbe93b62.thumb.JPG.8a4ac1d99d7ea35f9283ea0b9c74398c.JPGa1272135-ab3b-4a6c-b8e4-c6302fda873c2.thumb.JPG.17922870a3d1fc9088aa12d8e9a1aa1a.JPG

 

I'll ask more photos 

3 minutes ago, Melvin- Moderator said:

This is gonna be one of the hall of fame transformations 

 

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26 minutes ago, Dr. Felipe Pittella said:

 

 

He sent me those photos from Spain: Now with only 5 months

c4130c2f-b37c-4fd5-9953-ef68e1cf29082.thumb.JPG.e88bad9e852e1004441d08bf6f4be727.JPGc93b27aa-e8ed-4c77-b000-a546603ccaeb2.thumb.JPG.9a6fa44eb92ba3703bec1c7d63ee9a31.JPG

 

density still improving 

 

 

 

Beard healing

I'll ask more photos 

 

holy smoke, that pic was also done in bright daylight. unbelievable result

 

 

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What a huge change from where he was at the beginning. Very nice work.

 

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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.

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5 hours ago, Dr. Felipe Pittella said:

 

 

He sent me those photos from Spain: Now with only 5 months

c4130c2f-b37c-4fd5-9953-ef68e1cf29082.thumb.JPG.e88bad9e852e1004441d08bf6f4be727.JPGc93b27aa-e8ed-4c77-b000-a546603ccaeb2.thumb.JPG.9a6fa44eb92ba3703bec1c7d63ee9a31.JPG

 

density still improving 

a6fe4cfe-cb0e-403e-82f0-604b785c90192.thumb.JPG.f241cfd33b5ad312b38c6e5ca447557d.JPGc77ed79d-1370-4b74-b49b-249f4936ea232.thumb.JPG.323d1ef8558689b508e3cde104a2ebdd.JPG

1e760066-fb6d-4fc2-8335-1989153a31ad2.thumb.JPG.b915673b1d054946d728d7ee8e18bf09.JPG

 

Beard healing

9537a5c8-d5d2-4b5e-84f8-16d89bbe93b62.thumb.JPG.8a4ac1d99d7ea35f9283ea0b9c74398c.JPGa1272135-ab3b-4a6c-b8e4-c6302fda873c2.thumb.JPG.17922870a3d1fc9088aa12d8e9a1aa1a.JPG

 

I'll ask more photos 

 

Wow, the picture in daylight shows an incredible result—something inconceivable a decade ago with FUE.


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.

 

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Just one question. I have seen in one or two photos you took hair from the upper cheeks area. What size of punch you used for extraction. It seems 0.65 mm or 7.00 mm ?

Dr. Ahmad Chaudhry

Cosmo Derma clinic 

Lahore Pakistan 

 

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Incredible result! And thickening is happening. If I were this person, I'd get SMP on the scalp and call it a day.

 

Most on this forum would have told this person to shave and never consider a transplant. Really goes to show how important the surgeon skill + a conservative hairline is

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He's now at 6 months, would love to see another update.


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.

 

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On 9/13/2023 at 10:31 AM, OliverAtom said:

How is this going? Any updates? Would love to see some photos!

8 months:

 

Just woke up:
WhatsAppImage2023-09-25at14_40_30.thumb.jpeg.907cd39318ab6b97fd5c8c9d1754149f.jpeg

 

back front the gym:

WhatsAppImage2023-09-25at14_31_46.thumb.jpeg.c74960b8a96ea9af3eeb82baf74eb0f9.jpeg

 

night hot tub (wet hair):

WhatsAppImage2023-09-25at14_41_30.thumb.jpeg.0cfd88fe781fb1648c2ab7e7279a8acc.jpeg

 

crown view:

WhatsAppImage2023-09-25at14_43_40.jpeg.96ba8bc8d4a72ba3ddc848200f6e5181.jpeg

 

posing: 

WhatsAppImage2023-09-25at14_45_33.thumb.jpeg.9d5987140d690ad124381eaf5bcbec03.jpeg

WhatsAppImage2023-09-25at14_52_17.thumb.jpeg.344645ac452183427d3d882b5d7eec49.jpeg

 

He says "he's a younger friend, but look the difference" 

CapturadeTela2023-09-25as15_04_57.thumb.png.f03206bfdc01b5f3516d933276790a59.png

WhatsAppImage2023-09-25at15_03_40.jpeg.027f041e10224b7443ec48c711cffd47.jpeg

 

I've asked some photos of the beard for feedback on scarring (he just said theres absolutely no scars and the skin feels good quality on the harvested area). It seems that the extraction from face and beard using a small punch may act as a "skin peeling" procedure. All patients refer improvement of skin quality on harvested areas.

 

soon more updates

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