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Dr. Pittella • Norwood 7, Large head, Average donor: WET and dry comb through: SOLVED


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Age: 38 yo

NW: 7

Donor Area: AVERAGE

Total Number of Grafts: 10144 FU (9149 from scalp + 995 from beard).

Number of Sessions: 2

Surgical Plan: First session: front and medium scalp; Second session: midscalp and crown (beard mixed)

1) 4534 grafts   

2) 4615 grafts + 995 Beard

Rx: Topical and Oral Minoxidil, clobetazol and ketoconazol Shampoo, biotin (NO FINASTERIDE or any other 5-ARI)

COMMENT BELOW WHAT DO YOU THINK ABOUT THIS RESULT👍

 

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BELOW ARE THE WET PICTURES

 

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RAFAEL PASTA 35_Prancheta 1 cópia 25.jpg

Edited by Dr. Felipe Pittella
donor area average
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Absolutely incredible, two sessions and this man has been revived. @Dr. Felipe Pittella whats your view on chest hair? What percentage does it grow. There was a discussion with @JoselitoElGallo who claimed 0% growth. Can you provide some examples and give us a approximate percentage in your practice.

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5 minutes ago, Melvin- Moderator said:

Absolutely incredible, two sessions and this man has been revived. @Dr. Felipe Pittella whats your view on chest hair? What percentage does it grow. There was a discussion with @JoselitoElGallo who claimed 0% growth. Can you provide some examples and give us a approximate percentage in your practice.

From 0 to 10% 😉

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I have a few questions. Any post op pictures of extraction sites? What is the range of punch sizes you use? For the average patient, how many grafts are available from their donor area? Do you feel like patients with 9K donor grafts, are only the outliers? If so in your opinion how many grafts does the average patient have?

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Okay @Dr. Felipe Pittella- As I mentioned, these results are outstanding.

 

Now that we have seen a couple of NW7 results from you, including the guy with 'poor' donor and thin hair, would you say that these are atypical results or what could and should generally be expected for someone with at least somewhat moderate donor and several thousand beard hairs to spare.

 

 

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3 hours ago, SLA said:

Okay @Dr. Felipe Pittella- As I mentioned, these results are outstanding.

 

Now that we have seen a couple of NW7 results from you, including the guy with 'poor' donor and thin hair, would you say that these are atypical results or what could and should generally be expected for someone with at least somewhat moderate donor and several thousand beard hairs to spare.

 

 

Great question 

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On 7/10/2022 at 2:03 AM, Melvin- Moderator said:

Absolutely incredible, two sessions and this man has been revived. @Dr. Felipe Pittella whats your view on chest hair? What percentage does it grow. There was a discussion with @JoselitoElGallo who claimed 0% growth. Can you provide some examples and give us a approximate percentage in your practice.

well my thoughts on chest hair is that it has not the coverage value that a beard or scalp hair have thus, the same amount of grafts from this region (vs beard) will never reach the same level of coverage and result. On other words, one will need much more chest hair to have the same coverage as a few beard hair. 

Well, concerning the survival rate, I'd be bold to say this but if you implant the chest follicle in anagen fase and with all it's structures undamaged, using the proper technique, I see no reason why it won't grow. Notice that extracting chest hair is much more difficult than scalp and beard hence the transection rate is much higher. Some surgeons claim they don't do chest hair 'cos they can't even extract one single graft without transection.

Considering all that was said, in my practice I use chest hair mostly for refinement, eg, baby hair, hairline naturalness, temples etc

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On 7/10/2022 at 5:19 PM, shiba1985 said:

Any post op pictures of extraction sites?

I have but there's nothing special to see there. If you really want I may post it here.
 

On 7/10/2022 at 5:19 PM, shiba1985 said:

What is the range of punch sizes you use?

0,85 to 0,95 (***real external diameter) - I'll calling attention to the "real" diameter because there are some equipament brands that sell 0.75 diameter that are way bigger than 1mm.

 

On 7/10/2022 at 5:19 PM, shiba1985 said:

For the average patient, how many grafts are available from their donor area?

Average donor: around 8k. It's is possible to exctract more than that if intentional overharvesting is part of the strategy.

 

On 7/10/2022 at 5:19 PM, shiba1985 said:

Do you feel like patients with 9K donor grafts, are only the outliers?

No. Much more common than thought 

 

What are your concerns with your donor? DM me if you need...

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On 7/11/2022 at 10:25 AM, SLA said:

would you say that these are atypical results or what could and should generally be expected for someone with at least somewhat moderate donor and several thousand beard hairs to spare.

 

Thanks for asking! Those results are not atypical. 😃 They're what I offer to the patients. One surgeon cannot "luckly" get a good result in a high NW class. Of course a good and realistic strategy is necessary and the BHT is the key for the success of those cases. 

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On 7/11/2022 at 10:25 AM, SLA said:

Okay @Dr. Felipe Pittella- As I mentioned, these results are outstanding.

 

Now that we have seen a couple of NW7 results from you, including the guy with 'poor' donor and thin hair, would you say that these are atypical results or what could and should generally be expected for someone with at least somewhat moderate donor and several thousand beard hairs to spare.

 

 

In other words: I will only "offer" my surgery skills to a case if I'm certain to give this kind of result to the patient (using the right strategy). No luck at all.

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3 hours ago, Dr. Felipe Pittella said:

well my thoughts on chest hair is that it has not the coverage value that a beard or scalp hair have thus, the same amount of grafts from this region (vs beard) will never reach the same level of coverage and result. On other words, one will need much more chest hair to have the same coverage as a few beard hair. 

Well, concerning the survival rate, I'd be bold to say this but if you implant the chest follicle in anagen fase and with all it's structures undamaged, using the proper technique, I see no reason why it won't grow. Notice that extracting chest hair is much more difficult than scalp and beard hence the transection rate is much higher. Some surgeons claim they don't do chest hair 'cos they can't even extract one single graft without transection.

Considering all that was said, in my practice I use chest hair mostly for refinement, eg, baby hair, hairline naturalness, temples etc

Thanks for sharing your point of view about this topic.

 

so what I can understand from your words is that the survival rate is no different from other hairs, but the problem is the extraction as well as that quality of that hair because doesn’t have a good coverage quality.

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On 7/12/2022 at 5:31 PM, Dr. Felipe Pittella said:

 

0,85 to 0,95 (***real external diameter) - I'll calling attention to the "real" diameter because there are some equipament brands that sell 0.75 diameter that are way bigger than 1mm.

 

Can you please expand on this?  there are some doctors that claim to be extracting with 0.75 and i have always been surprised by this, specially if they are extracting 3s and 4s with this. does that mean its not a true 0.75 most likely? 

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