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Dr. Timothy Carman

Dr Carman 9 Month Point 2084 FU Grafts 23 YO

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Patient is a 23 year old male who was experiencing a loss in definition of his frontal hairline, along with generalized thinning in the frontal and posterior frontal forelock as well as the crown.

This case illustrates that transplantation can proceed in the younger patient when a prudently designed conservative hairline is created, and caution is exercised with respect to transplanting the crown. If it is the patients desire to take medication (finasteride) as part of their "battle plan", I advise they wait at least one year prior to considering transplantation of the crown. In this patient, the crown has not been transplanted, and there is a subtle, but cosmetically significant improvement over the baseline presentation.

As for the hairline in this example, a conservative approach is utilized, in that there is moderate recession, and density is created to match this design. The goal here is to gain a natural appearance, replacing weak, fading hair with healthy growing follicles. The adage of "less is more" applies here, and the added feature of coarse asian hair characteristics further requires careful balance between hairline contour, density, and graft size selection.

This result will provide a workable scenario in the distant future, should this patient experience hair loss in the higher Norwood stages, as it is a design he can easily "grow into", that is, it should age well with him, working with his future changes, not against him. I feel this concept is a critical one in the hair transplant procedure.

Also, it should be noted he is at the 9 month mark, and therefore has at least another 20-30% growth to come.

2084 total FU grafts; 753 = 1's; 1291 = 2's; 43 = 3's.

Tricophytic closure.

 

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VIDEO ADDED!

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http://www.youtube.com/watch?v=rtCzyFsYjKc

 

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Timothy Carman, MD ABHRS

Chairman, Ethics Committee (ABHRS)
ABHRS Board of Directors

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Excellent job of balancing this patient's present desires, with his future needs. I find the cases presented and explained by you and Dr. Reed to be some of the most informative and honest ones on this forum, and as always, the work is superb.

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TC17-

Thank you very much. Your comments are much appreciated.

Below is a link to the video of this patients donor scar; I hope to include these on future patients as well.

http://www.youtube.com/watch?v=rtCzyFsYjKc


Timothy Carman, MD ABHRS

Chairman, Ethics Committee (ABHRS)
ABHRS Board of Directors

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I really like this result. For a young guy with that type of loss it's so important to start off with a conservative approach. And his crown does seem to be responding to meds so a very good call in not transplanting there.

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Dr. Carman,

 

Nice overall improvement! And congratulations on putting together and presenting your first hair restoration video demonstrating this patient's minimal donor scarring :-)

 

Best wishes,

 

Bill

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Originally posted by Dr. Timothy Carman:

Thank you all for your supportive comments.

Bleachcola- His density varies, as ones density does in nature, from a high of around 45 FU/cm2 to about 25 FU/cm2 at it's least dense-

 

 

Dr. Carman,

 

Wow! Awesome result especially for how little the density is, keep up the good work

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Yes I agree this is an excellent result. Nive approach. Very natural and very conservitive considering he is only 23. I would like to see top down pics if you've got them.

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