Dr. Hasson/3160 Grafts/Major Repair/One Year

[Jotronic]

This is an interesting case. In March of 2008 this patient came into our office to have Dr. Hasson begin corrective procedures. Turns out, he went to India to visit family in 2007 and decided to investigate the local hair transplant opportunities. A local doctor told him about FUE and the patient decided to move forward with a procedure.

When he returned to Vancouver and the results matured he decided to let Dr. Hasson review his case and make recommendations. The hairline that was placed previously was much too low and the previous doctor has attempted to close off the temples. The grafts were angled improperly and were much larger than they should have been leading to the extremely pluggy look you see in the photos. Dr. Hasson recommended graft removal in two sessions then to follow up with a proper hair transplant procedure to rebuild a new hairline as much from scratch as possible.

A couple of notes about this case. First, it is obvious that the previous physician used a rather large punch on this patient, at least 1.2mm in our estimation. Second, it should be noted that repair cases cannot always be addressed in one session. This case shows that sometimes a multi-stage approach is the only way to properly address the needs of the patient but with the right amount of time and PATIENCE a cosmetically acceptable result can be achieved.

 

[markymark]

This is very impressive work!!! This is one of the best repairs I've ever seen. The previous doctor really messed this guys head up. Great work Dr. Hasson!!! What were those hair balls? Is that ingrown hairs caused by the tool punch of FUE?

 

Great result Again

 

MarkyMark

[hair_me_out]

Woah, this is an amazing transformation. The work that doctor did on the guy initially is just sickening to see. Very nice to see that this person now has an excellent head of hair. Congrats all around.

[windjc]

Hairballs? WTH? What caused those? They look stuck way down in the lower epidermis.

 

Good lord.

 

That was a great repair job, btw. Interesting rake marks on the back of the head.

 

Talk about a butcher.

[hair_care]

beautiful corrective work. It's a good thing there are top docs like Dr Hasson to help repair shoddy work done by butchers who call themselves HT surgeons.

[Fingers Crossed]

This is beyond impressive. Considering all of the factors involved, this ranks up there as one of the most amazing repair jobs I've ever seen. The new hairline looks very natural....A+ work!

 

My Hair Loss Website - HT with Dr. Hasson

[bighosedragger]

Very impressive job! Looks so natural.....thank god for Drs. like Dr. Hasson for having the ability to fix patients like this. I cant believe there are Drs. out there still F-ing people up like this! Joe can you explain what the hair balls are from the fue?

[TC17]

This was an absolutely awful looking job before Dr. Hasson fixed it.

 

Were the grafts in the hairline not pure follicular units, or was the plugginess really just the result of improper angling?

 

Wonderful job by Dr. Hasson, and I wish the name of the physician that butchered this guy would be posted.

[Bill - Seemiller]

Joe,

 

I honestly cringed when I saw this patient's before photos. But Dr. Hasson did one hell of a job in restoring a natural looking hairline and I'm sure much improved confidence as well.

 

Thanks for sharing this,

 

Bill

[Blake Bloxham]

Wow, excellent transformation. What an interesting case.

[Jotronic]

Bump to add high definition video...

 

 

Dr. Hasson/Major Repair/3160 Grafts

[markymark]

Jotronic, what were those hair balls caused from? Can any doctor on this forum explain the picture above?!

[splitting hairs]

As always, excellent work from Dr Hasson. The hair balls and the reduced donor density caused by FUE highlight why strip surgery should be first choice for most guys with hairloss.

[aaron1234]

Un-freakin-believable on two fronts:

 

1) How offensive the first procedure was.

 

2) How positively transforming the second procedure was.

 

I cannot locate the brow scar at all.

[Blake Bloxham]

I wondering if the 'hair balls' are from follicle transection of FUs that were not extracted for use, but were damaged in situ by the excessively large punch? I've heard stories of follicles transected by forceps in the final extraction of FU (in FUEs) and these hairs growing oddly when transplanted. Either that, or these are follicles trying to grown through mangled scar tissue from, again, too large of a punch. Just my guess though ... Jo will probably know for sure.

[Dr. Victor Hasson]

The harvesting in FUE procedures is performed using different techniques depending on the particular surgeon's choice. The cutting through the outer skin surface is almost always performed using a sharp punch. This will perform a cutting type incision down through the epidermis and most of the way through the collagen rich dermis. If the sharp tool is used to go deeper it risks transecting the lower part of the follicle. In order to avoid this problem the surgeon will only "cut" to a certain depth. The rest of the incision will be performed by blunt dissection using a dull punch which will tear the tissue at the lower end of the follicle. This tear will occur along the weakest part of the tissue which is usually between the follicle and surrounding dermis or subcutaneous fat. This theoretically leaves the lower follicle intact.

 

A second technique is, after the initial punch incision is made, to apply traction to the follicle and using a fine needle or blade to "perforate" the tissue around the follicle eventually allowing the follicle to be torn away from the skin.

 

In this particular case I believe that the surgeon, after performing the initial cut, used a punch that was so dull that it actually pushed the entire graft through the dermis and into the subcutaneous fat. These viable follicles will continue to produce hair which, as it lengthens, will curl up under the skin forming a "hair ball". Once these hair balls get large enough they will need to be excised individually.

[Robin-at-USHR]

WOW! What a great transformation for this patient! I have to admit that I have seen some repair jobs that were almost as bad as the initial procedure, but Dr. Hasson really turned the results around for this patient and created such natual looking results that this patient must be thrilled! Great job Dr. Hasson, I look forward to seeing more results like this from your clinic in the future.