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Dr. Munib Ahmad - How to cover one corner of hairline + midscalp + crown with 2490g in a single session - Black Hair - FueGenix - The Netherlands


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The aim was to restore the right corner of the hairline and fill the mid-scalp and crown in a single session.


The challenge of this case was to:

  1.  Match the right corner with the left corner which is not transplanted. 
  2.  Cowlick in the receded corner.  
  3.  Fill the midscalp + crown in same surgery with good coverage. 
  4.  Use as few grafts as possible
  5.  No visible scarring in donor area (keeping in mind his skin type is susceptible for scarring) 

 

Pictures are taken 1 year post surgery. After pictures are taken with a higher iso en better lighting then the before pictures. I combed it open in all possible ways to show the density. 

Please take note of the quality of the pictures. In my opinion, every surgeon should post pictures of this high caliber so that the patient can clearly see what they are getting into. As a patient, do not settle until you have seen good quality pictures of the  results.



A total of only 2490 grafts were used during a one day FUE surgery. The surgery started at 08.00 and finished at 16.45
 

I am responsible for performing the entire surgery myself, which includes shaving, punching, extracting, making sites, and placing the grafts. My assistant helps me by sorting the grafts and providing support during the placement process. 

In addition, all communication with my clinic is handled directly by me. I personally answer all phone calls and emails. For aftercare, patients have direct contact with me through WhatsApp.

 

Before: 

DSC_0267.thumb.JPG.1ba651425c4277e012b5c3e7fc4e5adb.JPGDSC_0268.thumb.JPG.503a579fe4587d49e578b834f29f9461.JPGDSC_0269.thumb.JPG.229765400971ef054818788c2c330a6a.JPGDSC_0278.thumb.JPG.4aeee0bc1c50c5c058750b442b331629.JPGDSC_0271.thumb.JPG.2754704581c0c6344205461ffecf0329.JPGDSC_0273.thumb.JPG.293b700a007a6a9b4855462b7011e57c.JPGDSC_0252.thumb.JPG.96e878c9a27f73460a1b14d8a6afff73.JPGDSC_0249.thumb.JPG.68341a70ed07c2f88dc41d6e0c9a9cdc.JPGDSC_0262.thumb.JPG.4eb94b89ff291bf303177055c4770b67.JPGDSC_0261.thumb.JPG.9db166410d8666a07c96e9e5c6b18d3c.JPGDSC_0266.thumb.JPG.35a25e7bf038ec4fa1b5f82e1ab92a82.JPGDSC_0257.thumb.JPG.f0b239d528e5d8b81b0aa3a3143d6ce7.JPGDSC_0256.thumb.JPG.f887ed9bd4147f2840bf908027a5422d.JPG

 

 

After: 

DSC_0479.thumb.JPG.eb16481ee61506b76c6b2c032e8aa44f.JPGDSC_0480.thumb.JPG.c788c745a6a82913f1cdbe15b6060cc1.JPGDSC_0482.thumb.JPG.3d53cfc7463293d2105779956956b133.JPGDSC_0484.thumb.JPG.989026e40f62f26593617f80228d70d1.JPGDSC_0496.thumb.JPG.05f49d8672506db676b1859c261c746b.JPGDSC_0495.thumb.JPG.0a5c9f038b42470e20ab2e6719fb05d5.JPGDSC_0499.thumb.JPG.bf62f7cc24a8bd2d7a2232eefbf3db2a.JPGDSC_0505.thumb.JPG.7a0ebb4eadc6853b643417cbf2ba706b.JPGDSC_0503.thumb.JPG.402eb2be378781796e8387cdf4c48e32.JPGDSC_0504.thumb.JPG.19eb0f58d8ddcdc5ff8d9c817c493f31.JPG

 

 

Close ups + comb through: 

DSC_0516.thumb.JPG.6f6dbba006ce561f002316d740a5f06b.JPGDSC_0512.thumb.JPG.e24047d07c5f6e2c72ae7ef993f82496.JPGDSC_0513.thumb.JPG.79c04df0609d101c20d69d41ce09e35b.JPGDSC_0514.thumb.JPG.bd1b1f51a7569d10305d0715904e785b.JPGDSC_0529.thumb.JPG.56347abd6134a84a6560d369138ca383.JPGDSC_0520.thumb.JPG.61c3a1de347d415cd4747b5c76ced268.JPGDSC_0521.thumb.JPG.e3e13aa77200a03992136171ac8f1309.JPGDSC_0522.thumb.JPG.f25662922e3653eeb6c90426cfa7bc4d.JPGDSC_0523.thumb.JPG.4b0e4536d2328627f756fcb1ed5f3831.JPGDSC_0525.thumb.JPG.22709cbe95103de9139d8ff0e17842ba.JPGDSC_0526.thumb.JPG.de783010c1b582c546a901db2ba6f3e3.JPGDSC_0527.thumb.JPG.46765a8c7a74e7489be164900aadc663.JPGDSC_0528.thumb.JPG.524eb31acbcb8b21fce9ba866589d5df.JPGDSC_0530.thumb.JPG.af5514c9940c8cd9151cebd21a3a36b9.JPG

 

Edited by DrMunibAhmad
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  • DrMunibAhmad changed the title to Dr. Munib Ahmad - How to cover one corner of hairline + midscalp + crown with 2490g in a single session - Black Hair - FueGenix - The Netherlands
  • Regular Member

Elite level work.

Agree with you, that's how every clinic has to present their cases. No excuses. Hats off to you for your honesty and talent.

Btw do you also perform eyebrow transplants?

Edited by NegativeNorwood
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"Mature hairline" is euphemism for balding.

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Top work this, seems like you are getting a lot of great results for your patients!

Very honest display of results as the guy above me said, you certianly achieved a lot for the grafts.

How would you describe the patients hair characteristcs/ strength of donor?

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15 minutes ago, HHH said:

Top work this, seems like you are getting a lot of great results for your patients!

Very honest display of results as the guy above me said, you certianly achieved a lot for the grafts.

How would you describe the patients hair characteristcs/ strength of donor?

Thanks. His donor was excellent, with some patches of miniaturised areas. We see this a lot in indian/pakistani/surinam patients. 
 

I will post this week another case, with a weak donor, and featherthin hairs. 

52 minutes ago, NegativeNorwood said:

Elite level work.

Agree with you, that's how every clinic has to present their cases. No excuses. Hats off to you for your honesty and talent.

Btw do you also perform eyebrow transplants?

Thanks. I only do scalp hair and beard to scalp. No beard or eyebrow transplants. Done that before, but I don’t get the thrill of it as i get from these cases. 

Edited by DrMunibAhmad
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First of all, what a really interesting hair loss pattern. Not totally unique but I don’t think I’ve seen a case quite like this on the forum.

Second, holy moly, how did you cover so much real estate with so few grafts? Simply incredible.

And that hairline looks like it was created by nature itself.

This guy must feel like all of that hair loss weight has been lifted off of his shoulders!

Last, I would love to see the work immediately post-op. Do you have any immediate post-op pictures available to share?

Thank you for posting this case, doctor. Everybody is probably going to say the same thing but congratulations! This is truly awesome!

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6 minutes ago, Steeeve said:

First of all, what a really interesting hair loss pattern. Not totally unique but I don’t think I’ve seen a case quite like this on the forum.

Second, holy moly, how did you cover so much real estate with so few grafts? Simply incredible.

And that hairline looks like it was created by nature itself.

This guy must feel like all of that hair loss weight has been lifted off of his shoulders!

Last, I would love to see the work immediately post-op. Do you have any immediate post-op pictures available to share?

Thank you for posting this case, doctor. Everybody is probably going to say the same thing but congratulations! This is truly awesome!

Sure. I'll post some of the donor after surgery and the grafts on 1 day after. I think you want to see the graft placement right? 

 

If you examine the placement of the grafts, many individuals might believe that the density will not be adequate. However, by ensuring that each graft is carefully placed with a very low transection rate and high survival rate, even a lower density placement can yield significant results.

 

DSC_0278.thumb.JPG.8af73dd9cbb8181c06d3c2ba6163b076.JPGDSC_0279.thumb.JPG.9cdda527e72d2c3548f364416ecc4583.JPGDSC_0284.thumb.JPG.fcba9f7adb112a80befd504083bafe64.JPG

 

 

Donor area immediately after surgery: 

DSC_0304.thumb.JPG.9da019a76ea8706674b391134c63dc9e.JPGDSC_0302.thumb.JPG.c76ed12b5971a1656d9093792fecd0e8.JPG

 

 

1 day post surgery: 

 

0f1f6df9b840ddff1e1c8f3d5873690c.thumb.jpg.778525f5ad4162e720414205bfad4fff.jpg

 

 

9 days post surgery: 

ac15ee8d78de40981de3a0c1e06605ba.jpg.3bd6c4edefe7989eed88d03e56aa6b9c.jpgf6223631fbfeb337a905bbe44e62b8d7.thumb.jpg.a99a1e95d002bf089b512346a272d7ef.jpg

 

 

Hope these are sufficient. 

 

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Looks excellent thanks for sharing 👏🏼

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I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

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28 minutes ago, DrMunibAhmad said:

Sure. I'll post some of the donor after surgery and the grafts on 1 day after. I think you want to see the graft placement right? 

 

If you examine the placement of the grafts, many individuals might believe that the density will not be adequate. However, by ensuring that each graft is carefully placed with a very low transection rate and high survival rate, even a lower density placement can yield significant results.

 

DSC_0278.thumb.JPG.8af73dd9cbb8181c06d3c2ba6163b076.JPGDSC_0279.thumb.JPG.9cdda527e72d2c3548f364416ecc4583.JPGDSC_0284.thumb.JPG.fcba9f7adb112a80befd504083bafe64.JPG

 

 

Donor area immediately after surgery: 

DSC_0304.thumb.JPG.9da019a76ea8706674b391134c63dc9e.JPGDSC_0302.thumb.JPG.c76ed12b5971a1656d9093792fecd0e8.JPG

 

 

1 day post surgery: 

 

0f1f6df9b840ddff1e1c8f3d5873690c.thumb.jpg.778525f5ad4162e720414205bfad4fff.jpg

 

 

9 days post surgery: 

ac15ee8d78de40981de3a0c1e06605ba.jpg.3bd6c4edefe7989eed88d03e56aa6b9c.jpgf6223631fbfeb337a905bbe44e62b8d7.thumb.jpg.a99a1e95d002bf089b512346a272d7ef.jpg

 

 

Hope these are sufficient. 

 

Thank you, doctor. This is what I wanted to see. I would say the results are very significant! Lol Especially with the amount of grafts used!

Great job!!

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I have some technical questoins. Do you prefer placing with forceps or implanters? Do you see a benefit of one method over the other? 

If you use implanters, which I assume you are, do you utliize pre made incisions or direct implantation with sharp implanters. I believe in the past you mentioned you use custom cut blades so I am guessing you do pre made incisions. 

 

good result. 

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51 minutes ago, shiba1985 said:

I have some technical questoins. Do you prefer placing with forceps or implanters? Do you see a benefit of one method over the other? 

If you use implanters, which I assume you are, do you utliize pre made incisions or direct implantation with sharp implanters. I believe in the past you mentioned you use custom cut blades so I am guessing you do pre made incisions. 

 

good result. 

Thanks my friend. 

I use premade incisions and we plant with forceps. When you use forceps without implanters one should handle the grafts with more care, compared to using implanters with premade incisions. Sometimes my assistent uses a implanter for some areas, but we haven't seen any difference in our practice. 

 

I'm not a fan of using direct implanters without premade slits. We've repaired many cases of this type. The yield is less, there is a higher chance of cobblestoning and persistent redness of the skin. 

 

I hope these answered your questions. If not, let me know. 

Edited by DrMunibAhmad
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@DrMunibAhmadYou are the best ...i have praised you earlier and i will praise you forever ...putting such hq pics with showing details as such need guts ...i wish evryone follows you....

I have been following you on instagram as well and i have seen some good repair works as well...actually here there are lot of people who are seeking repair work and they have very limited options for consultations....so i would request you to plz post few repair work cases so people over here can see them and can get consultation from you..

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7 hours ago, DrMunibAhmad said:

Thanks my friend. 

I use premade incisions and we plant with forceps. When you use forceps without implanters one should handle the grafts with more care, compared to using implanters with premade incisions. Sometimes my assistent uses a implanter for some areas, but we haven't seen any difference in our practice. 

 

I'm not a fan of using direct implanters without premade slits. We've repaired many cases of this type. The yield is less, there is a higher chance of cobblestoning and persistent redness of the skin. 

 

I hope these answered your questions. If not, let me know. 

For pre made incisions what do you use needles or blades. What are typically the sizes of the needle/blade to create the incisions for single, doubles triples? etc. 

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On 2/23/2023 at 2:49 AM, mrmane85 said:

Incredible result.

@DrMunibAhmaddo you have any cases you can share with patients who are NWV and higher? 

(this can be over 2  seperate surgeries too)

I can imagine you could achieve some incredible results with 5000+ grafts...

Yes, we also have those. I'll post some soon when the patient has time to come for a check up. 

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On 2/23/2023 at 8:35 AM, Archan said:

@DrMunibAhmadYou are the best ...i have praised you earlier and i will praise you forever ...putting such hq pics with showing details as such need guts ...i wish evryone follows you....

I have been following you on instagram as well and i have seen some good repair works as well...actually here there are lot of people who are seeking repair work and they have very limited options for consultations....so i would request you to plz post few repair work cases so people over here can see them and can get consultation from you..

Hi brother, you're very nice person. I'll think about if i will post more repair cases. We have some very pleasing results.

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3 hours ago, DrMunibAhmad said:

Hi brother, you're very nice person. I'll think about if i will post more repair cases. We have some very pleasing results.

Yeh i have seen some good ones so i guess it would be helpful for others over here as many are seeking for a repair ....tc...keep updating ...😊

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On 2/24/2023 at 4:57 PM, A_4_Archan said:

Yeh i have seen some good ones so i guess it would be helpful for others over here as many are seeking for a repair ....tc...keep updating ...😊

True. I don’t post them a lot. Don’t want to end up doing only repairs. 😊

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