DrMunibAhmad Posted March 10, 2023 Share Posted March 10, 2023 (edited) The goal was to repair the failed hair transplant with plugs, scarring, and kinky hairs in a single session. (Usually it’s common that repairs are done over multiple surgeries)The challenge of this case was to: Remove all the kinky hairs (which are caused do to trauma to the bulbs during implantation) Also including the hairs of the temples. Remove all bad angled grafts. Remove the cobblestoning from previous surgery. Fill the same area again with good density on the same sitting. Which is made difficult due to the fact that we just made punchholes in the same area. Including the temple. (no stitching used) Use as few grafts as possible Leave no scarring in the transplanted area. We have to keep in mind that a repaired result is like making a painting on a used canvas. It's never going to be the same as a first surgery on a new patient. Pictures are taken 1 year post surgery. 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 2050 grafts were used during a one day FUE surgery. The surgery started at 08.00 and finished at 15.15. Patient was already using dutasteride for 3 years when the before pictures were made. I am responsible for performing the entire surgery, 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 emails. For aftercare, patients have direct contact with me through WhatsApp. Before: After: Zoomed in: Close-up's + Comb through: Kind regards, Dr. Munib Ahmad. Edited March 10, 2023 by DrMunibAhmad 9 3 Art-Gallery: https://fuegenix.nl/art-gallery/Before and After: https://fuegenix.nl/haartransplantatie/voor-en-na/All cases of my patients on HRN:https://www.hairrestorationnetwork.com/search/?&q=Fuegenix&search_and_or=or Link to comment Share on other sites More sharing options...
Regular Member NegativeNorwood Posted March 10, 2023 Regular Member Share Posted March 10, 2023 Another day, another godly result. Those temples are something else too, most natural result I've seen, and he started as a repair patient (!). Just too good 👏 "Mature hairline" is euphemism for balding. Link to comment Share on other sites More sharing options...
Regular Member Mahesh42 Posted March 10, 2023 Regular Member Share Posted March 10, 2023 Excellent Result 👍 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted March 10, 2023 Administrators Share Posted March 10, 2023 This is an incredible repair 👏🏼 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. Link to comment Share on other sites More sharing options...
Regular Member WoundedWolf Posted March 10, 2023 Regular Member Share Posted March 10, 2023 Neat Repair, Looking much better than before, does the cobblestoning still appear in heavy and different light settings, in front of sunlight shades ? Also was the hairline and temples were pushed down as well to cover-up the old bad hair transplant ? Link to comment Share on other sites More sharing options...
Senior Member Big Rome Posted March 10, 2023 Senior Member Share Posted March 10, 2023 2 hours ago, DrMunibAhmad said: The goal was to repair the failed hair transplant with plugs, scarring, and kinky hairs in a single session. (Usually it’s common that repairs are done over multiple surgeries)The challenge of this case was to: Remove all the kinky hairs (which are caused do to trauma to the bulbs during implantation) Also including the hairs of the temples. Remove all bad angled grafts. Remove the cobblestoning from previous surgery. Fill the same area again with good density on the same sitting. Which is made difficult due to the fact that we just made punchholes in the same area. Including the temple. (no stitching used) Use as few grafts as possible Leave no scarring in the transplanted area. We have to keep in mind that a repaired result is like making a painting on a used canvas. It's never going to be the same as a first surgery on a new patient. Pictures are taken 1 year post surgery. 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 2050 grafts were used during a one day FUE surgery. The surgery started at 08.00 and finished at 15.15. Patient was already using dutasteride for 3 years when the before pictures were made. I am responsible for performing the entire surgery, 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 emails. For aftercare, patients have direct contact with me through WhatsApp. Before: After: Zoomed in: Close-up's + Comb through: Kind regards, Dr. Munib Ahmad. this is incredible 🤯🤯 bet the gent in the pics is overjoyed! night & day difference 👏🏻👏🏻🔥🔥 Link to comment Share on other sites More sharing options...
Regular Member Rafael Manelli Posted March 10, 2023 Regular Member Share Posted March 10, 2023 Whoever did the original surgery made a pigs ear of it. I don’t understand how they are in business. Excellent repair. What is your secret for natural, aesthetic design? 2 Link to comment Share on other sites More sharing options...
DrMunibAhmad Posted March 10, 2023 Author Share Posted March 10, 2023 1 hour ago, Rafael Manelli said: Whoever did the original surgery made a pigs ear of it. I don’t understand how they are in business. Excellent repair. What is your secret for natural, aesthetic design? Well, it’s one of the clinics where often famous dutch people go to and exists more then several years. The problem is that they (and many others) post low quality pictures from preferred angles and get away with it. There is no secret. It’s in the touch of the hands ✋ 🤚 4 Art-Gallery: https://fuegenix.nl/art-gallery/Before and After: https://fuegenix.nl/haartransplantatie/voor-en-na/All cases of my patients on HRN:https://www.hairrestorationnetwork.com/search/?&q=Fuegenix&search_and_or=or Link to comment Share on other sites More sharing options...
Senior Member HappyMan2021 Posted March 10, 2023 Senior Member Share Posted March 10, 2023 6 hours ago, DrMunibAhmad said: Remove all bad angled grafts. @DrMunibAhmad can you clarify appx how many badly angled grafts there were to begin with? I thought - due to scarring risks and some grafts always being in telogen phase - that it is almost impossible to extract all bad angles in one surgery? If this is indeed the case - incredible - but can you please clarify if you really did remove 100% of bad grafts? This is personally relatable to me as I am a bad angle repair patient myself. I have already had 2 repair surgeries with one of the super-well known repair doctors, and I still have bad angles remaining. So naturally I am very curious on the # of badly angled grafts the patient has, and if you truly were able to remove every single one in this single surgery. Thank you! 1 Link to comment Share on other sites More sharing options...
Regular Member Xanadu Posted March 10, 2023 Regular Member Share Posted March 10, 2023 Well done Link to comment Share on other sites More sharing options...
DrMunibAhmad Posted March 10, 2023 Author Share Posted March 10, 2023 (edited) 1 hour ago, HappyMan2021 said: @DrMunibAhmad can you clarify appx how many badly angled grafts there were to begin with? I thought - due to scarring risks and some grafts always being in telogen phase - that it is almost impossible to extract all bad angles in one surgery? If this is indeed the case - incredible - but can you please clarify if you really did remove 100% of bad grafts? This is personally relatable to me as I am a bad angle repair patient myself. I have already had 2 repair surgeries with one of the super-well known repair doctors, and I still have bad angles remaining. So naturally I am very curious on the # of badly angled grafts the patient has, and if you truly were able to remove every single one in this single surgery. Thank you! Just because a hair is in the telogen phase doesn't necessarily mean it cannot be extracted in the same procedure, as it is still connected to the same graft. During the procedure, I removed all poorly angled grafts from both the hairline and temple areas. However, upon closer examination, there is still a poorly angled triple in the hairline (where you can see the cobblestoning), which is why I mentioned in my disclaimer that repairs may not be as good as a normal surgery. I posted them in HD close-up's. You just need to believe what your eyes are seeing :P. In certain cases, if the hairs behind the hairline are not significantly damaged, there is no need to remove them as they will be naturally overshadowed by the density of the new grafts. Removing them would be a waste of money and time. I'm sorry to hear about what you're going through. However, it's worth noting that your situation is not unique, as I've had many patients who have faced similar experiences and found peace once visiting us (not being arrogant). Quote that it is almost impossible to extract all bad angles in one surgery? If this is indeed the case - incredible - It's just the level of control one has while punching the grafts. If someone is able to successfully punch out poorly angled/scarred or kinky hairs in a single session, it's a testament to the low transection rate. This has already been demonstrated by us many times by using fewer grafts to achieve better coverage of the same area then elsewhere. The implantation in the same punched out area of new grafts is a technique that I've never seen anyone use except for myself. And yeah, incredible and impossible are definitely the words that are most common used as a reaction on our results, so thanks for that. I wish you all the best with your repair. I truly hope you'll be done with this soon. Edited March 10, 2023 by DrMunibAhmad 3 1 Art-Gallery: https://fuegenix.nl/art-gallery/Before and After: https://fuegenix.nl/haartransplantatie/voor-en-na/All cases of my patients on HRN:https://www.hairrestorationnetwork.com/search/?&q=Fuegenix&search_and_or=or Link to comment Share on other sites More sharing options...
Valued Contributor Gatsby Posted March 10, 2023 Valued Contributor Share Posted March 10, 2023 Incredible 👌 GATSBY 'UNPLUGGED!' 15,671 (3 surgeries) Grafts FUE+BHT Dr. Sethi Eugenix Link to comment Share on other sites More sharing options...
Senior Member airporteffect Posted March 11, 2023 Senior Member Share Posted March 11, 2023 Doc is doing gods work here. That initial result was brutal. Look how happy This guy looks after the repair procedure! Excellent work. 1 Link to comment Share on other sites More sharing options...
Senior Member Dillpickle123 Posted March 12, 2023 Senior Member Share Posted March 12, 2023 what a great result doc! He must be ecstatic Link to comment Share on other sites More sharing options...
Senior Member Henry Posted March 12, 2023 Senior Member Share Posted March 12, 2023 Man, I've always thought kinky stuff was fun, I guess when it comes to hairs it isn't. Link to comment Share on other sites More sharing options...
Senior Member HappyMan2021 Posted March 12, 2023 Senior Member Share Posted March 12, 2023 On 3/10/2023 at 2:37 PM, DrMunibAhmad said: Just because a hair is in the telogen phase doesn't necessarily mean it cannot be extracted in the same procedure, as it is still connected to the same graft. During the procedure, I removed all poorly angled grafts from both the hairline and temple areas. However, upon closer examination, there is still a poorly angled triple in the hairline (where you can see the cobblestoning), which is why I mentioned in my disclaimer that repairs may not be as good as a normal surgery. I posted them in HD close-up's. You just need to believe what your eyes are seeing :P. In certain cases, if the hairs behind the hairline are not significantly damaged, there is no need to remove them as they will be naturally overshadowed by the density of the new grafts. Removing them would be a waste of money and time. I'm sorry to hear about what you're going through. However, it's worth noting that your situation is not unique, as I've had many patients who have faced similar experiences and found peace once visiting us (not being arrogant). It's just the level of control one has while punching the grafts. If someone is able to successfully punch out poorly angled/scarred or kinky hairs in a single session, it's a testament to the low transection rate. This has already been demonstrated by us many times by using fewer grafts to achieve better coverage of the same area then elsewhere. The implantation in the same punched out area of new grafts is a technique that I've never seen anyone use except for myself. And yeah, incredible and impossible are definitely the words that are most common used as a reaction on our results, so thanks for that. I wish you all the best with your repair. I truly hope you'll be done with this soon. This was a great reply Dr. Ahmad! Appreciate it 🙌 Link to comment Share on other sites More sharing options...
DrMunibAhmad Posted March 12, 2023 Author Share Posted March 12, 2023 4 hours ago, HappyMan2021 said: This was a great reply Dr. Ahmad! Appreciate it 🙌 🧡 Art-Gallery: https://fuegenix.nl/art-gallery/Before and After: https://fuegenix.nl/haartransplantatie/voor-en-na/All cases of my patients on HRN:https://www.hairrestorationnetwork.com/search/?&q=Fuegenix&search_and_or=or Link to comment Share on other sites More sharing options...
Regular Member Rafael Manelli Posted March 12, 2023 Regular Member Share Posted March 12, 2023 Trying to find the triple. Is this it? Link to comment Share on other sites More sharing options...
DrMunibAhmad Posted March 12, 2023 Author Share Posted March 12, 2023 No that's 3 singles which look combined because it's getting pulled up. You see that those hairs originate all separately from the scalp, thuss can't be a triple. 1 Art-Gallery: https://fuegenix.nl/art-gallery/Before and After: https://fuegenix.nl/haartransplantatie/voor-en-na/All cases of my patients on HRN:https://www.hairrestorationnetwork.com/search/?&q=Fuegenix&search_and_or=or Link to comment Share on other sites More sharing options...
Regular Member hockeyman Posted March 13, 2023 Regular Member Share Posted March 13, 2023 Fantastic work. As usual. I'm always excited to check out your most recent results. Certainly a life changing result for this patient. Link to comment Share on other sites More sharing options...
Regular Member Cory Posted March 15, 2023 Regular Member Share Posted March 15, 2023 Looks good! I'm curious if the gentleman on the pics would like to share which clinic to avoid.. Link to comment Share on other sites More sharing options...
Senior Member drawdownfx Posted March 15, 2023 Senior Member Share Posted March 15, 2023 One of the best repair works I have seen, just wow. You saved that man's life (mentally). After removing the temple grafts how many singles did you put in each temple area? they look so natural (I am assuming the thick hairs were replaced with finer singles here on the side temples?) 1 My hair transplant Journey with Dr. Freitas Link to comment Share on other sites More sharing options...
Regular Member CJH Posted March 17, 2023 Regular Member Share Posted March 17, 2023 On 3/15/2023 at 9:20 PM, Cory said: Looks good! I'm curious if the gentleman on the pics would like to share which clinic to avoid.. It is Beauclinic in the Netherlands www.beauclinic.nl 1 1 Link to comment Share on other sites More sharing options...
Regular Member Tommy1991 Posted April 5, 2023 Regular Member Share Posted April 5, 2023 World class repair. Looks unbelievable. Link to comment Share on other sites More sharing options...
Valued Contributor A_4_Archan Posted April 6, 2023 Valued Contributor Share Posted April 6, 2023 One of the best repair work....👌👌 Check Out My Hair Transplant Journey --> My Thread 3611 FUE Grafts With Dr Kongkiat Laorwong | Norwood 5 | 2nd May 2023 Link to comment Share on other sites More sharing options...
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