58 Years old patient - first surgery. 3218 grafts/6634 hair

[Dr. Jean Devroye]

His salt and pepper hair are thick, which is an advantage.

The total area to be covered is important : 74.4 cm for the zones 1 to 3, and 94.9 cm2 for zone 4 and 5.

There is an area on the middle front which is still well hairy and this area is not evolving since many years.

As this patient wants to fill the whole balding area, the following strategy is defined :

One, the aim is to reach as many grafts possible. Two, to cover zones 1 to 3 with a maximal density.

 

The small central area is grafted as well but with a lower density, the rest of the UF will be spread on the vertex (zone 4 and 5) without seeking to reach the maximal density.

The density of his donor area is on the average (69 FU/cm2). A wide strip is removed, its total area is 46.2 cm2. Therefore, we expected 46. 2 x 69 = 3096 grafts.

Finally, we will have 3218 grafts including: 747 FU1, 1662 FU2, 673 FU3 and 136 FU4, for a total of 6634 hair.

2200 grafts will be placed on the zones 1 to 3, which represents an average density of more or less 30 grafts per cm2

and the posterior area got the 1000 grafts remaining, with a minimum density of more or less 10.5 greffes per cm2. I made a trychophytique closure.

After 8 months, the regrowth is excellent and the patient is very satisfied with his new look.

He is thinking about a second transplant so to improve the density on the vertex, and maybe to add some UF on the anterior part as well.

This patient is a good example of how, sometimes, it is important to manage the surgery as we have limits imposed by the donor area, of course limited, and the recipient area which is important.

Despite the densities, relatively low because of the surface to be covered, the final aspect is entirely satisfactory.

Dr Jean Devroye MD

 

[Timt]

Wow, I'm sure this patient is very happy.

 

I hope the results of my surgery will be similar!

 

Here is my post so to check my transplant:

 

http://hair-restoration-info.c...2100124&f=7466060861

[Bill - Seemiller]

Dr. Devroye,

 

I agree with Tim that this is a very nice looking result! Thanks as always for presenting great quality photos and plenty of detail that accurately portrays not only the result, but the reason for each unique approach you take with your patients.

 

I wish more physicians would be as thorough as you and a few select others when they present their photos.

 

All the Best,

 

Bill

[thanatopsis_awry]

I agree 100% with the above. The work is nice and excellent, as usual, and it's very admirable to see you continue your efforts and pride into your documentation. It might be redundant to keep continually praising you as such, but until the types of steps you take are the norm, rather than the exception, I think it's prudent to keep calling attention to this area of underlooked HT excellence.

[M1A1]

Dr Devroye,

 

Great write up, very good pictures and very nice result.

 

Can you clarify for me the length and width of the strip. Just want to confirm my math.

 

The graphics overlay is spot on too. All this attention to detail that you provide to your patients makes for a happy patient.

 

Thank you,

[Dr. Jean Devroye]

Hi M1A1,

"The density of his donor area is on the average (69 FU/cm2). A wide strip is removed, its total area is 46.2 cm2. Therefore, we expected 46. 2 x 69 = 3096 grafts".

As you probably know I measure the area of the strip from close-up pictures with a home made software named Hairmes The measure is very accurate.

The length of the strip was 29.6 cm. The width was variable with two maximum of 1.5 cm to the right and 1.7 cm to the left.

[M1A1]

Dr. Devroye,

 

Thank you for your very detailed answer...

 

By the way, your detailed write ups are always greatly appreciated.

[Forrest Gump]

Looks very nice! Good job doc!

[orangehair]

well done Dr. Devroye....always appreciate the detail of your presentations