Dr.Ratchathorn Panchaprate Posted April 12 Share Posted April 12 A 49-year-old Asian man with NW IV -V underwent FUE 3547 grafts. Technique: FUE (Trivellini system) + Regenera Activa Technology + PRP during procedure The surgery was performed by Dr. Ratchathorn Panchaprateep, MD, PhD, FISHRS (https://absolutehairclinic.com/en/assoc-prof-ratchathorn-panchaprateep-2/). The patient came for a follow-up at 11 months after the procedure, showing a dense and natural look. Medications start 6 months before and continue after surgery: Minoxidil 2.5 mg + topical finasteride 0.25% 1 Link to comment Share on other sites More sharing options...
Regular Member TakeAction Posted April 12 Regular Member Share Posted April 12 Final result is very dense. How do you avoid shock loss when the patient has this much native hair? 1 Link to comment Share on other sites More sharing options...
Senior Member Hairwolf Posted April 13 Senior Member Share Posted April 13 9 hours ago, TakeAction said: Final result is very dense. How do you avoid shock loss when the patient has this much native hair? Indeed, a great result considering the navigation between existing hair 1 Link to comment Share on other sites More sharing options...
Nobaldscalp Posted April 13 Share Posted April 13 Looking great! thanks for sharing 1 Link to comment Share on other sites More sharing options...
Dr.Ratchathorn Panchaprate Posted April 13 Author Share Posted April 13 22 hours ago, TakeAction said: Final result is very dense. How do you avoid shock loss when the patient has this much native hair? Special careful on the site making in the recipient area is important. Effluvium after surgery can happened but those hairs will grow back due to not direct injury to them. Medication is also the important factor that help avoiding severe shock loss. In this patient, I gave him on oral minoxidil 4 months prior to surgery. Link to comment Share on other sites More sharing options...
Regular Member 718S Posted April 14 Regular Member Share Posted April 14 20 hours ago, Dr.Ratchathorn Panchaprate said: Special careful on the site making in the recipient area is important. Effluvium after surgery can happened but those hairs will grow back due to not direct injury to them. Medication is also the important factor that help avoiding severe shock loss. In this patient, I gave him on oral minoxidil 4 months prior to surgery. Does oral minoxidil prevent shock loss? I've heard that finasteride could help but didn't know about minoxidil. How long before surgery would be necessary in order for it to have any protective effect? Link to comment Share on other sites More sharing options...
Dr.Ratchathorn Panchaprate Posted April 14 Author Share Posted April 14 Yes, topical or oral minoxidil can help some. I recommended at least 2 months. You can read more from the slides from my talk at ISHRS meeting last year. 2 Link to comment Share on other sites More sharing options...
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