Dr. Raymond Konior Posted November 15, 2009 Share Posted November 15, 2009 This 43 year old patient gave a history of having undergone a singe minigraft session in the frontal scalp about 5 years prior to his presentation to my office. His main concerns were low density and unnatural looking grafts in the previously treated frontal scalp region. His primary goals were: 1) a modest frontal density enhancement; 2) softening the appearance of the minigrafts; 3) avoiding shock loss; and 4) an inconspicuous recovery - i.e. not shaving the recipient site. He underwent a session of 2000 follicular units into the frontal scalp region. I present this case based on my interest in the recent 'see-through hair' thread. The graft number performed in this case does not come close to providing adolescent density, but it was successful in fulfilling the patient's primary objectives. Attached is a short video clip that demonstrates how a relatively conservative density enhancement was still able to provide a significant cosmetic improvement in the old graft zone. http://www.youtube.com/watch?v=4GJaJd7HuRs Dr. Ray Konior is a highly esteemed member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Raphael84 Posted November 15, 2009 Share Posted November 15, 2009 This looks sensational. Almost unreal. Especially considering the low graft count. Congratulations Dr. Im just about to view the attached video file! Patient Advisor for Dr. Bisanga - BHR Clinic ian@bhrclinic.com - BHR YouTube Channel - https://www.youtube.com/channel/UCcH4PY1OxoYFwSDKzAkZRww I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
Raphael84 Posted November 15, 2009 Share Posted November 15, 2009 Having viewed the video. Im somewhat lost for words. I dont understand how this result would be possible. Im extremely interested in this case. Would it be possible to view some imm-post op pics at all Dr? Again, hugely impressed! Patient Advisor for Dr. Bisanga - BHR Clinic ian@bhrclinic.com - BHR YouTube Channel - https://www.youtube.com/channel/UCcH4PY1OxoYFwSDKzAkZRww I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
Regular Member Hair of the dog Posted November 15, 2009 Regular Member Share Posted November 15, 2009 Absolutely incredible result........... Link to comment Share on other sites More sharing options...
Senior Member aaron1234 Posted November 15, 2009 Senior Member Share Posted November 15, 2009 Perfecto! Dr. G: 1,000 grafts (FUT) 2008 Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013 Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020 My Hair Transplant Journey with Shapiro Medical Group Link to comment Share on other sites More sharing options...
Senior Member Forrest Gump Posted November 15, 2009 Senior Member Share Posted November 15, 2009 Very nice, especially with only 2000 grafts over quite a large area! Good job doc! Link to comment Share on other sites More sharing options...
Senior Member RajToor Posted November 15, 2009 Senior Member Share Posted November 15, 2009 Excellent Link to comment Share on other sites More sharing options...
Regular Member Coligion Posted November 15, 2009 Regular Member Share Posted November 15, 2009 Dr. Konior, you mentioned the patient wanted to avoid shockloss. What measures did you take in the hopes of reducing the impact of shockloss? Link to comment Share on other sites More sharing options...
Bill - Seemiller Posted November 16, 2009 Share Posted November 16, 2009 Dr. Konior, This is certainly another homerun result for sure. While the results are 100% without a doubt impressive as usual, posting before photos with dry hair would help us better establish how much thinning this patient had prior to his hair transplant. Wet hair always makes a patient's hair appear a lot thinner than when their hair is dry. Best wishes, Bill Link to comment Share on other sites More sharing options...
Senior Member Julius Posted November 16, 2009 Senior Member Share Posted November 16, 2009 Well done doctor, very natural. Link to comment Share on other sites More sharing options...
Mick from Farjo Posted November 16, 2009 Share Posted November 16, 2009 Dr konior, Typical excellent result that we have come to expect from your skilled hands. Mick Patient coordinator for Dr. Bessam Farjo who is an esteemed member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Senior Member charlie_08 Posted November 17, 2009 Senior Member Share Posted November 17, 2009 His hair shouldnt have been Wet in the before pic Link to comment Share on other sites More sharing options...
Dr. Raymond Konior Posted November 17, 2009 Author Share Posted November 17, 2009 Raphael ??“ I do not have any meaningful intraoperative photos. I initially thought he was a relatively average patient and only captured a few routine photos on the day of his procedure. One year later I was impressed by what I thought was an above-average result and shot the video on a whim because I didn't think photos alone did justice in terms of fully documenting the dimensionality of coverage he was able to achieve. He appeared to me to be a very good example of the 'illusion of density' that is commonly referred to on this forum. Thana and Bill's insight into the relevance of lighting, styling and baseline density in Julius's 'see-through hair' thread are very pertinent. This patient, of course, has nowhere near his original density, but he looks pretty good under average lighting with his current hair style. Coligion ??“ I mentioned his desire to keep shock down to a minimum as a generalization relating to why 2000 grafts were used rather than 3000 or more. Well know concepts for minimizing shock include the use of small blades with meticulous angling and directing of the opening sites. Graft density also plays a big role. This is the type of patient in whom I initially may have recommended a larger session in order to produce a more solid density. However, every patient has specific goals based what they hope to achieve and what they are willing to do to get to that end point. A much larger session would not only have required him to shave the recipient site, but it would have increased his risk of shock because of the additional vascular stain placed on the recipient site. He was not willing to shave or accept the higher risk of shock that would have accompanied a much larger session. Although his density is not rock solid, the postop recovery and the cosmetic end result satisfied him. Dr. Ray Konior is a highly esteemed member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Dr. Alan Feller Posted November 17, 2009 Share Posted November 17, 2009 Excellent result. Link to comment Share on other sites More sharing options...
Raphael84 Posted November 17, 2009 Share Posted November 17, 2009 The word modesty springs to mind. Dr Konior, you mention that the phrase "illusion of density" is often mentioned and discussed on this forum and in the world that is hair transplantation. But, judging by the post op images and the provided video, this genuinley does not seem like one of these cases. Whilst Im sure, that his post op stats do not reach anywhere near his pre hair loss density, you have the numbers and have stated this, but I just cant stress how amazed I am at this result. This looks like no illusion to me, with this current style and length, his hair looks 100% natural and extremely dense. Great job!!! Patient Advisor for Dr. Bisanga - BHR Clinic ian@bhrclinic.com - BHR YouTube Channel - https://www.youtube.com/channel/UCcH4PY1OxoYFwSDKzAkZRww I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
Steven Gabel, MD, FACS Posted November 17, 2009 Share Posted November 17, 2009 Dr. Konior This is another example of the outstanding results you are able to obtain for your patients. Excellent work. Steven Gabel, MD, FACS, FISHRS Diplomate, American Board of Hair Restoration Surgery Diplomate, American Board of Facial Plastic and Reconstructive Surgery Diplomate, American College of Surgeons Gabel Hair Restoration Center Portland, Oregon 503-693-1118 Email Dr. Gabel directly at drgabel@gabelcenter.com Dr. Gabel's Website Dr. Steven Gabel is a member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member M1A1 Posted November 19, 2009 Senior Member Share Posted November 19, 2009 Dr. Konior, Great job...With that being said, what was his donor density? By the way, the video truly captures the artistry of the work. That shows a very natural result with the right amount of density and a perfect blending of the transplanted hair with the native hair to give a nice illusion of denisity... You could see his happiness in the video even when he was looking down-nice... My Hair Loss Website - Hair Transplant with Dr. Ron Shapiro Link to comment Share on other sites More sharing options...
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