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J's ~1700 graft procedure with Dr. Brad Limmer


Guest Brad Limmer, MD
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Guest Brad Limmer, MD

He has asked me to post his pre op, immediate post op and 17 day follow up photos. He will then respond giving his account of the procedure and post op recovery.

 

Briefly, his surgery was ~6 weeks ago having ~1700 grafts placed to restore his frontal hairline. He has been on Propecia for ~4 months and was encouraged to add Rogaine and Nizoral shampoo. Long term, after allowing the transplant to grow in for ~12 months (will have then been on Propecia for ~15 months), we can assess if a 2nd transplant is needed or desired.

 

Included in the photos are 2 pre op, 3 immediate post op s (2 of transplanted zone and one of the donor closure), and 3 photos that are 17 days post op.

 

For those who have not seen many post op photos 2-3 weeks out, these demonstrate the shedding of the grafts that occur in 95% of patients. Most of the grafts in a majority of the patients will be shed around 2-3 weeks post op. Not to be alarmed, after a dormant period of ~90 days they will all begin to sprout and re-grow. This can alarm patients if they have not been educated on what to expect. I put these photos in to demonstrate what normally happens.

 

J has experienced a few pimples in the transplanted area. This can be seen typically around 30 days post op and sometimes at 90 days post op (when the hair begins to re-grow). Typically easy to deal with and minimal trouble. Otherwise his course has been uneventful and await J's recount of his experience.

 

Please let me know if you have any questions.

 

Brad Limmer, MD/jac

 

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Guest Brad Limmer, MD

He has asked me to post his pre op, immediate post op and 17 day follow up photos. He will then respond giving his account of the procedure and post op recovery.

 

Briefly, his surgery was ~6 weeks ago having ~1700 grafts placed to restore his frontal hairline. He has been on Propecia for ~4 months and was encouraged to add Rogaine and Nizoral shampoo. Long term, after allowing the transplant to grow in for ~12 months (will have then been on Propecia for ~15 months), we can assess if a 2nd transplant is needed or desired.

 

Included in the photos are 2 pre op, 3 immediate post op s (2 of transplanted zone and one of the donor closure), and 3 photos that are 17 days post op.

 

For those who have not seen many post op photos 2-3 weeks out, these demonstrate the shedding of the grafts that occur in 95% of patients. Most of the grafts in a majority of the patients will be shed around 2-3 weeks post op. Not to be alarmed, after a dormant period of ~90 days they will all begin to sprout and re-grow. This can alarm patients if they have not been educated on what to expect. I put these photos in to demonstrate what normally happens.

 

J has experienced a few pimples in the transplanted area. This can be seen typically around 30 days post op and sometimes at 90 days post op (when the hair begins to re-grow). Typically easy to deal with and minimal trouble. Otherwise his course has been uneventful and await J's recount of his experience.

 

Please let me know if you have any questions.

 

Brad Limmer, MD/jac

 

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Guest Brad Limmer

Please Grow Please,

 

Jessica should be posting some post op donor photos. I have several recent posts that include my thoughts regarding the donor harvesting, closure and healing.

 

The two primary reasons I don't use staples are pain and the possiblity of train track style marks/scars that can occur. Staples are faster for the physicain to place, but more painful to have removed. With 4.0 plain gut, there is no need for removal and they fall out in 8-10 days.

 

More importantly to me is the lack of scarring associated with sutures vs staples. While marks can occur with sutures that are left in to long, they more commonly are associated with staples.

 

There are many types of sutures, some are permanent and some dissolve. It is much easier on patients to use self dissolving sutures. Not only is it more comfortable not to have anything removed, but there is no chance of them being left in too long if the right suture material is chosen. We use 4.0 plain gut for the superficial closure because it meets our needs of lasting long enough to be well healed, but not too long to cause marks.

 

Hope that answers your question.

 

Brad Limmer, MD

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  • 3 weeks later...

I highly reccomend visiting Dr. Brad Limmer's clinic if you are in the Central Texas area and looking for HT success. 3 months ago I knew very little about this technology but after a free consultation and asking many questions I was confident that Dr. Brad and staff were the way to go.

The procedure was relatively painless as I continued to demand more local anaesthetic from Anna if I could feel any of the ~1700 grafts going in. The donor site was a big concern for me, obviously vein based on the fact I was having HT in the first place. As you see in the pictures, the shaving was the only real visual outcome which was hidden in a few weeks by hair regrowth at the donor site. I did experience normal tenderness at the donor site for ~1 month and numbness/redness in the transplant region for ~45 days.

As Jessica and Dr. Brad mentioned in the post, I did start to get in-grown hairs (look like pimples) at the transplant site at ~45 days that have since subsided now at 2 months post-op. I have my hair clippered to a 2.5 guard in the back and you can't see the donor site unless you know it is there already, still some redness at 2 months with very minimal incision line. Between 30 and 45 days, most of the grafts had shed where the redness showed more but now are starting to regrow and my stylist even stated that the front of my hair feels/appears thicker already!

Dr. Brad, Jessica, and staff have been very adimant about checking in on me throughout the entire post op period. You rarely expect this kind of attention from a Doctor and staff at such a busy clinic. Definitely a "family" feel being a patient of such a well respected clinic.

Please feel free to contact me with any questions and I will try my best to keep everyone updated regularly. New pics to come soon!

 

J

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  • Senior Member

Everything looks great. Excellent refined work. This will make a great cosmetic difference.

 

NN

NN

 

Dr.Cole,1989. ??graftcount

Dr. Ron Shapiro. Aug., 2007

Total graft count 2862

Total hairs 5495

1hairs--916

2hairs--1349

3hairs--507

4hairs--90

 

 

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