Home | News | Find a Doctor | Ask a Question | Free

Donor photos of Norwood 6 patient - THE GUESSING GAME


#1

This Norwood 6 patient came to our clinic in the summer of 2007 and received an in-person consultation. The donor density of this patient measured below average at 150 hairs per square centimeter with 180 being about the average. Dr. Cole’s treatment plan was to transfer 1200 - 1300 CIT grafts from this patient’s donor area to form the frontal scalp and hair line. The patient recently came by the office for us to recheck his hair densities on the front and crown after 8 months. The donor hair is very plentiful as you can see that the patient wears a very short hair style.

Carefully analyze the overall appearance of the donor area when observing these photos, particularly in the mastoid photos located at the bottom. Do you notice any difference in the photos from the left side and right side? Please choose one of the following answers listed below:

A. There is no difference between photos A and B. No surgery was performed.

B. The donor was harvested with a variety of instruments.

C. The donor density is lower in photos C & D only

D. The area was only tested with 50 CIT grafts to determine the patient’s healing ability and reveals that the patient heals extremely well.

E. The hair lays naturally sparse in all photos and overall density is the same.

Donor photos:

Toll Free: 800 368 4247
Tel: 1 678 5661011


#2

» This Norwood 6 patient came to our clinic in the summer of 2007 and
» received an in-person consultation. The donor density of this patient
» measured below average at 150 follicular units per square centimeter with
» 180 being about the average. Dr. Cole’s treatment plan was to transfer
» 1200 - 1300 CIT grafts from this patient’s donor area to form the frontal
» scalp and hair line. The patient recently came by the office for us to
» recheck his hair densities on the front and crown after 8 months. The
» donor hair is very plentiful as you can see that the patient wears a very
» short hair style.
»
» Carefully analyze the overall appearance of the donor area when observing
» these photos, particularly in the mastoid photos located at the bottom. Do
» you notice any difference in the photos from the left side and right side?
» Please choose one of the following answers listed below:
»
» A. There is no difference between photos A and B. No surgery was
» performed.
»
» B. The donor was harvested with a variety of instruments.
»
» C. The donor density is lower in photos C & D only
»
» D. The area was only tested with 50 CIT grafts to determine the patient’s
» healing ability and reveals that the patient heals extremely well.
»
» E. The hair lays naturally sparse in all photos and overall density is the
» same.
» there’s no difference between pictures,i will choose A.
» Donor photos:
»


»
»
»
»
»
» Toll Free: 800 368 4247
» Tel: 1 678 5661011


#3

» The donor density of this patient
» measured below average at 150 follicular units per square centimeter with
» 180 being about the average.

???


#4

» This Norwood 6 patient came to our clinic in the summer of 2007 and
» received an in-person consultation. The donor density of this patient
» measured below average at 150 follicular units per square centimeter with
» 180 being about the average. Dr. Cole’s treatment plan was to transfer
» 1200 - 1300 CIT grafts from this patient’s donor area to form the frontal
» scalp and hair line. The patient recently came by the office for us to
» recheck his hair densities on the front and crown after 8 months. The
» donor hair is very plentiful as you can see that the patient wears a very
» short hair style.
»
» Carefully analyze the overall appearance of the donor area when observing
» these photos, particularly in the mastoid photos located at the bottom. Do
» you notice any difference in the photos from the left side and right side?
» Please choose one of the following answers listed below:
»
» A. There is no difference between photos A and B. No surgery was
» performed.
»
» B. The donor was harvested with a variety of instruments.
»
» C. The donor density is lower in photos C & D only
»
» D. The area was only tested with 50 CIT grafts to determine the patient’s
» healing ability and reveals that the patient heals extremely well.
»
» E. The hair lays naturally sparse in all photos and overall density is the
» same.
»
» Donor photos:
»


»
»
»
»
»
» Toll Free: 800 368 4247
» Tel: 1 678 5661011

I choose A. There is no difference between photos A and B. No surgery was
» performed.


#5

The answer is…

F. 180 follicular units per cm2 is not average but is WAY above average and even 150 follicular units per cm2 is above average for a donor area. Your patient has not even 100 per cm2 in his donor much less 150 per cm2.

Below is a patient with closer to 150 follicular units per cm2 in his donor.

Were you thinking “hairs” per cm2 or did you mean to say follicular units?


#6

Well, I can see why dots in C and D so I reckon they are definitely post surgery.

But I echo Jo’s comment. Since when is 180 FUs per cm2 “normal” density? If that were the case we’d need 90 FUs per cm2 just to provide coverage, never mind being high density.

Surely you mean under 100?


#7

There was a mistake with the original post. Now corrected. It should have read: “150 hairs per square centimeter with 180 being about the average”.


#8

Ok, that makes sense then. I had to think about this for about three minutes before I realized it was a mistype.


#9

How about C ? Frankly I don’t like any of the choices you offered.


#10

» How about C ? Frankly I don’t like any of the choices you offered.

I agree. Do you have “none of the above” ?


#11

I don’t think it is A or C, and none of B, D, E sounds logical either. I guess I am with the poster who said none of the above :slight_smile:


#12

I think it’s B by the process of elimination.

» A. There is no difference between photos A and B. No surgery was
» performed.

I think there is a difference.

»
» B. The donor was harvested with a variety of instruments.

My choice.

»
» C. The donor density is lower in photos C & D only

It doesn’t make sense that you only harvested the sides and not the back of his head.

»
» D. The area was only tested with 50 CIT grafts to determine the patient’s
» healing ability and reveals that the patient heals extremely well.

Anyone would heal well if you only took out 50 grafts. Meaningless.

»
» E. The hair lays naturally sparse in all photos and overall density is the
» same.

So what’s the point in posting these pictures?


#13

All I can sasy is that this guy definitely had something done otherwise you wouldn’t be posting his pics.


#14

A


#15

How about C ?


#16

Does not even look like 100. Not an “ideal” candidate for surgery.


#17

I am sure he had something done, it’s just a matter of how many grafts. If he had anything over 1000 or 1500 grafts then I say this is a great looking donor.


#18

» This Norwood 6 patient came to our clinic in the summer of 2007 and
» received an in-person consultation. The donor density of this patient
» measured below average at 150 hairs per square centimeter with 180 being
» about the average. Dr. Cole’s treatment plan was to transfer 1200 - 1300
» CIT grafts from this patient’s donor area to form the frontal scalp and
» hair line. The patient recently came by the office for us to recheck his
» hair densities on the front and crown after 8 months. The donor hair is
» very plentiful as you can see that the patient wears a very short hair
» style.
»
» Carefully analyze the overall appearance of the donor area when observing
» these photos, particularly in the mastoid photos located at the bottom. Do
» you notice any difference in the photos from the left side and right side?
» Please choose one of the following answers listed below:
»
» A. There is no difference between photos A and B. No surgery was
» performed.
»
» B. The donor was harvested with a variety of instruments.

Hi,

When will the answer be revealed?
»
» C. The donor density is lower in photos C & D only
»
» D. The area was only tested with 50 CIT grafts to determine the patient’s
» healing ability and reveals that the patient heals extremely well.
»
» E. The hair lays naturally sparse in all photos and overall density is the
» same.
»
»
» Donor photos:
»


»
»
»
»
»
» Toll Free: 800 368 4247
» Tel: 1 678 5661011


#19

Hi forum viewers,

The correct answer to this question is “B”. We used a variety of instruments on the donor area. This patient actually had a session of 1350 CIT grafts harvested along the entire donor area. Photos B, C, and D all depict the 7 month follow-up result of the patient’s donor area.

In this case, the patient had a high degree of hair loss with below average donor density. The patient was told that the ideal donor area typically has 180 hairs per square centimeter and that the case was not ideal. This particular patient desired to have conservative coverage on the front with a thinner look on the crown and requested that we use body hair as another donor source.

A donor area should be protected and harvested to yield the most ideal results on the recipient and donor areas as well.


#20

LOL, am I good or what :smiley: