This patient sent his photos from Italy to share his results with us so I am sharing them with you as well. 4506 grafts were transplanted in one session for the results you see below as documented by the patient himself.
holy sh1t! lucky motherf-cker that is one happy guido
he has no temples but I love his transplant. Natural+Dense. Great Results.
» This patient sent his photos from Italy to share his results with us so I
» am sharing them with you as well. 4506 grafts were transplanted in one
» session for the results you see below as documented by the patient
» himself.
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What’s in his hair, half a jar of Vaseline?
» What’s in his hair, half a jar of Vaseline?
Yeah, is it just wet or he has some kind of hair products in his hair?
Nice improvement. The temples are kind of throwing me off a bit. I
That aint water unless he is in dire need of a water filter. There is some kind of whitish stuff on his hair if you look at the hairline areas in the “wet” pictures. Looks like Crisco shortening.
» Looks like Crisco.
Its probably olive oil. I’m Italian I know these things.
Very nice, there is a little island of hair in the front, what happened to that? Did you have to destroy the hair (the island) in order to put the new hair in?
» Very nice, there is a little island of hair in the front, what happened to
» that? Did you have to destroy the hair (the island) in order to put the
» new hair in?
Of course we did not destroy it. We shave the recipient area so that if there are any spaces to place grafts we can do so without damaging the existing hair. His forelock is still there as the majority of the work was around and behind the forelock.
» » Very nice, there is a little island of hair in the front, what happened
» to
» » that? Did you have to destroy the hair (the island) in order to put
» the
» » new hair in?
»
» Of course we did not destroy it. We shave the recipient area so that if
» there are any spaces to place grafts we can do so without damaging the
» existing hair. His forelock is still there as the majority of the work was
» around and behind the forelock.
Thanks, this picture makes me thnik that the island of hair was taken out before new hair was put in, you see the whole area is red
» » Looks like Crisco.
»
» Its probably olive oil. I’m Italian I know these things.
what is the point of the wet look?
doesnt he have any dry look pics or pics of the hair parted in the middle?
he could have a thick shock of hair in front combed back which covers a huge thin area…
That whole area is red because that part is shaved to insert grafts inbetween existing hairs. When they rebuild a new hairline it’s always best to blend into the thinning zones (the island for example) as well to give it a more dense, natural and undetectable look. If they don’t blend in then it will look funny with the centre half bald and thin but with the hair line in zone 1 and/or zone 2 dense and super thick.
» » » Very nice, there is a little island of hair in the front, what
» happened
» » to
» » » that? Did you have to destroy the hair (the island) in order to put
» » the
» » » new hair in?
» »
» » Of course we did not destroy it. We shave the recipient area so that if
» » there are any spaces to place grafts we can do so without damaging the
» » existing hair. His forelock is still there as the majority of the work
» was
» » around and behind the forelock.
»
» Thanks, this picture makes me thnik that the island of hair was taken out
» before new hair was put in, you see the whole area is red
»
»
» That whole area is red because that part is shaved to insert grafts
» inbetween existing hairs. When they rebuild a new hairline it’s always
» best to blend into the thinning zones (the island for example) as well to
» give it a more dense, natural and undetectable look. If they don’t blend
» in then it will look funny with the centre half bald and thin but with the
» hair line in zone 1 and/or zone 2 dense and super thick.
I understand that is the general idea how the procedure is done but I cant help but feeling nervous that some of my existing hair will be damaged during the surgery, it’s like you take 2 steps forward and 1 step back.
There are very specific reasons why H&W shave most recipient sites. I say “most” because it is not always required but Dr. Hasson addressed this question in a post on another forum. His post is copied below…
There are multiple technical factors that come into play during the creation of recipient sites and the subsequent graft placement. These include:
1.) When thinning areas are shaved down the “thinning process” takes on a different meaning. With the use of magnification it will be seen that some follicular bundles are absent (and there are wider spaces between remaining bundles) and that some bundles are significantly miniaturized. It will then be possible to place new recipient sites in the place of absent bundles and alongside miniaturized bundles to recreate the density. This can also be done in a uniform manner so that if the pre-existing hair eventually disappears, due to progression of hairloss, the transplant can still look reasonably natural. If the recipient site is not shaved the surgeon must part through the hair again and again looking for any empty spaces and trying to fill the spaces as best as possible. This is not really as exact a process but much more hit or miss.
2.) The hair exits the scalp at an exact angle. The only way to precisely match that angle is to buzz the recipient hair down (in a way similar to how ALL doctors need to shave the donor hair when taking out the donor strip).
3.) Transection of existing hair below the skin surface is possible if the incisions are not made exactly parallel to the surrounding bundles. We often see this as a “halo” type effect when performing repair procedures.
4.) When inserting grafts the technicians can easily identify the recipient sites and ensure that all sites are filled. This can be achieved with no trauma to the pre-existing hair.
5.) When hair is buzzed no manipulation of the pre-existing hair is required at all. When the hair is not shaved it needs to be combed through (hundreds of times) by the physician who makes the recipients sites and again by the technician who places the grafts into the sites. This repetitive trauma of combing through the hair again and again will result in “hair shock”, a shedding of the existing hair. When this hair falls out in 2 to 3 weeks there will be a 2 to 3 month wait before it returns. Whereas if the hair were buzzed it would grow from day one 1 and keep growing. A number 3 buzz cut often will look good at 10 to 14 days post operatively and blend in with the recipient site well.
All these factors are relatively unimportant if you are trying to place to 2 or 3 hundred grafts into recipient sites however if you wish to have the utmost of refined results the difference is night and day.
» 1.) When thinning areas are shaved down the “thinning process” takes on a
» different meaning. With the use of magnification it will be seen that some
» follicular bundles are absent (and there are wider spaces between remaining
» bundles) and that some bundles are significantly miniaturized. It will then
» be possible to place new recipient sites in the place of absent bundles and
» alongside miniaturized bundles to recreate the density. This can also be
» done in a uniform manner so that if the pre-existing hair eventually
» disappears, due to progression of hairloss, the transplant can still look
» reasonably natural. If the recipient site is not shaved the surgeon must
» part through the hair again and again looking for any empty spaces and
» trying to fill the spaces as best as possible. This is not really as exact
» a process but much more hit or miss.
Hey Jo, I would love to see a picture of the magnified shaved down area, any chance for that?
» There are very specific reasons why H&W shave most recipient sites. I say
» “most” because it is not always required but Dr. Hasson addressed this
» question in a post on another forum. His post is copied below…
»
» There are multiple technical factors that come into play during the
» creation of recipient sites and the subsequent graft placement. These
» include:
»
» 1.) When thinning areas are shaved down the “thinning process” takes on a
» different meaning. With the use of magnification it will be seen that some
» follicular bundles are absent (and there are wider spaces between remaining
» bundles) and that some bundles are significantly miniaturized. It will then
» be possible to place new recipient sites in the place of absent bundles and
» alongside miniaturized bundles to recreate the density. This can also be
» done in a uniform manner so that if the pre-existing hair eventually
» disappears, due to progression of hairloss, the transplant can still look
» reasonably natural. If the recipient site is not shaved the surgeon must
» part through the hair again and again looking for any empty spaces and
» trying to fill the spaces as best as possible. This is not really as exact
» a process but much more hit or miss.
»
» 2.) The hair exits the scalp at an exact angle. The only way to precisely
» match that angle is to buzz the recipient hair down (in a way similar to
» how ALL doctors need to shave the donor hair when taking out the donor
» strip).
»
» 3.) Transection of existing hair below the skin surface is possible if the
» incisions are not made exactly parallel to the surrounding bundles. We
» often see this as a “halo” type effect when performing repair procedures.
»
» 4.) When inserting grafts the technicians can easily identify the
» recipient sites and ensure that all sites are filled. This can be achieved
» with no trauma to the pre-existing hair.
»
» 5.) When hair is buzzed no manipulation of the pre-existing hair is
» required at all. When the hair is not shaved it needs to be combed through
» (hundreds of times) by the physician who makes the recipients sites and
» again by the technician who places the grafts into the sites. This
» repetitive trauma of combing through the hair again and again will result
» in “hair shock”, a shedding of the existing hair. When this hair falls out
» in 2 to 3 weeks there will be a 2 to 3 month wait before it returns.
» Whereas if the hair were buzzed it would grow from day one 1 and keep
» growing. A number 3 buzz cut often will look good at 10 to 14 days post
» operatively and blend in with the recipient site well.
»
» All these factors are relatively unimportant if you are trying to place to
» 2 or 3 hundred grafts into recipient sites however if you wish to have the
» utmost of refined results the difference is night and day.
Excellent post Jo, good work !
I believe you may have forgotten 1 important factor > speed of implantation.
Large sessions would not be possible without shaving the recipient area.
Technicians are slowed down quite a bit if they have to look for each slit between longer existing hairs .
IMHO shaving is key to a succesful HT.
Bart
Bart,
You are correct but this was not one of the reasons why this practice began. Dr. Hasson and Dr. Wong have been asking to shave the patients’ recipient areas for years even back when 2000 grafts was considered to be a very big session maybe eight years ago. The points above were the main advantages but of course as the session sizes grew this practice proved to be beneficial in that regard.
For the record, if one is to consider a procedure with us, you are not automatically required to shave. Smaller sessions, depending on the amount of existing native hair in the target area, can be performed without shaving.