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ML - 2257 FUSE grafts (Scalp and beard hair) 11 months update(Dr. A\'s Clinic)

Patient nicknamed ML underwent 2257 FUSE graft procedure (1854 scalp + 403 beard grafts) 11 months ago. The grafts were transplanted to recreate a youthful hairline.

Before pictures




After pictures




Beard donor area

Graft placement picture

Do you have pics showing the top of his head or is it still thinning there? 2257 grafts seem to good to be true covering such a large area.

Dr. A never posts top views.

Its an oath all hair transplant surgeons have to take never to take a bird’s eye view of the patient.

because it shows how little the transplant covered

Dr. A,
the hair CALIBER (diameter) that you use in the hairline is much too heavy. You are using beard hair to reconstruct the hairline which I don’t think is a good idea.

I think you should follow Dr. Umar and use NAPE hair for the frontal hairline and beard hair behind it.

Using beard hair gives the hairline a somewhat coarse/unnatural look especially with thinning visibile even after a transplant.

Reduce the ammo from 50mm heavy machine gun caliber to 5.56mm AK-47 rounds for the hairline.

» Dr. A,
» the hair CALIBER (diameter) that you use in the hairline is much too
» heavy. You are using beard hair to reconstruct the hairline which I don’t
» think is a good idea.
»
» I think you should follow Dr. Umar and use NAPE hair for the frontal
» hairline and beard hair behind it.
»
» Using beard hair gives the hairline a somewhat coarse/unnatural look
» especially with thinning visibile even after a transplant.
»
» Reduce the ammo from 50mm heavy machine gun caliber to 5.56mm AK-47 rounds
» for the hairline.

Dear Freddie555,
We never use the thick calibre beard hair in the front rows of the hairline. In this case too, the beard grafts have been placed only in the deeper rows.

Use of nape hair for feathering the hairline is an option.
However, its important for the patient to know that hair in that area is not necessarily permanent (not of the safe donor area). Usually patients, on being informed of the same, prefer not to use nape hair.

Regards,
Dr. A

Dr A, thanks for sharing your perceptions.

Please, i´d like to ask you if this patient will have a second procedure to give more naturality to his hairline. I agree with Freddy that it does look “heavy” and maybe a second surgery could soft his hairline.

Also, is the patient using avodart? Is it the medication you prescribe for your patients to keep the native hairs?

Thanks, i hope i wasn´t rude on my comments. Sorry fo any english mistakes.

Rafael

» » Dr. A,
» » the hair CALIBER (diameter) that you use in the hairline is much
» too
» » heavy. You are using beard hair to reconstruct the hairline which I
» don’t
» » think is a good idea.
» »
» » I think you should follow Dr. Umar and use NAPE hair for the frontal
» » hairline and beard hair behind it.
» »
» » Using beard hair gives the hairline a somewhat coarse/unnatural look
» » especially with thinning visibile even after a transplant.
» »
» » Reduce the ammo from 50mm heavy machine gun caliber to 5.56mm AK-47
» rounds
» » for the hairline.
»
» Dear Freddie555,
» We never use the thick calibre beard hair in the front rows of the
» hairline. In this case too, the beard grafts have been placed only in the
» deeper rows.
»
» Use of nape hair for feathering the hairline is an option.
» However, its important for the patient to know that hair in that area is
» not necessarily permanent (not of the safe donor area). Usually patients,
» on being informed of the same, prefer not to use nape hair.
»
» Regards,
» Dr. A

interesting, i wonder what umar thinks of that, he seems to use nape hair a lot for his patients.

Why would nape hair be ‘not of the safe donor area’? This hair exists into extreme old age on most men’s scalps. In my case, it is the only area where I’m not gray. If this hair is removed and transplanted correctly, surely it would survive long after any other hair from any other area of the head?

Please comment on this.

Thanks,

Paul

» » » Dr. A,
» » » the hair CALIBER (diameter) that you use in the hairline is
» much
» » too
» » » heavy. You are using beard hair to reconstruct the hairline which I
» » don’t
» » » think is a good idea.
» » »
» » » I think you should follow Dr. Umar and use NAPE hair for the frontal
» » » hairline and beard hair behind it.
» » »
» » » Using beard hair gives the hairline a somewhat coarse/unnatural look
» » » especially with thinning visibile even after a transplant.
» » »
» » » Reduce the ammo from 50mm heavy machine gun caliber to 5.56mm AK-47
» » rounds
» » » for the hairline.
» »
» » Dear Freddie555,
» » We never use the thick calibre beard hair in the front rows of the
» » hairline. In this case too, the beard grafts have been placed only in
» the
» » deeper rows.
» »
» » Use of nape hair for feathering the hairline is an option.
» » However, its important for the patient to know that hair in that area is
» » not necessarily permanent (not of the safe donor area). Usually
» patients,
» » on being informed of the same, prefer not to use nape hair.
» »
» » Regards,
» » Dr. A
»
» interesting, i wonder what umar thinks of that, he seems to use nape hair a
» lot for his patients.

» Why would nape hair be ‘not of the safe donor area’? This hair exists into
» extreme old age on most men’s scalps. In my case, it is the only area
» where I’m not gray. If this hair is removed and transplanted correctly,
» surely it would survive long after any other hair from any other area of
» the head?
»
» Please comment on this.
»
» Thanks,
»
» Paul
»
.

Dear Paul,
I agree with you that in many people the nape hair exists till old age and death.
However, in my practice I prefer my patients to be equal deciders on what risk they are willing to take after they are aware of the possibities.
I have outlined the safest donor area at the following link.
http://www.hairsite.com/hair-loss/forum_entry-id-72430-page-0-category-2-order-last_answer.html

If their genetics and their choice determine that nape hair be used, I have accomodated. And I assume most other good doctors do the same.

Regards,
Dr. A

Its true
nape hair is not a safe choice. 80 % of balding people i c on daily bases ,have thining in the nape area too, if not almost slick bald
I think it is unethical to use

» »
» .
»
» Dear Paul,
» I agree with you that in many people the nape hair exists till old age and
» death.
» However, in my practice I prefer my patients to be equal deciders on what
» risk they are willing to take after they are aware of the possibities.
» I have outlined the safest donor area at the following link.
» http://www.hairsite.com/hair-loss/forum_entry-id-72430-page-0-category-2-order-last_answer.html
»
» If their genetics and their choice determine that nape hair be used, I have
» accomodated. And I assume most other good doctors do the same.
»
» Regards,
» Dr. A

» Its true
» nape hair is not a safe choice. 80 % of balding people i c on daily bases
» ,have thining in the nape area too, if not almost slick bald
» I think it is unethical to use
»

I might be wrong but I don’t remember seeing that much nape hair on most norwood 6 or 7 people, Dr. A might have a point here not using nape hair.

i agree. i see NW6 and 7 bald guys with a horse shoe rim of hair above the nape. Usually the nape is all gone. Often times even the rim is thinning out.

there’s really no safe zone.

all sectors are under attack.

That’s why I say REGARDLESS of what hair you use be it nape hair or ass hair, make sure you take Propecia or better yet Avodart. Not doing so, especially after a transplant is an invitation to disaster just a few years down the road. The younger you are, the worse off you will be.

If you are not going to take Propecia or Avodart, do not have a transplant.

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