Randy (4500 FUHT) - 8 months update

[Dr_Arvind]

Dear forum readers,
Randy is a forum poster patient.

He underwent a 4500 strip FUHT procedure almost 8 months ago.

His 8 month update can be read at the following link.
Click on the pictures to see large images.

http://smarthairloss.com/hair-loss/blog/randy99

Regards,
Dr. A

[JonnyE]

» Dear forum readers,
» Randy is a forum poster patient.
»
» He underwent a 4500 strip FUHT procedure almost 8 months ago.
»
» His 8 month update can be read at the following link.
» Click on the pictures to see large images.
»
» http://smarthairloss.com/hair-loss/blog/randy99
»
» Regards,
» Dr. A

Looks great for only 4500 grafts. Great work on the crown.

[johnp]

Dr. Arvind, I noticed that you have been posting more and more strip results lately. That is not a good sign. I hope you are not focusing more on strip and de-emphasizing fue and bht to your patients.

[JonnyE]

» Dr. Arvind, I noticed that you have been posting more and more strip
» results lately. That is not a good sign. I hope you are not focusing more
» on strip and de-emphasizing fue and bht to your patients.

Its not really up to him, if his recent patients all have requested FUE then thats the surgery he has to perform.

[johnp]

» » Dr. Arvind, I noticed that you have been posting more and more strip
» » results lately. That is not a good sign. I hope you are not focusing
» more
» » on strip and de-emphasizing fue and bht to your patients.
»
» Its not really up to him, if his recent patients all have requested FUE
» then thats the surgery he has to perform.

Any chance more people are requesting strip because he did not properly explain to the patients the benefits of FUE over strip?

[JonnyE]

» » » Dr. Arvind, I noticed that you have been posting more and more strip
» » » results lately. That is not a good sign. I hope you are not focusing
» » more
» » » on strip and de-emphasizing fue and bht to your patients.
» »
» » Its not really up to him, if his recent patients all have requested FUE
» » then thats the surgery he has to perform.
»
» Any chance more people are requesting strip because he did not properly
» explain to the patients the benefits of FUE over strip?

Well there are a lot more photos of megasession strips so maybe they feel more comfortable with what they will get in the end result.

[James_Bond]

» Dear forum readers,
» Randy is a forum poster patient.
»
» He underwent a 4500 strip FUHT procedure almost 8 months ago.
»
» His 8 month update can be read at the following link.
» Click on the pictures to see large images.
»
» http://smarthairloss.com/hair-loss/blog/randy99
»
» Regards,
» Dr. A

First, I commend you for posting photos in strong lighting. You are rare in that you make no attempt to camouflage the results and truly attempt to show the way the hair really turned out. More docs should provide strong lighting at the edge of the hairline so patients can realize the true density and quality of the HT. The lack of density in this result could and would easily be covered up by many other docs by simply changing the focal point of the eye by playing with the lighting in the photo.

The work is good, but IMO could be improved somewhat if you went for a more naturally receded adult hairline and provided a little bit of extra density at the edge using the grafts saved.

I’m not a HT doc though, so I could be wrong.

[Dr_A_s_Clinic]

» Dr. Arvind, I noticed that you have been posting more and more strip
» results lately. That is not a good sign. I hope you are not focusing more
» on strip and de-emphasizing fue and bht to your patients.

Unlike other clinics, our patient base is scattered all over the world. Europe, Americas, Australia, Africa and Asia.
We post the updates of the patients who take time to share their results. But, we never pester them.

You will find lots of patients of all types of races as well as procedures.

There is no change in our policy.
We educate the patient in all respects of both the methods and let them make their own choice.
"A hair transplant is supposed to fit in a Life. A life is not supposed to be planned around the hair transplant. "
Not my words. Dr. A’s. But they sum up the things pretty much.

[Dr_A_s_Clinic]

» » Dr. Arvind, I noticed that you have been posting more and more strip
» » results lately. That is not a good sign. I hope you are not focusing
» more
» » on strip and de-emphasizing fue and bht to your patients.

And, BTW, no, we have not shifted our focus from FUSE and BHT to strip. We have the most results from BHT and FUSE documented on this forum. That should answer for itself.

[marco]

» » » Dr. Arvind, I noticed that you have been posting more and more strip
» » » results lately. That is not a good sign. I hope you are not focusing
» » more
» » » on strip and de-emphasizing fue and bht to your patients.
»
»
» And, BTW, no, we have not shifted our focus from FUSE and BHT to strip. We
» have the most results from BHT and FUSE documented on this forum. That
» should answer for itself.

I do think that JohnP has a point. Dr. A’s practice has been one of several clinics that promoted FUE as a potential replacement for (all) FUT. Other clinics have said that FUE is not suitable in some cases and strip has its own place. The large proportion of strip being perfomed by Dr. A does make some of us wonder if FUE has not proved as sucessfull as strip in some cases.

[johnp]

» » » » Dr. Arvind, I noticed that you have been posting more and more strip
» » » » results lately. That is not a good sign. I hope you are not
» focusing
» » » more
» » » » on strip and de-emphasizing fue and bht to your patients.
» »
» »
» » And, BTW, no, we have not shifted our focus from FUSE and BHT to strip.
» We
» » have the most results from BHT and FUSE documented on this forum. That
» » should answer for itself.
»
»
» I do think that JohnP has a point. Dr. A’s practice has been one of
» several clinics that promoted FUE as a potential replacement for (all)
» FUT. Other clinics have said that FUE is not suitable in some cases and
» strip has its own place. The large proportion of strip being perfomed by
» Dr. A does make some of us wonder if FUE has not proved as sucessfull as
» strip in some cases.

Marco, look no further. HDC used to post FUE results. Well, not anymore. Everything I see from HDC lately is strip. Ask yourself when was the last time they posted FUE results?

[carrot]

Thanks for the honest pics. nice result.

Dr Arvind, When transplanting between native hairs, what precautions do HT doctors take to prevent the native hair from being damaged?

In the after pics I see good growth from the top angle.So its a nice result (I couldnt post that after pic)

[Dr_Arvind]

» Thanks for the honest pics. nice result.
»
»
»
» Dr Arvind, When transplanting between native hairs, what precautions do HT
» doctors take to prevent the native hair from being damaged?
»
» In the after pics I see good growth from the top angle.So its a nice
» result (I couldnt post that after pic)

Dear Carrot,
The key to minimising shockloss is to trim the pre existing hair short in the recipient area, and thereafter, to make the recipient slits parallel to the direction of the hair follicle.
Apart from that the anti inflammatory protocol used with the anesthetic helps too.

I am thankful to Randy99 for taking out time and making effort to organize the blog documenting his HT progress.
Regards,
Dr. A

[marco]

» The key to minimising shockloss …
» Apart from that the anti inflammatory protocol used with the anesthetic
» helps too.

Dear Dr. A,
I think that many of us would be very interested to expand on this. I have seen arguments (by surgeons) for minimising vasoconstriction and anti-inflammatories as well as opposing views but I have never seen an educated or experimental argument in this area even though everyone instinctively believes it to be important.

Regards,
Marco

[arun]

Looks like a very good result and honest presentation. As usual.
The specially like how natural the crown looks, though it can do with more thickening.

[Dr_Arvind]

» » The key to minimising shockloss …
» » Apart from that the anti inflammatory protocol used with the anesthetic
» » helps too.
»
» Dear Dr. A,
» I think that many of us would be very interested to expand on this. I have
» seen arguments (by surgeons) for minimising vasoconstriction and
» anti-inflammatories as well as opposing views but I have never seen an
» educated or experimental argument in this area even though everyone
» instinctively believes it to be important.
»
» Regards,
» Marco

Dear Marco,
I shall address this issue at a future date if I know what it is that the readers do not know.
Maybe you can start a thread summarizing what you know. I, and other doctors, can add what, if anything, is left out.
Regards,
Dr. A

[Dr_Arvind]

» Looks like a very good result and honest presentation. As usual.
» The specially like how natural the crown looks, though it can do with more
» thickening.

Dear Arun,
Thanks for your kind words. The crown was not covered at complete density in the first round of transplant. This is a work in progress.
Regards,
Dr. A