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RP - 3510 FUHT + 25 beard hair (repair HT result) Dr. A\'s Clinic


#1

Patient nicknamed RP.
History : RP underwent his first “hair transplant” from a plastic surgeon in Mumbai. He was not satisfied with the outcome and visited us for his first stage repair HT in 2007.

RP is pleased with the outcome of his repair with us and has some time ago went for further HT at our centre.

Before

After


#2

RP’s case highlights the plight of many similar patients who have undergone their hair transplant without thorough research.

In this case, for example, a full length strip was taken with just a couple of hundred growing grafts to show for it.

Even the grafts that got placed and grew were at extremely unnatural angles and far apart.

Here are some pictures taken before the repair surgery at our centre.

Close up of the hairline where the grafts got placed from the earlier doctor (outlined in black). A similar number of grafts on the other side of the hairline was all there was to see for a full length ear to ear strip.

This is the picture with dry hair and in the way the patient combed his hair

This is a picture with the hair wet to show the top/vertex area

RP elected to get grafts transplanted mostly on the top and the sides of the hairlines when he underwent his HT repair with us. Temple points were also recreated.
(But no dramatic change in the frotal view)


#3

Some after pictures taken recently in 2010

Temple points

Hairline

Profile picture

For comparison, below are pictures taken in 2007 before RP’s repair HT with us


#4

Excelent work from an excelent clinic but a few observations.

1: The hairline is just a litle stark as is the case usually with strip. Could you not as a matter of course add a few nape hairs to feather the hairline?

2: Your photo documentation is probably the most honest and clear of all clinics. In quite a few of your patients, including this one there is not “portrait” “dishonest” “manacured” shot. We need to see such shots IN ADDITION to the type you show so that we can suspend disbelief and win our hearts and minds.

3: I allways wonder with these kind of cases why a few hundred grafts cant be used to “dust” the remaining crown prior to any further surgery.


#5

» Excelent work from an excelent clinic but a few observations.
»
» 1: The hairline is just a litle stark as is the case usually with strip.
» Could you not as a matter of course add a few nape hairs to feather the
» hairline?
»
» 2: Your photo documentation is probably the most honest and clear of all
» clinics. In quite a few of your patients, including this one there is not
» “portrait” “dishonest” “manacured” shot. We need to see such shots IN
» ADDITION to the type you show so that we can suspend disbelief and win our
» hearts and minds.
»
» 3: I allways wonder with these kind of cases why a few hundred grafts cant
» be used to “dust” the remaining crown prior to any further surgery.

Dear Marco,

  1. Yes, since the patient has coarse, thick calibre hair, the hairline may look a little stark in close up pictures, especially with the hair combed back.
    Yes, it is possible to add finer calibre nape hair to feather the hairline. However, this has to be a choice of the patient. In this case, at present the patient does not want that approach. Moreover, this may not necessarily be the final hairline.

But in willing patients, ideally, hairline feathering can be performed using finer nape hair or body hair.

  1. Thank you. I will keep your request in mind.

  2. A few hundred thick calibre grafts in a barren scalp crown area poses certain problems.
    Naturally thinning crown has a combination of fine, vellus hair and thicker terminal hair.
    Contrast this with a bare scalp with just thick calibre scalp hair at very low density. It will look odd.
    The one option where this can be used is if the patient desires to thinly populate the scalp and thereafter use Toppik/kerasome.
    In the end the choice will have to be discussed with the patient and the doctor. In some instances this approach may work.

Regards,
Dr. A