Good job Dr. A. How many grafts were used and what is
the breakdown?
» Dear forum readers and fellow HT doctors,
»
» There are diverse interesting aspects to Zayden’s situation.
» Analyzing them is going to be educational for hair loss sufferers and
» future HT doctors alike.
»
» A simplistic approach of creating a regular hairline in front of the flaps
» will prove not only unaesthetic, but disastrous.
»
» 1. Zayden’s flaps have hair growing in three totally rare directions.
»
» 2. The left flap is located in an unnatural location (as shown in picture
» below). To place more hair in front of this flap will make the already bad
» situation worse.
»
» Regular hair transplant strategies will not work adequately.
»
» We have completed this stage of his repair and much is visible in the
» pictures, but, I would still like to hear your thoughts. What strategy
» would you have adopted in his case?
» Many readers may benefit from your comments.
Thankou for your kind regards, Dr Arvind
I can see you created a symmetrical hairline infront and below the high central scars, and you brought down the right temple, as I said you would do in my above post. That was logical, and you had plenty of donor and room to move.
That alone will improve this situation when the hair grows out
It is the LEFT flap which is more difficult.
Good luck with whatever course you take.
Dr Ray Woods
» » Dear forum readers and fellow HT doctors,
» »
» » There are diverse interesting aspects to Zayden’s situation.
» » Analyzing them is going to be educational for hair loss sufferers and
» » future HT doctors alike.
» »
» » A simplistic approach of creating a regular hairline in front of the
» flaps
» » will prove not only unaesthetic, but disastrous.
» »
» » 1. Zayden’s flaps have hair growing in three totally rare directions.
» »
» » 2. The left flap is located in an unnatural location (as shown in
» picture
» » below). To place more hair in front of this flap will make the already
» bad
» » situation worse.
» »
» » Regular hair transplant strategies will not work adequately.
» »
» » We have completed this stage of his repair and much is visible in the
» » pictures, but, I would still like to hear your thoughts. What strategy
» » would you have adopted in his case?
» » Many readers may benefit from your comments.
»
»
» Thankou for your kind regards, Dr Arvind
»
» I can see you created a symmetrical hairline infront and below the high
» central scars, and you brought down the right temple, as I said you would
» do in my above post. That was logical, and you had plenty of donor and room
» to move.
» That alone will improve this situation when the hair grows out
»
» It is the LEFT flap which is more difficult.
»
» Good luck with whatever course you take.
»
» Dr Ray Woods
Angulation!!! angulation!!! how on earth was that handled!!!
Dr. A. One can only admire the genuine attempt that you have and are in the process of making for this patient. I hope that you can bring to bear the experience that you have worked hard to build over the years. I hope that Dr. woods sees fit to call you and discuss the case as caring colleagues. Best wishes, Marco.
Hey Marco. How goes the transplant research? You have been posting on these type threads long time. Have you booked your Dr. A procedure yet?
» Hey Marco. How goes the transplant research? You have been posting on these
» type threads long time. Have you booked your Dr. A procedure yet?
No, Still in denial (actually not so much in denial but looking for a window of opportunity). Even after all the research, I am none the wiser as to where I would go or what approach. Still am not sure whether FUE combo or strip is the answer and I am certainly no advocate of any one surgeon. I do respect the effort and the risk that Dr. A has exposed himself to!!!
Nice job framing his face, at least that’s what it seems like thus far. I wonder what density you gave him in the frontal hairline.
Good luck, I can’t wait to see your results.
» Good job Dr. A. How many grafts were used and what is
» the breakdown?
5279 Grafts and the breakdown are 96 Grafts, so the net is 5183 Grafts
» Certainly there will be an improvement, for the following reasons.
»
» The scars , horrific as they are, are relatively thin and narrow, and as
» seen in the photos with his hair grown out, are capable of being camoflaged
» with hair in the right places. A totally shaven head shows the whole
» disaster. But when “after” comparison shots are shown, his hair will be
» long
»
» The worst scarring is HIGH above the forehead.
»
» This means a symmetrical hairline can be created a few centimeters below
» these scars , and not be too low. And when grown out, this hair will hide
» the scars.
» So, basically, he is a Norwood 6/7 with HIGH “concealable” scars.
» Of course, the right temple needs to be brought down and in line with the
» other side.
»
» His donor is thick and dense. He may even have good body hair etc, So if
» the transection rate is low and plenty is available, there is enough to do
» the front and hopefully the centre and crown.
»
» An excellent result is quite achievable
»
» So I sincerely hope it all goes well .
»
» But calling this an "IMPOSSIBLE REPAIR ", is simply untrue. Even an
» “average” hairline below the scars with long hair covering them, will be a
» massive improvement .
»
» I don’t mean to down play the fact that it is still a difficult job. I am
» just providing a little balance in view of some of the claims made about
» the impossibility of this case etc
»
» And if Dr Arvind is doing this as a charity case, that is truly
» commendable and gracious, and he is entitled to good and fruitful publicity
» for helping out this poor guy.
»
»
» Dr Ray Woods
any chance you are down playing how difficult this is so that u can make dr. arvind look incompetent if zayden doesn’t end up with spectacular results?
Dear forum readers,
There are many distinguishing features of Zayden’s case.
I shall discuss some of them here.
-
Zayden’s flaps were taken, (at least in part), from above the safe donor area of the scalp. As a result, progression of MPB was expressed as loss of hair in the flap. This accentuates the asymmetry.
-
The flaps are unequal and asymmetrical to start with. Unequal length of the flaps coupled with their differing hair directions can be seen in the pictures.
-
2 strip were also excised to perform FUT to rectify the asymmetry created by the flaps. While not being successful, they did reduce the available scalp donor.
-
Zayden is a Norwood 6.
Regards,
Dr. A
Zayden, the initial results look great! Best of luck with your future procedures and I look forward to seeing the results.
» 3. 2 strip were also excised to perform FUT to rectify the asymmetry
» created by the flaps. While not being successful, they did reduce the
» available scalp donor.
Really? I didn’t notice any strip scars in the back of his head.
Don’t be ridiculous Frodo. This is a tuff case. But not “The most impossible.” .Any improvement is a bonus. And correction of bad flaps and scarring are around the internet you just have to look. I know Woods . and Cole have a few. I like the post op work looks very promising. But what I don’t like is the marketing. I think if any patient looking for repair first contacts a doc in private has the work done and reports after with detail. It’s a much better approach.
» Dear forum readers,
» There are many distinguishing features of Zayden’s case.
» I shall discuss some of them here.
»
» 1. Zayden’s flaps were taken, (at least in part), from above the safe
» donor area of the scalp. As a result, progression of MPB was expressed as
» loss of hair in the flap. This accentuates the asymmetry.
»
» 2. The flaps are unequal and asymmetrical to start with. Unequal length of
» the flaps coupled with their differing hair directions can be seen in the
» pictures.
»
» 3. 2 strip were also excised to perform FUT to rectify the asymmetry
» created by the flaps. While not being successful, they did reduce the
» available scalp donor.
»
» 4. Zayden is a Norwood 6.
»
»
» Regards,
» Dr. A
What about the angulation of some of the hair from the flap, are you going to correct that?
» Don’t be ridiculous Frodo. This is a tuff case. But not “The most
» impossible.” .Any improvement is a bonus. And correction of bad flaps and
» scarring are around the internet you just have to look. I know Woods . and
» Cole have a few. I like the post op work looks very promising. But what I
» don’t like is the marketing. I think if any patient looking for repair
» first contacts a doc in private has the work done and reports after with
» detail. It’s a much better approach.
Zydan had his case sent to every surgeon that is affiliated with this board. Only two offered their services as far as I know. One of these was Arvind and the other was Bazan. Luckily Zydan made the right choice.
What marketing are you talking about? In fact your comment makes no sense. This is a report after with detail as you suggested so where is the problem???
» Zydan had his case sent to every surgeon that is affiliated with this
» board. Only two offered their services as far as I know. One of these was
» Arvind and the other was Bazan. Luckily Zydan made the right choice.
»
» What marketing are you talking about? In fact your comment makes no sense.
» This is a report after with detail as you suggested so where is the
» problem???
I can’t find the thread but I remember very clearly his case was sent to ISHRS too according to Zayden.
Come on marco you been around long enough. This guy needs to be repaired and he is on his way. The internet is a marketing tool period. Don’t think that other docs have not done pro- bono work for a minute. But if they anounced it all over then can you imagine how many phone calls they would get with inquiry’s about “he you fixed this guy now how about me” . This was not to take anything away from the repair he is getting and wish him well.
» Come on marco you been around long enough. This guy needs to be repaired
» and he is on his way. The internet is a marketing tool period. Don’t think
» that other docs have not done pro- bono work for a minute. But if they
» anounced it all over then can you imagine how many phone calls they would
» get with inquiry’s about “he you fixed this guy now how about me” . This
» was not to take anything away from the repair he is getting and wish him
» well.
it’s fine if dr. woods doesn’t wanna fix him but it’s not very nice for him to dismiss this as no big deal when another doctor tries to help,