Dr. Carman and his team placed 1821 grafts in the bilateral temple and crown area. All FU grafts, averaging 40Fu's/cm2.

Dr. Carman,

Thanks for posting. Immediately postoperative pictures look nice and clean and ultra refined.

I hope you'll have a chance in the near future to post some mature hair transplant results as well.

Thanks for participating!

Best wishes,

Falc

hey doc

the works looks good and certainly clean , i have a few questions , if you don't mind answering

how many grafts were put into the crown , and how many were used on the temple area ?

also do you sometimes shave the patient down or do you always insert the grafts with the exsiting hair left long ?

alot of guys on here always ask if docs have to shave down , some do , some don't , I'm interested in your take on this

thanks
richie

Richie48-
I'd be happy to answer your questions.
This patient had 700 FU grafts placed in the crown area, and 1121 FU grafts
in the bilateral temporal areas.
My staff and I prefer to keep the pre-existing hair long, as opposed to shaving it beforehand. We find that leaving the hair longer makes the creation of the sites and placement of the grafts a bit easier, as the pre-existing hair can be combed from side to side, or forward and backward, etc., giving us greater exposure of the underlying scalp. Also, we feel that, cosmetically, having the pre-existing hair left long places less of a burden on the patient in terms of the procedure being much less conspicuous. Again, I don't beleive there should be any hard fast rule re shaving or not; it really amounts to the individual surgeons preference.
Thank you for your interest.
Sincerely,

Timothy Carman, MD

Dr. Carman,

Thank you for taking the time to share these impressive and ultra refined results. We look forward to seeing more of your work on this community.

Pat

quote:

Also, we feel that, cosmetically, having the pre-existing hair left long places less of a burden on the patient in terms of the procedure being much less conspicuous

No offense, but Im worried more about the finished product. If shaving is gonna be better for the end result then so be it. Shave it!

BTW, Looks really good! Mis read comment. Sorry!

This result looks very nice at this stage. I think the density blending into the existing hairs outward into the area where it was more sparse looks natural. Nicely done Dr. Carman.

Thank You , Rambler.

Timothy Carman, MD

Hey Dr. Do you have any grown out pics? Are you new to the hair restoration field?

PleaseGrowPlease-
I have been purposefully placing recent cases on the photo album section so that members may follow along in real time with patient progress.
As I have had other requests in addition to yours, I will be placing some "grown out" examples in the near future as my schedule permits.
I have been involved in Hair Restoration Surgery for 5-6 years now.

Timothy Carman, MD

I don't know why everybody is saying nice result. That is not yet the final results and 1000grafts in the hairline is not going to give a huge impact in terms of density and aesthetics

Thanks doc but grown out pics is what we CRAVE. Ive seen hundreds of immediate post op pics with no final result ever shown. When you have time it would be nice to see maybe 5 postop pics from day one to month 6-10

Anouar I think Pat was the only one who used the word result but was commenting on the work not the final result. You right though 1000 grafts will not be a huge impact . Now if all 1800 were used then thats a different story but maybe they have a second surgery in mind. Some doctors prefer to do it in stages since hardly anyone just needs one surgery. The most impressive hairlines Ive ever seen had two surgeries . There are alot of one and done hairlines but even those could use a little refinement

Dear forum members,

I have been asking Dr. Carman for examples of surgical and grown out patient results. I'm pleased to see that he has been getting involved with us and posting immediately postoperative pictures so far. I expect we will see some true result pictures in the near future.

Best wishes,

Falc

quote:

I don't know why everybody is saying nice result. That is not yet the final results and 1000grafts in the hairline is not going to give a huge impact in terms of density and aesthetics

Anouar,

The session above is for 1821 grafts, not 1000 grafts, and placed in a small area like above should make for a very nice cosmetically pleasing result.

Falc

ok Falc. if you want me to be precise I'll do that. 1121 in the front the rest went in the back. You still think he is going to get nice coverage in the front as well as the crown. I seriously doubt it. I had a 1000g in my hairline at the time when my hairline was like his and to be honest it still looked thin

Anounar,

I think you'll be surprised at how a little can sometimes go along way depending on placement and hair characteristics.

If you look at some of the closeups, the hairline is relatively densely packed (as said above approximately 40 FU / cm2).

The average density of hair for those with no loss is 80 FU / cm2. One typically only needs to acheive 50% of their original hair density to achieve an illusion of fullness.

The crown will clearly be a little thinner, but this patient can always go for more surgery in the future. Many surgeons won't transplant too much in the crown on patients with minimal loss and a young age to prevent the possibility of the halo effect. See Why is My Hair Transplant Doctor Waiting to Transplant Hair in the Crown? written by Dr. Beehner who is one of our recommended hair transplant surgeons.

Regards,

Falc

Anouar,

I used the word results, but if you notice I said *at this stage*. After looking at thousands of before during and afters, you get a sense of how things will turn out. Of course we are all interested in the final outcome, I would think many of the other members can tell a good procedure at this stage.