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Hair Restoration Research Forum Visits to Leading Hair Transplant Clinics Visit to Dr. James Vogel's clinic in Baltimore, MD (Personal Album)|
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| Dr. Vogel has been involved in hair transplantation for many years. After seeing him and his staff performing hair transplantation, it's apparent that he has kept pace with all the most recent advances including ultra refined grafting and the trichophytic closures. As an experienced board certified plastic surgeon performing surgery in a beautiful state licensed facility, Dr. Vogel brings considerable surgical experience to every hair transplant surgery. He places great emphasis on state of the art surgical practices and patient safety. While just less than half of Dr. Vogel's plastic surgery practice is hair transplantation, his strong skills as a plastic surgeon make his donor closure in particular highly refined. To optimize the quality of his donor closure Dr. Vogel does a "double layer closure" in which both internal and external sutures are used to close the donor area after the donor strip has been removed using a single blade. The internal suture below the surface of the skin/epidermis bring the edges of the donor area together so that the external surface suture/stitches have minimal tension or pull on them. This reduces the tension on the suture and skin and the potential for stretching and scarring. He also performs the trichophytic closure technique to minimize the visibility of the donor strip scar. This technique enables hairs to grow up and through the thin scar in the donor area, thus covering and disguising the thin narrow scar. He has up to seven experienced medical technicians available to assist in performing hair transplantation. This enables his clinic to provide sessions up to 3,000 grafts. However, Dr. Vogel is reluctant to remove donor strips wider than 1.5 cm in order to minimize any chance of scarring or stretching in the donor area. Thus his sessions rarely exceed 2,500 grafts. While his session sizes are not as large as some clinics, the quality and refinement of the procedure are world class. Dr. Vogel uses a 19 gauge needle, which makes small incisions that are approximately 0.9 mm. Given the small size of these incisions his staff has moved toward trimming tiny grafts that typically contain mostly one and two hair grafts and very few three hair grafts. His surgery in recent years has evolved toward ever greater refinement and is now truly ultra refined. Patient Observation: Patient during the day of my visit received 2,347 follicular unit grafts from a strip measuring just over 1 cm wide and approximately 19 cm long. Incisions made by the tiny 19 gauge needles were very minimally invasive. Dr. Vogel also took care to control the depth and orientation of each incision. Note - Patient had a slight skin/scalp condition prior to surgery. |
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Hair Restoration Research Forum Visits to Leading Hair Transplant Clinics Visit to Dr. James Vogel's clinic in Baltimore, MD (Personal Album)