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Hair Restoration Research Forum Hair Restoration Results Posted by Patients Shapiro Medical - Hairline Examples (Personal Album)|
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| I've been asked to post some examples of our hairline work. There are variety of hair types as well as different degree of hairloss to show a small percentage of the hairline work done at SMG. Below is a note from Matt Zupan ("Educator") that we moved into this thread since he's addressing SMG's appoach to hairline, and hopefully eliminate any confusion. Hello, My name is Matt Zupan and I represent the Shapiro Medical Group as Patient Coordinator/Educator. In reading some of the responses to our approach or our results, I would like to offer some insight into how SMG feels we can best help our patients. Let me preface my comments by saying I think we are well proven with our hairline work, which we have shared industry wide through lectures, conferences, workshops. I think most people know that Dr. Shapiro has peen asked by his peers to run the hairline workshop at the ISHRS meeting every year for the past 10 years, as well as performed the live surgical teaching demonstration of hairlines yearly for the same period of time. Many physicians use the basic principles of hairline design he has developed and shared over the years. In reading this thread with great interest, I would like to point out a few basic factors that determine what we do within a particular procedure on an individual case basis. Have the expertise with many “tool” or “techniques to customize the best approach for an individual patient. We use all of the advanced techniques and then some. We use: Custom made blades and incisions; Microscopically trimmed intact follicular units, and the highest magnification for making incisions and implanting. We have the ability to transplant at densities from 25 to 50+ if we feel it is indicated. We have the ability to use coronal or sagittal incisions if indicated. Actually developing the expertise at using different tools is not hard for Dr Shapiro or our staff. Deciding how to use them is more important We assess individual donor supply, risks for graft survival, and vulnerability of injury to native hair. i.e a 28 y.o. patient who has had multiple past procedures at too young an age with now limited door supply and scarred recipient area will need to be more careful with the amount of grafts placed in an area than a 50 year old virgin patient with little hair loss and tons of donor. We use our experience in treating a high percentage of very particular patients over the years to the number of grafts required for most patients to be satisfied Fourth and MOST IMPORTANTLY, always remembering to ration one’s donor with an eye toward future loss Technically, we don’t nor should a patient want us to, use more hair then is necessary to in an area to meet his expectations…This ensures we have as much hair as possible to use in other areas in the future if necessary. Goals should not be to over-achieve, the goal should be to hit the optimal density without using any more hair than necessary! Generally, as much work as we feel is safe, (from our experience), is done in the first procedure. For hairlines only, we have found that most patients will ultimately be happy with any where between 1200 and 2400 FU depending on the size of the area, characteristics of their hair, and their personal goals (we consider the hairline area as the first 2-3 cm back from the border and can range for m 20-30 cm in size). We want a hairline to have enough substance and naturalness so it can stand on its own and the patient is not FORCED to do another procedure as was often the case in the past. The majority of patients are satisfied with their hairline after the first procedure, but for some a second procedure is necessary to enhance and refine slightly increase the density. This approach allows us and the patient to specifically pin point the actual number of grafts and density that will be require with out over achieving. It is much easier to occasionally add a little more hair than try to correct mistakes that occur when you are too aggressive.(hairline too low, too abrupt, too straight. and yes occasionally when multiple procedures are done in an area, too thick. Patients only get one shot at using their donor. We can always add more work. In some respects there are a few advantages that occur when one gets a second pass at a hairline no matter how great it was the first time. It is sort of like writing a paper. When you first finish writing it looks good to you. But if you put it down and pick it up a few months later you see things you could change to improve it. The same holds true for hairlines…..Even patients that are very happy with their hairlines may ask for a little refinement when they come back years later for work in different areas. It may only be a few hairs at the widows peak or tweaking a corner, or bringing it down a millimeter at one of the areas of irregularity. Dr Shapiro loves using his skills to fine tune particular patients like that. We have had some very particular model type patients come back a week after surgery for suture removal, and although they love their new hairline, they ask for 10 hairs to be put at one point or another……we are talking very particular…..and Shapiro does it because he is an artist. |
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Hair Restoration Research Forum Hair Restoration Results Posted by Patients Shapiro Medical - Hairline Examples (Personal Album)