3,200 grafts via strip.

Coverage desired over density so behind the hairline the grafts were spread out a bit more than we normal would. Because he had more 3 hair FUs than 2 hair FUs his result, even at only 7 months, is remarkable.

This patient just visited for a second procedure to fill the crown and we will post them as they become available.

Below are photos from BEFORE, JUST AFTER, and 7 MONTHS AFTER surgery:









7 months:

Spex,
One word ...excellent!

Mick

Thanks Mick - Hope you are well!

Excellent! For just 7 months, too....the continued thickening should really bring it all together....the coverage (and even density) in those top-downs is remarkable.

Awesome result, nothing less is expected from Dr. F

Nice job, similar to the case of 4034 FUs (or so, can't remember exact numbers) that was done by Dr Feller a few weeks ago.

A significant over all change and from here the patient will use this as a bench mark to determine how much more he needs if any. This allows the patient to reach his goals with out using anymore hair then necessary. I like it.

cracking result for only 7 months.
oh for those asian characteristics

Mick, Thana, Hairdew, Zup, and Blaody:
Thank you very much for the kudos.I really appreicate the comments.

He already came in to fill in the remaining crown and even to drop the hairline a bit on his left side. I will post the new photos when I get the chance. He has his own blog on this site, but I can't remember his handle.

I want to note that this partiuclar patient had an unusually large percentage of three hair FUs and is the only reason I consented to spreading his grafts out over such a large area. Rarely will a result like this be enjoyed when grafts are spread so far apart. As Balody said, he has Asian hair which means the caliber of the hair is quite thick. That helped big time.

Just goes to show, each HT is different and must be tailored as such to maximize results and minimize donor useage.

Thanks again all.

Dr. Feller

And we have a winner..... Doesnt get any better than this! The money shot "top/down" is what does it for me. Great job Doc!!!

Thank you Dakota, I really appreciate the comments.

Dr. F

Nice job.
Just curious I know you adopted the lateral slit from H@W but when I blow up your post op pics the slit sizes look different.
Is this because I believe H@W use only 1s and 2s and you dont split the threes thus needing bigger blades

Thanks PGP.
Yes I did learn lateral slit technique from Hasson and Wong. I first read about it in an old industry journal from the ninties wherein Dr. Wong discussed lateral slit, but I didn't pay it much attention at the time.

It wasn't until I met Dr. Hasson in 2002 at a meeting that we discussed it and he showed me what an advantage it was to his practice. I adopted it then and there on the spot and never looked back.

As far as Dr. H or W splitting three hair FUs, I don't know that they do that at all. I've watched both of them perform surgery live and I never saw them divide three hair FUs down.

While I don't believe I made larger slit sizes on this particular patient, I do generally make slits on asians about .1 to .2 mm longer to accomodate the larger and more fragile follicular units that they possess. None of the slits on this patient are longer than .9mm.

Dr. F

"...when I blow up your post op pics the slit sizes look different."

This would make sense

quote:

I've watched both of them perform surgery live and I never saw them divide three hair FUs down.

Nuff said.

So Jotonic since you say enough said are you saying here on this board that you plant the majority of 3 and 4 hair graft units on all your patients including the mega sessions and dont sub divide them.
This isnt a bash as the results speak for themselves .
It just hit me that when I blow up H@W post op pics the slits all look the same size .
Maybe I need glasess
Just curious . I know your a honest guy ,and wouldnt put your reputation and will be honest. So??

Oh and doc you used the same size blades for the 1s,2s,3s and 4s,
Do you remember what size blade it was

PGP, not only do I say that now it is what I've said all along. Every clinic will divide grafts to get certain sizes that may be needed for specific regions of the recipient area and we do this as well but nothing more than that. What we do not do is place "MUGS".

And the slits we make are not all the same size. It is not a matter of needing glasses, it is a matter of what the photos show vs. reality. The entire concept of the lateral slit technique is based on customization for each graft via the blade cutter that we developed for cutting surgical razor blades to size.

Now, let's move on and not hijack Dr. Feller's thread. He deserves to be able to show his work in peace.

Thank you Jo.

PGP,
I always use different sized blades for each and every case (most certainly including this one). Either two or three different sizes depending on the size of the grafts and the flexibility and vascularity of the recipient site (among other variables).

It would actually be more difficult to use the same sized slits for all grafts because the holes would be too large for some grafts causing them to "pop" and bleed more; and too small for other grafts making insertion time consuming, frustrating, and definitely more dangerous for the graft.

I beleive the number three cause of HT failure (behind poor graft cuttting technique and dessication) is manhandling of the grafts during reimplantation. This goes DOUBLE for mega-sessions.

Thank you for the comments.

Dr. F

I know you use different size blades doc .
The only reason you would use the same size blade is if all the grafts were sub-dived into 1s and twos.
Its AMAZING what a 32 inch high def monitor ,clear pictures and the ability to blow thoses pics up and then zoom and count each graft will reveal.
There no magic formula or unparalleled strip removal enabling anyone to harvest more grafts then the next clinic BUT there is the fact from at least the 10 pictures that I blew up from a certain clinic that planting under 10 % of the 3s and no 4s will give you bragging rights to the blind , deaf and stupid.
Anyway nice job on this patient and I dont want to highjack it.

Dr.feller AWESOME result!!

PGP- Wow!!.....

HMMMM!!! 32" HD monitor huh? Nice!!! You can definatly see more detail in HD. PGP are you causing trouble again? LOL!!!