This patient travelled from abroad for FUE. He regularly shaves his scalp and would like to give the appearance of a complete hairline instead of an isolated forelock.

We performed 1,500 FUE grafts in 4.5 hours using .9mm Feller Punch on Motorized Feller FUE handle. Entire procedure from start to finish took 6.5 hours (including lunch). He was a very easy FUE case.

BEFORE





JUST AT THE END OF PROCEDURE







AFTER 2 DAYS

Dr. Feller,

Looks like good clean and obviously meticulous work.

I look forward to seeing the results in time.

Best wishes,

Bill (Falc)

Nice work! The coalition Doc's are raising the bar everyday!

When working with the donor area, does a FUE procedure go higher in the donor than FUT? Whenever I look at FUE results I get the impression the grafts are harvested a bit higher. Thoughts?

Falc,

I totally agree, good picture documentation as well.

Mick

looks good, which punch size?

Jim,

Re-read the description above the pictures and the mystery shall be revealed unto you

Bill (Falc)

Great looking pics and great looking work as usual. Those island forelock guys are an interesting bunch. I hope that tuft of hair in the front stays strong to preserve his upcoming hairline!

FUE definatly a good step forward in HT technology, wish it was around when I first did this.

Looks good, and should look great grown out! This is the type of case I often think about, particularly for a younger guy -- this patient looks to me have thinning over his top and crown, but once this grows in and he keeps his head buzzed he will have the appearance of a robust hairline and head of hair simply buzzed down (a' la the look Collin Farrel and countless other celebs rock).

4.5 hours...is that some kind of record? Damn! Well done.

anyhow it looks very good (as good as it can at this stage anyhow). A couple of quick questions for Doctor Feller.

what was the patients goalregarding his hairstyle post HT? Is he looking to keep the buzzed look? How wide of an area was covered and what density was achieved? What kind of hair & donar did he have?
Thanks!

Thank you all very much for the comments. I'm very proud of this particular case and anticipate excellent results.

Coligion,
Yes, the donor area for FUE is much wider than that for strip surgery. The more you spread out FUE the better as the holes tend to coalese into a sheet of scar tissue making future FUE procedures that much more difficult even if this excess scar is complete invisible.

Hthelp,
I don't know if it's a record, but it's pretty good time.

This patient's goal was to keep his hair buzzed and to recreate the hairline. I don't know the exact dimensions of his case but the photos give a very good idea and his density is probably 40 plus per sq cm. His donor was excellent.

Thanks for the participation all.

Dr. F

quote:

Originally posted by Dr. Alan Feller:

Coligion,
Yes, the donor area for FUE is much wider than that for strip surgery. The more you spread out FUE the better as the holes tend to coalese into a sheet of scar tissue making future FUE procedures that much more difficult even if this excess scar is complete invisible.


Dr. F

Dr. Feller, thanks for the reply. Since FUE is much more widespread than FUT, is there ever a fear of going beyond the "safe-zone" for donor supply?

any pics of how this looks now?

At that length of hair(I'm guessing less than a #1), how many grafts do you think you can take out before noticeable gaps(scars) are left behind, preventing the patient from sporting that look? I realize this is probably dependent on the tool, donor density, donor characteristics etc., but on average what would you say?

I asked because I have a small scar I'd like to get filled in and have consulted with you (Dr. Feller) and estimated about 100 grafts would suffice. That is the length hair I'd like to be able to sport, although I'd prob wear it a little longer.

Thanks

Excellent work Dr Feller, I am booked in forsomething similiar with yourself in January! Any picture updates on this patient?

Coligion,
You asked if there is ever a fear of going beyond the "safe-zone". In my clinic, no. I mark out the extremes of the donor area so can never accidently over-run it.

Unfortunately there are several clinics the routinely over-run the safe borders-especially going down on the neck and toward the back of the ears. These areas are the "hairline" of the back and tend to be much thinner AND more fragile than grafts well within the safty zone and ABOVE it toward the crown.
I rarely if ever extract from the neck, lower donor area or extreme lateral donor area.

However, one may "cheat" a bit by invading a lower crown area IF and ONLY IF there is no sign of thinning and no family history.

While one would NEVER take a strip from the lower crown, harvesting via FUE is completely kosher and a testement to the power of this unique technique.

Sparky and Trigger,
Thank you, but I just did this case about a week or two ago. The photos you are seeing are during the surgery day and 2 days afterward just before he caught his flight back home. He promised to send photos at 6 months and beyond and of course I will post them here when he does.

Bos,
Even before the surgery he had alot of noticable gaps that were visible because he shaved his head with a bic. At a number one buzz, however, I doubt you'd notice anthing until we took away almost 50% of his donor area.

With respect to your scar, if you want to wear your hair at a number one buzz I would recommend the 100 grafts, then let it grow it out, and then possibly another 50-100 to increase the density so you can shave the hair low.

The lower you shave the hair, the higher the density has to be in the scar. But remember, even with this, the topographical change of the scar will still be there. The hair only serves to break it up.

Dr. Feller, does FUE decrease laxity for later possible strip sessions?