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Dr. Jean Devroye, HTS Clinic / 4418 (78 + 2903 + 1437) FUE Repair

Dr Devroye

Dr Devroye

Valued member


27 years old at the time of the first surgery (Test 2015)
In 2012, he had a previous procedure done in another clinic, 2300 FUE grafts.
Treatments : to be confirmed.
Medium caliber hair.
Fragile follicular units.
Normal % of hair in the telogen phase.


This patient presented for the first time to my office in October 2013, one year and a half after undergoing a 2300 FUE graft procedure in another clinic. This previous procedure ended up with poor results and, worse still, two weeks after the surgery the patient started to develop a severe shedding due to psoriasis and dermatitis. This condition (never experienced before) affected him to a great extent both physically and emotionally, so much so that he didn't dare to go out without wearing a cap anymore. During this first consultation, I suggested he start a treatment based on Nizoral and corticosteroids in order to mitigate the shedding.

In March 2014, the patient showed important improvements in regards to the skin diseases. However, I suggested him to wait further before performing a hair transplant procedure since the dermatitis was still present at that time.

In February 2015, the patient informed that the symptoms were reduced, nevertheless still evident. Despite that, we agreed upon performing a small test (+/- 100 FUE grafts) in order to check the regrowth rate and if psoriasis/dermatitis would develop again after the transplant (hence to verify the viability of a more important procedure).

In July 2015, the test was performed - 78 FUE grafts implanted in the vertex area. The test proved to be successful. Nevertheless, I suggested him to wait again for complete healing before performing an important procedure: analysing his evolution, the symptoms were likely to develop quite rapidly and unforeseeably.

In December 2015, the patient announced that his skin lesions had completely disappeared. So, in February 2016, we were finally able to perform the first procedure to restore his hairline, frontal area and a part of the midscalp - using 2903 FUE grafts. I also suggested him to continue to wear his hair very short after the procedure since I found that UV rays had a positive impact on the skin disease.

The patient was extremely pleased with the results obtained and decided then to perform a second surgery in order to restore the vertex area. In August 2017, we managed to transplant 1437 FUE grafts (because of his limited donor resources). The last pictures sent by the patient show the current situation, nine months after the second surgery. The regrowth appears satisfying, the density acceptable : if he wishes to further strengthen it, we could consider a BHT complement in the future.


1st Surgery (TEST) - July 2015

78 grafts
Technique: FUE
Incisions: N/A
Grafts Breakdown: N/A
Total number of Hair: N/A
Average Hair/Graft: N/A

2nd Surgery (FUE I) - February 2016

2903 grafts

Technique: FUE
FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE.
It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself.
The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure.
The system is now used worldwide and several dozens of surgeons or centres are already using it.

Incisions: 40-45/cm2

Grafts Breakdown:
1042 Single FUE grafts
1698 Double FUE grafts
159 Triple FUE grafts
4 Quadruple FUE grafts

Total number of Hair: 4931

Average Hair/Graft: 1.70

3rd Surgery (FUE II) - August 2017

1437 grafts

Technique: FUE

FUE scoring and extractions executed with my WAW system.

Incisions: 25-30/cm2

Grafts Breakdown:
147 Single FUE grafts
936 Double FUE grafts
339 Triple FUE grafts
15 Quadruple FUE grafts

Total number of Hair: 3096

Average Hair/Graft: 2.15

Dr. Jean Devroye





































4 awesome repairs with SMG
Big improvement, i got to say i love the ethical approach telling this guy to wait and helping him get over his scalp condition first, followed by the test in the Vertex. Many of the shall we say non ethical type doctors would have just taken this guys money and done the HT straight away these days.
I notice you said that the shorter hair helped with his condition because of the UV rays....funny you should say this as i too find when i get a bad flaky scalp (not to this extent) if i buzz cut my hair it does help me too to get rid of the flakyness.
Well done and thanks for sharing ¬b`


Valued member
Ahhhh thank you for posting this case and all the best for the future for this patient , I have had HTs , however I had this kind of problem over 1 year ago it was terrible my hair started falling out in spades , We had been under so much stress at the time within the family , anyway it cleared up and I am glad to say my hair has grown back in , it was such emotional time for us
Dr Devroye

Dr Devroye

Valued member
Dear bullitnut, dazzster,
I appreciate your kind comments, thank you for your sharing your experiences as well.
Indeed, the UV rays had helped the patient heal from the skin diseases he was suffering. I'm glad you mentioned that you also experienced these benefits.
These conditions actually bring a lot of stress for the patient who experience them, especially if they manifest after having undergone a hair transplant procedure. However, these are in most cases temporary and disappear realtively shortly if treated with the correct medications.
Kind regards,


Wow excellent care, planning and management for this patient!