Dr. Jean Devroye, HTS Clinic / 5280 FUE (2008 + 2018 + 1254) / 3 sessions

[Dr Devroye]

PATIENT'S DETAILS

✓ 52 years old, NW V (diffuse thinning), losing his hair since his 30s, with a hair loss history in his family.

✓ No medications.

✓ Medium caliber hair.

✓ Normal follicular units.

✓ High % of hair in telogen phase.



RECOMMENDED TREATMENT

This patient underwent 3 FUE procedures in order to cover the whole of the thinning areas of his scalp.

The first procedure, which was originally scheduled in two consecutive days, was split in two separated sessions (two weeks apart) due to organisational reasons.

These two sessions (2008 + 2018 FUE grafts) gave a complete coverage to the patient's scalp, following a fairly conservative approach.

Six months after these sessions, the patient was already so satisfied about his results that he wished to perform a third, smaller session in order to further lower his hairline. During this third procedure, I employed single and double grafts exclusively (1254 FUE grafts).

I recently had the opportunity to welcome the patient at the clinic for a follow-up consultation, during which we took the pictures I gladly share below (1 year and 9 months after his third procedure).

Regarding the donor area management, it is interesting to underline the extraction pattern followed partially during the second and, especially, third FUE session. As it can be seen in the relevant photos, I ended the extractions in a progressive way, getting closer to the recipient area as much as possible. I tend to adopt this approach when patients are undergoing a second (or further) FUE surgery; in fact, this method allows me to avoid the so-called "fringe", a section of scalp between the donor and recipient areas which would otherwise maintain an original density, resembling a halo all around the skull and being often very ungraceful, especially when the patient wears his hair very short.

You can find more insights about this topic at the following links : Dr. Jean Devroye, HTS Clinic / 4418 (78 + 2903 + 1437) FUE Repair and Dr. Jean Devroye, HTS Clinic / 6326 FUE (4261 + 2065) / 2 sessions



SURGERIES DETAILS

1st Surgery - Mid-April 2019

✓ 2008 grafts

✓ Technique : FUE

✓ Donor area : Scalp

✓ 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.

✓ Grafts Breakdown :
☞ 361 Single FUE grafts
☞ 506 Double FUE grafts
☞ 976 Triple FUE grafts
☞ 165 Quadruple FUE grafts

✓ Total number of Hair : 4961

✓ Average Hair/Graft : 2,47



2nd Surgery - End of April 2019

✓ 2018 grafts

✓ Technique : FUE

✓ Donor area : Scalp

✓ FUE scoring and extractions executed with my WAW system.

✓ Grafts Breakdown :
☞ 107 Single FUE grafts
☞ 629 Double FUE grafts
☞ 1132 Triple FUE grafts
☞ 150 Quadruple FUE grafts

✓ Total number of Hair : 5361

✓ Average Hair/Graft : 2,66



3rd Surgery - November 2019

✓ 1254 grafts

✓ Technique : FUE

✓ Donor area : Scalp

✓ FUE scoring and extractions executed with my WAW system.

✓ Grafts Breakdown :
☞ 489 Single FUE grafts
☞ 765 Double FUE grafts

✓ Total number of Hair : 2019

✓ Average Hair/Graft : 1,61


Dr. Jean Devroye

 

[Dr Devroye]

 

[HairHunter]

Outstanding result with particular reference to the donor management.

The fringe/halo issue is something that is not addressed often enough. I know there is a fear for some of extracting outside the safe zone. My thoughts would be I would rather have these regions thinned to keep the full donor area homogeneous than worry about if these grafts are safe from future thinning.

Well done Dr. Devroye and Team

 

[GordonG]

This is an excellent result without the patient on any medication.

 

[Viking]

Phenomenal job, was good seeing all the progression photographs from beginning to the end.

 

[Dr Devroye]

Thank you all for your kind comments, I'm glad that you appreciate this gentleman's result.

Indeed, the extractions performed in the fringe section have the objective of homogenizing the donor and recipient areas density - which actually is one of the principles of FUE hair transplant procedures.

 

[smokeybacon]

Nice result and good to see a very well and honest documentation over the time.

 

[Steve10]

How do you manage thickening of the existing less dense and thinning hair on top without damaging the existing too much?

Do you just have to accept that there will be damage but that the relocated hair will , in time, over ride the existing hairs that would probably die sooner anyway?