Dr. A s Clinic
Valued member
Patient Nickname - Hair repair.
The patient first visited us in 2008. He had recieved a very bad and unsuccessful hair transplant at some other clinic 3 years ago.
(Please note there are graphic surgery pictures that may require viewer discretion).
He underwent a 3245 FUHT (+ 10 chest + 11 beard) grafts procedure in early 2008 to repair the previous surgery.
Since Hairrepair has depleted donor hair supply due to his previous surgery, the aim of the repair was coverage and natural look rather then density.In 2009, Hairrepair visited us for follow up. His appearance has improved remarkably. He no longer wears a cap and the hair looks natural.
Following are video and some pictures taken pre op and during Hairrepair's repair HT
Pre operative video is viewable at the following link http://www.hairsite.com/hair-loss/img/uploaded_files/12_file27.wmv
Two more pre op pictures
So often, I see repair cases that convince me that doctors underestimate the requirement of proper training.
Vikram is another instance of greedy physicians undertaking FUE, thinking its just about holding a punch and coring away.
This is the third such patient I have seen. But I suspect there are more out there in similar unfortunate situation.
We performed a strip FUHT - both in an attempt to repair some of the frontal areas and to excise many of the cysts the patient could feel in his donor area.
At the time of taking out the strip, my fears were confirmed.
Entire full thickness grafts had been buried and the scalp skin had healed over them - trapping them underneath.
I suspect the cause was overtumescence and random high speed "coring".
We have sent the cysts for Histopathological examination and plan to present these cases as case report for the medical journals. Hopefully, this will dissuade doctors from undertaking such cowboyish approach.
The following are some pictures taken at the time of Vikram's repair HT at our clinic.
The donor area with the hair buzz cut to 1mm
The initial strip incision reveals one of the cyst (pointed with the yellow arrow) lying close to the edge of the strip.
Some of the cysts that were dissected out and later sent to the lab.
The following is a picture when we dissected one of the cysts to try to see the amount of hair growth and its contents.
I think, if the cysts are left in situ, they will gradually increase in size due to the increase in epidermal debris, inflammatory cells, hair keratin etc. The body will attempt to encapsulate it.
The patient first visited us in 2008. He had recieved a very bad and unsuccessful hair transplant at some other clinic 3 years ago.
(Please note there are graphic surgery pictures that may require viewer discretion).
He underwent a 3245 FUHT (+ 10 chest + 11 beard) grafts procedure in early 2008 to repair the previous surgery.
Since Hairrepair has depleted donor hair supply due to his previous surgery, the aim of the repair was coverage and natural look rather then density.In 2009, Hairrepair visited us for follow up. His appearance has improved remarkably. He no longer wears a cap and the hair looks natural.
Following are video and some pictures taken pre op and during Hairrepair's repair HT
Pre operative video is viewable at the following link http://www.hairsite.com/hair-loss/img/uploaded_files/12_file27.wmv
Two more pre op pictures
So often, I see repair cases that convince me that doctors underestimate the requirement of proper training.
Vikram is another instance of greedy physicians undertaking FUE, thinking its just about holding a punch and coring away.
This is the third such patient I have seen. But I suspect there are more out there in similar unfortunate situation.
We performed a strip FUHT - both in an attempt to repair some of the frontal areas and to excise many of the cysts the patient could feel in his donor area.
At the time of taking out the strip, my fears were confirmed.
Entire full thickness grafts had been buried and the scalp skin had healed over them - trapping them underneath.
I suspect the cause was overtumescence and random high speed "coring".
We have sent the cysts for Histopathological examination and plan to present these cases as case report for the medical journals. Hopefully, this will dissuade doctors from undertaking such cowboyish approach.
The following are some pictures taken at the time of Vikram's repair HT at our clinic.
The donor area with the hair buzz cut to 1mm
The initial strip incision reveals one of the cyst (pointed with the yellow arrow) lying close to the edge of the strip.
Some of the cysts that were dissected out and later sent to the lab.
The following is a picture when we dissected one of the cysts to try to see the amount of hair growth and its contents.
I think, if the cysts are left in situ, they will gradually increase in size due to the increase in epidermal debris, inflammatory cells, hair keratin etc. The body will attempt to encapsulate it.
