solar panel wrote:
Thx Philb,
11k grafts for above average doner strip/fue would basically fully restore a NW5-6 thats great news, is there anyway of telling from pics if a person has good doner characteristics density wise? I believe i have good laxity, reading up on the forums some one posted if you can pinch scalp between fingers you have good laxity,if you are only able to move scalp up and down this is average laxity and poor laxity is when there is minimal movement in scalp as i said i,m able to pinch probably 20mm between finger and thumb.
I,m really leaning towards FUE with your clinic at the moment though as i would prefer to buzz down as low as doner allows, does Dr Bisanga utilise nape and beard hair when the doner is maxed out ?
I,m basically a NW2.5 hairline but diffuse all over in what i believe is a nw4-5-6 (i,m unsure of the difference between a NW 4-5-6) any examples would be appreciated.
If i was to get 2500 FUE in the 1st pass could the doc address the thinning areas 1st? basically 1000 FU in the front third ,1000fu in second third 500 in the final third(crown) and the same again if needed for the second pass for a total of 2000 FU in the front 2000 for mid scalp 1000 crown does this seem like a good plan? i would prefer to to stay conservative with a restoration to minimise signs ie.. redness
could Dr Bisanga estimate how many Fu i would need from a buzzed down pic ?if not what would be the minimum length to get a accurate estimate
Thx Philb your a great help
SP
P.S looking forward to the 6k FUE patients final pics
Hi SL,
To be honest scalp laxity is a funny one to judge, I have seen very lax scalps and the doc has said he would prefer to air on the side of caution and then what seemed to be tight and he has been more than happy to go more grafts than predicted; my feeling it is something that has to be left to the doctor to measure as they have the "feel" and understanding of what they can do. Open & closure techniques of Strip are changing also and this has enabled us to be able to take more grafts than say a few years ago even from a below average donor and still maintain a neat closure and good healing.
In respect of nape and beard, nape hair the doctor is not a big advocate of because the long term effects are too unpredictable, there is plenty of fine hair for hair line work around the safe zone with FUE, just have to take the time to look for it rather than risking removing from a potentially unsafe area. Beard hair is another matter and we have recently been trailing this and so far with success, the hair can be a different calibre so placement is crucial to making a natural look, but certainly it seems more predictable than traditional BH has done.
The basic difference with the high NW's without just stating the obvious...less recipient hair is really how far your front laterals, sides and back drop, this will greatly reduce the donor surface area and obviously increase the size of the recipient area, so it is a lose lose situation, more demand and less supply.
You have to be careful about spreading hair around the scalp and amongst existing hair without ensuring what you are doing will give a natural result even if your native hair thins further, planning is very important with cases of diffused thinning. The areas have to be measured for the extent of miniaturisation. 1000 grafts spread over the frontal 1/3 is very minimal and when creating a hair line 1000 grafts does almost no where in terms of coverage, so again we have to ensure that when we place we take into consideration now and the future and whether the cosmetic impact will be great enough to warrant the procedure.
Buzzed down pics can sometimes help and hinder when assessing, when possible take some of both, buzzed and with a cm or so of hair so a comparison can be made between the two.
Good luck with your research!