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Salt and pepper hair - Dr. Jean Devroye, MD

Dr Devroye

Dr Devroye

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#1
58 Years old patient -first surgery. 3218 grafts/6634 hair

This patient's salt and pepper hair are thick, which is an advantage.
The total area to be covered is important : 74.4 cm for the zones 1 to 3, and 94.9 cm2 for zone 4 and 5.
There is an area on the middle front which is still well hairy and this area is not evolving since many years.
As this patient wants to fill the whole balding area, the following strategy is defined :
One, the aim is to reach as many grafts possible. Two, to cover zones 1 to 3 with a maximal density.

The small central area is grafted as well but with a lower density, the rest of the UF will be spread on the vertex (zone 4 and 5) without seeking to reach the maximal density.
The density of his donor area is on the average (69 FU/cm2). A wide strip is removed, its total area is 46.2 cm2. Therefore, we expected 46. 2 x 69 = 3096 grafts.

Finally, we will have 3218 grafts including: 747 FU1, 1662 FU2, 673 FU3 and 136 FU4, for a total of 6634 hair.
2200 grafts will be placed on the zones 1 to 3, which represents an average density of more or less 30 grafts per cm2
and the posterior area got the 1000 grafts remaining, with a minimum density of more or less 10.5 greffes per cm2. I made a trychophytique closure.
After 8 months, the regrowth is excellent and the patient is very satisfied with his new look.
He is thinking about a second transplant so to improve the density on the vertex, and maybe to add some UF on the anterior part as well.
This patient is a good example of how, sometimes, it is important to manage the surgery as we have limits imposed by the donor area, of course limited, and the recipient area which is important.
Despite the densities, relatively low because of the surface to be covered, the final aspect is entirely satisfactory.

Dr Jean Devroye MD
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http://www.hair-transplant-surgery.co.uk
http://www.hair-transplant-pictures.com/

 

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Dr Devroye

Dr Devroye

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#6

The density of his donor area is on the average (69 FU/cm2). A wide strip is removed; its total area is 46.2 cm2. Therefore, we expected 46. 2 x 69 = 3096 grafts.

Finally, we will have 3218 grafts including: 747 FU1, 1662 FU2, 673 FU3 and 136 FU4, for a total of 6634 hair.
 

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janna

janna

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#7
Very nice result, Dr. DeVroye. Great detailed documentation and write up. ¬b` Love seeing all the info.