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Vertex Hair Clinic- Dr. Taleb Barghouthi- 7 months results

vertexhair

vertexhair

member
Patient details:
-30 years old male
-NW 6 pattern
-On minoxidil and finasteride for maintenance. Commenced at time of consultation. Minoxidil withheld 2 weeks prior to surgery.
-No medical history of note
-Oily scalp on scalp analysis studies- regulated pre-op

Surgical details:
-Good donor supply and hair calibre in donor area
-Total advised surface area of transplantation is around 115 cm2
-Shaved technique
-Motorized FUE excision of 2495 follicles. Was originally scheduled for a higher number but this was deemed sufficient given the calibre of hair and quality of grafts.
-Follicles breakdown: Singles: 450, doubles: 920, triples: 625, quadruples: 500
-Average hairs per follicle 2.47 hairs.
-Areas transplanted: hairline, frontal zone and added density in Mid scalp. No crown work done at this current stage.
- Photos pre-op and 7 months after.
 

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reddwarf

member
Nice transplant result! Does he plan on having surgery to the crown now he's seen how good the rest looks?
 
vertexhair

vertexhair

member
Thank you @reddwarf for your message. Yes. The initial plan was to delay the crown given his age and the advanced loss pattern. It was anticipated that he may need most of the grafts to the front and mid section. Nonetheless, he is opting to add some density to the crown after the final results of this transplant.
 
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reddwarf

member
Thanks for answering. How much donor does he have left approximately to cover the crown then?, it looks in good shape in the photo.
 
DrTBarghouthi

DrTBarghouthi

member
Thanks @reddwarf. This patient had a good hairs/follicle ration and a good hair calibre, so we were able to good very good coverage and density with under 2500 grafts. His donor looks good and I expect at least 3500-4000 still left in reserve. I also kept a 1.5 cm area in the mid donor area were we did not extract from (virgin donor) for any future FUT in case he decided to go for it.
 
DrTBarghouthi

DrTBarghouthi

member
Dear forum members,
it was brought to our attention that there has been a mixup with some of the details regarding this case that I would like to correct:
The total number of grafts was 2945 and not 2495. 400 single hairs were used and not 450. His average number of hairs/ graft was 2.55 and not 2.47. The results shown in photos are 7 months after as we’ve had no proper photos after that since due to the patient being abroad since. Apologies for the slight mix up in numbers which happened as a result of having multiple surgical details sent out at once for posting over here.
 
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AlbertPeeby

member
I like his result with leaving the crown for later or improvement from Finasteride. Does the oily scalp make a difference to the transplant or surgery?
 
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