Category: Photos

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Hair Loss InformationHair Transplant Results of Man with 2415 Grafts (with Photos) – Hair Loss Information – Balding Blog

This is a college professor who saw a new man in the mirror with this single hair transplant procedure of 2415 grafts. He has fine hair, which often takes more than one session for a completely full look. He told me that no one ever noticed the transition in his appearance, because the change was so slow.

Approximately 2/3rds of the transplants were placed in the first 6 inches of the hairline, which was moved forward, and some grafts were placed in the frontal part of the crown area.

Click photos to enlarge.

After (2415 grafts):

 

Before:

 

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Hair Loss InformationRepairing Old Plugs Placed Too Low at the Hairline (with Photos) – Hair Loss Information – Balding Blog

To many people that aren’t familiar with the advances made in hair restoration, “hair plugs” are still the norm. There’s nothing pluggy looking about today’s hair transplant procedures, but those bulky hair plugs of yesteryear were easy to point out and looked incredibly unnatural. I saw a patient that had an unusual placement of these old plugs and was looking to correct it.

This patient first came in about a year and a half ago with a large bald area and old-style transplant plugs that were placed far too low on the right side of his hairline. I suggested that he fill in the frontal area, and he also wanted additional grafts placed into his balding crown. A total of 1919 grafts were transplanted.

You’ll notice that the achieved result shown below is an uneven, but fuller looking hairline (we were limited to what could be done because of the placement of his old plugs). He recently came in to see me again lower the frontal hairline and I agreed to lower the left side a little to balance it out. I remembered how much he hated the plugs on his right side when we first met, and now we succeeded in managing the plugs with styling and camouflage. While that 2nd procedure hasn’t happened yet to even out the hairline, I’m glad he was so happy with the results thus far from the repair and he’s allowed me to share the photos here.

Before photo on left / After photo on right. Click to enlarge.

 

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Hair Loss InformationRepair: Old Plug Removal, SMP Into Hair Transplant Scar – Hair Loss Information – Balding Blog

This is a Norwood 6 patient who had a hair transplant done at a clinic in Europe in the 1990s with the old pluggy technique. He wanted to shave his head, but the old hair transplant donor scar and the visible plugs were a problem for him.

This patient chose a combination of (1) SMP to camouflage his old scar, and (2) the surgical removal of his old plugs. The hairs that were in the plugs were redistributed into the crown. We also transplanted a few hundred FUE grafts taken from the donor area and used them on the top of the scalp. As he does not live in the United States, he will return at his convenience on another visit for the needed touch ups. He will likely go on to cover his entire head with SMP, may also undergo more FUE grafting into the frontal hairline, which will make it appear even more natural.

At the point I last saw him, the patient was very satisfied with removing his old plugs with FUE and having SMP done into the old scar. He can stop here if he is satisfied with the result, but I anticipate more work to be done. The after photo shows the temporary redness common just after surgery. We will keep you posted when he returns to the US.

The before (left) and after (right) photos show a work in progress. Click photos to enlarge.

 

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Hair Loss InformationAm I Losing My Hair or Am I Going Crazy? – Hair Loss Information – Balding Blog

This 28 year old man came to see me, because his family said he was crazy when he mentioned that he thought he was losing his hair. He came in convinced that he is following his father’s pattern and feels that the hair in the front, top, and crown have all lost volume over the years. This is a great challenge and using the HairCheck tool showed that he has lost 40% of his hair in the front, and 47% of his hair in the crown when compared with his permanent zone at the back of his head.

Armed with this information, he was happy that he isn’t going crazy, but I don’t know that any patient has left my office truly “happy” after being told they’re losing hair. I actually thought when I first saw him that he would have no balding present at all. My eyes told me what everyone in his family told him — that he had no hair loss problem. The measurements proved otherwise. His hair is coarse (black with light skin), but because of his hair character he would have to lose over 60-70% of his hair bulk to see the impact of the loss that I measured above.

Click photo to enlarge.

 

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Female Corner Hairline Loss – An Interesting and Unique Situation (with Photos) – Hair Loss Information – Balding Blog

This patient had corner hair loss on one side of the hairline following a brow lift that she had done in 2003. We transplanted that weaker corner with 509 grafts in 2010. This is a unique case since we rarely just do the one corner, but the patient wanted to transplant just the left since the right corner did not show the same severe hair loss. We also treated the scar from the brow lift itself.

The corners of the female hairline often have slower growth than the middle of the hairline, so when one corner is transplanted with donor hair it will likely grow longer, thicker, and faster than the original corner hair. Why? Well, because her native hair in the hairline probably has a hair cycle measured in months rather than years. Now the hair that was transplanted at the left corner will most likely have to get cut frequently to maintain symmetry with the other side. We’re now planning another procedure to balance the sides out.

Anyway, this is a unique case and wanted to share. Click the photos below to enlarge.

AFTER – 9 months post-operation (509 grafts):

 

BEFORE:

 

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Hiding Old Plugs So Nobody Can See Them (with Photos) – Hair Loss Information – Balding Blog

This patient came to see us in March 2007 for 1004 grafts and then for a follow-up procedure in May 2009 of another 1045 grafts. All of these grafts were placed into the hairline to cover up old plugs. On his recent visit to the office, I couldn’t even find the old plugs… and when I told him that, he smiled ear to ear. Click the photos to enlarge.

AFTER (2049 GRAFTS TOTAL):

 

BEFORE:

 

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Hair Loss InformationSome People Prefer the Stubble Look with Real Hair (with Photos) – Hair Loss Information – Balding Blog

I believe Dr. Rassman I can shed some light on a recent post. You have answered the question many times in regards to BHT and short cut hair. I agree that it does seem somewhat pointless to shave ones head after recieving a hair transpant however I do understand the logic behind it. With a short cropped haircut (even a #1 clipper shave) you can still see a visible hair line that defines the face much like the tattooing service you are now offering. With a completely shaved head it is not visible.

Many people such as myself would prefer real hair on their head rather than ink although I must admit that the results do look pretty good. None the less body hair is different than scalp but cut short can offer a more realistic illusion of stubble that in this day and age appears acceptable if not attractive. Counter argument it is very expensive for just stubble. Agree?

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Why would you bother with body hair transplants (BHT) when you can use your scalp hair? Body hair tends to be texturally different. If you truly want a stubble look with real hair, using Scalp MicroPigmentation (SMP) with scalp hair extracted with FUE is a good way to accomplish this. On the flip side, patients who’ve had a hair transplant and want the closely cropped look would already have stubble, so SMP is a great option to add the appearance of fullness.

Here’s an FUE patient who had very little restoration work done — under 600 grafts to the front corners — and later decided to shave his head. On the top of his head, the hair is miniaturized so it appears thin and lighter in the picture. The following result shown is immediately after the first SMP session. This will fade slightly as the color sets and the client will return in 3 to 4 days for a touch-up. (Note that because the photo was taken immediately after the SMP session, you can still see some initial redness.)

Before SMP on left; After SMP on right. Click photos to enlarge:

 

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Hair Loss InformationUsing SMP to Create More Fullness in Transplanted Patient (with Photos) – Hair Loss Information – Balding Blog

This patient received 1260 grafts in 1998, but over the years he continued to thin in the front and top of his head. He came in last month for Scalp MicroPigmentation (SMP) in hopes of adding fullness to the area immediately behind the frontal hairline. The results are spectacular and he avoided another surgery as a result.

The use of SMP for patients who were previously transplanted to create the illusion of fullness in areas where there is existing hair is nicely demonstrated with this patient. Click the photos to enlarge.

AFTER SMP:

 

BEFORE SMP:

 

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Hair Loss InformationScalp Micropigmentation (SMP) for Scar Camouflage (with Photos) – Hair Loss Information – Balding Blog

This patient came into the office with a widened scar from a hair transplant we did over a year ago. The photo at the lower left is following his second transplant procedure (the first was with another doctor). The widened scar risk increases with each additional procedure. Only the central 2 1/2 inch portion of the wound stretched 1cm (as seen here), while the two 1/2 inch wounds on either side didn’t stretch. Donor scarring is a real risk of strip harvesting for FUT but usually the scar is under 3mm in width. After the second surgery, the scar may widen as in this man.

We suggested scalp micropigmentation (SMP) for camouflaging the scar and these photos below were taken 10 minutes after his SMP session was done. This is a typical scar treatment for SMP. Sometimes a second treatment is needed. Click the photos to enlarge.

BEFORE SMP (on left); IMMEDIATELY AFTER SMP (on right):

 

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Follow-Up: Hair Transplants with Scalp Micro-Pigmentation – Hair Loss Information – Balding Blog

I received a few emails asking for more views of the Scalp Micro-Pigmentation (SMP) patient we featured last week. One specific request was to see what the scalp looked like immediately following a session. Here we go…

Going from left to right (click the photos to enlarge):

  1. First photo is his transplanted hair (before SMP). Keep in mind that he was a Norwood 6, so most of what you see there is transplanted (6900+ grafts). He wanted it to look even thicker and opted for SMP for this.
  2. Next photo is 2 weeks following the first SMP session.
  3. Last photo is immediately following his second SMP session. Patients are instructed to not wash their scalp for 3 days following a procedure. The pigment appears darker at this point than it will be once washed.

 

I’ll update this post in the next day or two with a photo of the patient after he’s washed his scalp.