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Top Surgical Hair Transplantation Hair Transplant Open Forum topic #21759
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Subject: "Pics -repair HT in April 04- comments/advise" First topic | Last topic
Dr. ArvindWed Mar-16-05 06:09 PM
Member since Jun 23rd 2004
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"Pics -repair HT in April 04- comments/advise"
Wed Mar-16-05 06:11 PM by Dr. Arvind

          

Dear forum readers,

Repair of a wrongly performed hair transplant involves decision making in equal parts on the side of the doctor as well as the patient.
Sometimes, the patient may be wary/unwilling to follow certain approaches that the HT doctor may feel will do good.
In such a situation the patient may have a plan of action in his own mind.
Some such approaches may be beneficial, others maybe not.

Following are pics of a patient who had plug grafting done 3 years back from some other clinic.
He visited us in April 04 for his first repair procedure.
There are some decisions the patient made at that time.

.

Patient in April 04


Close up




The patient was against excising any of the plugs.
Moreover, he did not want a low hairline that may camoflage all the grafts.

He wanted that we work above the second row of plugs on the left side of his hairline.

He has some plugs in his temples too but was very firmly against total excision of the plugs in those rows/temple as he felt excision and closing with the stitch may still leave some residual scar.

We were , therefore, limited in our possibilities.

He came for further work in Feb 05 so we were able to reveiw his progress.
I will post the pics of the results of the repair we performed in April 04 soon.
But I would request comments from forum members as to what course of action they would have chosen and why?

I feel it may benefit many forum readers who may be in similar situation to help form their own approach to their repair.

Regards,
Dr.A

Dr.(Capt) Arvind Poswal
Dr. A's Clinic,
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Timings-10a.m.to 5p.m
Scalp & Body hair transplants.

  

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Replies to this topic
Subject Author Message Date ID
RE: Pics -repair HT in April 04- comments/advise
Mar 16th 2005
1
RE: Pics -repair HT in April 04- comments/advise
Mar 16th 2005
2
RE: Pics -repair HT in April 04- comments/advise
Mar 16th 2005
3
RE: Pics -repair HT in April 04- comments/advise
Mar 17th 2005
4
Initial repair done
Mar 17th 2005
5
      notanewbie
Mar 17th 2005
6
           Pics of feb 05
Mar 17th 2005
7
                RE: Pics of feb 05
Mar 18th 2005
8
                     RE: Pics of feb 05
Mar 20th 2005
9

ETERNAL HOPEWed Mar-16-05 06:32 PM
Member since Nov 04th 2003
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#1. "RE: Pics -repair HT in April 04- comments/advise"
In response to Reply # 0
Wed Mar-16-05 06:33 PM by ETERNAL HOPE

  

          

Excision and/or camouflauge is generally the best course of action in most cases as well as this particular one. The resulting "plugs" due to a procedure performed three years ago is completely unnacceptable, and reminiscent of hair restoration from 25+ years ago. Outdated with blatant multi haired intermittent/gapped grafts and cobblestone effects. (and unduly positioned in the hairline)I can understand the emotional reasoning for the patient to err with caution (regarding excision and camouflauge) due to his disfiguring appearance, although this will hamper the overall repair transformation. In-house Donor sealant should incur neglible scar tissue due to removal of the larger grafts and leave an aesthetically unblemished frontal region. Did the patient have a differing agenda by February?

Ciao!

  

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notanewbieWed Mar-16-05 08:02 PM
Member since Jan 11th 2005
741 posts
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#2. "RE: Pics -repair HT in April 04- comments/advise"
In response to Reply # 1


          

Personally I would have done 2 things. I would have insisted he have a strip and or I would have turned him away.

#1 Turn him away. This will not turn out to be a patient that you would want to showcase your talents. Furthermore, if you couldn't explain to this person that his hairline looks ridiculous and the only way to hide those 5mm plug grafts is to excise them or plant singles in front of them, hen he is not intelligent enough to go further. Even if he intends of doing something creative with his hairstyle to hide the hairline, it is the wrong approach. If a heart Dr wouldn't allow me to tell him what to do then neither should a hair Dr. I would tell him to look elsewhere, chances are at that point he would listen to me or let him go.

#2 STRIP. Seems pretty likly that the Dr who did this took a 5mm punch or larger and punched the donor without suturing the holes closed. As a result, he probably has a golfball type number of bald dimples/dots in his donor. In a single strip, the donor scarring could be completely excised and the follicles in the strip dissected into smaller, finer grafts, including singles to cover up the larger outdated plug grafts.

Being that this would be his first strip, the likelyhood of a wide or stretched scar would be minimal and in any case would be far easier to camoflauge than 300 5mm dots.

My 2 cents.

  

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69stingWed Mar-16-05 11:06 PM
Member since Aug 05th 2003
448 posts
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#3. "RE: Pics -repair HT in April 04- comments/advise"
In response to Reply # 0


  

          

Without the option of removing and redistrubing the plug's and not being able to lower the hairline to camouflage the plug's in front I'm not sure how you could repair this guy. I agree that having an ht, just 3 years ago and getting this kind of result's is really scary. the clinic that did this work should be exposed, so others will not have to endure the same trauma. I'm not sure what you could do to help since his mind was made up, but I am very anxious to see the result's from April 04. I know he will be greatly improved and if he had let you do what you thought was the right way to repair him he would look amazing right now.

  

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SunjamThu Mar-17-05 02:24 AM
Member since Feb 12th 2004
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#4. "RE: Pics -repair HT in April 04- comments/advise"
In response to Reply # 0
Thu Mar-17-05 02:25 AM by Sunjam

          

How can the so called HT doctor that did this still be practicing and why dont we ever hear their names. They MUST be shut down at all costs. Should never have been able to start. Changes in the system must be made, but how?

Sunjam

  

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Dr. ArvindThu Mar-17-05 05:21 AM
Member since Jun 23rd 2004
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#5. "Initial repair done"
In response to Reply # 4


          

The initial repair plan included thinning out the grafts in the front rows by taking out hair roots by the FUSE techniques.

The rest of the area was filled with grafts to camoflage the plugs.

Following are the pics when the patient visited us in Jan 05







I will soon post pics of his latest surgery soon.
But as can be seen from the pics, he needs more work on the front rows.

Fortunately, now he is much more confident in going ahead with various options.

But still does not wish to take out all plugs from the front row.

Regards,
Dr.A

Dr.(Capt) Arvind Poswal
Dr. A's Clinic,
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Timings-10a.m.to 5p.m
Scalp & Body hair transplants.

  

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Dr. ArvindThu Mar-17-05 07:08 AM
Member since Jun 23rd 2004
1288 posts
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#6. "notanewbie"
In response to Reply # 5


          

Dear notanewbie,
While I do agree with you in many aspects I think turning the patient back would be wrong.

The doctor should not be turning the patient away just because he does not want to toe the surgeon's exact line of action- especially when it is a repair transplant surgery.

The psychological state/mistrust of the patient has to be kept in mind.
When he went for his earlier transplant he must have had immense faith and left everything to the doctor. (Needless to say, the doctor betrayed the patient's trust and gave him plugs).

When such a patient goes for a repair he has to muster a lot of courage (backed hopefully also by a lot of research).

The ht doctor performing the repair should take these apprehensions into account and not be harsh or judgemental on the patient.

The doctor has to understand that the repair patient would be suspicious of ANY ht doctor after his initial experience. It is not something he should take personally.

Regards,
Dr.A

Dr.(Capt) Arvind Poswal
Dr. A's Clinic,
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Timings-10a.m.to 5p.m
Scalp & Body hair transplants.

  

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Dr. ArvindThu Mar-17-05 03:49 PM
Member since Jun 23rd 2004
1288 posts
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#7. "Pics of feb 05"
In response to Reply # 6


          

Following are the pics of the day of the 2nd part of the repair surgery before the start of the surgery.







Regards,
Dr.A

Dr.(Capt) Arvind Poswal
Dr. A's Clinic,
A-9,First Floor,
C.R. Park, (Near Nehru Place),
New Delhi-110019, India. www.fusehair.com
e-mail: poswalarvind@yahoo.co.in
Ph- 91-011-26274368,91-098-101-78062
Timings-10a.m.to 5p.m
Scalp & Body hair transplants.

  

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thinning33Fri Mar-18-05 08:19 PM
Member since Sep 03rd 2004
56 posts
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#8. "RE: Pics of feb 05"
In response to Reply # 7


  

          

Needless to say he looks much better now than he did back in April 04 even though he did not give you the go-ahead to fix his hairline properly. It looks like he got decent coverage and density. How many grafts did he get? Can you give us more details about his surgery in April 04? Did he opt for FUSE or strip? Are all the hairs you transplanted from his head?

  

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69stingSun Mar-20-05 03:11 PM
Member since Aug 05th 2003
448 posts
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#9. "RE: Pics of feb 05"
In response to Reply # 8


  

          

Dr. A, I have to say you have done a great job on this guy, with the way he wanted you to go about fixing him you have done an outstanding job. there is one thing that bother's me though, the previous work was completely unacceptable 10 years ago much less 3 years ago. I really think this guy should tell everyone who did this to him, so we can try to prevent as many people as possible from going to them. they could be doing this to 2 or 3 people every day. the goal of these forum's is to educate people, but to also warn people that is why I always say stay away from BOSLEY AND NU-HART, because I never want to see people go threw what I have. I hope everyone will always warn people of the bad doctors as well as inform them of the good one's.

  

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Top Surgical Hair Transplantation Hair Transplant Open Forum topic #21759First topic | Last topic
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