Following are some pics of a patient who had 2300 FUSE/fue grafts 11 months earlier.
His history- He had got Plug grafts done at some other doctor's clinic.
He visited us in 2004. The patient had some plug grafts placed in the temporal recession areas. Grafts in these areas should ideally be excised but the patient did not want to touch them at the moment.
We had, therefore, only concentrated on the front half of his scalp. This time he has come for having the grafts excised as well as got 500 FUSE grafts placed in his crown area which has been thinning for some time now.
The confidence a person gets once the plugs are not noticeable is heartening (and well worth all our efforts).
Before
Before (intraoperative)
The wrongly placed temple area grafts
After 11 months
After in room light
After close up (bright light)
After (bright light and hair combed back)
I will post some more pictures later.
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.
#1. "RE: 2300 FUSE repair surgery - some pics" In response to Reply # 0
The coverage/density is certainly admirable for only 2,300 grafts, as this patient appeared to possess a pre-HT NW6 status...
Dr.A, Were any of the previous plugs excised from the parietal/hairline area? You mentioned that in the first procedure, he had instructed you to leave the temporal plugs as such, although I am unsure if this pertained to the other obtrusive grafts as well...Thanks
#5. "Some more pics- top veiw, close ups etc..." In response to Reply # 0
Dear Skywalker, There is no combover. All the grafts were concentrated in the front half. I will post a few pics from top in bright light.
Dear EH, The patient specifically refused to get ANY plugs excised. All of them are right there and are , therefore, visible at very close inspection. But do pass muster in routine life.
Dear Dash, The plug grafts in the temporal recessions were left as per the patients wishes. This time round though they were excised. I will include a few pics of those too.
A few veiws under bright light from the top
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.
#6. "much better" In response to Reply # 5 Sun Apr-10-05 05:52 AM by pauly2
dr a, these r much better quality pics, u really ve to learn how to take good pics that show what it really luks like. i think these pics show much better results, very nice. good job.
#7. "not that much better !!!" In response to Reply # 6
Well, at least these pictures are better than normal, but no they are not great. Why on the last picture can't we see the whole of the top of the head instead of the first 25%? I understand the grafts were only placed in the front part but it gives us all a much better idea.
I think newer clinics to the forums should ask people like Jotronic on how to take photos
It seems to me from what we can see that the yield was decent in this patient which is good news.
#9. "9 out of 10- my opinion" In response to Reply # 0
I think the work is outstanding. Deserves a 9 out of 10. Considering that none of the plugs were removed and the patient appears to have coarse hair. He also has a fair skin and black hair. Thats high skin hair contrast.
The patient has got results that not only give a natural look but also a DENSE look.
Thats the kind of WOW results I had been waiting for from Dr.A.
#10. "RE: 9 out of 10- my opinion" In response to Reply # 9
We must remember that this particular patient case has only received 2300 grafts, which is not necessarily considered a megasession by today's standards, although the outcome portrays substantial coverage for the amount. The positioning/placement and acute angulation were obviously paramount and pertinent to his unquestionable growth. Hard to fathom that there are still practitioners and prospective patients alike who steadfastly maintain that FUE/FUSE encounters poor yield in comparison to strip... Once this patient ultimately receives absolute plug removal, the results should be exquisite..
#11. "RE: 9 out of 10- my opinion" In response to Reply # 10 Sun Apr-10-05 10:36 AM by pleomax
>Hard to >fathom that there are still practitioners and prospective >patients alike who steadfastly maintain that FUE/FUSE >encounters poor yield in comparison to strip...
Thats because the doctors are lazy and do not want to do the extra work. And most prospective patients do not do the requisite amount of research. Ditto for BHT.
#13. "RE: 9 out of 10- my opinion" In response to Reply # 12
Dr. A, I think the work looks great. the guy has very good coverage and considering he would not let you remove any grafts before, you did a great job covering up the larger grafts. he will be extremely happy once he gets some grafts removed and redistributed. I personally have tried all of the stuff that jotronic has said to do to get quality pictures and found that it does not work. I'm sure it does if you have the equipment that he has to work with, but taking a quality picture is a lot harder than you think, just for fun why don't all of the guys that think it is so easy to take a quality picture take one of your on hair and post it and let us judge your talent. DR. A' I think you are right to stay focused on ht's and ways of improving it, that is the thing that in the end that will allow all of us a better quality of life. I thank you for all that you have done for me and everyone else who you will help get there lives back to normal. I can't wait to get back in December, just to let everyone know I will be there from dec 14th to the 18th for more surgery. sting sting8861@yahoo.com
#14. "RE: 9 out of 10- my opinion" In response to Reply # 12
Any chance of seeing the donor area? Not to be offensive, but this could be a strip result for all we know and with 2500 FUSE grafts extracted along with his previous large plug extractions, I am curious to see the donor prior to, during and after this procedure.
#16. "RE: Some more pics" In response to Reply # 15
69sting, I know photos are not easy to take but it is worth Dr A. persevering with making them better because India is a long way to go just to have a look!!!
More pics of the top of the head and donor area would be helpful.
#21. "Donor photos" In response to Reply # 20 Mon Apr-11-05 05:21 AM by Dr. Arvind
Dear Duck and notanewbie, At the time of the performance of the initial FUSE surgery in this patient, we did not expect to one day be having to come up with intraoperative donor area pics. So we did not take intraoperative pics of the donor areas.
But I understand the basis of your request.
You will have to give me time as I will have to search the older handycam cassettes to get the video recordings and then to extract frame from that and show.
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.
I think the works is acceptable but definitely not 9 out of 10 like some of the posters put it. However, these photos clearly show that the patient has very good yield with the grafts. That is a good sign. Very encouraging.
#25. "RE: Donor area pic" In response to Reply # 24
It amazes me that a method such as the old "plug" was a mainstay of the transplant industry for decades, while patients were continually becoming disfigured and resulted in a blatant unnattractive appearance. Why this tremendously invasive procedure thrived for years is beyond me.....I gather I could state similar sentiments with the Flap method, line grafts, hair lifts, scalp reductions, etc etc. To my knowledge, not ONE single documented case with these techniques produced any cosmetic benefit whatsoever to the patient, although I am certain that many were inflicted with detrimental scarring/infections/directional problems...
#27. "RE: Donor area pic" In response to Reply # 25
I think the one thing that most people are over looking in this guys case is that the old grafts were not extracted and redistributed. you would not believe the difference it makes when you remove these plugs. in this case Dr. A had to camouflage them. the results are great now the density is fantastic, but it will be so much better when the old grafts are removed. I know, because I had atleast 15 removed from my hairline and the difference is remarkable.
