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Top Surgical Hair Transplantation Hair Transplant Open Forum topic #27946
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Subject: "An interesting case with pics" First topic | Last topic
Dr. ArvindThu Sep-01-05 07:21 AM
Member since Jun 23rd 2004
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"An interesting case with pics"
Thu Sep-01-05 07:46 AM by Dr. Arvind

          

Dear Forum readers,
The easiest way to assess the viability of BH for transplant purposes is to get a small session performed over an area of scalp and note the results.
---------------------
There are many questions in the minds of prospective patients and some of them, if not most, can be answered thus.
--------------------
The person in question had long decided that if he goes for a hair restoration it will only be if he could accomplish a COMPLETE restoration.
That may have been possible with either the revolutionary methods of HM or the evolutionary ones.

The evolutionary method possible at present (for those suitably endowed with robust and abundant body hair), is Body hair transplants.
I know not everyone agrees with this assesment of mine.
For those that disagree, "lets agree to disagree" for the moment.
--------------------------

The 2 questions uppermost in the mind of the patient that prompted him to go ahead with a smaller session of BHT were those that may be haunting others too.
1. Yield - We feel suitable protocols performed prior to harvestingthe BH grafts can ensure a very high yield by the 1 year mark. A 90% yield at a 1 year mark is what we have encountered in our patients.
2. Appearance - Will the BH look out of place on the scalp?
We feel that using a combination of scalp hair mixed with different types of BH (appropriately chosen for the areas), ensures a more natural look.
As such the scalp is filled with hair of different lengths and calibre without looking odd.
-----------------------------

It is now approximately 4 and a 1/2 months since his test session.
In the test session,
- Scalp
- Back
- Chest and
- Leg hair were transplanted in different demarcated areas.

25 leg and abdomen hair were also used for DEM procedure.
I shall be posting pics of the different areas that may help documenting the extent and speed of growth, both in terms of the length and the calibre.

Please note that
1. The person's chest hair have a slightly larger calibre than the scalp hair.
2. The person's leg hair, and some parts of the back hair have a similar to lesser calibre.
3. The person is a Caucasian.
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: An interesting case with pics
Sep 01st 2005
1
After 4.5 months
Sep 01st 2005
2
Yield counts After 4.5 months
Sep 01st 2005
3
      Area C
Sep 01st 2005
4
      Area A and B
Sep 01st 2005
5
      RE: Yield counts After 4.5 months
Sep 01st 2005
9
An error
Sep 01st 2005
8
The area with the DEM grafts
Sep 01st 2005
6
DEM graft area- close ups
Sep 01st 2005
7
2 hair
Sep 01st 2005
10
RE: 2 hair
Sep 01st 2005
11
RE: 2 hair
Sep 02nd 2005
14
RE: An interesting case with pics
Sep 02nd 2005
12
RE: An interesting case with pics
Sep 02nd 2005
13
RE: An interesting case with pics
Sep 02nd 2005
15
Agreed
Sep 02nd 2005
16
RE: An interesting case with pics
Sep 02nd 2005
17
      Dr. A
Sep 02nd 2005
18
           RE: Dr. A
Sep 02nd 2005
19

Dr. ArvindThu Sep-01-05 07:51 AM
Member since Jun 23rd 2004
1288 posts
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#1. "RE: An interesting case with pics"
In response to Reply # 0


          

Following are some pics taken immediately after the transplant.

Data-
1. 25 leg and abdomen grafts (25 leg and 5 abdomen) were placed in the scalp as DEM grafts.

2. 25 scalp hair grafts were placed in scalp recipient (Area marked A).

3. 40 grafts were placed in area B. They consisted of 15 chest grafts and 25 leg hair grafts. The chest hair grafts were placed on the left rows and the leg hair grafts on the right rows.

4. 22 back hair grafts were placed in the area marked C.







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 Sep-01-05 07:54 AM
Member since Jun 23rd 2004
1288 posts
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#2. "After 4.5 months"
In response to Reply # 1


          

Following are some of the pics after 4.5 months.







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 Sep-01-05 09:18 AM
Member since Jun 23rd 2004
1288 posts
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#3. "Yield counts After 4.5 months"
In response to Reply # 2
Thu Sep-01-05 09:18 AM by Dr. Arvind

          

A count revealed
1. 15 out of 25 scalp hair grafts growing.
2. 14 out of 15 chest hair grafts growing.
3. 20 out of 25 leg hair grafts growing.
4. 17 out of 22 back hair grafts growing.

--------------------------------------------
Pic of area C where the back hair grafts were transplanted



Comparative pic of a back hair collected by the patient at time of shaving the donor area 4 days prior to the current procedure (the hair on the right), and the transplanted back hair that was cut(the one on the left).

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 Sep-01-05 09:21 AM
Member since Jun 23rd 2004
1288 posts
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#4. "Area C"
In response to Reply # 3
Thu Sep-01-05 09:22 AM by Dr. Arvind

          

Following are the close up pics of the area C where the hair grafts taken from the patient's back were transplanted.






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 Sep-01-05 09:25 AM
Member since Jun 23rd 2004
1288 posts
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#5. "Area A and B"
In response to Reply # 4
Thu Sep-01-05 09:29 AM by Dr. Arvind

          

Following are close pics of the area A (scalp grafts) and area B (chest and leg hair grafts).





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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ETERNAL HOPEThu Sep-01-05 12:13 PM
Member since Nov 04th 2003
2155 posts
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#9. "RE: Yield counts After 4.5 months"
In response to Reply # 3
Thu Sep-01-05 12:14 PM by ETERNAL HOPE

  

          

"A count revealed
1. 15 out of 25 scalp hair grafts growing.
2. 14 out of 15 chest hair grafts growing.
3. 20 out of 25 leg hair grafts growing.
4. 17 out of 22 back hair grafts growing."



Dr. Poswal,
A few inquiries..
Does the patient utilize a meds regimen? Specifically finasteride/dutasteride and/or minoxidil?
Which aforementioned donor hairs possess the greatest length at this juncture?
Were complete anagen hairs extracted from bodily areas? (wet shaving)
Were complete anagen hairs extracted from scalp areas?
Have noticed in this particular case that BH donor exhibits greater initial growth at this youthful stage (77%-93.8%) than scalp donor (60%)
Thanks for the tabulations. Looks extremely promising.

Ciao!

Dr. C.P. Chambers (strip 1992)
Dr. Robert Schemmer (3 strip 1993-1995)
Dr. Robert Jones (FUE 2003/2004)
Dr. Sanusi Umar (FUSE 2005)

Finasteride (2.5mg 5X week)
Dutasteride (.5mg 2X week)
Minox 5% (1X daily)
Sea Kelp (5X week)



  

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Dr. ArvindThu Sep-01-05 10:35 AM
Member since Jun 23rd 2004
1288 posts
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#8. "An error"
In response to Reply # 1


          

>Data-
>1. 25 leg and abdomen grafts (25 leg and 5 abdomen) were
>placed in the scalp as DEM grafts.

Please read this as -
25 leg and abdomen grafts (20 leg and 5 abdomen) were placed in the scalp as DEM grafts.

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 Sep-01-05 09:47 AM
Member since Jun 23rd 2004
1288 posts
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#6. "The area with the DEM grafts"
In response to Reply # 0


          

Trying to find the extent of yield in this area is more difficult.

The only way to find out whether the DEM grafts grew is to trim/shave the are and look out for either any white dots or any empty spaces.

We did trim the hair in the demarcated area and tried to look for any empty spaces or white/hypopigmented dots.
Here are the pics for your perusal.

Pic taken immediately after placement of the DEM grafts.


Pic of the area with hair trimmed/shaved.


-------------------------------------
More pics of the scalp donor with DEM grafts in different lights and distances.















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 Sep-01-05 09:53 AM
Member since Jun 23rd 2004
1288 posts
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#7. " DEM graft area- close ups"
In response to Reply # 6


          

Here are a few additional close up pics of the area in which the DEM grafts were placed.






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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ixanThu Sep-01-05 06:58 PM
Member since Jan 11th 2005
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#10. "2 hair"
In response to Reply # 0


          

Dr. Arvind, in this picture, I see a 2 hair graft in area B.
Is this going to grow out like plugs? I thought nowadays people only do single hairs.

  

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thinning33Thu Sep-01-05 07:28 PM
Member since Sep 03rd 2004
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#11. "RE: 2 hair"
In response to Reply # 10


  

          

Ixan,

The scalp naturally has 2 - 4 hair groupings as well as singles. You would want to duplicate nature or even put 2 grafts in one recipient site in order to get density in the crown and mid scalp. There are even natural multi-hair groupings in the hairline. I dont think any good doctor plants only single hair grafts except for maybe the hairline.

  

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Dr. ArvindFri Sep-02-05 07:15 AM
Member since Jun 23rd 2004
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#14. "RE: 2 hair"
In response to Reply # 10


          

>Dr. Arvind, in this picture, I see a 2 hair graft in area B.
>
>Is this going to grow out like plugs? I thought nowadays
>people only do single hairs.
>
>

Dear Ixan,
There is a difference between a single hair and a single follicular unit.
Hair grows in forms of follicular units containing 1 to 4 hair.
The patient had 2 hair FUs in his chest area.
Our aim will be to extract and use as many 2 hair body FUs as possible to increase the density for the same no. of grafts.
The hairline zone, however, will contain mostly 1 hair grafts.

2 hair grafts, transplanted appropriately, do not lead to a pluggy appearance.
Plugs refers to grafts containing 5 to 15 hair.
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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JeepGUYFri Sep-02-05 04:07 AM
Member since Jul 15th 2004
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#12. "RE: An interesting case with pics"
In response to Reply # 0


          

Do you plan to go ahead and do a large scale fue for this patient now?

  

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Dr. ArvindFri Sep-02-05 07:09 AM
Member since Jun 23rd 2004
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#13. "RE: An interesting case with pics"
In response to Reply # 12


          

>Do you plan to go ahead and do a large scale fue for this
>patient now?
>
>
Yes, we plan for a near FULL restoration, albeit in stages.

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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therapyFri Sep-02-05 07:22 AM
Member since Jun 02nd 2004
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#15. "RE: An interesting case with pics"
In response to Reply # 0


          

Dr. A, did you ask the patient to shave the donor site before you chose which grafts to extract? The body grafts are growing a lot faster than what one would expect from bht, wonder if that has anything to do with it.

  

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NoHairNoPrayerFri Sep-02-05 09:09 AM
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#16. "Agreed"
In response to Reply # 15


          

Maybe the isolated areas shown are easy to spot hair growth (or the patient's body hair is very thick), but my BHT has just closed 5 months, and I dont see much if any growth yet. I had 500 grafts in the crown, I would say I could count maybe 20-50 hairs at this point max, very low yield (chest/shoulder hair). I am just crossing my fingers for more soon.

  

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Dr. ArvindFri Sep-02-05 12:20 PM
Member since Jun 23rd 2004
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#17. "RE: An interesting case with pics"
In response to Reply # 15


          

>Dr. A, did you ask the patient to shave the donor site before
>you chose which grafts to extract? The body grafts are growing
>a lot faster than what one would expect from bht, wonder if
>that has anything to do with it.

Dear Therapy,
Yes, we ask all patients to perform preshaving of the donor areas (4 to 5 days prior to their surgery).
Thereafter, we choose only the actively growing hair.
Preshaving and choosing the actively growing hair is a vital factor in ensuring consistent and high yields.

An additional recommendation, where possible, is to apply Minoxidil to the body donor areas for 2 months prior to the extraction. We hope that will increase the number of hair follicles in Anagen/growing phase as well as have an influence on the improvement of the hair calibre and length.

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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finallyfreeFri Sep-02-05 02:00 PM
Member since Jul 03rd 2005
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#18. "Dr. A"
In response to Reply # 17


  

          

Dr. A,
Glad to know that there is finally documented evidence that there is no such thing as a 18 to 24 months wait time for the body hair to start their growth.
Thank you.

  

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Heli BoyFri Sep-02-05 03:38 PM
Member since Oct 28th 2004
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#19. "RE: Dr. A"
In response to Reply # 18


          

Dr. A,
Now this is good information. For someone who is readying himself for a large session I have always felt like my chest hair was my best option and first choice for removal and placement . There is a very distinctive difference versus my scalp hair (my chest hair is much larger in caliber) . This type of detailed information is crucial for not only the procedure itself but for those preparing themselves and gaining practical information.

  

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Top Surgical Hair Transplantation Hair Transplant Open Forum topic #27946First topic | Last topic
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