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Subject: "An interesting patient" First topic | Last topic
Dr. ArvindMon Oct-16-06 03:25 PM
Member since Jun 23rd 2004
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"An interesting patient"


          

Dear forum readers,
Different people opt for different avenues to accomplish their goal of hair restoration.
Today, I talk of a patient and the choices he made.
The patient is a caucasian and in his mid 30s.

He would be a NW 6 at present, if one does not consider the transplanted hair.

A brief history
2003
Having experienced hair loss from his early 20s, he did not opt for any surgical intervention till 2003.
At that time, he went for a hair transplant with a doctor in Australia.
The procedure performed was a strip FUHT and 2000 grafts were extracted and thinly transplanted in the front area to create a high hairline. The vertex and crown area were, judiciously, not touched.

Jan 2006
The patient underwent a combination strip + FUSE procedure at our clinic in Jan 2006.
The strip was excised and FUSE/fue grafts were extracted only from below the strip to enable the patient to go back to work early.
The scar from the previous strip procedure was included in the excised strip.
FUSE/fue grafts were not extracted from 1/2 cm of scalp adjacent to the excised strip. This was to leave an option of reharvesting a second strip.
2000+ strip FUHT grafts and 1000+ FUSE/fue grafts were extracted in the process.
These grafts were transplanrted in the previously untouched crown and vertex.

Oct 2006
The patient went for his next HT with our clinic in Oct 2006.
This time, the strip was excised and it yielded 2600+ grafts. In addition 400+ grafts were extracted by FUSE/fue method from above the excised strip.
These grafts were transplanted mainly in the frontal area that had been transplanted in 2003. The aim was to
1. Increase the density in this area, and,
2. To create a feathered hairline as the previous hairline was too harsh and abrupt.


With a total of 8000 + grafts (approx. 1500 of them FUSE/fue grafts, the remainder strip FUHT grafts), the patient has effectively completed the journey from a NW 6 to a NW 3. He still has FUSE/fue grafts and body hair grafts available to address any further hairloss.

I will post some pictures and discuss the details of the case.
Please let me know if you have any queries.









The video of the hair growth in the areas transplanted in Jan 2006 can be seen at the following link.
The link shows the hair growth in Oct 2006.
http://www.hairsite.com/hair-regrowth-video/dr-arvind-hair-transplant.wmv

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.

Attachment #1, (jpg file)
Attachment #2, (jpg file)

  

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Replies to this topic
Subject Author Message Date ID
Salient points of this patients approach
Oct 16th 2006
1
Question for Dr. A
Oct 17th 2006
13
Pictures from Oct 2006
Oct 16th 2006
2
RE: An interesting patient
Oct 16th 2006
3
RE: An interesting patient
Oct 16th 2006
4
RE: An interesting patient
Oct 17th 2006
5
Wow Fantastic Result
Oct 17th 2006
6
Hanginginthere
Oct 17th 2006
7
      RE: Hanginginthere
Oct 17th 2006
9
RE: An interesting patient
Oct 17th 2006
8
I met this patient
Oct 17th 2006
10
There it is again (The Hasson hairline)
Oct 17th 2006
11
      valleyboy
Oct 17th 2006
12
           This guy's a non-candidate for regular HT
Oct 18th 2006
14
                RE: This guy's a non-candidate for regular HT
Oct 18th 2006
15
                RE: This guy's a non-candidate for regular HT
Oct 18th 2006
16
                The pictures show 5000 grafts
Oct 25th 2006
17

Dr. ArvindMon Oct-16-06 03:54 PM
Member since Jun 23rd 2004
1288 posts
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#1. "Salient points of this patients approach"
In response to Reply # 0


          

The patient experienced hair loss from his early 20s.
However, he did not go for a HT at that time as he was aware of the problems of the plug grafts.

He did not aim for a very low hairline when he did go for his HT.

He had two options in front of him.
He could either concentrate only on the front and top areas, or, settle for a high hairline and deep temple recessions but fill in the crown.
He chose the 2nd option.
Here are some before pictures of the patient.
That is, pictures when he visited us in Jan 2006. These show the 2000 grafts that had been already transplanted in 2003.













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.

Attachment #1, (jpg file)
Attachment #2, (jpg file)
Attachment #3, (jpg file)
Attachment #4, (jpg file)

  

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SKTue Oct-17-06 04:19 PM
Member since Oct 27th 2005
287 posts
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#13. "Question for Dr. A"
In response to Reply # 1


  

          

The result is very nice. The patient's choice of doctor is well rewarded.
I was wondering about what you mentioned in history. 2000 from the first strip and 2600 from the second. I always thought the strip that comes later yields less grafts. How did you manage more grafts in the latast strip?

I almost went to Bosley. Thank god for net.

  

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Dr. ArvindMon Oct-16-06 04:01 PM
Member since Jun 23rd 2004
1288 posts
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#2. "Pictures from Oct 2006"
In response to Reply # 0
Mon Oct-16-06 04:05 PM by Dr. Arvind

          

Following are some pictures of the top and crown area of the patient taken in Oct 2006.

Normal light with comb


Under bright light



The area outlined and below the hair clips was transplanted into in Jan 2006.


This is the picture of the crown area of the patient.


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.

Attachment #1, (jpg file)
Attachment #2, (jpg file)
Attachment #3, (jpg file)
Attachment #4, (jpg file)

  

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Dr. ArvindMon Oct-16-06 04:09 PM
Member since Jun 23rd 2004
1288 posts
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#3. "RE: An interesting patient"
In response to Reply # 0


          

The patient keeps his hair long and ruffled. Part of the reason is that the previously transplanted hair line is sparse and has a number of 2 hair grafts right in the front row.
Also the hairline is very straight.

This is the area that was addressed in Oct 2006.



The patient is a long time forum reader. We hope to be able to update you on his progress as and when possible.

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.

Attachment #1, (jpg file)

  

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HanginInthereMon Oct-16-06 07:46 PM
Member since Apr 13th 2003
3892 posts
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#4. "RE: An interesting patient"
In response to Reply # 0
Mon Oct-16-06 07:49 PM by HanginInthere

          

I am usually very impressed by your patient results

this is not one of those times

still looks like a combover to me, and that is after 8000 grafts
I guess if the patient is happy that is all that matters , but I would not be thrilled If it was me

i guess the hair that was implanted took hold and grew but it appears that this many grafts was perhaps a third of what it would take to achieve what would be to me a cosmetically pleasing result

i am not impressed with the way the after pics are all long combed over hair,
difficult to tell what the results are with this type of camera shot



Hangin Daily Regimen
1)Maxi Hair by Country Life, 2/day
2)Kal... Amino Max 2(multi mineral) 2/day

DHT INHIBITORS(blockers)
3)Saw Palmetto extract 320mg standardized
4)Pygeum 500mg
5)Nettles Leaf Powder 500mg
6)Beta Sitosterol 100-200mg (Doctor's A-Z Form

  

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HanginInthereTue Oct-17-06 05:04 AM
Member since Apr 13th 2003
3892 posts
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#5. "RE: An interesting patient"
In response to Reply # 4


          

Actually when i look at the pics the guy does have a lot of growth, for how bald he was , he was pretty far gone to begin with, but I guess he will look a lot better once he gets another few thousand grafts




Hangin Daily Regimen
1)Maxi Hair by Country Life, 2/day
2)Kal... Amino Max 2(multi mineral) 2/day

DHT INHIBITORS(blockers)
3)Saw Palmetto extract 320mg standardized
4)Pygeum 500mg
5)Nettles Leaf Powder 500mg
6)Beta Sitosterol 100-200mg (Doctor's A-Z Form

  

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StanthemanTue Oct-17-06 05:30 AM
Member since Jun 24th 2006
67 posts
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#6. "Wow Fantastic Result"
In response to Reply # 5


          

And still more growth to come from the October surgery.

Certainly a huge improvement. You truely are the one of the finest doctors in the world.

  

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Dr. ArvindTue Oct-17-06 05:38 AM
Member since Jun 23rd 2004
1288 posts
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#7. "Hanginginthere"
In response to Reply # 4


          

Dear HIT,
Maybe, I could not explain clearly earlier.
The results that you see in the pictures are after approx. 3000 grafts from the Jan 2006 HT (strip + fue). The pictures are 9 months from the procedure.
We expect further improvement in the next 3-4 months.

Secondly, the overall results that you see are after approx. 5000 grafts placed over an almost 200 sq cm area. (2000 FUHT grafts transplanted in 2003 and 3000 grafts in Jan 2006).

The results of the 3000 grafts that were transplanted in Oct 2006 will be apparent later.

The patient's choice was interesting as he preffered to use the available grafts on the crown and top and keeping a receded hairline.
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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HanginInthereTue Oct-17-06 08:23 AM
Member since Apr 13th 2003
3892 posts
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#9. "RE: Hanginginthere"
In response to Reply # 7


          

Thanks Dr A, now that i look at it the guy still has a heck of a lot of new growth on a very bald area

you are still my favorite doctor



Hangin Daily Regimen
1)Maxi Hair by Country Life, 2/day
2)Kal... Amino Max 2(multi mineral) 2/day

DHT INHIBITORS(blockers)
3)Saw Palmetto extract 320mg standardized
4)Pygeum 500mg
5)Nettles Leaf Powder 500mg
6)Beta Sitosterol 100-200mg (Doctor's A-Z Form

  

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Dr. ArvindTue Oct-17-06 05:51 AM
Member since Jun 23rd 2004
1288 posts
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#8. "RE: An interesting patient"
In response to Reply # 0


          

Dear forum readers,
The recipient area in Oct 2006 was mostly concentrated in the front.
The hairline was softened by transplanting 1 hair follicular units and by breaking up the straight line.
Here are some pictures.





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.

Attachment #1, (jpg file)
Attachment #2, (jpg file)

  

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arunTue Oct-17-06 08:49 AM
Member since Oct 12th 2006
102 posts
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#10. "I met this patient"
In response to Reply # 0


          

This was the person I met when I went for my consult. Right Dr. A?
The same jumbled hair are a give away.

His crown and top looked good. The front may have been thin. I dont remember as he kept his hair all forward. The strip scar was very thin.

  

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okanaganTue Oct-17-06 09:13 AM
Member since Jul 30th 2006
43 posts
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#11. "There it is again (The Hasson hairline)"
In response to Reply # 10


          


Theres that imitation (Dr Hasson) sawtooth hairline again. Why do you guys(at the Arvind clinic) always do that? If you're going to copy it why cant you see that that isnt the correct way to do it? I honestly dont want to be critical of your work Dr Arvind but cant you see that the way you are doing it looks fabricated? Seriously no offense Dr A but Im sure Dr Hasson doesnt mind sharing whatever pattern or technique he uses to make his sawtooth hairline look so natural. It just seems that yours are always too exaggerated. Study his hairlines a bit more and you'll see what I mean.

  

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scientist8046Tue Oct-17-06 02:59 PM
Member since Nov 29th 2005
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#12. "valleyboy"
In response to Reply # 11
Tue Oct-17-06 03:04 PM by scientist8046

          

>
>Theres that imitation (Dr Hasson) sawtooth hairline again. Why
>do you guys(at the Arvind clinic) always do that? If you're
>going to copy it why cant you see that that isnt the correct
>way to do it? I honestly dont want to be critical of your work
>Dr Arvind but cant you see that the way you are doing it looks
>fabricated? Seriously no offense Dr A but Im sure Dr Hasson
>doesnt mind sharing whatever pattern or technique he uses to
>make his sawtooth hairline look so natural. It just seems that
>yours are always too exaggerated. Study his hairlines a bit
>more and you'll see what I mean.

there it is again?

why do they always do that?

obviously you are implying that you have seen this so-called imitation before... on which patients?

this is the first time i have ever heard the phrase "the hasson hairline". did you just make it up? can you link another thread anywhere that contains that phrase?


you can't have it both ways... you are saying that he was somehow trying to immitate h+w, yet he did such a poor job in copying h+w that the job he did does not look like h+w work?


i love that you are being so polite in your smears

since you are so familiar with h+w, please tell us how their bht techniques are coming along

s

www.bodyhairtransplant.blogspot.com

http://www.youtube.com/metedude

  

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benjiWed Oct-18-06 02:05 AM
Member since Dec 19th 2005
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#14. "This guy's a non-candidate for regular HT"
In response to Reply # 12
Wed Oct-18-06 02:11 AM by benji

          

The man in these pictures has thin hair on the sides of his head. He was probably destined for extreme baldness (NW6+). I hope for his sake that he has alot of high quality body hair that he can implant at fair density and will be happy with a short, neat haircut. If he's had 8,000...............he will need at least that many more to buff it up and get coverage of the back baldspot. This is obviously going to have to come from his body.

This guy is a poster child for why BHT's can "save" some men who transplanted early but dont have enough regular donor hair to keep up with the advancing baldness.

  

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arunWed Oct-18-06 05:13 AM
Member since Oct 12th 2006
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#15. "RE: This guy's a non-candidate for regular HT"
In response to Reply # 14
Wed Oct-18-06 05:14 AM by arun

          

He did make a sensible decision. I saw him in person and the hair looked very good. I dont agree that he will need any body hair. He looked good enough even with the 5000 grafts he had growing. The extra 3000 should do wonders.
What he needs is to wait for HM and get from NW 3 to 1.

  

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SkywalkerWed Oct-18-06 05:45 PM
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#16. "RE: This guy's a non-candidate for regular HT"
In response to Reply # 15


          


I do not bleleve this case can properly be judged until the last 3,000 of his 8,000 grafts grows, but let's not kid ourselves here, from the pictures shown I think he definitley does need the extra 3,000.

______________________________________________________________________________________

If you disagree with my opinion I do not mind - I am not paid to post here and I am not a missionary.

  

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VWed Oct-25-06 01:25 PM
Member since Oct 21st 2005
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#17. "The pictures show 5000 grafts"
In response to Reply # 14


          

>If he's had 8,000...............he will
>need at least that many more to buff it up and get coverage of
>the back baldspot. This is obviously going to have to come
>from his body.
>

The patient has recieved 8000 + grafts as of today.
However, at the time the pictures were taken, what you see is 5000 grafts grown out.

I work for Dr. A's Clinic.
I am not a Physician.
My opinions need not be shared by Dr. Arvind Poswal.
www.fusehair.com

  

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Top Surgical Hair Transplantation Hair Transplant Open Forum topic #46857First topic | Last topic
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