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Top Surgical Hair Transplantation Hair Transplant Open Forum topic #51038
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Subject: "An update (repair in burn scar)" First topic | Last topic
Dr. SanMon Jan-29-07 03:48 PM
Member since Jul 23rd 2005
252 posts
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"An update (repair in burn scar)"
Mon Jan-29-07 03:52 PM by Dr. San

  

          

This is an update of a patient whose repair procedure was discussed at the thread. http://www.hairsite4.com/dc/dcboard.php?az=show_topic&forum=12&topic_id=45743&mode=full
The patient had suffered severe burn injuries to the back and side of her scalp and face.

In between her ongoing repair at our clinic, she had gone to a plastic surgeon, who, while not being adept at hair transplant surgery, had gone ahead and performed one on the patient.

The plastic surgeon had taken a strip from the top of the head - the swirl area. He then transplanted the grafts too far ahead on the side of the face.
Moreover the grafts, though 1 and 2 hair ones, (the yellow arrows point to them) were pointing unnaturally forward.





She recently visited us for further repair HT.
This time, in Jan 2007, the patient finally agreed to have these unnatural looking grafts removed by FUSE/fue and have them transplanted in a more appropriate location.
I will post some pictures of the previous stages and the repair till present.

Hopefully, this will desist untrained doctors, of whatever speciality, from performing HTs.

Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

  

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Replies to this topic
Subject Author Message Date ID
Some previous pictures and commentary
Jan 29th 2007
1
RE: Rare to see both skills in one
Jan 29th 2007
2
Jan 2007 pictures (the improvement till now)
Jan 30th 2007
3
Pictures of some problem areas
Jan 30th 2007
4
      Pictures of the surgery performed this time
Jan 30th 2007
5
      RE: Pictures of some problem areas
Jan 31st 2007
6

Dr. SanMon Jan-29-07 03:54 PM
Member since Jul 23rd 2005
252 posts
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#1. "Some previous pictures and commentary"
In response to Reply # 0


  

          

The improvement that the patient had been able to appreciate in her previous procedure with our clinic was negated to a large extent.
Here is a picture that gives the idea of the patient's situation before any surgery and after the 800 grafts at our clinic.



The videoclip, of this patient, can be seen at the following link.

http://www.youtube.com/watch?v=PmYskZbsgFc

Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

  

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gillenatorMon Jan-29-07 09:55 PM
Member since Feb 14th 2004
508 posts
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#2. "RE: Rare to see both skills in one"
In response to Reply # 0


  

          

It is extremely rare to see a doctor certified in plastic sugery and also HT surgery. They almost always specialize in either area of, but not both. Training in dermatology also has its obvious benefits.

Gillenator

I am not a doctor; all opinions shared are not medical advice but my own views. Contributing Physicians: Dr. Glenn Charles, Dr. Jim DeYarman, Dr. Paul Rose, Dr. Ron Shapiro, Dr. Christian Bisanga, Drs. Bob True & Bob Dorin

  

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Dr. SanTue Jan-30-07 03:12 PM
Member since Jul 23rd 2005
252 posts
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#3. "Jan 2007 pictures (the improvement till now)"
In response to Reply # 0


  

          

I am posting some pictures we took of the patient when she visited us in Jan 2007. Those will be followed by some intraoperative pictures showing what was performed in the next stage of her repair procedure.









Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

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

  

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Dr. SanTue Jan-30-07 03:20 PM
Member since Jul 23rd 2005
252 posts
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#4. "Pictures of some problem areas"
In response to Reply # 3
Tue Jan-30-07 03:23 PM by Dr. San

  

          

Following are the pictures of the additional problems created when the patient, in good faith, went to some other doctors, (plastic surgeons), not well versed/trained in the nuances of hair transplant.

This picture shows where they excised the strip from. Its location in the swirl area makes it impossible for the patient to hide the strip scar.

I can not imagine what motivated them to take a strip from such a location. I do not know of any medical book or journal recommending such an approach. Nor can I think of any commonsensical reason to do so.
Thankfully, they took a small strip.



The grafts derived from the strip those plastic surgeons took, were inserted by them far ahead in the facial area. Moreover, the hair, as the pictures show, were actually inserted pointing forward (towards the eyes).
Once again, I can not imagine the reason for doing what they did.
Why did they insert a graft in such a manner and in such a location will forever remain a mystery to us!

Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

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

  

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Dr. SanTue Jan-30-07 03:34 PM
Member since Jul 23rd 2005
252 posts
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#5. "Pictures of the surgery performed this time"
In response to Reply # 4


  

          

One of the things that we did in the patient's Aug 2006 HT was to transplant some hair in the front of the pinna (earlobe), to give better camoflage.
The growth has helped the patient and she has requested that we strengthen that approach.
With that in mind, we did the following steps in the latest surgery.
1.Extract the grafts that were wrongly transplanted by the untrained doctors,

2. Transplant more hair in front of the earlobe, and,

3. Gradually lower the hairline to a level that looks natural and also conceals the burn scars.

The pictures that follow, document the work performed.









Best regards,
Dr. Sangay C.B.
I have trained and work at Dr. A's clinic as a hair restoration surgeon.
However, my opinions and advise need not be shared by Dr. A.
www.fusehair.com
hairadvise101@yahoo.com

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

  

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SKWed Jan-31-07 09:06 AM
Member since Oct 27th 2005
287 posts
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#6. "RE: Pictures of some problem areas"
In response to Reply # 4


  

          

An impressive lot of improvement considering where she started from.
How many grafts has she got till now?

I almost went to Bosley. Thank god for net.

  

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Top Surgical Hair Transplantation Hair Transplant Open Forum topic #51038First topic | Last topic
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