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Subject: "Repair with 3500 BHT (Dr. A's clinic) - 2005" First topic | Last topic
Dr. RubyThu Mar-22-07 01:48 PM
Member since Mar 10th 2007
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"Repair with 3500 BHT (Dr. A's clinic) - 2005"
Thu Mar-22-07 01:49 PM by Dr. Ruby

  

          


I work for Dr. A's Clinic as a hair transplant surgeon.
My opinions need not be shared by Dr. Arvind Poswal.
www.fusehair.com
Please email your queries to -
www.hairadvise101@yahoo.com

Attachment #1, (jpg file)

  

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Replies to this topic
Subject Author Message Date ID
RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 22nd 2007
1
RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 22nd 2007
2
cant see any difference
Mar 22nd 2007
3
RE: cant see any difference
Mar 22nd 2007
4
      RE: cant see any difference
Mar 22nd 2007
5
           the flap scar
Mar 23rd 2007
6
                RE: the flap scar
Mar 23rd 2007
7
                     RE: the flap scar
Mar 23rd 2007
9
                          RE: the flap scar
Mar 23rd 2007
10
                               RE: the flap scar
Mar 24th 2007
21
RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 23rd 2007
8
RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 23rd 2007
11
      RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 23rd 2007
12
           RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 23rd 2007
13
                RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 23rd 2007
14
                     RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 24th 2007
16
                     RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 24th 2007
17
RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 24th 2007
18
RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 24th 2007
19
      RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 24th 2007
20
           RE: Repair with 3500 BHT (Dr. A's clinic) - 2005
Mar 25th 2007
22
                strongly disagree
Mar 25th 2007
23
                     RE: strongly disagree
Mar 25th 2007
24
                     RE: strongly disagree
Mar 26th 2007
25
                     RE: strongly disagree
Mar 27th 2007
26
                          D-uhh?
Mar 27th 2007
27
                               RE: D-uhh?
Mar 27th 2007
28

Dr. RubyThu Mar-22-07 02:17 PM
Member since Mar 10th 2007
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#1. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 0
Thu Mar-22-07 02:23 PM by Dr. Ruby

  

          

This patient's case illustrates one of the more difficult repairs.

Case history-
The patient is a Caucasian.
He had 2 flap transfers in 1990s in Australia.

Unfortunately, the flaps did not take. The hair were lost and the area treated with repeated and extensive debridement.

The patient underwent 12 scalp reductions to correct that problem.

Thereafter, the patient underwent 6 strip procedures.

Scalp donor area is depleted and the patient got it tattooed.

In the first stage of BHT for repair, 3500 + body hair grafts were used. These were extracted from chest, thighs and calf.

They were transplanted -
a) For hairline correction
b) For creation of the temples and temple points
c) For filling in the part area on top
d) For filling in the scalp donor area scarring.
e) For transplanting behind the ear, where the posterior hairline had been raised unnaturally high due to the repeated scalp surgeries.

Please note that the body hair grafts were transplanted at a low density in this, his first, stage of repair procedures with BHT.

I work for Dr. A's Clinic as a hair transplant surgeon.
My opinions need not be shared by Dr. Arvind Poswal.
www.fusehair.com
Please email your queries to -
www.hairadvise101@yahoo.com

  

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Dr. RubyThu Mar-22-07 02:20 PM
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#2. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 1
Thu Mar-22-07 02:21 PM by Dr. Ruby

  

          

The "later" pictures have been taken and sent by the patient. He is happy with the growth of the body hair grafts till now.

I work for Dr. A's Clinic as a hair transplant surgeon.
My opinions need not be shared by Dr. Arvind Poswal.
www.fusehair.com
Please email your queries to -
www.hairadvise101@yahoo.com

  

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HanginInthereThu Mar-22-07 04:47 PM
Member since Apr 13th 2003
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#3. "cant see any difference"
In response to Reply # 0
Thu Mar-22-07 04:49 PM by HanginInthere

          

other than the bizarre white discoloration in the hairline......very odd..............this is one of the strangest after photos i have ever seen

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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HairSiteThu Mar-22-07 05:02 PM
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#4. "RE: cant see any difference"
In response to Reply # 3


  

          

The AFTER pic was provided by the patient.


HairSite.com
email: hairsite@aol.com
========================
Disclaimer: I am NOT a doctor. Please do not consider anything you read from this website or any of the forums as medical advice.

  

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HanginInthereThu Mar-22-07 05:15 PM
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#5. "RE: cant see any difference"
In response to Reply # 4


          

not saying the after pic is fake, just that the discoloration in the hairline and also the scalp is very noticeable, its almost as if anywhere that got transplanted , lost its pigmentation


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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VFri Mar-23-07 07:37 AM
Member since Oct 21st 2005
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#6. "the flap scar"
In response to Reply # 5


          

>not saying the after pic is fake, just that the discoloration
>in the hairline and also the scalp is very noticeable, its
>almost as if anywhere that got transplanted , lost its
>pigmentation
>
>

The discoloration in the hairline is due to thescar following the patient's unsuccessful flap surgery.
To notice the improvement, please focus on the centre part of the hairline, for example. The area was marked to form a peak and you can see how that contour modulation has been successfully accomplished by the 1st stage BHT.

I will post additional pictures. Just keep in mind that in most of the areas, the hair were transplanted in scar tissue. Also, they were transplanted at a low density.

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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HanginInthereFri Mar-23-07 07:43 AM
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#7. "RE: the flap scar"
In response to Reply # 6


          


If what you are saying is true, why is the discoloration not noticeable
in the before pics, only in the after pics

  

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VFri Mar-23-07 07:57 AM
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#9. "RE: the flap scar"
In response to Reply # 7
Fri Mar-23-07 07:59 AM by V

          

>
>If what you are saying is true, why is the discoloration not
>noticeable
>in the before pics, only in the after pics

Light settings, angles and camera used - any and all of them may be contributing.

In the following picture, for example, the white scar on the patient's forehead is more visible in the picture that he has sent.






Here I have marked the scar I refer to with an arrow.


By adjusting the contrast, color and clarity, it would be possible to make them appear similar. But I prefer to give the untouched, unmodified pictures for better comparison.

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

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

  

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HanginInthereFri Mar-23-07 07:58 AM
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#10. "RE: the flap scar"
In response to Reply # 9


          

ok i see what you mean, its not as visible but it is noticeable in the other before pic
he seems to easily scar


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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vic33Sat Mar-24-07 11:41 PM
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#21. "RE: the flap scar"
In response to Reply # 10


          

>ok i see what you mean, its not as visible but it is
>noticeable in the other before pic
>he seems to easily scar
>
>
>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

That's odd for a caucasian.

VIC

  

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VFri Mar-23-07 07:47 AM
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#8. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 0


          









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

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

  

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HanginInthereFri Mar-23-07 08:02 AM
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#11. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 8


          

what are all those dark spots on the scalp
are those previous extraction sites and the skin discolored like that?



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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VFri Mar-23-07 08:05 AM
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#12. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 11


          

>what are all those dark spots on the scalp
>are those previous extraction sites and the skin discolored
>like that?
>
>
>


Those are the tattoo marks in the scalp donor area.
The scalp donor was completely depleted following the patient's earlier surgeries.
The patient resorted to getting the area tattooed to camoflage that.

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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HanginInthereFri Mar-23-07 08:12 AM
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#13. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 12


          

if thats a tattoo its the strangst looking tatt i have seen
must be a leapord pattern or something
this patient is definitely one that makes you sit back and take notice

  

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EnderFri Mar-23-07 08:21 AM
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#14. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 13
Fri Mar-23-07 11:41 PM by Ender

          

My sympathies go out to this guy. Wow does he have it bad. I hate to say it but even the after pics aren't great. Its just such a bad case to begin with...I really feel sorry for him.

Hangin the tatoo's were an "attempt" to cover up the punch grafts...

Now how do you like your <> idea about keeping our hair shaved down to stubble and getting tatoos instead of a transplant...haha...that was the <> thing I've heard on these boards in years...no offenc

EDIT: I've been edited by Hairsite!! How can the word "dumb" not be allowed? That's a little bit of overcensorship imo :)

  

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VSat Mar-24-07 03:58 AM
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#16. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 14


          

>Hangin the tatoo's were an "attempt" to cover up the punch
>grafts...
>

The patient did not have any punch grafts. The tattoos were to camoflage the area left empty from the failed flap procedures.

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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HanginInthereSat Mar-24-07 04:04 AM
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#17. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 14


          

he edited it because you said dumbtard...........dont act so innocent


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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VSat Mar-24-07 04:05 AM
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#18. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 0


          

More pictures.











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

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

  

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HanginInthereSat Mar-24-07 04:07 AM
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#19. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 18


          

ok yes but now its clearly evident in the after pics, that the white scarring area is present in the newly planted area also


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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benjiSat Mar-24-07 06:00 AM
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#20. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 19


          

This is a definite improvement over the awful before situation.


For all of you snipers on the forum, I want you to think hard about how bad a shape this man's scalp was in before the surgery. BHT's aren't Jesus walking on the water, but they are an attempt to fix some big trainwrecks up top. This guy can go about NOW and look like an older man thinning, and not like a leapord-headed circus freak, and I bet he is happy about that.


If he got another round or two, he really might have an appearance you wouldn't even suspect. Kudos to the doc for all the hard work on a tough canvas

  

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kgillSun Mar-25-07 01:04 AM
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#22. "RE: Repair with 3500 BHT (Dr. A's clinic) - 2005"
In response to Reply # 20


  

          

Itís a definite improvement. The ability to go out into public without others staring at your hairline Iím sure is priceless. A second pass would do wonders and with some proper styling I bet he can look normal.

Session #1: 2100 FUE with Alvi Armani and very satisfied!

Session #2: 2400 FUE with Alvi Armani and looking great so far!

My story: http://www.hairsite4.com/dc/dcboard.php?az=show_topic&forum=12&topic_id=49720&mode=full

  

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HanginInthereSun Mar-25-07 05:55 AM
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#23. "strongly disagree"
In response to Reply # 22
Sun Mar-25-07 06:03 AM by HanginInthere

          

Thihs is one of those cases where i am astonished at the boards responses
I dont know if it is tip toeing around the doc or what

but I am shocked that you guys are not making any negative comments
the before pics while the hair is thin, at least the skin is normal coloration

the after pics, in spite of the fact the hairline is greatly improved, the guy looks freakish, almost all the hair at the hairline and under the transplanted hair sits on stark white skin , while the surrounding skin is of normal coloration

you dont think this looks bizarre? no matter how his transplanted hair looks, the skin coloration is so different its almost screaming to be noticed. and I think he looked much better in the before pics

When i originally commented on the white scarring in this thread , V came back and said no no no that white scarring is from the previous
surgery.........so he posted some more before pics..........yes there is a whiteness in those other before pics but.............the NEW SURGERY produced most of the white discoloration, and his is clearly visible in the after pics at the top of this thread,



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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VSun Mar-25-07 06:33 AM
Member since Oct 21st 2005
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#24. "RE: strongly disagree"
In response to Reply # 23


          

>the after pics, in spite of the fact the hairline is greatly
>improved, the guy looks freakish, almost all the hair at the
>hairline and under the transplanted hair sits on stark white
>skin , while the surrounding skin is of normal coloration
>
>you dont think this looks bizarre? no matter how his
>transplanted hair looks, the skin coloration is so different
>its almost screaming to be noticed. and I think he looked much
>better in the before pics
>

You see the white in the hairline in the after pictures, because the grafts were placed in scar tissue.
The patient took after pictures with the hair combed back.
Earlier, he used to have to resort to a different hair style.

I hope that explains your concerns.

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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jstuperMon Mar-26-07 02:35 AM
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#25. "RE: strongly disagree"
In response to Reply # 24


  

          

Iím not sure what you mean by he looked better in the before pictures. Sure itís not the type of result that would satisfy a guy like me but then you really need to take a look at the tools available to the doctor, limited donor supply forcing him to use BHT. Itís a definite improvement and Iím sure that this patient is now satisfied.

- 2,000 FUE graphs by Dr. Armani
- 1/mg Propecia daily
- 5% minoxidil Ė twice daily

My result!
http://www.hair-transplants-alviarmani.com/video/fuevid-js.html

  

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scarred1Tue Mar-27-07 02:53 AM
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#26. "RE: strongly disagree"
In response to Reply # 23


          

I have to agree with Hangin. I think the hair was combed in the before photos to accentuate the scarring. The different hair placement in the after photos helps to comb-over the before- shot areas. I don't like the result either way. It's unfortunate that this gentleman was put into this position in the first place, as I know all too well. But I don't think the after shots look any more natural than before.

The hairline placement looks odd to me, the whiteness around the edge of the hairline looks odd as well, and the coverage is still very thin.

I'm not sure I would even go so far as to say it is an improvement. To me it's just another case of..yes there is some growth, but to what avail?

My appologies to this gentleman for being so candid.

  

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bennstuTue Mar-27-07 06:20 AM
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#27. "D-uhh?"
In response to Reply # 26


  

          

> I have to agree with Hangin. I think the hair was combed
>in the before photos to accentuate the scarring.

Show me how. I cant see the before pictures accentuating the scarring.

>The different
>hair placement in the after photos helps to comb-over the
>before- shot areas.

How can combing the hair back, help comb the area over? Seems nonsensical babble to me.



>I don't like the result either way.

So, that is reason enough for you to tell spinned yarns as you have done above?



> The hairline placement looks odd to me, the whiteness around
>the edge of the hairline looks odd as well, and the coverage
>is still very thin.

Its 3500 body hair. Is it so hard to understand that 3500 body hair is not = 1000 scalp hair?


>
> I'm not sure I would even go so far as to say it is an
>improvement. To me it's just another case of..yes there is
>some growth, but to what avail?
>


He has no scalp donor. What was there was ravaged by the strippers. Now, body hair have helped this gentleman have a more dignified look.
If you cant see that, you need to get better glasses.

  

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HanginInthereTue Mar-27-07 07:20 AM
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#28. "RE: D-uhh?"
In response to Reply # 27
Tue Mar-27-07 07:42 AM by HanginInthere

          

more dignified ROFLMAO
looks ridiculous like he has white scalp under his hair, and dark scalp surrounding it

ya that looks very dignified.....................to who? guys who are half blind


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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Top Surgical Hair Transplantation Hair Transplant Open Forum topic #53318First topic | Last topic
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