One of the most common hair transplant-related questions were are asked is: should a patient start with FUT surgery or FUE surgery?
While both techniques have merit and have their place, patients with uncertain levels of hair loss, patients requiring work in critical regions of the scalp (like the hairline), and those who may want or require multiple procedures over their lifetime are likely best served by starting with FUT and moving to FUE at a later day. Beginning with the FUT technique not only provides patients with the best quality grafts, the best growth rates, and the highest number of grafts available in a sitting, but starting with FUT and moving to FUE after a patient can no longer have FUT harvests is the ONLY want to maximize the number of lifetime grafts available and efficiently utilize the donor area.
In this presentation, we share the case of a patient who took this recommended path: he started with FUT for his first two surgeries and then switched to FUE for his final -- and much smaller -- procedure. By doing this, he used the best grafts for his most important procedures, minimized damage in the donor, and ensured he would be able to do multiple procedures.
Here are a few teaser "before and after" images of his case:
And here is his detailed presentation video. In the video, I share information about both his cases -- including video of his surgeries, his scar, and his results -- and further explain why most patients are probably best served by starting with FUT and then utilizing FUE.
With so much information available online, many patients just starting to research hair transplant surgery find themselves overwhelmed and unsure where to begin. To help those new to the hair transplant process, I put together a video highlighting one patient's hair transplant "journey" from day 0 all the way through month 6. While the video does not address every aspect of the process, it does touch on the "highlights" most patients are curious about. These include: the steps of surgery itself and what to expect the day of surgery; the immediate recovery process; when patients can return to work; what the transplant will look like while it is healing; and when patients will see growth and results.
A consultation for a hair transplant procedure is an extremely important event. But what should you know before undergoing a consultation? What is a consultation really about? What should you look out for as a patient? And, do you think you can actually see a live surgery during your consult?
Watch this video from Dr. Feller of Feller & Bloxham Medical to find out:
I just wanted to take this opportunity to acknowledge Erik Cavagnulo at Ahead Ink.
I have interacted with a number of SMP clinics over the years and have yet to find one I trust as much as Ahead Ink. Not only is Erik's work second-to-none, but he is very honest and ethical. He does not try to "oversell" what he can offer with SMP, nor will he push SMP on a patient who is not right for the procedure. We see a lot of new SMP clinics "popping up" now-a-days, and we, as hair transplant doctors, also see a lot of inappropriate and highly questionable SMP work. With all the noise out there and with so many people trying to quickly get into the SMP field, it is comforting to have someone like Ahead Ink we can refer our patients to for their SMP wants.
Curious as to how a hair transplant works or how a hair transplant doctor may handle a specific case? If so, you may be interested in this surgical "walk-through" video where I take the viewer through the case of a young patient who had 5,300 grafts performed over two sessions at our NY clinic. In the video, I discuss the approach to his case; the surgeries themselves; how he returned back to "normal life" 10 days after surgery; and his long-term goals.
I hope you find this video informative and helpful in your own hair transplant journey:
Dr. Richard Powell of Ft. Lauderdale, Florida was kind enough to spend a few days with us at the clinic in NY last week. During his visit, he sat down with Dr. Feller and discussed his previous career as an Emergency Medicine doctor (which he is still board certified in) and his current career as a Hair Transplant doctor. A very interesting assessment of both, and one that is worth a watch:
One of the most common requests we receive from patients who visit for hairline/"frontal band" work is: "Doc, can we 'close in the corners?'" or "do the sides?" or "fix the temples?" And what patients mean by this: can temporal or "corner" work be done while also fixing the frontal hairline region? It is important to note that this is not likely the best approach for all patients. Closing off the corners of a hairline and doing side or temporal work is a more aggressive approach and definitely "boxes" a patient in to a more immature and aggressive frontal design. Patients with advanced hair loss, those with certain hair/skin types (very dark and coarse with light skin), and very young patients are probably not the best candidates for this approach. However, there are instances where it is appropriate and patients may benefit greatly from some "corner closure" along with the normal frontal hairline work. Furthermore, this approach is surgically complex to accomplish successfully, and should only be attempted by a team very practiced in working in these areas.
The patient today was a good candidate for this approach. He asked if it was appropriate and if we believed it could be done successfully, and I thought it made sense. We did a 2,500 graft FUT procedure aimed at restoring the frontal band, "corners," and part of the temporal triangles. The case went very well and the patient returned at 6 months to show us his results. Even at 6 months, his transformation is excellent and he proves that "corner closure" is appropriate for the right candidate and with the right team.
Here are a few "teaser" images; I highly encourage all viewers to watch the detailed video below.
Dr. Paul Rose of the Hair Transplant Institute Miami recently wrote an excellent article about Platelet Rich Plasma (PRP) injections for hair loss, the different ways it can be prepared, and the treatment efficiency of each preparation method (IE: which preparation method gives the best results). Dr. Rose was grateful enough to allow Dr. Feller and I do to a video discussion with him about the recent article. I highly encourage those considering PRP treatment for hair loss to watch the following video:
Hairlines are not a "one size fits all" approach. Each patient is unique. Their level of hair loss, hair characteristics, facial shape, and overall goals must be taken into account while designing the perfect hairline. Sometimes patients should seek a more conservative, lighter, "transitional" hairline; other times a more aggressive, symmetric, and stronger approach may be possible. However, each hairline must be carefully designed and customized for each specific patient. Just because a hairline looks good on one patient, does not mean it will look right for another.
This case is an example of hairline customization in a patient who wanted and was eligible for a more aggressive approach. In this video I perform a thorough "comb-through" of the results to help demonstrate this approach. When researching your doctor, make sure to seek someone who customizes the hairline carefully for each patient and does not stick with a "one size fits all" approach.
Here are a few "teaser" images; I highly encourage watching the detailed comb-through video (remember: video presentation is the MOST HONEST way to present a hair transplant case).
Reading the experience of other patients is crucial for those beginning their hair transplant research. It is both comforting and informative to read someone else's journey and understand that it may be similar to your own hair restoration journey very soon.
To help those beginning their research, several HTW physicians have submitted "patient experience" stories to be shared on the Hair Transplant Web main site. These experiences are diverse and interesting; they range from "run of the mill" hair transplant procedures on virgin patients to complicated repair cases, and even include a doctor's own experience with his hair transplant.
I highly encourage those researching to peruse the Patient Experience section. You may find a case similar to your own or see the impressive work of a doctor you may want to "check out" for your own case: