Tuesday, March 29, 2011

3500 graft procedure....






Today’s case originally presented for transplant 15 months ago. On initial presentation he was a Norwood pattern 3 and not on any medical management (his pre op shown above). Following extensive consultation we agreed upon a dual prolonged approach combining full medical management with transplantation focusing on recreating a new frontal hairline as well as some work to be done on the vertex. Ultra refined follicular unit micrografting was performed using standard elliptical harvesting of 36 sq. cm. of donor scalp with an f.u. density of 96-98 grafts per sq. cm. Of the nearly 3500 grafts produced, nearly 2000 grafts were used to restore the frontal 1/3 of his balding scalp with ~1500 grafts used on his crown. Shown are both his initial pre op photos as well as follow up photos 15 months post op. He has done quite well and is very pleased with his results. Brad Limmer, MD/jac



Monday, February 28, 2011

6000 grafts and MEDICAL THERAPY



Today’s case first presented 3 years ago at age 27 with fairly dramatic loss and fairly fine/miniaturizing hair across a Norwood pattern 4-5. Being from outside the US extensive consultation was performed using Email/phone calls.

While a candidate for transplantation, I informed him I would suggest against it unless he would utilize full medical management…starting on it prior to the hair transplantation to ensure he had no adverse side effects and could remain consistent with the medical program.

In early 2007 we performed his first transplant, harvesting 32 sq. cm. of donor at an f.u. density of 96 grafts/ sq. cm. generating just over 3000 grafts. It was allowed to grow in and then in the fall of 2008 an additional 36 sq. cm. of donor was harvested producing just over 3000 grafts.

Today’s photos show his initial pre operative as well as his fully grown in post operative photos taken last week when he was back in the US. He has done quite well and I think his great results are from a combination of both surgery and full medical management.

Brad Limmer, MD/jac