hairtech_

Denver, CO, 30.07.2007, 18:15 (edited by HairSite Admin, 29.08.2007, 06:49) |
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech (Hair Transplant) |
This patient came from Europe. He had a previous surgery from a clinic in Europe. He wants to increase the density in the frontal 1/3. Apparently the first clinic used larger tools (punches greater than 1.0mm) because white dotting is seen. We will be using smaller punches... the 0.75mm.
![[image]](img/uploaded/471_image188.jpg)
![[image]](img/uploaded/471_image189.jpg)
![[image]](img/uploaded/471_image190.jpg)
![[image]](img/uploaded/471_image191.jpg)
![[image]](img/uploaded/471_image192.jpg)
![[image]](img/uploaded/471_image193.jpg)
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 03.08.2007, 13:57
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
I guess in your country the standards exceed that of the US. I apologize for our short comings.
Seriously though, And I do understand that you were learned under Dr. A. and that you learned not to enter an OR room without gowning up like the patient is in isolation or something, however let me break it down how most clinics work.
I have worked in the OR's of Drs. Rose,Devroye(Belgium) Cooley, Cole, Harris, Mwamba, Bisanga(Belgium), Bosley, MHR, PAI, and Nuhart.
Each clinic has different gowning/mask procedures. All clinics(that I visited) gown/mask up during slivering/cutting/placing... and especially strip excisions or FUE.
Not one clinic treats the OR room as if it were a complete sterile surgical atmosphere. This is because the surgeries in HT are a "clean" procedure at best.
Everything is sterilized in terms of instruments... instrument trays, punches. But if you think hair can be totally sterilized you wrong.
Now in contrast to that, I used to work in organ transplant surgery as a surgical technician. Guess what? That has to be performed in a total sterile surgical atmosphere. The entire room is gowned up/masks/hats/shoe covers/ sterile gloves.
Everyone knows that hair transplant surgeries do not need to be performed in that manner. There is an almost zero infection rate in today's hair transplants in the US.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
V
New Delhi, India, 03.08.2007, 13:10
@ hairtech_
|
BTW |
» Very interesting... Good point... since this procedure is know by every
» clinic on the planet not to completely sterile...
»
» We where proper attire based on OSHA regulations during certain portions
» of the procedures.
OK.
Maybe, the places you worked follow the minimum regulations. Their choice and right, I guess.
Its just that the first thing Dr. A taught me was to strive for more than the minimum allowable. "We aim for the best, not the allowable" thats an abiding lesson I remember.
Our doctors and techs never enter OT without their head draped and a face mask in place. We wouldnt dream of a person entering our OT like this.
Thats why I wondered... but ok, if its allowed in your country and your doctor is comfortable that way, no problem with me.
V is located in NEW DELHI, INDIA and he is available to meet: YES email hairsite@aol.com to arrange a meeting. --- I work for Dr. A's Clinic. I am not a Physician.
My opinions need not be shared by Dr. Arvind Poswal.
Our blog - http://hairtransplantcentre.blogspot.com/
website - www.fusehair.com
email - hairadvise@yahoo.com |
hairtech_

Denver, CO, 03.08.2007, 10:25 (edited by hairtech_, 03.08.2007, 10:30)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
...
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 03.08.2007, 09:56
@ V
|
BTW |
Very interesting... Good point... since this procedure is know by every clinic on the planet not to completely sterile...
We where proper attire based on OSHA regulations during certain portions of the procedures.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
V
New Delhi, India, 03.08.2007, 05:03 (edited by V, 03.08.2007, 05:09)
@ V
|
BTW |
Your OT staff doesnt wear surgical caps and masks before entering the OT?
I think the bill passed in Minnesota may have been prompted by such incidences of lack of sterilization protocols.
Dr. A would never allow any of his staff enter the OT like the way I see in your OT pictures.
V is located in NEW DELHI, INDIA and he is available to meet: YES email hairsite@aol.com to arrange a meeting. --- I work for Dr. A's Clinic. I am not a Physician.
My opinions need not be shared by Dr. Arvind Poswal.
Our blog - http://hairtransplantcentre.blogspot.com/
website - www.fusehair.com
email - hairadvise@yahoo.com |
V
New Delhi, India, 03.08.2007, 05:03
@ hairtech_
|
sad |
»
» Some 5 haired grafts taken with the 0.75mm punch
»
» ![[image]](http://www.hairlossadvances.com/forums/userupload/998/dscn8141.jpg)
»
» Mid-procedure extractions...
»
» ![[image]](http://www.hairlossadvances.com/forums/userupload/998/dscn8134.jpg)
»
» End of the day extraction sites. I cannot tell you how happy I am when I
» see this.
I do not know what you are so happy about hairtech!
Is it about the fact that the donor sites look as large as the previous white dot scars?
If you are adamant that the sites are 0.75mm, why not put something in the picture by which viewers can compare the extraction site size.
If you honestly think those 5 hair grafts are true follicular units instead of minis, I recommend you read Dr. Woods article on that subject.
How can you be so 1990ish? I know you have a tough task promoting a doctor. Just dont do it at expense of patients. Do work that lets you have a peaceful night's sleep. OK?
V is located in NEW DELHI, INDIA and he is available to meet: YES email hairsite@aol.com to arrange a meeting. --- I work for Dr. A's Clinic. I am not a Physician.
My opinions need not be shared by Dr. Arvind Poswal.
Our blog - http://hairtransplantcentre.blogspot.com/
website - www.fusehair.com
email - hairadvise@yahoo.com |
hairtech_

Denver, CO, 01.08.2007, 20:01 (edited by HairSite Admin, 27.08.2007, 07:30)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
» » You are in such an illusion that you frighten me...
»
» Just because I accuse you of stealing the SAFE technique from me and
» suggest that you sell grafts on Ebay, you think I am deluded.
»
» I should also say that I think Dr. Harris's work is excelent and the
» quality of the photografic records helps us to see the real deal of
» transplant. Dr. R. Jones posted a similar number of grafts in the same
» area and the results looked like a full head of hair until the patient
» posted a birds eye view. It's good to see your clinic and others on the
» forum painting a clear picture. I DO believe that the smaller punches are
» important. It was not so long ago that many posters and surgeons were
» arguing as to wether 0.75 was sensible but I think the case is closed.
» Another advantage of reducing the tissue removed is the reduction in any
» disorientation of the surrounding follicles and this was also debated at
» length. Unfortunately it is STILL a numbers game and the actual evidence
» that scalp FUE can truely extract the same numbers as strip is still
» missing. I say this because the patient in question will certainely need
» 7000ish in total based on your documentation and FUE alone has not yet
» been shown to satisfy that need.
Thank you for the kind words... Just to put things into prospective concerning this case... the fellow had 4000 previous graft extractions... 4000 thousand grafts taken without regard for the future or what would happen in terms of scarring. His donor area is cashed. He has reached his limit. Oh I'm sure someone out there would say, "Oh I'm king of FUE and I can extract another 5200 grafts from his donor area... but this is simply not true. That is why we stopped at short of 2000.
This is the different angle that shows the first day of placing. The incisions that Dr. Harris uses also is worth mentioning because they don't produce much crusting. The smaller the incision result in less trauma, less bleeding, faster healing, increased graft survival directly from grafts healing faster and restoring circulation. Have you ever seen someones scalp looking like hamburger helper cooked rare from all the blood? I have. And I have worked in clinics that do this regularly.
Having said this Marco... this picture is from the first day. Compare that or count the dots. It might be that the first day healed relatively fast. I mean his donor healed while he was in the chair. I totally forgot that this could be why it looks like less than 1700 grafts. That is why I was like.. What did he say? It is because you are extremely aware to what goes on on in HT. You are very intuitive and when things are seem out of place you say it. I gained deep respect from you when u did that a few posts ago. Now back to stealing the SAFE technique. Technically, aliens (greys) sent me here to educate hairloss victims as this is the link for them to take over the earth.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
marco
U.K, 01.08.2007, 18:49
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
» You are in such an illusion that you frighten me...
Just because I accuse you of stealing the SAFE technique from me and suggest that you sell grafts on Ebay, you think I am deluded.
I should also say that I think Dr. Harris's work is excelent and the quality of the photografic records helps us to see the real deal of transplant. Dr. R. Jones posted a similar number of grafts in the same area and the results looked like a full head of hair until the patient posted a birds eye view. It's good to see your clinic and others on the forum painting a clear picture. I DO believe that the smaller punches are important. It was not so long ago that many posters and surgeons were arguing as to wether 0.75 was sensible but I think the case is closed. Another advantage of reducing the tissue removed is the reduction in any disorientation of the surrounding follicles and this was also debated at length. Unfortunately it is STILL a numbers game and the actual evidence that scalp FUE can truely extract the same numbers as strip is still missing. I say this because the patient in question will certainely need 7000ish in total based on your documentation and FUE alone has not yet been shown to satisfy that need.
marco has 1 Personal Journal(s). Click here to view marco is located in U.K and he is available to meet: NO |
hairtech_

Denver, CO, 01.08.2007, 17:10
@ marco
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
You are in such an illusion that you frighten me... Just Joking. look at the side view it will give you a better perception. Thanks for your comments.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
marco
U.K, 01.08.2007, 17:00
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
»
» I can assure you with absolute complete under oath truth that the the
» patient received 1786 quality grafts. 
It must be me and I have no experience judging what 2000ish graft implant look like but when I count the "dots" it looks like under 1000. I am reasonably sure that you are not selling grafts on Ebay (only because I checked) so I guess there is just an illusion.
marco has 1 Personal Journal(s). Click here to view marco is located in U.K and he is available to meet: NO |
hairtech_

Denver, CO, 01.08.2007, 16:27
@ marco
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
» Hi Hairtech, this looks pristine but I am confussed about the numbers. Is
» there really 2000 grafts in the area in this pic? It looks like a lot
» less.
»
» I am just updating this to say that there ARE a lot less! Where have all
» the grafts gone???
No we cheat all of our patients out of grafts and charge them for more. Joking of course.
If you read the entire post, I posted a daily tally of how many grafts we took each day. Since this patient was nearly exhausted of grafts from the previous clinic, we were only able to take 1786 grafts. We projected 2000 so I put that in the thread title... however since you cannot edit the title ... I assumed people read entire threads, however it looks as though you overlooked the daily tally.
I can assure you with absolute complete under oath truth that the the patient received 1786 quality grafts.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
marco
U.K, 01.08.2007, 15:48 (edited by HairSite Admin, 27.08.2007, 07:35)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
» Today the patient has come in for his final post op instructions and his
» first scalp wash.
»
» ![[image]](img/uploaded/471_image167.jpg)
Hi Hairtech, this looks pristine but I am confussed about the numbers. Is there really 2000 grafts in the area in this pic? It looks like a lot less.
I am just updating this to say that there ARE a lot less! Where have all the grafts gone???
marco has 1 Personal Journal(s). Click here to view marco is located in U.K and he is available to meet: NO |
hairtech_

Denver, CO, 01.08.2007, 14:55
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
Look at this donor area... it really confirms that smaller punch tools are significant even within the same day of surgery. Minimal blood and crusts. extraction holes are contrating to the point of blending in.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 01.08.2007, 12:41 (edited by HairSite Admin, 27.08.2007, 07:39)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
Today the patient has come in for his final post op instructions and his first scalp wash.
![[image]](img/uploaded/471_image168.jpg)
![[image]](img/uploaded/471_image169.jpg)
![[image]](img/uploaded/471_image170.jpg)
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 01.08.2007, 10:20
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
The patient will be coming in today for his first washing and I will get a couple of more pics.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 31.07.2007, 21:45
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
Post -Op Notes...
Again this was a difficult situation because of the previous extractions that were obviously not planned well. Dr. Harris took extra time making sure he did not over harvest the donor area and stayed clear of areas that had previous neighboring extractions... which were many.
Start time: 8a
Complete time:4:35p
Total grafts day 2: 876
1s = 181
2s = 383
3s = 241
4s = 62
5s = 9
Total hairs = 1963
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 31.07.2007, 21:32 (edited by HairSite Admin, 27.08.2007, 07:41)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
Completed placing...
![[image]](img/uploaded/471_image172.jpg)
And again... the donor area looks spectacular before he even leaves. Statistics..
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 31.07.2007, 16:48
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
Well we are hitting all of the plac es behind the hairline that need it most for the second 1000 grafts. He had patches of no growth which tells me that was technician error. Something went wrong. He did not want to hit the crown. Just the frontal 1/3- 1/2.
I will show you later.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 31.07.2007, 16:28 (edited by HairSite Admin, 27.08.2007, 07:49)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
Our count sheet...
![[image]](img/uploaded/471_image174.jpg)
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
marco
U.K, 31.07.2007, 16:23
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
for what it's worth, I think that the previous density is JUST above the density that simply looks like some implanted hair on a bald head. I personally would rather complete coverage at that density than a strong frontal hairline with nothing behind it.
marco has 1 Personal Journal(s). Click here to view marco is located in U.K and he is available to meet: NO |
hairtech_

Denver, CO, 31.07.2007, 15:48 (edited by HairSite Admin, 27.08.2007, 07:53)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
hairtech_ is located in DENVER, CO and he is available to meet: NO
--- Hairtech |
hairtech_

Denver, CO, 31.07.2007, 13:59 (edited by HairSite Admin, 27.08.2007, 07:56)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
Intra-operative day II...
![[image]](img/uploaded/471_image177.jpg)
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 31.07.2007, 12:18
@ haggis
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
» » This patient came from Europe. He had a previous surgery from a clinic
» in
» » Europe.
»
» Hi Hairtech, did your patient have his previous HT in the UK ?
Not in the UK...
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 31.07.2007, 12:17 (edited by HairSite Admin, 27.08.2007, 08:00)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
0.75mm punch.
![[image]](img/uploaded/471_image179.jpg)
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
haggis
England, 31.07.2007, 10:49
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
» This patient came from Europe. He had a previous surgery from a clinic in
» Europe.
Hi Hairtech, did your patient have his previous HT in the UK ?
haggis is located in ENGLAND and he is available to meet: NO |
hairtech_

Denver, CO, 31.07.2007, 10:42 (edited by HairSite Admin, 27.08.2007, 08:02)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
Marco... Dr. Harris said that his growth density(from the other clinic)... which was probably not his target density initially is around 20FU/cm2
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 31.07.2007, 09:55 (edited by HairSite Admin, 29.08.2007, 06:37)
@ hairtech_
|
What density??? |
he patient is back in the chair... It is 8:00AM
His donor area had great improvement in less than 12 hours.
![[image]](img/uploaded/471_image183.jpg)
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 30.07.2007, 23:24
@ marco
|
What density??? |
» Hairtech or anyone. What would you say is the density in the pre-op. I
» assume this guy had a previous HT and I would be very interested to know
» what density this represents.
»
» I think it is about 25-30FU/CM2.
I think it is slightly less but I will look in the densitometer tomorrow.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 30.07.2007, 23:08 (edited by HairSite Admin, 29.08.2007, 06:36)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
Sorry this was our end of the day procedure picture... It did not come out before. Notice the shrinkage of the holes in just a couple of hours...
![[image]](img/uploaded/471_image182.jpg)
End of the day extraction sites. I cannot tell you how happy I am when I see this.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 30.07.2007, 20:49
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
Post -Op Notes...
Start time: 1030a
Complete time:5:35p
Total grafts day 1: 910
1s = 117
2s = 382
3s = 318
4s = 93
5s = 5
Total hairs = 2207
Patient Averaged 2.4 hairs per follicular unit.
Dr. Harris completed one half of the donor area today and will complete the other half tomorrow. A slow caution was taken today because of his previous extractions from the different clinic.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
hairtech_

Denver, CO, 30.07.2007, 20:39 (edited by HairSite Admin, 29.08.2007, 06:39)
@ hairtech_
|
Dr. Harris Another intra-Op FUE/2000 X 2Days... Hairtech |
Here is his hairline... I tried to show the angles that are not so good.
![[image]](img/uploaded/471_image185.jpg)
Some 5 haired grafts taken with the 0.75mm punch
![[image]](img/uploaded/471_image186.jpg)
Mid-procedure extractions...
![[image]](img/uploaded/471_image187.jpg)
End of the day extraction sites. I cannot tell you how happy I am when I see this.
hairtech_ is located in DENVER, CO and he is available to meet: NO --- Hairtech |
marco
U.K, 30.07.2007, 20:08
@ hairtech_
|
What density??? |
Hairtech or anyone. What would you say is the density in the pre-op. I assume this guy had a previous HT and I would be very interested to know what density this represents.
I think it is about 25-30FU/CM2.
marco has 1 Personal Journal(s). Click here to view marco is located in U.K and he is available to meet: NO |