Hair Loss Forum - Sofarsogood : ultimate hairline - immediately post op pics

SOFARSOGOOD'S Personal Journal

Sofarsogood : ultimate hairline - immediately post op pics
(posted by Sofarsogood, Los Angeles area, 17.12.2008, 04:29)

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Here are some day one and two pics following my procedure with Dr. Umar.

The backstory of this procedure is a few threads below this one:

http://www.hairsite4.com/dc/dcboard.php?az=show_topic&forum=12&topic_id=42782&mode=full

In short, I went to doc Umar again after a successful test procedure to feather my 1990s HT hairline.
This time our goal was to reshape my hairline to reflect the picture below. More like this } as opposed to this ).

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Here is my straight hairline (dry this time):

Here is day one (23 hours after the procedure):

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Here is day one (23 hours after the procedure):

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Donor area 23 hours after the procedure:

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Day 2, 10am

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Day 2 donor area:

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Please note that Doc U shaved a few millimeters of my former hairline to work in between the FUs and slightly in front to create the peaks,
blending the work into my former hairline. Remember, we are looking at my hairline shaved to expose some of the older graphs.
Otherwise, it appears that Dr. U. only worked in front of the existing hairline, which is not the case.

It was amazing how Dr. U. measured out the hairline design matching the proportions of the magazine photo
yet taking into account my head shape as well.

According to Dr. Umar "BHT presents increased options in the feathering of hair lines. It is easier to find suitable single haired/finer follicles in body areas than it is the scalp.

To adequately feather hair lines, strip HT providers have resorted to selecting singles in the sides of the head as well as the splitting of multi haired FUs to produce the desired number of singles needed to accomplish the task. Some innovative providers have resorted to crushing or cutting off the papillae in an attempt to produce finer hair. The downside to this is the unpredictable nature of the yield with such maneuvers.

Scalp FUE afforded an added option of selecting hair from the nape of the neck. Again this approach may result in loss of the transplanted hair in patient that progress to extreme levels of baldness.


In selecting body hair for this purpose, I have found leg hair to work well. For most individuals (Not all), leg hair tends to be finer and straighter.

The goal expressed by Sofarsogood for this surgery differs from his first surgery. Here, he desires a reshaping of the hairline rather than feathering alone. While feathering alone can be achieved easily with BHT hair, reshaping might require some scalp hair input as well. You are likely to require more length and thickness to the newly shaped hairline, both characteristics of which may be lacking in the majority of leg hair. In this instance, we have left open the option of adding some head hair to the transplanted area at a later date, should it be considered advantageous.

Some important questions worth pondering in BHT at the moment concerns:

1. The fate of non robust hair once transplanted. We are monitoring a few patients that have had this done for results. At the moment we do not encourage the wholesale use of such hair in BHT pending the outcome of these cases.


2. The effect of DHT inhibitors in BHT. Some thoughts on this subject have been expressed previously:

http://www.hairsite4.com/dc/dcboard.php?az=show_mesg&forum=12&topic_id=27121&mesg_id=27175&page=

At the moment our approach assumes a negative role for these agents in BHT. I have advised all my BHT patients of this. Obviously in patients with a preponderance of pre-existing scalp hair in the NW area worth protecting from DHT especially in the background of apparent benefit from earlier usage, it is easier to favor using DHT inhibitors. In such instance (and perhaps others), safeguarding the existing scalp hair takes precedence over BHT outcomes.

Each case should be tackled individually. Prospective BHT patients should discuss DHT inhibitors directly with their providers."

Detailed forum discussion for these pics can be found at:

http://www.hairsite4.com/dc/dcboard.php?az=show_topic&forum=12&topic_id=42860&mode=full

 
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