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  1. #1
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    Default The MOST important fact to remember!!!!

    If you are bald hair restoration surgery will NEVER restore a full head of hair. For a dose of reality, check out the following image. I have used my pitiful Photoshop skills to show what a donor strip with approximately 4800 grafts would look like if it was just laid on top of a bald scalp. This is assuming a donor strip of approximately 30cm X 2cm and full density of about 80 FU per cm2. If this doesn't make the reality of this procedure clear, nothing will.

    www.HassonandWong.com

    All opinions are my own and may not necessarily be shared by Dr. Wong and/or Dr. Hasson.

    If you are interested in having an online consultation visit www.hassonandwong.ca

    To view my story and history visit my website at www.hairtransplantmentor.com

  2. #2
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    exactly.
    Wait for Histogen and Replicel to announce their results first....

  3. #3
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    That's actually quite a kool look !!

  4. #4
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    Thats 4800 grafts ???
    I mean whats the point then.. if thats 4800 grafts.. then it would take a million dollars if not much more for this guy to fix his entire bald head.

  5. #5
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    Default

    Good point Joe. Nice visual representation of the problem of donor limitation. I think the scale might be a little off though. My father is a norwood 5 or 6 and from where his hairline used to be to the top of the horseshoe in the crown is around 24cm, maybe 25cm. It's also varies width wise but I'd say he has a max of 230cm2 or at tops 240cm2 to cover. I think 240 is the number to plan for.

    Some guys can get long strips. I could comfortably do a 32cm strip maybe more. I have heard that some of the lucky ones can have 3.5cm width extracted over 2 or 3 procedures. At a density of 85FU/cm2 which is probably about right for the average patient, and I'm going to say an extractable area of 32x3 (96cm2) over multiple procedures you're looking at 8160 FU. Of course some can get that 3.5cm width and some have big heads so they can take longer strips so they're total available donor will be higher. Plus higher donor density. I recall that NicNitro had a pretty long strip. Was it almost 35cm Joe? Sounds a bit ridiculous.

    I've been told that the average patient has 8000-9000 available over a lifetime. Seems about right when pushed to the limit. Still let's go with 8160 for now and assume the 2.3 hairs per FU and average hair caliber.

    240cm2 of baldness (norwood 6 land) and a native density of 85 pre mpb means 20400 FU lost.

    However, in the first 65cm2 can have 45FU/cm2, the next 65cm2 can have 40 and the crown of 110 can have 30 for a total of 8825. Some could achieve that by strips and some might need another 750 FUE or so to get there. Sure that would mean a thin crown but I still think that's better than being slick bald.

    Of course you do hear about people with around 10,000 available by strip and then another 1500-2000 by FUE. I'm looking at you Joe you lucky sod. 9500 with another strip of 1500-2000 and then another 1500 FUE left. It's good to have good donor.

    As Dr. Feller says you can have all the money in the world but if you don't have the donor there's only so much the doctors can do. For the real freaks out there, 50% density restoration all over is just about possible. FDR out.

  6. #6
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    Default

    Imagine someone was norwood 6 or 7 and pulled out a 30cm strip and then cut out a strip of scalp on top and placed in the donor strip, plus a bit of FUE for the donor scar, for the mister T native density mowhawk.

  7. #7
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    Default

    I still feel very much puzzled with donor hair mystery.. essentially, we all should have plenty of side hairs to be moved to bald spots..

  8. #8
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    Default

    Quote Originally Posted by 2020 View Post
    exactly.
    Wait for Histogen and Replicel to announce their results first....
    Hi 2020, you stated on another thread that Histogen plan to release their PH2 data by December 2012 - have you a link/source to this info? Did you email them?

  9. #9
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    Default

    Here is an example of why realistic expectations and understanding the limits of donor supply are paramount for anyone seeking an HT:

    http://www.baldtruthtalk.com/album.p...pictureid=2986

    http://www.baldtruthtalk.com/album.p...pictureid=2983

    Please note I'm not saying anything disparaging about the patient or doctor in this case. This is just to illustrate how even in the hands of a skilled surgeon, people with extensive loss can only expect so much coverage.
    I brought this up because I recall someone in a different thread suggesting that guys should have enough donor hair for full coverage if they're willing to get enough grafts. For the NW6's and 7's out there, this is clearly not the case (although the album describes this patient as having "decreased donor laxity).

  10. #10
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    Default

    I purposely left this thread untouched to see where it would go and to see how many people would "get it" with just the one image. Sadly, it has spiraled into multiple directions, all of which are completely off topic and not only irrelevant but counter-productive. This thread is independent of any single clinic so please, keep the "who's best" posts where they belong.

    The visual analogy I presented is not only for strip. I used the strip analogy because it is the most powerful visual tool I could devise but the point is the same if you are considering FUE. 4800 grafts taken out via FUE would only cover an area of the size of this strip if the grafts were planted at full density. To get true full density throughout the balding area this area would have to be multiplied by a factor of 8, at least, thus requiring in the neighborhood of 45,000 to 50,000 follicular units.

    Keep in mind, this is to achieve "true" full density. Full coverage however is independent of full density and requires far fewer grafts. For instance, the image below on the left is the original depiction of me with my hair gone and only a full density strip placed on my scalp. To the right is me after my second procedure of which both procedures netted a total of 4825 grafts (25 more than the example shown). The example is to show that although full density is not possible the notion of full coverage is not so far fetched. "Full" is subjective and some people consider both terms, "full coverage" and "full density", to be one and the same. They are not as evidenced by my own result after two procedures.

    Hair color to scalp color contrast ratios, hair caliber, hair type, etc. have extremely important roles to play in how your own result will turn out but ultimately, the biggest contributor, is your expectation because with anything in this life, perception eventually becomes reality, so the more you actually understand the happier you will ultimately be.
    www.HassonandWong.com

    All opinions are my own and may not necessarily be shared by Dr. Wong and/or Dr. Hasson.

    If you are interested in having an online consultation visit www.hassonandwong.ca

    To view my story and history visit my website at www.hairtransplantmentor.com

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