Dr. Hasson/9168 Grafts/One Session/One Day Post-Op

[Jotronic]

This patient came from Italy so that Dr. Hasson could restore as much of his NW5 hair loss as possible. The patient exhibited above average donor density and above average donor laxity. The before/after photos represent one day post-op healing. We hope to have continual updates from the patient as the hair and scalp continue the healing process and subsequent growth and maturation.


1's - 2154
2's - 6135
3/4's - 879

Total Grafts - 9168

[Follicle Death Row]

Very impressed with that strip. Nice and low at the back of the crown. Safe. Great stuff.

[fitness-man]

wow..looks really good for just 1 day post op!!!

excited to see his progress!

[Gandolf]

Wow, that's amazing that you were able to do so much in one surgery. A few questions come to mind.

-How much would such a large surgery cost?
-How much donor supply does this patient have left for future strip and FUE procedures?
-How many hours did this take and were there multiple surgeons involved?

[Gandolf]

Wow, 9168 grafts is a LOT. How much did such a large operation cost? Does this patient still have more donor supply for future procedures?? This will be a fun one to watch!

[Jotronic]

Hi Gandolf,


-How much would such a large surgery cost?

When it's all said and done, just over 30K.

-How much donor supply does this patient have left for future strip and FUE procedures?

Plenty. The amount taken as a max for any given patient is relative so most patients can have three or more surgeries. In his case, were we to max out a 2nd session, he may get 5000 or 6000. I'm guessing here because I did not work very closely with this particular patient.

-How many hours did this take and were there multiple surgeons involved?

About 16 hours and it was Dr. Hasson and his team.

[Gandolf]

Wow that's a lot of money to pay but for someone who wanted to break this up into 2-3 procedures over the span of their life I guess that's reasonable.

So this patient had ~15k grafts of total donor supply? That makes me feel a lot better about my own situation. Was this guy just some type of genetic freak or can a lot of men expect to have that much?

[Follicle Death Row]

5000 or 6000 more!!! Unreal. Any more pics of the Spanish patient who had over 8000 Joe? His result from the front looks amazing.

[Jotronic]

Gandolf,

A genetic freak? Not really but he is the exception and not the rule. "Many" men is relative but I think plenty of men might have this much donor hair via strip but they either don't care about their hair loss, don't realize that this can be done, had bad work somewhere else or just don't care about hair to begin with. Typically Spanish patients have unusually high donor density and laxity but we've found a few Italians like this patient too.

FDR,

We're editing the Spanish patient's HD video and I'm putting his photos together. Look for it soon.

[Follicle Death Row]

Thanks so much Joe. I reckon I will probably have good donor for the future should I go for it. Well I have a pretty large enough noggin I reckon, not disproportionate, but what I mean is I could probably get a long strip but then I'd prob have more real estate to cover. If I had a strip that extended as far around the head as this lad it would probably be about 35cm. Great to hear such big numbers are available for some. What you're showing us these days numbers wise is confirming what I had thought for so long. What I'm seeing now makes sense compared with what the number crunching from the defined universal donor area gives. Great stuff.

[Follicle Death Row]

Think it's time you guys updated your website with more vids. Some crazy good results recently.

[Follicle Death Row]

The goal posts move again Joe. A Georgian clinic have achieved 9688 in one session! Patient had mutant laxity.

[tonypizza]

Does anyone know why HT surgeons use staples instead of sutures?

You have excellent margins prepared with a scalpel and great visibility/access. Scars are a going concern for patients. The dentist does more in considerably more difficult conditions after you get a tooth pulled

[mlao]

I often wondered the same thing but recently I read this on Dr. Bernstein's site;

Staples

The advantage of using staples is that, of all the donor closures, staples conserve the most hair. There are two main reasons for this. The first is that stainless steel staples are inert. This means that, unlike sutures, the body tissues do not react to them and therefore staples cause minimal inflammation (which has the potential to damage hair follicles). The second advantage of staples is that they are interrupted, in contrast to sutures which are used in a long running loop stitch. A running stitch had a tendency to strangle hair follicles, particularly if there is any swelling after the surgery. The use of interrupted staples avoids this potential damage to grafts.

The advantage of sutures had been that the surgeon had the most control in approximating (closing together) the wound edges. For a long time we felt that the better control of the wound edges offered by sutures outweighed its disadvantages. However, with new stapling techniques and modifying the time that the staples are left in the scalp, excellent wound edge approximation is achieved and the main advantage of sutures has largely been eliminated.

Sutures are generally more comfortable post-operatively than staples and are more convenient for patients because they do not need to be removed. However, because staples offer superior preservation of donor hair, this is our closure of choice for most procedures. For those patients who will benefit from sutures, or for those who simply prefer them, we still offer this type of closure.

[Jotronic]

Here you go boys, results after 11 months. I took these photos in Rome during my last visit in March.