Scar Grafting with Dr Cole

[jetfan11]

Scar grafting

Looks amazing, you have come a long way. I can't see you not fixing it when you do some more beard at a 1 guard or maybe even lower (though I know you don't want to go lower, just saying it is incredible work by Cole from where you started). The line is either non existent or so faint that it would not draw attention, was that how low your hair was when you went it for this 28 beard hair pass?

Congratulations your a normal bald dude. My scar is 5 to 11mm all the way around. I'm pretty sure I'm just going to graft it but man part of me wants to go for a revision.

But man you're scar was 2 to 5mm but you had 2 scars.

This is damn good result.

Tough tough decision.

[jetfan11]

Scar grafting

It's coming. Beard hair came out easy and went in easy. Lower scar looks great except some hair growth direction issues. Upper scar needs some fill in at the shorter hair lengths to get it right. We might want to change some hair growth direction issues on the lower scar, but you have to look close to see this thankfully. It (hair growth directional distortion) is not as bad as it could have been or as bad as i've seen. we are hoping the injections of steroids help the raised lower scar sit down. It's a little bit elevated. This can occur from hypertrophy of the scar (usually) or volumetric displacement (by grafts). I've not seen FUE grafts cause this before, but strip FUT grafts can because doctors leave more fat on the grafts and this extra volume causes elevation of the tissue around the graft. This is more consistent with scar hypertrophy as the entire scar is elevated rather than only around the grafts. One option is to cut holes with a punch to place grafts in rather than placing the grafts in slits if you are worried about volumetric expansion. In other words, before you drop the rock in the glass of water, you take out some water so that the rise in water is equal to the original level before the rock was put in.

That's frikkn impressive Dr Cole. 2 scars down to an almost perfect 2 clip with not that many graft. Makes me not want to get a revision.

[greatjob!]

Congratulations your a normal bald dude. My scar is 5 to 11mm all the way around. I'm pretty sure I'm just going to graft it but man part of me wants to go for a revision.

But man you're scar was 2 to 5mm but you had 2 scars.

This is damn good result.

Tough tough decision.

Holy hell! 5-11 mm!!

[35YrsAfter]

That's frikkn impressive Dr Cole. 2 scars down to an almost perfect 2 clip with not that many graft. Makes me not want to get a revision.

Jetfan11:
How have you been? I remember you reported some shock loss a while back. It looked like a lot filled in later when I met you during your consult. Did most of the hair return?


35YrsAfter also posts as CITNews and works at Dr. Cole's office
forhair.com
Cole Hair Transplant
1045 Powers Place
Alpharetta, Georgia 30009
Phone 678-566-1011
email 35YrsAfter at chuck@forhair.com
I am not a doctor and the content of my posts are my opinions, not medical advice.
Please feel free to call or email me with any questions. Ask for Chuck

[northeastguy]

Congratulations your a normal bald dude. My scar is 5 to 11mm all the way around. I'm pretty sure I'm just going to graft it but man part of me wants to go for a revision.

But man you're scar was 2 to 5mm but you had 2 scars.

This is damn good result.

Tough tough decision.

Hey jet. Ya, it's not an easy decision. I forget who closed your last scar but I just feel in the right hands you can improve that scar substantially. 5-11mm is pretty wide. In the long run, you'll save a lot of grafts to use for better use. Worse case, if it doesn't work you can graft into it anyway.

[northeastguy]

Looks amazing, you have come a long way. I can't see you not fixing it when you do some more beard at a 1 guard or maybe even lower (though I know you don't want to go lower, just saying it is incredible work by Cole from where you started). The line is either non existent or so faint that it would not draw attention, was that how low your hair was when you went it for this 28 beard hair pass?

Yes. My hair was cut the day prior.

[jetfan11]

scar graft

Hey jet. Ya, it's not an easy decision. I forget who closed your last scar but I just feel in the right hands you can improve that scar substantially. 5-11mm is pretty wide. In the long run, you'll save a lot of grafts to use for better use. Worse case, if it doesn't work you can graft into it anyway.

I agree it would be a much easier job with a narrower scar and I am tempted to do that.

Problem is my donor hair below the scar is really really weak after 3 surgeries. I also have been told by docs i have a ridiculously elastic scalp and it would probably stretch back out.

I dont really mind if it stretches back out. My concern is I will have MORE permanent shock loss of hair around the scar and the jig is up. If you saw my donor hair youd get it.

Also I am prone to hypotrophic red scars and i donor see common sense wise why i would all of a sudden get this great scar regardless of how good a job the doc does.

I will say Cole and their staff have been very cool with me answering questions while I waffle back and forth on the decision.

The other reality is a lot of my shock loss grew back...not all of it. I can throw some toppiks in my hair and put on a pretty damn good show so as much as I really really want to fix this scar I dont want to go backwarsds.

But its tempting also because while I wouldnt "go" for more grafts but I would get a couple of hundred grafts with a revision and that few grafts in my hairline if they grew would make a big difference....but last time I got a transplant every damn hair in my head fell out...so kinds stuck.

So again tough decision.

You look dynamite though. Happy for ya.

[northeastguy]

Thanks Jet for the kind words. I am truly seeing the light at the end of the tunnel. As for your own situation, unfortunately only you can make the final choice.
you mentioned you have a very elastic scalp.... I am confused why they feel that is the cause of the stretching... usually its the opposite. However, If the current scar is flat and you have enough donor via scalp and beard hair then maybe jump into FUE. Try not stressing, I can assure you in the long run you'll be far better off than you are now. Set up a goal and game plan and make it happen.

[northeastguy]

Video of Beard extraction via CIT using .75mm punch

https://www.youtube.com/watch?v=fd7eRjWaKhs&feature=youtu.be

Thought it would be interesting to view the actual test procedure done on 11/14/2013. Again we used a .75mm punch (which I was very happy about).

[northeastguy]

Day 9 post beard test

Here is a Day 9 Photo of the Beard area we tested...

[Stevie R]

Hey Northeastguy have you seen this one of yourself?https://www.youtube.com/watch?v=R5vC6jKkf4c That is AMAZING, also the right side as seen in 0:37 is perfect and can probably be cut alot lower, and Dr. Cole if I need another 30-70 beard hairs for my final session I will definitely hit you up for that pass, great work guys!

[northeastguy]

Ha! I guess that's one what to get on youtube! I'll post an update in the next day or so. I am getting a haircut tomorrow so I'll post one without that Bed head thing going on. the effects of a 3 hour flight and hour drive showed itself...
Next time I'm there, I'll be at a 1 guard, 8 months out from my 2nd procedure. Not sure how that'll look but it'll give us a very good idea of what area's we need to focus on to put this to rest.

[Stevie R]

Well still that looks excellent, but do you think I am right when I think that the right side, the last inch and a half or so seems to be perfect on both scars? The rest looks nearly so as well, but the right looks particularly good wouldn't ya say? Anyway I am pretty stoked to see you at a 1 guard man as I am sure others are as well, it just looks so good. But here is a question for Dr. Cole, how many guys send back pics of their scars you graft? I just wonder because I bet it is very very low, most people have a stigma of having no one see it, even if it is the back of our heads an no one would know...But I think it is important because many who research FUE into scars are discouraged because their is not too many examples, and many are older which don't seem to equal the newer work, such as your job on Northeastguy here. Yet, it seems all the newest FUE into scar cases I see are amazing, whether from you or a couple other notable guys, not downplaying your work at all cause this is the best case for a scars Northeast's size I have seen repaired. Do you have anything to add on this? I feel it will help others to see what your opinion is on this, cause my experience after having my first pass with very good results is that it must be that like 1 percent of the repairs are online, thanks again guys.

[northeastguy]

30 day beard FUE donor test

Sorry for the delay. 30 days have come and past and I want to post photos of the Beard area I used to test for scarring. Pretty sure its safe to go ahead and do a good size session. I'll be seeing Dr Cole in January to have this done and update at the time. My Goal with this procedure is to:

1. Fix the horses tail.
2. Add density to the scars.
3. Add density to the general area of the strip scars that have uneven density from multiple procedures.
4. Maybe do another injection of Kenolog to the lower scar if its safe at this time.

My plan is to buzz my hair down prior to the procedure to a 1 or 1.5 guard so it will be easy to see exactly what areas need work.

Photo includes post test, 30 day post shave, 30 day plus 1 day growth with flash and 30 day plus 1 day growth without flash...

[northeastguy]

Here is a non edited photo 30 days to allow for zoom viewing....

.75 mm punches via CIT