DR NIGAM, re: Tom Vercetti, the French Moderator

[drnigams]

Dear friends,


We took Pre Op pictures of Tom vercetti today afternoon.
We will start the procedure tomorrow.

Kindly have a look at Pre Op pictures micro and video scope pics.
If anyone recommend any additional pics please let me know tonight, so that I can take the same so that my photographer can take photos tomorrow.
Enlarge video pic is slightly Blurred and will take again tomorrow final hairline measurement and drawing and hair distribution angles and phasing pattern for natural looking will be created tomorrow in house artist.

I told Tom that he does not need any procedure but he insisted he wants to work on his hairline. He says he is different and he wants to do what makes him happy. we took the pictures of Cristiano Ronaldo (photograph) from left view, right view, front view. Cristiano Ronaldo hairline is little different. I am trying to convince Tom not to lower the hairline beyond I hope I can convince him tomorrow.

Tom has his father with receding hairline (NW 3). Tom is 26 yr old not on any medication except few natural supplements, no finax no minoxidil. Does not seem to have MPB except little at the hairline as of now.

TREATMENT AIM AS PER PATIENT'S DESIRE.

1. Slight lowering of Hairline, Filling of Buff Temples in the Curve shave rather than in a zip form, special horizontal drop from the apex of angle of temple straight downward to the lateral temporal hair out growth as a style requirement.
2. Patient wants to save the donor hence prefer donor doubling and FUE.
3. Patient wants to inject Stem cells and DP cell injection for thickness of the whole scalp hair follicles.

PATIENT HISTORY OF HAIR TRANSPLANT

Patient has done Approximately of 1000 grafts by FUE on his hairline one year back at Belgium, But he says there is no proper growth after the previous procedure.


This is the protocol I plan to do for it.
1. In vitro donor Doubling
2. Activate Stem Cell Injection
3. Multiplied stem cell injection in August when he returns.
4. DP cell injections
5. Extra cellular matrix injection, advanced PRP
6. Hairline design as per patient requirement with touch up hairline for density next visit in August.
7. 2D DP culture injection in August when he returns.

From the video scope pic we will give number to every grafts and mentioned whether it is single, double or triple follicle graft and then subsequently monitor donor re generation by mapping. I will also let u know the distance of first and second horizontal Bun (Shave Stripe) distance from vertex and left ear tip of the lobule for tracking once the hair grow.

He will be going back Wednesday night, so that we can take pictures of Day 0 Day 1 and Day 2


Small Hair visible in video scope pics are of of stripe 1 (1 to 8 pics starting from left to right, margin of 5cm from the donor scalp hairline edge on both sides ) stripe 2 (1 to 8 pics starting from left to right, margin of 4cm from the donor scalp hairline edge)


Click here to view

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B1-A.jpg

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http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B1-B.jpg

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http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B1-F.jpg

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http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B1-G.jpg

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http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B1-H.jpg

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http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B2-A.jpg

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http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B2-B.jpg

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http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B2-C.jpg

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http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B2-D.jpg

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http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B2-E.jpg

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http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B2-F.jpg

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http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/B2-H.jpg

via http://www.*************/hair-loss/b...casc-DESC.html

Type in h a i r s i t e . c o m

Dr Nigam,

I would urge you to follow proper documentation this Monday with your French moderator patient, Tom Vercetti.

This is your chance to prove to everyone if what you're doing holds legitimacy. Be cautious and understand what we need to see re: proof with photographic evidence.

Certain standards must be met.

Cheers.

[drnigams]

Tom' Before Procedure Macro Pics

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1268.JPG

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1272.JPG

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1275.JPG

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1279.JPG

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1286.JPG

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1310.JPG

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1310_1.JPG

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1311.JPG

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1319.JPG

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1324.JPG

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1326.JPG

http://www.drnigams.net/images/Tom/Large/Bun%201%20L%20to%20R/selected/_MG_1327.JPG

Dr. Nigam, this post reflects the views of all BTT members. If you can document this properly, the questioning will come to an end and you will need to set up hundreds of clinics because people from every corner of the world will be coming to you to fix their hair, and fix their life.

[Arashi]

Dr Nigam,

The important ones are the macro ones. However they're not good enough in my opinion. It's really hard to see if donor grafts are 1's 2's or 3's.

What I'd suggest is to split up the donor area in 4 pieces and get a bit closer with the camera to each of those four pieces. Preferably shots in higher resolution too, if possible.

Also, is that area really big enough to get 2000 grafts ?

[Arashi]

Also, it would be best if you would shave the whole recipient area but I don't think Tom is open to that ? It's going to make it a bit hard this way to monitor recipient growth.

[veca]

Arashi, we have micro-photographs of the donor in the region, if that's what you meant.
As for me, Tom is not a candidate for any procedure, but each piece of evidence and every patient is a step forward. In any case, Dr. Nigam thanks to hard work and dedication to invest in order to prove and improve the HM. Good luck tomorrow

[Arashi]

Arashi, we have micro-photographs of the donor in the region, if that's what you meant.
As for me, Tom is not a candidate for any procedure, but each piece of evidence and every patient is a step forward. In any case, Dr. Nigam thanks to hard work and dedication to invest in order to prove and improve the HM. Good luck tomorrow

Most of the microscopic pictures are not clear either (and not all of the links work !), focus is sometimes on one half of the picture for example. Besides it's difficult without tattoo's to see what is what region and to link them all together.

No, best is just to cut up the donor area in 4 and make macro pictures of each of those 4 area's, much closer with the camera to the scalp, so detail is good enough to really see how many hairs each graft has. Micro pictures can then be used a support of that, although like said it's going to be difficult to map the whole area without tattoo's in the case of micro pictures, since you have so many of them.

[drnigams]

Yes ,i think, close up macro pics of small areas,to count singles/doubles/triples.
More clear..microscopic pics...
tmr ,i will check with photographer.. personally...zoom in have a look ,whether we can count singles/ doubles/triples clearly...

Initially..the extraction marks will be visible in microscopic pics..we can map it..problem of tracking will arise when tom's hair grow back long at the donor.

Mapping by following every graft ,at particular area at donor is ok..but to map complete donor...will take a lot of time ...
And i do not think tom will shave his donor in the future..

Tom does not want to shave much...i will see tmr..after measuring his density at donor graft/ per sqcm...the recipient area was approx. 50 sqcms..
With a density of 40 at the anterior transition zone of hair line..and density of 50 at posterior area of hair line..avg 45 sqcms..

I will need lesser than 2000grafts..as some grafts will be made singles for anterior hairline..after trimming.
and triples will have to be made double for posterior hair line...
After extraction..i will come to know ,how many singles,doubles and triples do we get...
For hairline we will need approx.500-800 singles for anterior part of hairline..and 800 to 1200 doubles for posterior part of hair line....
Final figure tmr..as we both agree on exact hair line design...
Hairline new area is slick..as it is lowered..should not be difficult to monitor..except few grafts which will be dispersed into his existing anterior hairline...
Don't you think..the microscopic pics can also be used by mapping or following all the grafts in the micro pic,with connecting lines..for their before after position and placement...

It's good ,i took the rehearsal pics today...





are not clear either (and not all of the links work !), focus is sometimes on one half of the picture for example. Besides it's difficult without tattoo's to see what is what region and to link them all together.

No, best is just to have 4 macro pictures of the whole area, (much) more close up than the previous ones.[/QUOTE]

[534623]

TREATMENT AIM AS PER PATIENT'S DESIRE.

2. Patient wants to save the donor hence prefer donor doubling and FUE.

And FUE?

If your donor doubling procedure is working so good and the patient wants to save the donor and he got "no proper growth" from his previous FUE procedure - why normal FUE extractions?

Ops ...I forgot ... this is nigam-thread ...

[drnigams]

The word..not is missing there...patient wants to prefer doubling and NOT FUE
You have .. nothing left to search..so you are focusing on ,spelling and typing of my secretary ....... ..keep working hard..tough time ahead for you...



[/B]

And FUE?

If your donor doubling procedure is working so good and the patient wants to save the donor and he got "no proper growth" from his previous FUE procedure - why normal FUE extractions?

Ops ...I forgot ... this is nigam-thread ...

[TO YOUNG TO RETIRE]

may i ask why this user keeps this attitude against this Dr who tries to do something we didint see decades?

i mean commn now. we must be supportive. we all have a problem to solve here,

[Arashi]

It's good ,i took the rehearsal pics today...

Agreed, very wise decision ! Cause without good pre-op photo's this whole thing can become useless. But I'm confident you'll get better photo's like you suggested. Good luck tomorrow and all the best !

[young]

Best of luck, and God Speed Dr. Nigam and Tom.

I am sending positive thoughts.

[drnigams]

Thanks young...i just received them...

Best of luck, and God Speed Dr. Nigam and Tom.

I am sending positive thoughts.

[oppenheimer82]

may i ask why this user keeps this attitude against this Dr who tries to do something we didint see decades?

i mean commn now. we must be supportive. we all have a problem to solve here,

in the past he used to be quite the critical poster. always asking great questions. then he went to gho and from that moment on, he hates everybody who is not gho, especially people who are willing to sacrifice their own precious time and hard earned money to find us a cure. sometimes it's quite annoying, but mostly really pathetic. we should pray for this man and hopefully, one day he will regain his sanity.

[FearTheLoss]

I just think he was screwed over a million times by a million doctors and finally found one, Dr. Gho, that is doing something good for him. Now he likes to promote the one doctor that he found trustworthy and doesn't want others to get screwed over like he had in the past. (not saying Dr. Nigam is a doctor that would screw someone over, I don't really have an opinion on Nigam yet, waiting to see more proof)


Side note, if Nigam opened a clinic in the US for donor doubling I'd be the first in line.