Dr. Lupanzula FUE/Burn Victim with 3765 grafts, A Pleasurable Outcome - BaldTruthTalk.com
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  1. #1
    Doctor Representative Medikemos Clinic's Avatar
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    Default Dr. Lupanzula FUE/Burn Victim with 3765 grafts, A Pleasurable Outcome

    The following patient presented with severe 3rd degree burns that resulted from a gas explosion as a child.

    Dr. Lupanzula says, "It is this type of injury that first piqued my interest in surgical hair restoration over ten years ago. To see the positive change this made for the patient makes cases like these extra special and pleasurable to work on."

    Video was shot in Brussels at Medikemos Clinic with a Nikon DSLR in full high definition. The hair is combed from multiple angles for your detailed inspection.

    Note: It is important to watch the video through to the end to understand the full transition.

    Of particular note is the yield in this case. The general idea with many hair transplant clinics is that severe and deep scar tissue such as that found in burn cases is so avascular that graft placement must be performed in a very low density fashion. At Medikemos clinic we have found that this is not such an issue. A more cautious approach is necessary but it is easy to see in the immediate post-operative photos that a moderate density can be safely established which makes for a good starting point for a subsequent follow up procedure to establish what is considered to be a cosmetically acceptable density under any circumstance.

    If you have any questions about this result please don't hesitate to ask.

    Last edited by Medikemos Clinic; 10-23-2015 at 03:10 PM.

  2. #2
    Senior Member Breaking Bald's Avatar
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    Amazing result, it must have changed the patients life! Good job.

  3. #3
    Doctor Representative Medikemos Clinic's Avatar
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    Quote Originally Posted by Breaking Bald View Post
    Amazing result, it must have changed the patients life! Good job.
    Hello Breaking Bald,

    Thank you for your comments. Indeed, the patient's life has in fact been changed for the better. Every positive outcome is a great joy to see but it is seeing cases like this that adds a bit more joy to our day

  4. #4
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    Very tricky case. Glad those grafts went a long way on an affected scalp. Glad to see some docs ethically treat their patients and improve their lives. Not many docs take on cases like this, not many can achieve it. Great work doc!

  5. #5
    IAHRS Recommended Hair Transplant Surgeon Emorane Lupanzula, MD's Avatar
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    Lightbulb Dr. Lupanzula // 3765 (2820+945) FUs Manual FUE / Burnt Tissue (Cicatricial)/ Details




    PATIENT'S BACKGROUND

    - Age: 27 y.o.
    - NW: Not Classifiable - Cicatricial Alopecia
    - Medicaments: None



    RECOMMENDED PLAN & TREATMENT

    This 27 years old young man came to visit Dr. Lupanzula for the first time in September 2013.

    During this first visit, he was wearing a hairpiece but the Doctor immediately perceived from his look that this was not a case like the others.

    In fact, when he asked him to remove the wig the bitter truth showed itself: at 1 year old, the patient’s scalp burned to a 3rd degree because of a gas explosion. This resulted in a very extended scarring (cicatricial) alopecia, affecting the patient’s frontal area and mid-scalp.

    This very problematic situation was worsened again by the wig the patient had been wearing for years, making his already damaged and scarred skin gluey and not transpiring correctly.

    In this situation, Dr. Lupanzula decided to propose him an operative strategy divided in two separated sessions: the first procedure, consisting in approximately 2800-3200 FUs, with FUE technique, in order to repair the burnt tissue in the frontal area, while rebuilding the patient’s hairline and adding density in his front up to the mid-scalp.

    The second procedure, of about 800-1200 FUs, still with FUE technique, with the purpose of restoring the scarring, burnt tissue left in the right side of the patient’s mid-scalp.

    It is also important to note that the patient had previously undergone a first FUT hair transplant in another clinic, leaving him with a 1x10 cm scar in his donor area and with a pluggy hair and very poor result as shown in the pre-operative pictures.

    Eventually the patient underwent both proposed surgeries, for a total of 3765 FUs, with Manual FUE technique, and we are pleased to show below the details of the two surgeries and next the related pictures.

    PS: Thanks to the excellent outcome on this extremely difficult case, Dr. Lupanzula has been recently awarded at the 6th ABCRC Congress to recognize his proven experience in repairing repairing cicatricial (scarring) alopecia by means of FUE technique: https://www.baldtruthtalk.com/thread...RC-Congress%21




    SURGERIES TECHNICAL DATA

    1st surgery - Hairline / Front / Mid-scalp (October 2013)

    Recipient area surface: ~64 cm2

    2820 FUs: FUE Manual Punch, 0.9mm
    Incisions: Lateral Slit

    N° of Hair per Follicular Unit:
    * 547 Single FUs
    * 1346 Double FUs
    * 843 Triple FUs
    * 84 Quadruple FUs

    Average Hair/FUs: 2.16


    2nd surgery - Mid-scalp (August 2014)

    Recipient area surface: ~28 cm2

    945 FUs: FUE Manual Punch, 0.9mm
    Incisions: Lateral Slit

    N° of Hair per Follicular Unit:
    * 137 Single FUs
    * 493 Double FUs
    * 292 Triple FUs
    * 23 Quadruple FUs

    Average Hair/FUs: 2.21


    Dr. Emorane Lupanzula




    PREVIEW










    IN DETAIL

    Before the Surgeries












    1st Surgery // 2820 FUs Manual FUE
















    10 Months Post-Op 1st Surgery // Pre-Op 2nd Surgery
























    2nd Surgery // 945 FUs Manual FUE












    FINAL RESULT - 3765 FUs Manual FUE
    18 Months Post-Op 1st Surgery // 8 Months Post-Op 2nd Surgery
















    Emorane Lupanzula, MD
    MeDiKemos Hair Transplantation

    Member, International Alliance of Hair Restoration Surgeons
    View my IAHRS Profile


    Email: info@medikemos.com
    Telephone: + 32 2 535 55 40
    Website: http://fuehairdoctor.co.uk/
    Youtube: http://www.youtube.com/user/MHairTransplantation

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