This fellow stopped in last week. He's a great guy...a monster in size and personality. He had a poor plug result way way back and we excised a strip containing plug scars and packed and irregularized his front 2 years ago. About a ye
11 Answers
This fellow stopped in last week. He's a great guy...a monster in size and personality. He had a poor plug result way way back and we excised a strip containing plug scars and packed and irregularized his front 2 years ago. About a year ago we hit him again and added a few hundred singles at his hairline and put the rest behind case 1. Still...despite all of that...with his fine hair, color contrast, and pre-existing scar tissue...we made his hairline look unremarkable..but not perfect. Again perfection is the enemy of good and unachievable in repair cases like this. Nevertheless he's happy. He has trouble posting but I'll send him links and see if he can comment. We MAY end up doing a little 1000 graft or so MFUE. I think he's simply too tight to do another strip without running a risk of trouble...and he has way too much scarring for successful FUE. We'll see if hair greed is his weakness!
The videos are:
Dr. Lindsey McLean VA
Thank you for sharing Dr Lindsey, a difficult case turned into a nice outcome for the patient. I imagine he will get hair greed after seeing what you can do.
To achieve this with fine hair, depleted donor, old plugs and not so great hair characteristics, well done to the Dr Lindsey clinic!
Considering everything, the patient couldnt of wished for a better result. If it was me, i would finish the job with MFUE.
MFUE end of July. So we'll have pics for another year or so I suspect.
Dr. L
I personally would NOT fue a guy with this much scar tissue. Be like moving small skinny underfed trees out of THICK clay and hoping you wouldn't rip up the roots.
Sure, we do about 36 FUE cases a year, including on my son who I posted earlier this year.
BUT 1. FUE never has and never will work as successfully as strip, particularly in fine haired guys. See any of my videos on this on my youtube site, and I think I posted one where I illustrate this using potted plants, on this site.
2. In a guy with scarred in donor hair which is fine and weak to begin with..like this guy...I would expect no results from FUE.
3. There are several practices in our area pushing machine FUE. We tend to see a number of patients with virtually no growth, about 15 months after their misadventure...and now they have a lower donor yield, higher anxiety about HT never working, and in many instances, they are still making payments on their FUE...
Dr. Lindsey