4418 FUE Repair
PATIENT'S DETAILS
✓ 27 years old at the time of the first surgery (Test 2015)
✓ In 2012, he had a previous procedure done in another clinic, 2300 FUE grafts.
✓ Treatments : to be confirmed.
✓ Medium caliber hair.
✓ Fragile follicular units.
✓ Normal % of hair in telogen phase.
RECOMMENDED TREATMENT
This patient presented for the first time to my office in October 2013, one year and a half after undergoing a 2300 FUE grafts procedure in another clinic. This previous procedure ended up with poor results and, worse still, two weeks after the surgery the patient started to develop a severe shedding due to psoriasis and dermatitis. This condition (never experienced before) affected him to a great extent both physically and emotionally, so much so that he didn't dare to go out without wearing a cap anymore. During this first consultation, I suggested him to start a treatment based on Nizoral and corticosteroids in order to mitigate the shedding.
In March 2014, the patient showed important improvements in regards to the skin diseases. However, I suggested him to wait further before performing a hair transplant procedure, since the dermatitis was still present at that time.
In February 2015, the patient informed that the symptoms were reduced, nevertheless still evident. Despite that, we agreed upon performing a small test (+/- 100 FUE grafts) in order to check the regrowth rate and if the psoriasis/dermatitis would develop again after the transplant (hence to verify the viability of a more important procedure).
In July 2015, the test was performed - 78 FUE grafts implanted in the vertex area. The test proved to be successful. Nevertheless, I suggested him to wait again for a complete healing before performing an important procedure: analysing his evolution, the symptoms were likely to develop quite rapidly and unforeseeably.
In December 2015, the patient announced that his skin lesions had completely disappeared. So, in February 2016, we were finally able to perform a first procedure to restore his hairline, frontal area and a part of the midscalp - using 2903 FUE grafts. I also suggested him to continue to wear his hair very short after the procedure, since I found that UV rays had a positive impact on the skin disease.
The patient was extremely pleased with the results obtained and decided then to perform a second surgery in order to restore the vertex area. In August 2017, we managed to transplant 1437 FUE grafts (because of his limited donor resources). The last pictures sent by the patient show the current situation, nine months after the second surgery. The regrowth appears satisfying, the density acceptable : if he wish to further strengthen it, we could consider a BHT complement in the future.
SURGERIES DETAILS
1st Surgery (TEST) - July 2015
✓ 78 grafts
✓ Technique: FUE
✓ Grafts Breakdown: N/A
✓ Total number of Hair: N/A
✓ Average Hair/Graft: N/A
2nd Surgery (FUE I) - February 2016
✓ 2903 grafts
✓ Technique: FUE
✓ FUE scoring and extractions executed with my WAW system, now widely used in the sphere of FUE. It consists of a very precise pedal that enables to control the movement of the punch, that I also designed myself. The main advantage is to reduce substantially the number of damaged and transected hair, thus to raise the quality of the procedure. The system is now used worldwide and several dozens of surgeons or centres are already using it.
✓ Grafts Breakdown:
☞ 1042 Single FUE grafts
☞ 1698 Double FUE grafts
☞ 159 Triple FUE grafts
☞ 4 Quadruple FUE grafts
✓ Total number of Hair: 4931
✓ Average Hair/Graft: 1.70
3rd Surgery (FUE II) - August 2017
✓ 1437 grafts
✓ Technique: FUE
✓ FUE scoring and extractions executed with my WAW system.
✓ Grafts Breakdown:
☞ 147 Single FUE grafts
☞ 936 Double FUE grafts
☞ 339 Triple FUE grafts
☞ 15 Quadruple FUE grafts
✓ Total number of Hair: 3096
✓ Average Hair/Graft: 2.15
Dr. Jean Devroye
