Dr. Raymond Konior Posted August 31, 2020 Share Posted August 31, 2020 (edited) This 46 year old man presented with a history of having undergone a 1500 graft FUE hairline restoration. His previous surgeon promised a “no-shave” restoration so as to comply with his desire to maintain an inconspicuous appearance postoperatively. The patient complained that there was little if any density gain from his first attempted restoration. His request upon presentation was to restore frontal coverage and a reasonably defined hairline. His examination revealed scant frontal coverage with no semblance of a frontal hairline. His donor area revealed two distinct “strips” where FUE harvesting had been performed. Presumably, long hair had been maintained above and below each linear harvest zone for the intended goal of “hiding” his procedure. The grossly unnatural appearance of the donor area surprised and disappointed the patient. A secondary repair procedure was recommended, once again using FUE harvesting, but designing the harvest to blend the harsh appearance of the donor site scar pattern. A conservative session of 1500 grafts was recommended in an attempt to remain cautious because the etiology of the first session’s low yield was not fully apparent. Of note is that the patient was reluctant to use a shaved approach for the donor harvest, which prompted my comment, “You did that once before and look how it turned out”. Harvesting was confined to areas above and below each prominent FUE-strip-pattern scar. Graft placement was performed using a no-shave, stick-and-place technique. The restoration focused on hairline definition and generalized frontal density enhancement. Presented here are two-year postop results. Preop Front Preop Left Preop Right Preop Hairline Plan Postop Front 1 Postop Front 2 Postop Top 1 Postop Top 2 Postop Top Part View Postop Left 1 Postop Left 2 Postop Left 3 Postop Left Comb-back View Postop Right Postop Right Comb-back View Preop Donor View Immediate Postop Donor View Immediate Graft Placement View Edited September 5, 2020 by Dr. Raymond Konior Dr. Ray Konior is a highly esteemed member of the Coalition of Independent Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted August 31, 2020 Senior Member Share Posted August 31, 2020 Excellent for such a low amount of grafts. Shows what a world class Dr achieve. Link to comment Share on other sites More sharing options...
Senior Member makehairgreatagain Posted August 31, 2020 Senior Member Share Posted August 31, 2020 Extremely natural and clean work as always. He must be so thrilled with the result. Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted September 1, 2020 Administrators Share Posted September 1, 2020 Excellent work as always Dr. Konior 👏🏼 I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Senior Member aaron1234 Posted September 1, 2020 Senior Member Share Posted September 1, 2020 Simply beautiful! Dr. G: 1,000 grafts (FUT) 2008 Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013 Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020 My Hair Transplant Journey with Shapiro Medical Group Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted September 1, 2020 Senior Member Share Posted September 1, 2020 Amazing for 1500 grafts Link to comment Share on other sites More sharing options...
Senior Member Taken4Granted Posted September 1, 2020 Senior Member Share Posted September 1, 2020 What @Curious25 said “You may say I’m a dreamer, but I’m not...” - John Lennon Link to comment Share on other sites More sharing options...
LonelyGraft Posted September 1, 2020 Share Posted September 1, 2020 What a turnaround! dr konior, do you think 1500 grafts were extracted from those two isolated strips? It seems very unlikely as the areas are quite narrow Link to comment Share on other sites More sharing options...
Regular Member InterventionalPDoc Posted September 3, 2020 Regular Member Share Posted September 3, 2020 Beautiful result and judicious use of grafts! Link to comment Share on other sites More sharing options...
Senior Member TommyLucchese Posted September 7, 2020 Senior Member Share Posted September 7, 2020 Excellent! 2,000 grafts FUT Dr. Feller, July 27th 2012. 23 years old at the time. Excellent result. Need crown sorted eventually but concealer works well for now. Propecia and minoxidil since 2010. Fine for 8 years - bad sides after switching to Aindeem in 2018. Switched to topical fin/minox combo from Minoxidil Max in October 2020, along with dermarolling 1x a week. Wrote a book for newbies called Beating Hair Loss, available on Amazon Link to comment Share on other sites More sharing options...
Senior Member aaron1234 Posted September 8, 2020 Senior Member Share Posted September 8, 2020 (edited) 9 hours ago, 911fan said: Looks like he harvested from the crown region? I wouldn't call that the crown, but yes it is outside the typical FUT "strip" zone. If the patient has healthy hairs without signs of miniaturization then they are viable FUE grafts. The doctor would be able to see that with magnification. This also helps avoid the appearance of an over harvested area in the donor region (e.g. the FUE strips from the patient's first surgery at a different clinic). Edited September 8, 2020 by aaron1234 Dr. G: 1,000 grafts (FUT) 2008 Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013 Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020 My Hair Transplant Journey with Shapiro Medical Group Link to comment Share on other sites More sharing options...
Senior Member Spanker Posted September 8, 2020 Senior Member Share Posted September 8, 2020 This takes under 1600 grafts a long way. I am an online representative for Dr. Raymond Konior who is an elite member of the Coalition of Independent Hair Restoration Physicians. View Dr. Konior's Website View Spanker's Website I am not a medical professional and my opinions should not be taken as medical advice. Link to comment Share on other sites More sharing options...
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