Senior Member PizzaWolf Posted January 9, 2022 Senior Member Share Posted January 9, 2022 It was brought up in another topic that some doctors, like DeFreitas and Diep, opt to implant grafts in the hairline without microirregularities. I don't know much about the technical aspect of creating these irregularities, but it was kind of jarring when I looked more closely at the surgical photos from Dr DeFreitas and saw how symmetrically the grafts were placed. The end results that I've seen look natural and aesthetic, but I am curious what the reasoning behind this surgical approach is. My best guess is that it increases the illusion of density with fewer grafts. Does anyone know what the reason is? Do results achieved in this manner look strange when the hair is cut shorter, like a 9-10mm buzz? Link to comment Share on other sites More sharing options...
Senior Member NARMAK Posted January 9, 2022 Senior Member Share Posted January 9, 2022 I am sure those doctors have probably had a long enough time to evaluate what they feel gives a natural looking enough hairline. Most examples i come across always advocate that a hairline should consist of rows of singles at the very front and then multi grafts can be placed behind to help minimise a see through effect. A little bit of light apparently going through the singles helps further the illusion of naturalness. I think in some cases, even using singles if they do look too straight then it will look unnatural and i'm sure the doctors must account a little into that. There are however people out there who don't listen and want it literally that way. Gregory Gage is a guy on YouTube who basically had an entirely flat looking straight line requested. When transplanted without the irregularities it did look weird, but once hair kicks in, due to the singles, it doesn't stand out as much it seems. Follow my first Hair Transplant Journey! Eugenix Hair Sciences | Dr Priyadarshini Das | Full Temple Point Restoration + Hairline | 2010 Grafts Link to comment Share on other sites More sharing options...
Senior Member giegnosiganoe Posted January 9, 2022 Senior Member Share Posted January 9, 2022 I'm not sure of the reason, but I've noticed that De Freitas seems to implant in rows only horizontally and only near the very front of the hairline, whereas Diep does also does it vertically and over most of the transplanted area. Vertical rows result in a more unnatural appearance because people looking at you face on can clearly see between the rows. 1 Link to comment Share on other sites More sharing options...
digi23 Posted January 9, 2022 Share Posted January 9, 2022 I do not agree that De Freitas is planting in rows, but Diep does and in my opinion it does not look natural and have no benefit whatsoever in my eyes. Link to comment Share on other sites More sharing options...
Senior Member PizzaWolf Posted January 9, 2022 Author Senior Member Share Posted January 9, 2022 8 minutes ago, digi23 said: I do not agree that De Freitas is planting in rows, but Diep does and in my opinion it does not look natural and have no benefit whatsoever in my eyes. My intention wasn't to critique DeFreitas' or Diep's work, only to understand the technique and what benefit it offers, as clearly they both feel it has merit. 1 hour ago, giegnosiganoe said: I'm not sure of the reason, but I've noticed that De Freitas seems to implant in rows only horizontally and only near the very front of the hairline, whereas Diep does also does it vertically and over most of the transplanted area. Vertical rows result in a more unnatural appearance because people looking at you face on can clearly see between the rows. That's very observant, and I hadn't noticed that difference until you pointed it out. I would hope that it actually has a technical merit and not just a time saving one. Both doctors are known for their high density with low graft numbers, so I still think it has to do with increasing the illusion of density, but I'm not sure. I was hoping someone knew about the technique and its potential benefits. Does anyone know if this symmetrical row style of implantation becomes apparent if you cut your hair short, or if it requires a certain hair length to look natural and blend together? Link to comment Share on other sites More sharing options...
Regular Member Kharmacoma Posted January 10, 2022 Regular Member Share Posted January 10, 2022 Apart from asymmetries, the angle of the hair that is implanted is equally important to make the result look natural. Link to comment Share on other sites More sharing options...
Senior Member BDK081522 Posted January 10, 2022 Senior Member Share Posted January 10, 2022 (edited) Implanting grafts in rows is never indicative of refined hair restoration. This simply does not occur in nature. Of course some surgeons can get away with it if the restoration is very high density with thicker caliber wavy hair. Horizontal rows broken up by finer singles implanted in front can look passable but vertical rows will never mimic the way natural hair grows. There's many examples on the forum but this one comes to mind relatively recently. Yes, when the hair is cut very short this will look very unnatural. Also, as mentioned above the more perpendicular angles also stick out and make styling harder. Edited January 10, 2022 by BDK081522 2 1 Bosley 11-2016 FUE - 1,407 grafts Dr. Diep 09-2017 FUE - 2,024 grafts Dr. Konior 03-2020 FUE - 2,076 grafts Dr. Konior 09-2021 FUE - 697 scalp to scalp, FUE - 716 beard to beard Total scalp FUE - 6,204 grafts Link to comment Share on other sites More sharing options...
Senior Member PizzaWolf Posted January 11, 2022 Author Senior Member Share Posted January 11, 2022 @BDK081522 Thank you for answering my question, especially about the rows being visible when the hair is cut short. Why would two well regarded surgeons like DeFreitas and Diep use this implantation technique if it offers no benefit to the patient? Link to comment Share on other sites More sharing options...
Senior Member BDK081522 Posted January 11, 2022 Senior Member Share Posted January 11, 2022 @PizzaWolf that's a great question and one that I can't answer with absolute certainty. I don't have any experience with Dr DeFreitas so I can't speak to his clinic or hair restoration philosophy. However, I will just say that for some surgeons and clinics it's not all about the patient and doing what's best for them. The only logical explanation I can even surmise is that implanting in rows is simply easier and overall it saves surgical time. 1 Bosley 11-2016 FUE - 1,407 grafts Dr. Diep 09-2017 FUE - 2,024 grafts Dr. Konior 03-2020 FUE - 2,076 grafts Dr. Konior 09-2021 FUE - 697 scalp to scalp, FUE - 716 beard to beard Total scalp FUE - 6,204 grafts Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted January 11, 2022 Administrators Share Posted January 11, 2022 Guys, Honestly, I have no idea how this nonsense gets started, but I've noticed one thing someone says another will parrot and then it becomes a fact, when it's nonsense. Very few surgeons have impressed me like Dr. De Freitas, I would put him at the top of my list and definitely in the top of all Europe. Of course, some grafts will be parallel to each other, but that doesn't mean they are in rows. 2 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 PizzaWolf Posted January 11, 2022 Author Senior Member Share Posted January 11, 2022 (edited) @Melvin- Moderator I'm scheduled for surgery with Dr DeFreitas. I didn't intend to make this into a drama thread. However, with all due respect, it isn't nonsense. You cherry-picked a patient from DeFreitas where the horizontal rows are more difficult to detect, but they are still detectable even in that patient. My personal concern with this is: I want to still be able to wear my hair at a length of 9-10mm after surgery. Will I be able to do that and not have the symmetrical rows become apparent? Edited January 11, 2022 by PizzaWolf Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted January 11, 2022 Administrators Share Posted January 11, 2022 1 minute ago, PizzaWolf said: @Melvin- Moderator I'm scheduled for surgery with Dr DeFreitas. I didn't intend to make this into a drama thread. However, with all due respect, it isn't nonsense. You cherry-picked a patient from DeFreitas where the horizontal rows are more difficult to detect, but they are still delectable even in that patient. My personal concern with this is: I want to still be able to wear my hair at a length of 9-10mm after surgery. Will I be able to do that and not have the symmetrical rows become apparent? I didn’t cherry pick, I literally picked the last two results he posted on the forum. One of the few reviews here by @Adam87 he was nice enough to share his post-op pictures from the clinic, there are grafts that are slightly parallel, but not in rows. His graft placement is excellent and definitely not artificial or in rows. You can see this when the scabs have shed and the graft placement is apparent. 1 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 PizzaWolf Posted January 11, 2022 Author Senior Member Share Posted January 11, 2022 @Melvin- Moderator This was from a very recent clinic posting: Another clinic posting: Would this be visible if these guys opt to wear their hair in a shorter style (9-10mm)? Link to comment Share on other sites More sharing options...
Senior Member RandoBrando517 Posted January 11, 2022 Senior Member Share Posted January 11, 2022 45 minutes ago, PizzaWolf said: @Melvin- Moderator This was from a very recent clinic posting: Another clinic posting: Would this be visible if these guys opt to wear their hair in a shorter style (9-10mm)? How is this rows? Link to comment Share on other sites More sharing options...
Senior Member PizzaWolf Posted January 11, 2022 Author Senior Member Share Posted January 11, 2022 (edited) Call it whatever you like, but hair doesn't have this kind of symmetry in nature: Another: I'm not saying the doctor is bad or that he isn't producing aesthetic results. I just wanted to know if this pattern of implantation would be visible with a 3 guard buzz, or something in the neighborhood of 9-10mm? Or does it require a longer style to mask it? Edited January 11, 2022 by PizzaWolf Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted January 11, 2022 Administrators Share Posted January 11, 2022 Again, these are not rows, some grafts will be parallel that’s normal. I don’t see any issues with this graft placement. 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 PizzaWolf Posted January 11, 2022 Author Senior Member Share Posted January 11, 2022 @Melvin- Moderator Do you feel that DeFrietas' style of implantation could hold up to a 9-10mm buzz? Is that an unfair expectation after a HT surgery? Link to comment Share on other sites More sharing options...
Senior Member A Fue Good Men Posted January 11, 2022 Senior Member Share Posted January 11, 2022 Why don’t you ask the clinic? I don’t think anybody here can tell you why certain doctors choose specific surgical techniques. It’s all conjecture. I think your short hair question is also valid if it concerns you. freitas is a top notch doctor. If you visit Spanish forums you’ll see him and couto are MVPs of Spain. Freitas is somewhat known on those forums to front load grafts at the hairline but I think that adds to the overall end result and makes his hairlines youthful and very dense from the front Link to comment Share on other sites More sharing options...
Senior Member PizzaWolf Posted January 11, 2022 Author Senior Member Share Posted January 11, 2022 @5BetaReductase I asked the clinic, but they aren't an unbiased source. Surgical techniques are discussed all the time here. So far no one is even sure if it's a "technique" to implant in rows (or symmetrically, or whatever anyone wants to call it) or if it's just a time saver. Link to comment Share on other sites More sharing options...
Senior Member shami26 Posted January 11, 2022 Senior Member Share Posted January 11, 2022 Dr. Lindsey wrote about this in an old post. 1 Medication for Male Pattern Baldness: Topical Dutasteride - Topical Minoxidil 5% - Ketoconazole Shampoo Medication for Cicatricial Alopecia: Hydroxychloroquine - Topical Clobestasol - Doxycycline Link to comment Share on other sites More sharing options...
De Freitas Clinic Posted January 11, 2022 Share Posted January 11, 2022 Good afternoon, everyone. I have consulted your question with Dr. Rafael de Freitas in order to give you an answer. Dr. Freitas has explained to me that he performs the implantation in such a way that the final results look natural and dense alike. In the photographs after the surgery, in which there are still scabs, it may give the impression that the follicles are placed in line. However, there are micro-irregularities between them, and when the final result is observed, those micro-irregularities give a natural look to the hair. We are at your disposal to answer any question. Best regards! 4 ▪️Ignacio Torres Blanchard - Representative of De Freitas Clinic▪️https://www.injertocapilar-alopecia.es/en - https://www.clinicadefreitas.com▪️(+34) 681 273 588 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted January 11, 2022 Administrators Share Posted January 11, 2022 10 hours ago, PizzaWolf said: @Melvin- Moderator Do you feel that DeFrietas' style of implantation could hold up to a 9-10mm buzz? Is that an unfair expectation after a HT surgery? I pulled up a picture of how the grafts look placed with a buzz cut, and they look natural. I hope we can put this nonsense behind us, Dr. De Freitas is one of the best surgeons in the world. Certainly one that I would put at the very top in both naturalness and density. 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 NARMAK Posted January 11, 2022 Senior Member Share Posted January 11, 2022 12 minutes ago, Melvin- Moderator said: I pulled up a picture of how the grafts look placed with a buzz cut, and they look natural. I hope we can put this nonsense behind us, Dr. De Freitas is one of the best surgeons in the world. Certainly one that I would put at the very top in both naturalness and density. I think OP has gotten himself mentally into that corner where a mole hill seems to become a mountain per se and gnaws away at you till you can unwrap yourself hopefully with a satisfactory amount of information to cool you down and reassure you. Hopefully that's the case and OP will see he's in good hands. Generally speaking, i think this is a good example of why taking your time and not booking until you feel 100%-ish is the right move. Follow my first Hair Transplant Journey! Eugenix Hair Sciences | Dr Priyadarshini Das | Full Temple Point Restoration + Hairline | 2010 Grafts Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted January 11, 2022 Administrators Share Posted January 11, 2022 22 minutes ago, NARMAK said: I think OP has gotten himself mentally into that corner where a mole hill seems to become a mountain per se and gnaws away at you till you can unwrap yourself hopefully with a satisfactory amount of information to cool you down and reassure you. Hopefully that's the case and OP will see he's in good hands. Generally speaking, i think this is a good example of why taking your time and not booking until you feel 100%-ish is the right move. I think you're 100% right, seems like he's doubting his decision. De Freitas is a surgeon who I would place at the very top along with the likes of Konior, Hasson, Sethi, etc. 1 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...
Administrators Melvin- Admin Posted January 16, 2022 Administrators Share Posted January 16, 2022 @Curious25 I removed your comment from the clinics presentation. I don’t feel presentations or journeys are the appropriate place to have comments such as yours. You can post that comment here or on a separate thread of your own. 1 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...
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