Kulakarn Posted March 31 Share Posted March 31 Patient’s information - 62 years old (Caucasian) Male with Androgenetic alopecia Class 6. - Previous treatment: He had been taken medication for hair loss for many years and now he would like to discontinue the medicine. He stopped taking Finasteride and Minoxidil 2 years before surgery. He did not realize any change after discontinuing the medicine. We performed FUT hair transplantation to rebuild the frontal hairline as well as to add on the density from the top to crown area. The number of grafts breaks down into 1 hair unit x 1,156 2 hair unit x 2,720 3 hair unit x 734 Total number of grafts = 4,610 FUGs Average hair: graft = 1.75 Total number 8,046 follicles The photos reveal of 1 year result after our FUT procedure and expose the scar line. Medication treatment None 1 Link to comment Share on other sites More sharing options...
Regular Member jjalay Posted March 31 Regular Member Share Posted March 31 For this number of grafts the result is rather dissapointing. I"m really not impressed. Link to comment Share on other sites More sharing options...
Regular Member BackFromTheBrink Posted March 31 Regular Member Share Posted March 31 Looks like a solid result to me. Realistically it was 6-7k grafts to give full coverage, so I feel this is a natural result and gives the patient the option of a second surgery should they desire it to also fully populated the crown area. 1 Link to comment Share on other sites More sharing options...
Senior Member mr_peanutbutter Posted April 1 Senior Member Share Posted April 1 18 hours ago, jjalay said: For this number of grafts the result is rather dissapointing. I"m really not impressed. zarev and pittella use like over 10k grafts on a norwood 6 patients. for the number of grafts i think its a decent result and given the age of patient probably something that made the patient happy. second round would probably possible but mabye the patient doesnt even want that 1 Link to comment Share on other sites More sharing options...
Senior Member shiba1985 Posted April 1 Senior Member Share Posted April 1 22 hours ago, jjalay said: For this number of grafts the result is rather dissapointing. I"m really not impressed. lol. this is a spectacular result. 1 1 Link to comment Share on other sites More sharing options...
Regular Member jjalay Posted April 1 Regular Member Share Posted April 1 5 hours ago, mr_peanutbutter said: zarev and pittella use like over 10k grafts on a norwood 6 patients. for the number of grafts i think its a decent result and given the age of patient probably something that made the patient happy. second round would probably possible but mabye the patient doesnt even want that If this is an argument to excuse every case with poor growth and waste of grafts, just saying pitella and zarev are using over 10k, then doctors like konior and couto only need 5K for a NW6 to achieve full coverage. Its really misleading coming up in cases like this throwing the name of the doctor who uses over 10k grafts to justify any bad result. Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted April 1 Moderators Share Posted April 1 On 3/31/2024 at 1:42 PM, jjalay said: For this number of grafts the result is rather dissapointing. I"m really not impressed. This is a NW 6 with 4610 grafts. If you look at any NW 6 who had spectacular results (Gatsby, Zoomster, Melvin, etc) they all use 10,000+ grafts to get there over several sessions. This looks very good for 4610 grafts. 1 Al Forum Moderator (formerly BeHappy) I am a paid forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Regular Member jjalay Posted April 1 Regular Member Share Posted April 1 2 minutes ago, Al - Moderator said: This is a NW 6 with 4610 grafts. If you look at any NW 6 who had spectacular results (Gatsby, Zoomster, Melvin, etc) they all use 10,000+ grafts to get there over several sessions. This looks very good for 4610 grafts. The rule of thumbs says that if you are a NW6 you need around 6k to get full coverage, that reguires ofcourse a succesfull surgery where the grafts are actually going to grow in. In this case 4610 grafts where used, the crown and the midscalp is still bald, and the hairline looks as thin as it was before surgery. This is a case of really poor growth. You can look at other cases of NW6 where they got full coverage with 6K, dont put everything into the same basket. Againg its really misleading to say that a NW6 case needs 10k grafts to get full coverage. Link to comment Share on other sites More sharing options...
Regular Member jjalay Posted April 1 Regular Member Share Posted April 1 10 minutes ago, Al - Moderator said: This is a NW 6 with 4610 grafts. If you look at any NW 6 who had spectacular results (Gatsby, Zoomster, Melvin, etc) they all use 10,000+ grafts to get there over several sessions. This looks very good for 4610 grafts. This is an example of fut with 5000 grafts where the grafts did actuall grow in.I hope you can understand the comparison: Link to comment Share on other sites More sharing options...
Regular Member Ccd99 Posted April 1 Regular Member Share Posted April 1 3 hours ago, jjalay said: This is an example of fut with 5000 grafts where the grafts did actuall grow in.I hope you can understand the comparison: Not a fair comparison IMO. Case in OP has a graft ratio of 1.75, we don't know the ratio of the case you quoted, from what I can gather it's about 2.28 based on following: On 5/30/2023 at 5:22 PM, mrmajified said: 27.7 x 2.1 cm 1H grafts - 681 2H grafts - 2854 3-4H grafts - 1394 Grafts-aside, that is considerable less hairs. In addition to this we also don't know the average hair thickness of the case you quoted nor of the case referenced in the OP, one could have thinner/finer hair and the other thicker hair. Consultation with Dr Bruno Ferreira - Nov 2023 - ✅ - see link below for more info First surgery with Dr Bruno Ferreira - Sept 2024 - ✅ - 3200 grafts to frontal third and partial mid-scalp - link to thread Second surgery with Dr Bruno Ferreira - May 2025 - ❌ - 2500-3000 grafts to remainder of mid-scalp and crown + touch-up Link to comment Share on other sites More sharing options...
Valued Contributor Gatsby Posted April 2 Valued Contributor Share Posted April 2 As a very ‘rough’ rule of thumb it takes about 1,000 grafts per Norwood level. From Norwood 5 onwards I would increase that to 1,500 at least. For the number of grafts I think this is a good result. 👌 1 GATSBY 'UNPLUGGED!' 15,671 (3 surgeries) Grafts FUE+BHT Dr. Sethi Eugenix Link to comment Share on other sites More sharing options...
Regular Member BackFromTheBrink Posted April 2 Regular Member Share Posted April 2 There's also the positive result from taking medical therapy to consider. In this case, finasteride and minoxidil were not used so you're seeing the result for the surgery only, whereas many other cases are actually a result of both. Link to comment Share on other sites More sharing options...
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