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Plug Surgery Repair in Stages / Phase One: 1900g STRIP 
PostPosted: Thu Dec 21, 2006 3:45 pm Translate this post:   Reply with quote
FITLocks
Accomplished Poster
Posts: 248
Joined: 03 May 2004




Enclosed are the before and after photos of 1900-graft STRIP harvest done by Dr. Cole and staff.

Some years prior to his appointment with Dr. Cole, this patient had an open-donor plug-graft surgery performed. Recognizing the poor aesthetic result of the plug procedure, the patient discontinued the treatment after one session. Unfortunately, additional hair loss in the years that followed made the plug grafts stand out as hyper-dense clusters in “a sea of baldness.” Without any effective method to cover this up, the patient sought out surgical repair options with Dr. Cole.

The benefit of opting for a strip in this case was two-fold. Firstly, 1900 grafts were harvested in one day without shaving the donor area. Secondly, several rows of open donor scars were removed in the strip excision. While removing scar tissue in a strip reduces the amount of grafts that are harvested, it also serves to partially “clean up” some of circular scarring on the back of the head.

As illustrated in the photos, the yield of the procedure was high and coverage is very good. Due to he patient’s high degree of loss it was prudent to build a higher hairline than what was attempted by the previous surgeon. The patient is largely able to conceal the prior work with his new crop of hair. There are, however, a few rows of “chunky” grafts up front that are still apparent.

Time for the second and final phase of the repair: plug graft removal and redistribution via FIT. During this upcoming stage, the last vestiges of the bad HT will be swept from the hairline using the Follicular Isolation Technique. The patient can then choose to redistribute the resulting follicular unit grafts into his male pattern area or back into his donor area.



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Notice: I am not a doctor. My opinions are not necessarily those of Dr Cole. My advice is not medical advice.
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good doctor, bad doctor... 
PostPosted: Fri Dec 22, 2006 12:14 pm Translate this post:   Reply with quote
eurostar
Newbie
Posts: 41
Joined: 11 Sep 2006




wow...the first doctor should be put out of business, on the other hand bravo to dr.cole for covering some of these ugly plugs!
fitlock, when will this patient come for a second session to soften the hairline?
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Plug Redistribution via FIT 
PostPosted: Fri Dec 22, 2006 1:20 pm Translate this post:   Reply with quote
FITLocks
Accomplished Poster
Posts: 248
Joined: 03 May 2004




Euro,

I believe his previous doctor actually is out of business.

We had discussed a second session with the patient to FIT-out some plugs but we have yet to nail down a day. The procedure will be a routine single-day session.

Although the plugs are still visible in areas of the photos, the new work largely conceals the problem. Fair hair on fair skin is forgiving with plug work, and patient's new hair style helps to cover up.

He is 80% there. Time for FIT.

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Notice: I am not a doctor. My opinions are not necessarily those of Dr Cole. My advice is not medical advice.
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