aaron1234's - Profile page HT#2-One-Year

Posted :8/6/2010


It has been almost 12 months since I’ve had my transplant of
2,348 grafts/4,258 hairs with Dr. Paul Shapiro at SMG.  This procedure was somewhat of a repair
job as I had a below average transplant one year prior and was left with
cobblestone-like bumps and 2/3 haired grafts in the hairline.  It was only passable when I caked on
the dermmatch and combed my hair forward to cover the hairline.  Fortunately, constructing hairlines
with concealers is a thing of the past as I am very pleased with the
results.  I’ll will attempt to
describe my situation in detail. 
Hairline  My hairline is far more natural now.  As you can see in the immediate
post-ops, Dr. Paul punched out a few 2/3 haired grafts from my hairline.  Now I only have 1 hair grafts in the
hairline which gives it a much softer appearance.  The new hairs from this transplant do not have the bumps
(cobblestoning, pitting, hyperactive oil glands?) that I got with my previous
surgeon.  The hairs exiting the
scalp look very natural.  SMG is
well known for their hairline work and I can see why. 

Density The density is much improved overall as you can clearly see
from my top down shots.  I do not
have to apply any concealers in the frontal third anymore, which is a HUGE
relief.  Once in awhile I’ll dab
some Nanogen in the front but only for important occasions (weddings, nights
out, etc).  The appearance of
density depends a bit on lighting. 
The comments I’ve gotten range from “you have a full head of hair” to
“your hair looks a little thin”.  
Funny thing is they are both kind of right!  I still keep out an eye for fluorescent lights and the sun
on a clear day.  My frontal tuft
holds up very well in extreme lighting but the temples not as much.  This will be addressed in my next
surgery.

Donor  With my first procedure by another surgeon, the donor was
taken pretty high, probably outside the safe zone.  Dr. Paul took a much lower strip out for my second
procedure.  It has healed to my
liking.  I could shave down to a 5
guard and no one would notice it. 
Dr. Paul feels that the scar is a little too wide and he was a perplexed
as my trichophytic closure was normal. 
I did fight off an infection in the first couple weeks of recovery but
this could just boil down my physiology. 
I still have scars from hernia surgeries I had from years ago (10 years
and 20 years), so I just might be the scarring type.  Either way, the donor scar doesn’t bother me now one bit and
doesn’t really affect the way I cut my hair.

Future  Dr. Paul and I discussed the strategy for my next procedure
in June 2011.  He will aim for
2,000 grafts., transplanting the temple region going behind frontal tuft (sort
of a U shape), and also the crown. 
I do use a lot of dermmatch and nanogen for the crown right now and it
is somewhat of a flat spot.

Dr. Paul said I have approximately 4,000 grafts left for
strip procedures and that I still have good donor laxity.  We might do a double-layer closure next
time around instead of a trichophytic closure to see if it heals better.  Unfortunately, my scar situation is a
little complex because of my poor first procedure.   We could try to take out one of my scars with the next
procedure but then my graft total would be limited.  Janna did mention that we could shoot for a larger graft
total and then do a scar revision if I need it down the road.

With all of the knowns and unknowns of hair transplantation,
it sure is a good feeling to be connected with a clinic that I completely
trust.  They are straight shooters
at SMG and that’s why I appreciate them. 
Of course, great results don’t hurt either. ;) 

ht#2-one-year -


ht#2-one-year -


ht#2-one-year -


ht#2-one-year -


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