Had FUE 3 weeks ago and was curious to see what you doctors think. (Photos)

Question

Main reason I wanted to do it was to cover the little hole I had on my front line in the middle and to get more hair on top as prevention since my hair are slowy thinning. I got 1500 graft with Artas. See attached pics ,let me know what your thoughts regarding front line, and if I should of done more or any thing else.

Ken Anderson, MD, FISHRS · Answer

Dear MV007,
Thank you for posting this question. I had a look at your photos and have a couple of comments. First is that you appear to have scabbing and crusting in the recipient area, which is uncommon 3 weeks following any hair restoration procedure. My patients are instructed to use the liposomal ATP nutrient spray on their recipient area grafts once and hour while they are awake for the first 3 days following the procedure. This helps to wash away the scabbing and crusting allowing the skin to heal in much more optimal conditions. Underneath any scab is always a layer of bacteria that sits there, increasing redness, increasing inflammation, and delaying healing. At 10 days, all of the scabbing and crusting in the recipient area should be gone.
The second comment is the number of grafts. 1,500 grafts is not a small number, and I’m not sure where they would have put all the grafts. There is a limit to how densely the grafts can be placed in the recipient area, so one can tell from the area covered roughly how many grafts were placed. Perhaps you have more hair loss posteriorly that is not evident in the photographs.
Finally, the shape of the hairline: you appear to be a Caucasian man, and I find it generally inadvisable to round off the corners of the frontal hairline as was done in your case. It can look artificial as time passes. You’re now committed to rounded corners, which means you’ll need to be very diligent about hair loss prevention, especially if you start to lose hair in the crown. This is because it may start to look unusual if you have rounded corners in the front, implying zero hair loss at all, and also have thinning in the crown area in the back, where the swirl is in your hair. Usually if there’s hair loss in the crown there is also at least some loss in the corners in the front, and we as humans are used to seeing this pattern in nature. 
All in all these are minor issues, and overall it looks great for being 3 weeks out. I hope this information is helpful to you.
Kind Regards,
Ken Anderson, MD, FISHRS

Anil R. Shah, MD · Answer

It takes some time for hair to grow so early on don't expect much.  With ARTAS, you have made an excellent selection but it does take some time.  Most patients should expect regrowth happening around 10 weeks which takes around a year for most of the newly grafted hair to germinate- Best Anil Shah

Jae Pak, MD · Answer

It may take six to twelve months to appreciate the results of a hair transplant surgery.  If you are concerned it is best to contact your doctor.  It is not clear where the 1500 grafts went based on photos alone.

Justin Rome, MD · Answer

As one of my colleagues noted, I would expect to see the scabbing gone by 7-10 days and also use a lysosomal ATP spray for post procedure healing.  I also have our in house barbers do proper hair cuts the day before the procedure so my patients don't have to walk around with a funny haircut as they heal.  As far as predicting results, you'll really have to wait up to a year to see what grows in.  I wish you the best of luck! Dr. Rome

Mark Bishara, MD, FISHRS · Answer

First Congratulations!  It looks as if any post operative redness has subsided.  At the 3 week mark you should still see some of the hair shafts present.  But by the 6th week this will decrease- it is normal, don't worry.

Hair shafts will fall out and then begin to grow about the 6th to 8th week at about 10% per month. I would say 90%of our ARTAS patients will be at their results by 10 months.  Some will need to wait a little longer into the 11th and 12th month.
Your donor area looks great and undetectable with short hair from the pictur.

Lets see some of these results at 10-12 months.  Good luck.

William Rassman, MD (retired) · Answer

I am not sure if the surgeon transplanted much of the grafts into areas that were not balding. You would now that, but the reas that you showed that you called the 'hole' should not have taken 1500 grafts.

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