Hi, it is Dr. Epstein and I am going to talk a little bit about hair transplantation on Asians, of which there are definite unique considerations that need to be taken into account. Primarily that relates to the thickness of the donor hairs, they tend to be very thick and they also tend to grow primarily one or two at a time. So most of the follicular units have one or two hairs. It is very unusual to have three-hair follicular units.
On the patient that I am working on right now, you can come in and see what I have done so far. What we have done so far, we are basically bringing forward his hairline down to around like that, so it around 2.5 cm that we are bringing his hairline forward. I have already started making some recipient sites and I use different size recipient site blades. This is a 0.6 mm and this is what I use for the immediate hairline. Here I have already done 0.7 mm, here 0.8 mm and 0.9 mm. I anticipate that in his case, and we have already tried them out and Corellia here is getting some graphs together to try out more, but his two-hair grafts fit in 0.7 mm recipient sites and his three-hair grafts of which there are very few fit in 0.9 mm so this is where the 0.9 mm recipient sites are being made. Here is where the 0.8 mm because he may have some big two-hair grafts and this is the 0.7 mm with the two-hair grafts as well.
Let me show you have I make the hairline. You can see my purple line, which comes around like that and the way I like to make hairlines is I make these little triangles. I have been told many times before by the doctors who have watched me do this, is that I should film this because it is the way I am able to get it when I make these little triangles. I will show you what we do with them. Each of these little triangles correspond to single hair grafts and I make it nice and irregular so I do a first pass and then I come back and do a second pass. You also see that I am creating an angle on the recipient sites so the hairs are going to grow forward.
What I do with that second pass, I reinforce with the first pass and I will keep on going back and doing that three or four times. After that, after I have created these little triangles, (triangle, triangle, triangle, triangle) and reinforced it, then I will come back and do another random set of recipient sites where basically I work between each of these little triangles. So here is one triangle, here is another triangle, here is another triangle, here is another triangle, etc. and then I will go ahead and I will make some individual scattered ones which break apart the appearance of the triangles but still the essence is that he has these little triangles, which create those micro and macro zones of irregularity.
Posted by Jeffrey Epstein, MD, FACS