DR. EPSTEIN: Hi! I am Dr. Epstein. I am with a patient who is now 10 months from a reparative procedure. He had a bunch of hairline grafts. He was unhappy with the unnaturalness of these some 1-hair grafts but mostly 2-hair grafts, 3-hair grafts and even some 4-hair grafts placed along the hairline.
As you can see from his before photograph, it was a very straight looking hairline, somewhat artificial looking. You can see he was also concerned about the lack of density here.
What we did on him was we removed around 350 of these grafts right along the hairline.
Here is his picture from a couple of days post-op. You can see all these little dots where the grafts were removed and here he is today 10 months later.
You can see he looks obviously more natural. It is a more regular pattern. It does not look like a solid line anymore. He has a little bit of a little indentation in there and were are going to go ahead and do a little bit of work. There is a little bit of lack of grafts there.
You can see overall he is happy. He has gotten a nice improvement.
The plan is we will do a little more grafting on him but we do not need to do any more punch reductions or punch removals in his case.
To remove these grafts I use 0.8 mm or 1 mm FUE-type punch and we extract each graft one at a time. The result is obviously what we see. He is happy.
PATIENT: I am definitely happy!
Posted by Jeffrey Epstein, MD, FACS
This is Eric. Yesterday we did the strip removal of his prior placed plug grafts and you can see he has a nice result. He is only one day out and you can see already the better shape of his hairline, how it is no longer flat or comes down. It actually has a slight upward slope and that is due not only to the removal of his grafts but also due to the fact that I re-created subtly a widow’s peak.
We did all this area and just filled him in. We did around almost 2,300 grafts so we got quite a bit on him. His donor site is a little tight.
He is sore back there but he overall is healing up nicely and he is keeping some antibiotic ointment on it.
He did great.
