6503FUE Grafts. NW III to NW V in 6mths. FAKE formulated finasteride?. 7 mths 3rd HT. 2837/2022 скачать в хорошем качестве

6503FUE Grafts. NW III to NW V in 6mths. FAKE formulated finasteride?. 7 mths 3rd HT. 2837/2022

Caso extraño: 35 años, visto por 1ª vez en 2022. 20 años con finas/minox tópico debido a enfermedad infantil que requirió tratamiento agresivo, también para su pelo. Superada dicha intercurrencia nunca recuperó la vitalidad capilar. Despoblamiento frontal y difusa en coronilla aunque cobertura aceptable. Donante tocada: bajo % pelos/cm2 (menor de 180), bajo % pelo/UF y CV. 6 meses después nuestra sorpresa es mayúscula cuando comparando fotos, vimos la rápida progresión que había tenido su alopecia, tanto en frontal como en coronilla. El paciente no se había dado cuenta. Dichos efluvios agudos son más propios del minoxidil, pero el paciente continuaba con este tratamiento. Investigando, comenta que toma finasteride formulado y que justo después de la consulta compró una nueva caja en una farmacia nueva. No nos queda claro cual es la causa del efluvio, pero cambiamos a minox oral para mayor efectividad, finasteride de marca y cambiamos estrategia a 2 cirugías con la esperanza de recuperar parte del pelo perdido.Donante: - Temporal: 55μm ; 88 UF/cm2; 158 pelos/cm2; 1,80 p/UF; CV: 8,69. - Parietal: 56μm ; 79 UF/cm2; 143 p/cm2; 1,81 p/UF; CV: 8,01. Occipital: 57μm ; 83 UF/cm2; 166 p/cm2; 2,00 p/UF; CV: 9,46. TDA: 250 cm² TDC: 8294 grafts (a 1,97 p/g). TDHC:15.498 pelos. Se extraen 2601 grafts (6027 pelos), a 2,32 p/g, para 83 cm2 de frontal (31-38 g/cm2). Punch: 0.9 /1.0 mm. Grafts: I-330; II-1262; III-871; IV-130; V-8. A los 5 meses 2ª cirugía. Donante: - T: 79 UF/cm2; 133 pelos/cm2; 1,68 p/UF; CV: 7,32. P: 82 UF/cm2; 151 p/cm2; 1,84 p/UF; CV: 8,46. - O: 65 UF/cm2; 135 p/cm2; 2,08 p/UF; CV: 7,70. TDC: 5.250 grafts (a 1,87 p/g). TDHC: 9.803 pelos. Se extraen 2601 grafts (6647 pelos), a 2,56 p/g, para 65 cm2 de coronilla y refuerzo de frontal Punch: 0.9/0.1 mm. Grafts: I-158; II-1105; III-1092; IV-227; V-19. A los 11 meses paciente muy contento con el resultado, quiere ir al máximo: Donante: T: 76 UF/cm2; 126 pelos/cm2; 1,66 p/UF; CV: 6,93. P: 78 UF/cm2; 150 p/cm2; 1,92 p/UF; CV: 8,40. O: 55 UF/cm2; 108 p/cm2; 1,96 p/UF; CV: 6,16. TDC: 2.934 grafts (a 1,85 pelos/graft). TDHC: 5.423 pelos. Se extraen 1301 grafts (3.195 pelos ), a 2,46 pelos/grafts, para 65 cm2 de frontal y 61 cm2 de coronilla. Punch: 0.9(s) mm. Grafts: I-126; II- 561; III- 518; IV- 87; V- 9. Compartimos resultado a 7 meses de este último trasplante. Strange case: This 35 yo patient, seen for the 1st time in 2022, told us that he has been taking finas/topical minox for 20 years because he had a childhood illness that required aggressive treatment, also for his hair. After this incident he never recovered his hair vitality. On examination, greater depopulation in the frontal and diffuse in the crown although still with acceptable coverage. Donor touched: low % of hairs/cm2 (less than180), low % hair/FU and CV. 6 months later, our surprise was huge when, comparing photos, we see the rapid progression that his alopecia has had, both on the front and on the crown. The patient had not realized. These acute effluvium are more typical of minoxidil, but the patient have been strictly with this treatment. Investigating, he tells us that he takes formulated finasteride and that right after the consultation he bought a new box at a new pharmacy. It is not clear to us what the cause of the effluvium was, but we switched to oral minox for greater effectiveness, brand name finasteride and changed strategy to two surgeries in the hope of recovering some of the lost hair. Donor: - Temporal: 55μm ; 88 FU/cm2; 158 hairs/cm2; 1.80 h/FU; CV:8.69. - Parietal: 56μm; 79 FU/cm2; 143 h/cm2; 1.81 h/FU; CV: 8.01. Occipital: 57μm; 83 FU/cm2; 166 h/cm2; 2.00 h/FU; CV: 9.46. TDA: 250 cm². TDC: 8,294 grafts (at 1.97 h/g). TDHC: 15,498 hairs. We extracted 2,601 grafts (6,027 h) to restore 83 cm2 in the front area (31-38 g/cm2) at 2.32 h/g. Punch: 0.9 /1.0 mm. Grafts: I-330; II-1262; III-871; IV-130; V-8. At 5 months, 2nd HT. Donor: - T: 79 FU/cm2; 133 hairs/cm2; 1.68 h/FU; CV: 7.32. P: 82 FU/cm2; 151 h/cm2; 1.84 h/FU; CV:8.46. O: 65 FU/cm2; 135 h/cm2; 2.08 h/FU; CV: 7.70. TDC: 5,250 grafts (at 1.87 h/graft). TDHC: 9,803 hairs. We extracted 2,601 grafts (6,647hairs) for 65 cm2 at 2.56 h/g in the crown area and frontal reinforcement Punch: 0.9/0.1 mm. Grafts: I-158; II-1105; III-1092; IV-227; V-19 . At 11 months the patient was very happy with the result, and he wants to go to the maximum. Donor: - T: 76 FU/cm2; 126 hairs/cm2; 1,66 h/FU; CV: 6,93. - P: 78 FU/cm2; 150 h/cm2; 1,92 h/FU; CV: 8,40. O: 55 FU/cm2; 108 h/cm2; 1,96 h/FU; CV: 6,16. TDC: 2934 grafts (at 2.46 h/graft). TDHC: 5.423 hairs. We extracted 1.301 grafts (3.195 hairs) for 65 cm2 in the front and 61 cm2 in the crown at 2,46 h/graft. Punch: 0.9(s) mm. Grafts: I-126; II- 561; III- 518; IV- 87; V- 9 We share his outcome at 7 months after this last HT. Dr. Jose Lorenzo. www.injertocapilar.com. Spain