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Dr Rogers

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Everything posted by Dr Rogers

  1. As you know, I tend to be conservative and in discussion with the patient, he didn't feel the need to go overboard on density on the crown - it is a big area but crowns can easily use up many grafts which then can't be used for the front in case of further loss. This is his review photo and he should be in for a second procedure to the front. It obviously has achieved a sizeable result in just one session and has an excellent tricho scar which I should be able to show next month when we shave it down for his second procedure. I often find that patients "dip their toe" with either smaller (cheaper) procedures or perhaps crown first, before really going for what they want - a more advanced hairline for instance. People in this country, who perhaps don't read forums and are generally less aware of hair transplantation, often admit they don't know if they really believe hair transplants work and prefer the idea of seeing the results as they go along. Obviously, many USA patients or forum readers are much more aware of HT so tend to want the bigger numbers but numbers are not the whole story. I can be very confident that virtually every single hair has regrown on this patient but that can become unclear when larger megasessions are involved. I am happy to do up to 3000 FUs in one session but more usually up to 2500 as I think that is a good compromise between coverage, density, retaining donor for later use and keeping good regrowth rates. But each clinic needs to decide what is appropriate for them.
  2. Here is a crown before and after, 1892 grafts, 10 months later, no meds but stable loss in 50 year old. Just to respond to a previous question, we have varied our techniques and now employing a new staff member who has worked with Ron Shapiro and Maurice Collins, both of whom are undoubtedly excellent surgeons with outstanding clinics.
  3. Just to let you all know, that I have started 2009 back on track and made use of the past three months to visit a couple of colleagues and share information. Despite the credit crunch etc, I am determind to carry on making changes, utilising the current, latest thinking of the majority of my colleagues. Although there are no new radical techniques or ideas on the horizon, small changes can still prove beneficial and I have already put in place those that are relevant. Happy New Year.
  4. Thanks for emailing and letting me know BigMac. I don't know whose website that is but Kevin Hartley has never worked for me. I assume people are jumping to conclusions because we both live in Warwickshire. That website is simply a list of every HT doctor in the UK. Hope that's clear.
  5. Hi BigMac, I think it is a fair comment, not just on this forum or other hair forums but probably on almost any other forum you stumble across. I was looking for some information on a hobby site, nothing as "personal" as a hair transplant (so you would think people wouldn't become as emotional about stuff) but it was amazing to read how inflammatory it could get. If I can find the thread and link it, I'll post it but but eventually it ended with a regular poster summing it up - to paraphrase it: "Guy posts, another guy disagrees, first guy starts posting his point more firmly, second guy disagrees even more firmly with long logical argument, first guy starts accusing second guy of idiocy/communism/mental health issues/being a shill for some company/government agent etc. Big bust up, thread closed by moderator." So, it's just a statement of fact, forums are not agenda free. Neither are newspapers, TV, radio etc. So it always pays to be a bit sceptical, whoever is posting or whatever you hear on the news. It's up to my patients to post - I neither encourage nor discourage them. Most of them find me through the internet nowadays, some through these forums but most seem happy to carry on with their lives without getting involved. I've certainly posted more pictures recently and on my website but I'm on here to clarify statements and balance up some of the negativity.
  6. "In my opinion, it would be best for you to stick to posting evidence of the quality of your work rather than fighting fire with fire. Clearly there are quality clinics and sub-par clinics all over the world. What patients are interested in is finding the hidden gems that they can trust with their heads." Hi Falceros I'm sorry if you think I'm wrong to defend UK HT clinics but as I said right at the start of my post, I'm just addressing the balance. There are some pretty inflammatory titles to some of these threads eg "UK clinics exposed" etc and I don't think it's all fair comment. As you've just stated, you can't be assured of the result anywhere in the world and the USA is not an exception. Also, Pat was complimentary about us during his visit, both to myself and my staff, so I think I can report that. We had a discussion about the use of microscopes for full microscopic dissection and that it was a requirement for inclusion in HTN. Please do give my regards to Pat.
  7. Yes, we have more microscopes and more of the staff are learning to be fully microscopic - but there is a learning curve. You can't just start being fully microscopic tomorrow without training the staff - which takes time. The main important parts of the process are already done under microscopic dissection and have been for about two years. Once we are, then I'll ask Pat to review us. Don't forget, he was complimentary of our practice and admitted that not all HT doctors believe that full microscopic dissection is essential. This is certainly borne out talking to the doctors at the conferences. However, microscopes have become to be expected and so we are moving with the times too. I wasn't aware this patient was unhappy and these pictures by his admission were still early stage and that later pics are much improved. That would be a very selective way of presenting an argument. Indeed, last I heard, he was a happy patient. However, I would hope he gets in touch either way as feedback, personally, to the doctor, is the best way to improve standards.
  8. In fact, all that hair is miniaturised - it wouldn't grow any longer than that fluffy 1-2cm. That's why the back and sides were cut so short. I'm sure some of you have done the same for those reasons. Even with Nanogen! it couldn't produce long, wavy, bushy hair as in the after photo. There is no trickery in any of these photos - no concealers, no careful hairstyling, no gels, no special lighting. You might argue about whether he is a NW5a or 6 on the chart but either way, there's a big area to cover.
  9. Quote You are not comparing eggs with eggs at all Dr Rogers with all due respect. There are 1000's of HT clinics in the US and probably only 10 in the UK. Every UK clinic has bad press time after time from their patients, including you . You have more unhappy patients posting then happy ones as mentioned previously here. This guy shown here obviously didn't do his research and took a stab in the dark at a clinic in the US. Was it Bosley by any chance. The biggest butchers of them all on all accounts. Where has anyone mentioned that regardless who you go to in the US you will be fine?? The best HT clinics in the world all reside there though that much is true. If he had done his research he would have seen that regardless of location there are only a handful of clinics that produce excellent results as a matter of standard. These do all reside in the US/Canada. Unquote Well, there may be 1000's of clinics but there are only 750 registered HT docs with the ISHRS, of which about 500 are American. It stands to reason there will be some top class places there. And yes, only 10 of us here. But if you do look through these forums, there are frequent comments of "get to the USA," without clarification. I urge everybody to think for themselves, do the research, take everything with a pinch of salt - especially on these sort of forums. There is a large amount of good information on them but I think it frequently gets swamped by personal agendas, financial agendas, general "if you don't agree with me, you must be my enemy etc."
  10. But everyone always requests them Dr Rogers as then we can see where you placed the grafts. But surely it's pretty obvious where the grafts are put? For my own records, I have a diagram to fill in what I've done but in a patient like this, it really is very clear. Also, in many of my photos, you'll see pencil marks on the patient on the agreed site of hair transplantation. So I know and the patient has agreed where we are putting the grafts - before we start and the before photo acts as a record of that too.
  11. But they already have - at least the ones I see at the conferences who come from all over the world. Perhaps in three years time, the top 3 of today will become yesterdays men. Some other doctors will overtake todays best. Such is life - the "Supercar" of 10 years ago can now be beaten by a hot hatchback. And that is a fact if you believe "Evo" magazine.
  12. About 3500 (but I'll check exact numbers for you) with an additional 1050 performed yesteday on the crown. Sorry, I don't have immediate post ops as I tend not to take them routinely.
  13. To restore some balance, perhaps some of you would like to make comment on this result. It was performed last year in Florida. Bear in mind, this was in 2007, in America, not in the UK 1997, when strip HTs were still quite new. Americans are generally more aware of cosmetic surgery (and internet savvy) than us Brits and hair transplantation is the commonest procedure for men in the USA. It didn't turn out well for him, so he came back for repair back to the UK. So far doing nicely but my photos of him will be updated as time goes by. So it is simplistic (and unpatriotic) to keep directing everybody across the Atlantic. I'd like to quote (Spex, I think) that "he'd only trust three surgeons in the world with his hair." That's fine for him but those three surgeons couldn't cope with the demand, notwithstanding the fact they might retire, get sick etc. Then what happens? Also bear in mind that roughly speaking, there are 1000 known hair transplant surgeons in the world. What are the other 997 to do?
  14. Here is a recent result who came for a crown infill this week. This patient wanted overall coverage and density, he was not focussing just on a low hairline. He's clearly a NW6 and so the initial surgery was front to mid vertex. I'll update his crown photos as they become available.
  15. The new site went live 11 days ago, on a Friday. It is completely new - new designer, new hosting company, new design. It wasn't finished but to enable some parts of the site to be connected (eg FAQ database) it still had to go live. Because it wasn't completed, I made no attempt to publicise it. Obviously, for whatever reasons, some people do check on my website on a regular basis. The "offending" banner was really a marker for the before/after photos as used on the previous site. It was one of the many jobs the designer had to tick off but got forgotten about and it wasn't something that gets done on a Friday afternoon. That was obviously corrected early last week but clearly some of the people on their high horses carried on being "outraged" without actually bothering to check. I got a phone call midweek from a patient having seen this discussion to get it sorted but it already had been. Unfortunately, I myself didn't spot that although the designer had put the banner in the correct "camouflage" section, he incorrectly labelled it. However, we sell Toppik, Nanogen and Dermatch which are concealers and they all have similar "graphics." Indeed, the graphics are clearly meant to be "diagrammatic" rather than true before and after photos. It is hardly a hanging offence to confuse the labels of these products. The designer does not know the difference between these things so errors do creep in but he will correct it this week. But again, I'm writing this on a Sunday and the mistake was noticed on a Friday. It could not therefore be corrected over the weekend. None of this justifies the witch hunt. Somebody could easily have picked up the phone to point out the problem. But it is more fun to rant and rave in some frenzy of self righteous indignation,I suppose. To clarify, the before and after photo which was used on the previous site also, was NOT used by Wellesbourne etc as that patient had his first surgery years after Haggis had his. If you actually look at the gallery section, you will see it is the same patient in MPB section 1. My patient. As indeed, are the other pictures in the gallery. One of the reasons I haven't responded before is that I haven't even looked at this site for about two months. There is little healthy debate and little respect for other views. I think the comments made on this thread (except perhaps BigMac) rather confirm inherent narrow mindedness to all views or possibilities outside your own. Still, no doubt all of you are perfect and have never made any mistakes in your lives. Goodnight.
  16. Sorry for the delay - I've just returned from holiday - but I'm not surprised to see Barnes making merry with this information. In a sense, it's old news and he's had to wait nearly four years to make the most of it. I'm sure Haggis/Halo will disseminate it accordingly. This issue revolves around the simple fact that I loathe and detest Barnes and all that he stands for. I've had to put up with a lot of aggro from him over the years and one day, for personal and professional reasons, I'd had enough. I played a practical joke on him, a similar one to that he did to me, when I left Wellesbourne. When I complained to the police about him, they just shrugged their shoulders, but when I did it, I got into trouble. C'est la vie, I'm paying the price yet society allows others to get away with it. What sparked me off was I'd heard the good news that Wellesbourne Medical had gone bust and so assumed the bad results I'd seen would stop. But then I'd heard it had been resurrected which made me angry. This coincided with one afternoon alone, where I saw four patients that had recently had very poor surgery (in my opinion) from Dr Greaves at Wellsbourne Medical Ltd. This included the following patient which I improved the scar of: I felt something had to be done, and as previously posted, I made my concerns aware to the Healthcare Commission and then to the GMC but didn't achieve anything. So I hijacked his phone number in the same way he hijacked my internet connection all those years ago. For about 12 hours, it stopped people phoning him up, which I felt was a good thing personally. However, I was found to be in the wrong, even though I could bore you with reasons why I think I had a legal entitlement to do that. Like many things, I've had to take it on the chin. Unlike some, I'm not afraid to stand up and be counted, whether it's against bullies or bad press. I'm sorry I did it but it's water under the bridge now. Hope that clarifies the situation. In this age of transparency, nothing gets swept under the carpet.
  17. Spex should now have more pics in his email to post. Haggis And yes, patients do have responsibilities too. Most of my patients I have seen from 10/11 years ago still had reasonable scars (including your first one, you said), a few didn't, which prompted me to research better sutures, different methods. So I changed my practice because of the feedback from patients returning. If those patients hadn't returned, I wouldn't have changed the sutures. If every patient had done as you have, and not returned, to any doctor, no hair surgeon would have bothered changing their ways. No need to, no complaints! By not returning, you become part of the problem. Incidentally, CF had his staples out here today. That was very useful - we had a frank chat, discussed his concerns and also some other pictures he's got. I also saw some of Dr Feller's work, which again is helpful. So it was a constructive event, for future benefit.
  18. No, I'm not saying that about CF - that is a different issue about regrowth. It would have been nice to to see CF and he did ask us to take his staples out for him. It is a valid point though - if a patient is unhappy, he should always return to the original doctor first. If there is a problem but you don't give feedback, how he will he/she know to change practice? After all, Haggis has an issue but it has taken him 10 years to let me know! Anyway, does anyone know how to contact the owners of this forum? I've tried to upload more pictures but it won't let me - "The requested file upload failed because suitable permissions have not been enabled on the 'uploads' directory. Please contact the board administrator and inform them of this error." Neither will it let me contact the admin by email because again I "don't have permission." If I was paranoid, I might suspect someone was trying to censor me!
  19. This is 4600 grafts in three sessions, first procedure 3 1/2 years ago and he has worn his hairpiece over the regrowing hair until yesterday. He is due one final procedure but is going to let the hair grow out properly before then. I was hoping to see CF in person for his staple removal yesterday but he didn't arrive. I would say a wider angle view, allowing us to see more of his forehead would be helpful, as it can be difficult to see any global improvement (or worsening) of the hair loss. Photos of hairline only are only part of the result. Also, it depends on whether you want a very definite hairline or a more natural and random hairline. Dense hairlines can look very artificial despite great technical skill.
  20. Ex hairpiece wearer, taken on the day he first removed his hairpiece forever. This will improve further, as hairpieces always affect hair quality underneath them, as well as regular removal potentially damaging hair. Before pics taken by 35mm film camera
  21. As requested by BIP, last week's photo at twelve weeks and before. It seems to have thickened up quite a bit even in the last week, so I'll update shortly. On these photos, there's just some wispy hairs coming through but you can see there is change from the first photo.
  22. Yes, scalp hairs do grow quicker at first (but slow down later) and can be more curly at first (but usually straigthen alo). However, for patients without any eyebrow hair, like this patient, it's well worth it. Besides, many women are used to "maintenance and grooming" of eyelashes, eyebrows etc, so it probably doesn't seem so arduous to them.
  23. Six months before and after, one session. Hair lost due to overplucking when younger. She was very particular about shape, hence the pencil marks in the before photo.
  24. Haggis, I am sorry that you're not happy with your result, but as everyone is entitled to their own opinion, I shall add mine. I believe I have already answered this topic on other forums you have posted on and previously invited you for review and improvement - a scar revision initially then possibly hair transplantation into the scar. Obviously, FOC. However, you have decided not to take that route. I am assuming you are a genuine patient - ten/eleven years is a long time ago and I do not recall performing surgery on anybody of that age. Unfortunately, I have also been subject to a "fake" patient and campaign against me, amongst other things - it's not just people like Spex who've suffered this. I'm sorry if I'm a bit suspicious. I am also assuming that I was the surgeon - Wellesbourne/Steven Barnes did employ others, although the paperwork might have said it would be me. This still occurs now: contrary to certain adverts, I was the doctor who performed hair transplantation for Francis Rossi and the clinic or limited company at which it was performed, no longer exists - it went bust three years ago. As has been noted, you would clearly be one of my early patients - I can only apologise and make a few points: Unfortunately, everyone in life learns by experience - nobody is born an expert and indeed, cutting edge technology today becomes tomorrows old fashioned ideas very quickly. I assume you are not still driving the same car as you did ten years ago? Likewise, you can't judge the past by today's standards. I was taught the same technique, using the same sutures, by two different hair transplantation doctors. I soon identified that there were better choices of sutures available and swapped to them. Immediately, my donor scars improved. But I had been taught the accepted technique of the day which is what I used initially. Again, when any apprentice is trained, he uses the techniques taught to him - is it fair to blame the apprentice if the teaching is wrong? At least I quickly changed the sutures, which was the main source of your poor scar - it wasn't in fact lack of suturing skill. As for the low density you have pointed out - undoubtedly, it is lower than the density which you can see performed by Dr Cole recently. It is an interesting side by side comparison however, that it is probably half as dense. As pointed out by others on alternative forums to this, it is as good as anyone was performing then. Lastly, as for your age then, perhaps with less experience, I was more likely to agree to surgery in young men. I was probably also more likely to give in to patient pressure too. As any 25 years old patients knows now, I am unlikely to agree to hair transplantation for them. But, that doesn't stop scores of desperate young men wanting hair transplants. Occasionally, it may be the right decision. I have consulted depressed young men, often with their parents, who won't leave their bedrooms, because of hair loss. Hair transplantation has restored their confidence where antidepressant tablets have failed. Should these patients be denied? After all, 18 year old men are legally adults - your head -your choice? Haggis, should you have been protected from your own decision? Would that have convinced you at the age of 19? This is a controversy which has not been agreed between hair surgeons but nothing is clear cut. If I didn't care about the donor scar, I wouldn't now be trying to improve as many "old" scars as possible - whether mine or anybody else's. Neither would I help people like Bal. And neither would I have developed and introduced "Tricho" closure into the UK, in October 2003 (long before it became fashionable). The purpose of this reply is to make Every patient think though the pros and cons of hair transplantation. Increasingly, there is an expectation in society that life is 100% predictable and perfect. It isn't, medicine in particular isn't. There isn't a single hair transplant surgeon who hasn't had patients with bad scars, poor growth. Hair transplantation has become more predictable and consistent, more so than many surgical procedures in fact. But, you still can't guarantee the result, whoever you see. And there seem to be an awful lot of patients on all these forum sites, making wild claims about their HT docs. I see a different picture when I go to conferences. I see my colleagues discussing honestly about successes and failures, and different surgical viewpoints. I don't hear my colleagues making wild claims about their skills then. I hope this clarifies my position as I have no intention of a "slanging match" - it is food for thought.
  25. Absolutely, Sagg. I also thought that when I started but it really does seem different to strip - I'm not the only one to have noticed this. Back 31/2 - 4 years ago, when I was more cagey about FUE, I made comments (possibly HLH ) that FUE grafts came out "skinny" compared to strip grafts. Since then, I do see FUEs come out early, then stop, then grow. Some stay in and grow immediately, then fall out. Some are just very delayed. It really is very much more variable than strip. I can understand the frustration, on a very personal level, and I would feel dreadful if this stays like this. But, I have seen this before, I wouldn't stake my reputation, if in time, I don't expect it to sort itself out. I think it'll be fine in time, difficult to wait and be patient though. Why it is different to strip? No obvious answer but, in the Milan conference last week, one doctor (can't remember which) mentioned in passing about choosing hairs in various stages of the life cycle. In FUE, you chosse the most active (which will pass into the dormant stage soon). In strip, you take every single hair, no matter what stage it is in. This may have an effect on regrowth timing compared to FUE. Even with strip, full results do take about 18 months ( and strip is mostly consistent - but not always even then).
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