night before surgery I arrived late in Cincinnati
after a hectic travel
schedule. There is a curious meteorological
oddity here in Cincinnati called humidity. I'm used
to the dry air of
Salt Lake City so this will take some getting used
a brief stop at Dr Wolf's office where I met Ivan
Bakhurin, the Executive Director,
I arrived at my hotel and got some well needed
next morning I arrived early at the office to meet
Dr Brad Wolf where he explained to me how
he only schedules one patient
day to allow him to focus
his complete attention on the patient.
He can also work late into the evening if necessary
depending on the number of grafts planted. And, according
to Ivan, this happens quite a
bit. They often end up feeling like they live at
Bogan, who assists Dr Wolf, began the procedure
by anesthetizing the patient's donor area and recipient
nerve blocks. Dr. Wolf
then carefully dissected the strip and gave it to
the technicians for slivering and follicular unit
Dr. Wolf began pre-punching a few recipient sites
with his lateral slit blades. He kept a tally on
a white marker board on the back wall to keep track
of how many slits he'd created with each blade size.
While we were waiting for the graft technicians
to provide the first batch of grafts, we took a short
lunch break to allow the first slit blade recipient
sites to begin coagulation. I enjoyed a heaping burrito
that kept me full for a good six hours. It was only
about four dollars for this mega meal. What a deal!
I conversed with the patient during lunch about his
occupation and the hair transplant research he had
done before coming to Dr. Wolf.
1:00 PM a two-week post-op follow up patient came
in for suture removal. Dr. Wolf inspected the
sutures and determined they needed to be left in
for a few more days to ensure a pencil line scar
would be created. Dr. Wolf showed me how well the
donor area had healed already, but he wasn't willing
to take any chances. Dr. Wolf has discovered a few
years ago that sutures left in longer result in better
scar healing. The patient
agreed to return a week later.
follow up patient, an older gentleman with gray
hair, arrived to discuss his future treatment
options with Dr. Wolf. Dr.Wolf showed me the incredible
hairline work that had been done with sagital slits
on this patient. In the hair transplant world there
has been a significant amount of discussion on different
placement techniques. Dr. Wolf showed me that the
artistry of the hair transplant surgeon is the most
important element. Superior results can be achieved
with saggital slits, lateral slits, or needles as
long as the surgeon has superior artistry in his
placement. Dr. Wolf and the patient discussed adding
more grafts and how many donor area grafts would
be available for the patient in the future. They
decided to continue monitoring growth for the time
the patient agreed to consider his options at a later
Next, we returned to surgery where the technicians
had been able to analyze most of the grafts to give
us a fairly precise estimate of the number of 1,
2, and 3 hair follicular unit grafts. Dr. Wolf then
planned the rest of the graft placement according
to this follicular unit analysis and finished creating
the recipient sties with his Cutting Edge custom
cut lateral slit blades.
I watched the technicians finish the strip slivering
and graft dissection and watched Dr. Wolf and his
staff complete the graft placement.
With only one new surgical patient per day the Dr.
and surgical team are completely committed to the
patient. They doctor uses any breaks in surgery while
waiting for grafts to be dissected to conduct short
follow up visits with previous surgical patients.
I was very impressed with Dr. Wolf and his staff
and their complete commitment to the patient and
their work. I knew they were committed to stay as
late into the evening as needed to ensure their patient
was properly taken care of.