Dr. Michelle Ischayek Vitruvian FUE Case Study | AlviArmani Beverly Hills
From Aborted Procedure to Complete Restoration
In January 2025, this case underwent a 2,817-graft Vitruvian FUE™ restoration with full-scalp AMP-T PRP under Dr. Michelle Ischayek. Despite being told elsewhere that the grafts were “too fragile,” the AlviArmani system—precision extraction, controlled preservation, and biologic optimization—supported a natural, dense frontal result with a planned FUE Boost + AMP-T PRP at 14 months.
Clinical Background
Before arriving at AlviArmani, the patient started a procedure at another clinic that was discontinued mid-case due to concerns about graft fragility. This case presented with elevated hesitation and a baseline Pattern 3, Class 4–5 aesthetic burden—primarily involving Zones 1 and 2.
Evaluation supported follicle viability; the decisive variable was system-level graft management: extraction discipline, preservation environment, handling technique, and placement methodology.
- Delicate follicular units susceptible to dehydration and mechanical trauma
- Need for seamless hairline transition with natural micro-irregularity
- Long-term planning for density durability and pattern progression
Procedure Summary
| Procedure | Vitruvian FUE™ |
|---|---|
| Date | January 2025 |
| Total Grafts | 2,817 |
| Zones Treated | Zones 1 & 2 (frontal + frontal core) |
| Biologic Optimization | Full scalp AMP-T PRP (intraoperative) |
| Preservation | Ampligraf™ controlled preservation environment |
| Planned Enhancement | FUE Boost + AMP-T PRP at 14 months |
Donor management and placement were executed using AlviArmani’s precision protocols for direction, depth, and density gradients.
Vitruvian Framing of the Face
Hair restoration is not merely the return of hair—it is the return of facial architecture. In the “before” state, a broken hairline and temporal recession softened the outer frame of the face, visually diluting definition across the brow, eyes, and cheek lines.
Using Vitruvian Design™ principles, the plan emphasized two high-leverage corrections: temple closure to restore lateral framing, and frontal density to re-establish a clean anterior boundary. The result is ratio-optimized facial framing that accentuates features and improves overall harmony and beauty.
- Temple closure redefines the lateral boundary of the face
- Frontal density restores the anchor point of facial symmetry
- Transition-zone artistry keeps the hairline undetectably natural
Why “Fragile Grafts” Can Still Thrive
Some follicular units demand a higher standard of preservation. In delicate-graft cases, success is rarely dictated by the follicle alone—it’s dictated by the protocol: environment control, hydration protection, and minimal manipulation.
- Controlled hydration and environmental protection during the procedure
- Minimized mechanical manipulation throughout extraction and placement
- Consistent recipient-site depth + angle to protect graft integrity
AMP-T PRP + Long-Term Planning
This case received full-scalp AMP-T PRP to support early recovery signaling and graft establishment. A planned FUE Boost + AMP-T PRP at 14 months is designed to enhance density refinement and long-term aesthetic stability.
The AlviArmani approach emphasizes staged planning when appropriate—because great outcomes are designed for the next decade, not just the next month.
“I did immense research and spoke with clinics around the world before choosing AlviArmani. The team delivered results beyond anything I imagined—natural, full, and completely worth it.”
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Chairman Notes
Considering a Hair Transplant?
If you’ve been told you’re “not a candidate,” or you’ve experienced an incomplete attempt elsewhere, our team can evaluate your pattern, donor supply, and long-term options using the AlviArmani planning system.