Gents,

I needed some pointers from some of you who seem to have more knowledge than I do about transplants.

Some background: I am an unfortunate victim of a butcher named Dr. Richard Gionnatto. He performed three surgeries on me. The first was in October '05 (Approx 1500 grafts). At the time, I was 21 and had no knowledge what-so-ever about this website and thus I chose whichever doc that I had heard of on the radio. After about 15 months of not seeing the results that I was expecting, I went back to see the same Dr and he advised that due to my young age, my hair loss had progressed and said that another surgery is required. So in Jan '07, I shelled out another 7k and had a second (filler) surgery performed approximating 1800 grafts. To my luck, a year later- the results were still no where close to what I was initially promised, and after complaining the Dr offered to perform a third surgery to compensate me for my disappointment. (Stupid idea) I took him up on this offer, and had an additional 2000 grafts placed on my head. These grafts were probably applied using the punch method (I assume)and were spaced out drastically. I compared the pictures from my surgery(ies) to the pictures on this website and found that my surgery was bloodier and far more unprofessional than all of the results found here. I visited the Dr in early January '09 and asked him why the results aren't close to what we anticipated, and his response was that whatever hair I have on my head right now, is the result of all of the transplants. However, I find that highly. The Dr. claims that the hair came out of the dormant phase only 4 months ago (even though the Surgery was in Feb '08) and that I should continue to see results within the next few months.

At this point, I'm confused and somewhat hopeless. My hair loss has affected my life dramatically and I just want a solution to this problem. I have been applying concealers for the last 4 years (and that too only when I go out). I've cut back on socializing only bc I don't want to apply the concealers on a regular basis and damage what's left of the hair. I am contemplating another surgery to fill my crown and add density to the top/front, however, I'm not sure how many grafts that would require, but I assume that I'm in the 2500-3000 graft range to get the results that I want. But, another prob is that my hair is very very fine and thin, so I'm not quite sure how to add fullness/density to the hair? It seems like I've got a lot of individual hair(s), but the quality/thickness of them sucks. Any pointers?

Due to financial constraints, I doubt that I can afford to pay $10k for Dr. Hasson/Wong/Shapiro, so I'm opting to fly abroad to one of the Dr's on this website's recommended list.

Do you all advise that I should wait? Or simply get on with the show and get another surgery? If so, please advise on how many grafts would suffice.

I have yet to take a pill of Finasteride or Propecia. Would that reverse the hairloss or help in any way?

Please see the attached pics and offer any advice that you possibly can to a fellow member of this excellent and sacred community! Thanks

I wanted to get some insight from you all on what I should do next? Shoul

I

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A picture of the top/crown

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Crown

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Top

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Side

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Crownn

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Post Op Feb '08 - Day 2

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Post Op - Day 2 - Crown

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Wow, this Dr. Richard Gionnatto sounds almnost as bad as Dr. Joseph Karamikian. It's unbelievable hacks like this can still get patients.

Unfortunately what he should have done given your age was put you on meds first for at least 1 year.

You look to be a NW 4/5 and your hairloss is pretty aggressive so I'm not sure how much the meds will do for you at this point. I think your best option for future HTs would be a megasession into the front (forget the crown for now--hopefully the meds can help you there). You're gonna need at least 3500-4k grafts. My advice is to save your money and go with a top clinic like H&W.

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HT #1: Karamikian Unknown # of grafts Sept.2006

HT#2 Nov.23rd, 2007
Dr.Feller
Almost 3200 grafts via strip

HT#3 April 2010
Fue 200/side into temple points

HT#4 February 2011

My Hair Loss Website - Hair Transplant with Dr. Feller

hairthere,
Was Dr. Karamikian ABHRS certified?

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take care...