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  #11   Top  
Old 04-21-2016, 02:54 PM
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I feel as though Shapiro (Ron or Paul) are a bit more conservative than Konior but it depends on case to case. Not much more conservative, maybe 10% or something

I was fortunate a couple of years ago to observe Konior for a few hours performing an FUT. When it came to grafting he worked with 2 techs. Basically he was using stick and place. He would use a needle to make the opening and his lead tech would immediately insert the graft. The second technincian was passing the grafts in batches to the lead tech (a few at a time). Everyone is using high powered magnification lenses.

There was a break every 45-60mins for 10minutes or so (all placement stops). Behind the operating chair the other 8 or 9 techs are working on strip, sorting the grafts out, putting into cold storage etc.

I didn't stay until the end but I've heard the doc likes to make some adjustments himself if necessary.

Not sure about Shapiro but I think they pre-make all openings (lateral slits), the doc mostly does the immediate hairline and the techs do the rest of the placement.
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4,312 FUT grafts with Ray Konior, MD - August 2013
Regimen:
1. Propecia 1mg per week
2. Boots Ketoconazole Shampoo once per week
3. T-Gel Shampoo once per week
4. T-Sal Shampoo once per week

My HT results thread and video
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  #12   Top  
Old 04-22-2016, 04:44 PM
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Both are excellent....but I agree with spanker, I do not believe Shapiro is held in higher regard than Dr. K.

Also, you are missing one very important thing with FUT....the incision in the back. Dr. K is known to have flawless and pretty much invisible scars. Remember, he has a background in cosmetic surgery. When other surgeons screw people up scar-wise....they go to Dr. K to have it fixed.

As for being conservative.....it depends on your hair loss and expectations. Sure, you might want a low hairline when you are a NW5. Maybe a surgeon out there will try to do that (unethical) for you, too. Or...you could get a hairline that is appropriate for the extent of your hair loss....Konior will definitely do that for you.

They are both great....you won't go wrong with either.....but I think scar-wise in the back, no one will make a better incision than Konior.
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  #13   Top  
Old 04-23-2016, 01:44 AM
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Like O.P has said you can't go wrong with both but IMHO another pointer would take a look at both Drs work with the hairloss, density, characteristics that you have, I mean see which Dr has the most consistent good outcomes as same hairloss as yourself.

Again both great Drs & like others say you can't go wrong with neither of them as they both show past history of consistent results over the years.

Hope that was some help but good on you in really racking your brain over this than just shear emotions which I guess a lot of guys do subconsciously anyways.

I wish you luck in your life changing decision.
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Old 03-17-2017, 10:21 AM
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Quote:
Originally Posted by 1978matt View Post
I feel as though Shapiro (Ron or Paul) are a bit more conservative than Konior but it depends on case to case. Not much more conservative, maybe 10% or something

I was fortunate a couple of years ago to observe Konior for a few hours performing an FUT. When it came to grafting he worked with 2 techs. Basically he was using stick and place. He would use a needle to make the opening and his lead tech would immediately insert the graft. The second technincian was passing the grafts in batches to the lead tech (a few at a time). Everyone is using high powered magnification lenses.

There was a break every 45-60mins for 10minutes or so (all placement stops). Behind the operating chair the other 8 or 9 techs are working on strip, sorting the grafts out, putting into cold storage etc.

I didn't stay until the end but I've heard the doc likes to make some adjustments himself if necessary.

Not sure about Shapiro but I think they pre-make all openings (lateral slits), the doc mostly does the immediate hairline and the techs do the rest of the placement.
I recently chose Shapiro's office for a FUE procedure. We got about 2,285 units the first time and several weeks later, I went back (at no additional expense) for another 400 or so to balance out a frontal hairline portion. I can say that Shapiro's office stands behind its work. If you are unhappy or want to tweak something, they will work with you. It was abundantly clear that they want happy clients and will do what it takes (within reason) to get that. The biggest issue with NW5-6 candidates and FUE is unrealistic expectations. In my case, we targeted density in the frontal & middle portion and left the rear crown pretty much untouched as I do not mind having some normal MPB in the rear crown area. I needed all of the grafts for my frontal/mid section. If you want whole head coverage, you are realistically talking 2 procedures or grafts placed in a way that will give thinner density (not ideal). The average donor quality of mid 30's NW5-6 is not perfect and you're probably maxing out at 2,500 units per procedure. The first day they did a small number of slits and FUE extraction to gauge your donor quality and skin thickness, etc. I also opted for PRP + A-cell during the procedure to help improve recovery and yield. Anyway, I was impressed with their office. Matt Zupan (experienced consultant) bends over backwards to help and answer questions and Dr. Paul Shapiro and Dr. Josephitis -"Joe" (younger, new doctor who they hand picked) both worked on me. Ron Shapiro has scaled back some and does less procedures I'm told.

In my experience, Dr. Paul Shapiro makes all of the incisions. And yes, they do all of the incisions first, then later move the grafts via technicians. Dr. Joe did the hybrid manual FUE (motorized) portion of the procedure. They do not like the results they get with the patented auto/robotic option. Like Konior, they use custom punch depth and blades to best meet the clients criteria (skin thickness, donor quality, dept, ect.). The main difference is that Konior uses the "stick-and-place" technique where after each slit is made, a technician then puts the FU graft in right after. The theory is you can make smaller incisions and so have less trauma to the recipient area, quicker healing and possibly better density because of incisions made closer together. That last portion is a bit of a stretch though (sounds good). I do not think there is enough difference in graft placement (due to incision size) to give better density. But I think its possible there is some benefit to smaller incisions and getting the grafts in immediately. Regardless, I still chose Shapiro based on some other feedback. I don't think this difference in technique matters much. I do not think you can go wrong with either Shapiro's office or Konior. They are both top 5-6 offices in the world, in my opinion.

I am only about a month out form the procedure. Recovery is as expected with minimal pinkness/redness in the recipient site at this point. It increases with alcohol, stress, exercise - anything that would increase blood flow to the face/head or cause flushing. I would expect (hope) that that too will be gone by month 2. I'll probably wait a minimum of 4 months before direct, intense sun on the scalp.

Shapiro's office also offers some really good SMP too (separate SMP specialist). I was talking with an older patient when I was there. He is a veteran to the HT world and said he visited several offices before choosing Shapiro. He has maxed out his donor and has a full head of hair that looks natural. He has been getting "fill in" SMP around his existing hair to improve the appearance of density and the results were rather impressive. He showed me some before and after photos and it has definitely improved the density and looks really good. SMP, in the right hands, is a pretty good adjunct for someone who has maxed out donor or doesn't want the hassle of another procedure but needs some improved density look in certain areas.

Last edited by Alpine; 03-17-2017 at 11:06 AM.
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Old 03-17-2017, 10:45 AM
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I wish i had went to one of these guys, I made the mistake of going to someone else who is recomended on here just because they are in my backyard, I did a whole FUT and only got about a couple hundred grafts.. he actually let his nephew do the procedure without warning me that he didnt have much expierence so they basicly trained him on me and still charged me the reg price
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Old 03-17-2017, 10:59 AM
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Originally Posted by det9925 View Post
I wish i had went to one of these guys, I made the mistake of going to someone else who is recomended on here just because they are in my backyard, I did a whole FUT and only got about a couple hundred grafts.. he actually let his nephew do the procedure without warning me that he didnt have much expierence so they basicly trained him on me and still charged me the reg price
I am sorry to hear that. Any clinic offering "a couple hundred grafts" is incompetent and not too concerned with client satisfaction. That is not enough grafts to do much of anything. This decision to get a HT is not something you skimp on or consider lightly. A bad HT is likely going to be worse than your situation before. Natural looking bald is better than unnatural looking bad transplant job, IMO. Go big or go home. I flew out of state to visit Shapiro's office (more travel expense). There is nobody in the top 5 within driving distance to me, so I went to them. It has to be a top notch job or it is not worth getting. There are already so many factors and variables that can lead to it not turning out optimal (regrowth yield, recovery, etc.). It's too risky to allow doctor/technician inexperience to be another factor in outcome. Even with the BEST clinic, your result may not be the best considering your starting point (degree of loss) and your donor quality and final yield. These are out of the doctors control for the most part.

That is my recommendation to the general forum. Spend the money and go with a reputable, EXPERIENCED clinic. If nobody has heard of them, stay away. A "budget" HT is asking for trouble. You get what you pay for and I dont mind paying a premium or getting ripped a bit for extra piece of mind.
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Old 03-20-2017, 03:49 PM
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We're very lucky that two of the world's best surgeons also happen to be very kind and thoughtful people too. This is sometimes rare in medicine where egos rule the day.

Having had surgery with Dr. Ron and meeting with Dr. Konior in person last week, I can tell you that they are both class acts. Similar demeanor and approaches, both of whom (unsurprisingly) have immense respect for each other.
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