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  1. The approach to this case was very specific and tailored, advanced loss and a weak donor in areas, so the placement was spread and really to not also exhaust the scalp donor Dr.Bisanga also added beard hair that as we know are mostly singles, and a fair percentage of the total is beard, so this makes also a difference to the overall effect and we have videos on body hair and also donor approach for preservation. Dr.B planned to let the donor heal and we for the second surgery do a light pass and then move backwards and indeed did that with scalp hair also. The placement photos also show we have not gone for high density and when you have more advanced loss and donor challenges then there is of course a different approach and not a carpet of hair all over. The patient's native donor you can see is see-through in areas so we need to take into account all aspects. He doesn't have a carpet of hair even in the donor so there are challenges here that probably some would not see nor appreciate but assume a scenario that is not actually the narrative for the case. So, education on specific cases is also important and not to stick to a one size fits all approach. We have many cases here that show a variety of approaches and excellent outcomes and very numerous and consistent also for genuine people to look and comment on. Hope helps! Onwards and upwards and thanks to the patient for sharing so far and the nice comments.
    8 points
  2. After years and years of deliberation, denials, comb-over/unders; I've finally decided to take the plunge. And after talking/consulting with around 7 surgeons, picked Eugenix as the best choice. Apart from the amazing results they seem to consistently churn out, what swayed me was the fact that they seemed to genuinely care; as in not as a patient or a customer but genuine care. I could see that in every interaction I had with them. Prologue I never had thick hair but it was pretty good till 35. Then the decline started with receding hairline and thinness. This led me to fist be a silent stalker in this forum and research as much as I can. And then early this year, became more active as I had a (self imposed) point of no return set for 2021 Have to say thanks to @Melvin- Moderator @Dr. Suhail Khokhar multiple reps from other doctors and of course, @Abhinay Singh! And also, to the well detailed stories from @paddyirishman @Looking for HT and @Zoomster I hope to do the same for the community (And this post is a start) Had my initial consultation with Dr Arika Bansal that @Abhinay Singh helped coordinate early this year. She answered all my questions and on call drew a pretty balanced hairline and estimated around 2,500 grafts to achieve that. I wanted to be a little less aggressive and leave around 2,500 grafts for a procedure down the road (If I chose to). After picking Eugenix (Reason above!) Decided on doing this sometime in July and booked with tentative date as mid-July. Sometime in May I picked the dates and booked my flights. Thankfully the travel ban didn't affect me so there were no last minute cancels. We had one more video consult with Dr. Bansal (And well, thousand line chat with Abhinay with my never ending questions...) and with nervous excitement set out to fly the 16 odd hours to Delhi! Day (-) 1 Landed in Delhi around 9 PM and (Thanks to a surprisingly super fast immigration/validation process) was in the hotel by 10 PM. Eugeix had booked me into the Hilton nearby and the hotel sent the car. Both Suryakant and Anil called me multiple times to check and welcome me. Have to say, their dedication is amazing (Much more on that later). Got to the hotel and after a heavy dinner (United food sucks!) slept early to prepare for the day ahead! Also, Eugenix folks were kind enough to setup a blood-work appointment at the hotel (Had some tests I couldn't do in the US plus the COVID test to fly back) (To be continued...)
    6 points
  3. No offense. But if you are asking these questions (and it's an excellent question) then you really need to be doing a lot more research into the hair transplant industry as a whole, not to mention which surgeon you will be choosing for your second surgery. There is no rush and there is no reason to choose just one Country for the same reason that I would not choose Australia as one Country. Base your decision on a surgeon/s who turn out a consistent body of excellent work that looks unremarkable on a regular basis. Avoid 'cherry picked' examples for display (on websites. instagram, etc) as most of this industry does to put their best foot forward. Even Eugenix has results that people are unhappy with. There are no guarantees so to limit yourself to a Country, or a budget, only increases your surgical risk profile. Sometimes their is just the 'X' factory that can result in poor growth/scar healing, etc. However you can minimize this with research across the board looking at patient results that you will find on this forum and by the surgeons that they have found to be highly ethical and patient focused. All the best!
    6 points
  4. I agree @MC10298that there is quite a bit to learn from this whole experience. It looked like Eugenix outlined a couple of different options on the hairline and temple points from the initial design drawing. The inner drawing would have obviously been the more conservative approach, but the more aggressive option was chosen in this case. All in all when you see the countless amounts of results coming out of Eugenix there are plenty of examples with higher Norwoods going for very aggressive hairlines and having incredible outcomes. One lesson I take out of this is that you could have the best clinics in the world work on your head and there's never a guarantee on better than average results. It all comes down to your physiological makeup and the percentage of how much your body will accept or reject a hair graft. My advice to anyone getting a 1st hair transplant procedure is to never go big. As much as it's tempting to have a low sexy hairline, STAY VERY CONSERVATIVE, assess the final result, then go back for the 2nd procedure to lower the hairline and/or add more density, and ONLY if it makes sense to do so. I think going this aggressive with a bad or even average clinic, the results could have easily been a complete disaster. Thank God that is not the case here.
    6 points
  5. Just wanted to share this video from BHR YouTube Channel. Actually it Is only 9,5 month today😀
    5 points
  6. 1º INTERVENTION Patient’s details: Sex: Male Age: 67 Years old Level of alopecia: Norwood IV Hair characteristics: Grey, straight and medium thickness. Surgical plan: Hairline, entrances and central zone restoration, in 2 days of intervention. OBS: Hairline have been made according with the patient desire. Grafts breakdown: x1 Grafts: 168 = 168 Hairs. x2 Grafts: 806 = 1612 Hairs. x3 Grafts: 1626 = 4878 Hairs. x4 Grafts: 419 = 1676 Hairs. Total: 3.019 Grafts = 8.334 Hairs. Average: 2,76 Hairs/Graft. Post-Op treatment: Finasteride 1 mg/day during the first year. Before and design Placement 12 Months later 2ª INTERVENCIÓN Patient’s details: Sex: Male Age: 68 Years old Level of alopecia: Norwood IV Hair characteristics: Grey, straight and medium thickness. Surgical plan: Crown/Vertex restoration in 2 days of intervention. OBS: Growth of approximately 85% of the follicles implanted in the crown. Grafts breakdown: x1 Grafts - 342 = 342 Hair. x2 Grafts - 845 = 1690 Hair. x3 Grafts - 1158 = 3474 Hair. x4 Grafts - 190 = 760 Hair. Total: 2.535 Grafts = 6.266 Hairs. Average: 2,47 Hairs/Graft. Post-Op treatment: Finasteride 1 mg/day during the first year. Before Design Placement Final result Video We hope you like it. Best regards!
    5 points
  7. Month 8.5 Minor update, I picked up some Aveda clay which volumizes the hair and lets me style it to make it look more dense. It's a natural look (no shine) and really helps the transplanted look. It has made the transplanted hair much more clean and uniform. Seriously transformed my look. It's pricey but worth it: https://www.aveda.com/product/17776/16733/styling/mens-styling/aveda-men-pure-formance-grooming-clay#/shade/2.5_fl_oz%2F75_ml
    5 points
  8. You're "the catch". They catch your attention and then catch your money. Avoid hair mills like the plague.
    5 points
  9. you can. But you will lose your 5g conncetion if you do so
    5 points
  10. Against the odds with all the travel restrictions, I was intent on this mission to end what feels likes years of indecision. Warning, if this is too long please feel free to skip to pictures if you just wanna see the results. Even if this helps one person get another glimpse of surgery with Dr Bicer this may be worth it. I wrote much of this along the way, which I have a habit of doing ( I used to travel blog ) Just putting it together now. After a stressful uncertain journey, I arrived in Istanbul the afternoon before and went straight for pre surgery consultation after landing that evening. (I didn't opt for the clinics "VIP" support package, where they take care of accommodation for 2 nights and transfers for you. I was staying 5 nights. So just booked the Sheraton myself and got a taxi there.) Consultation day before When I arrived for the consultation, I was welcomed at the door by Dr Bicer herself. After a quick greeting, we sat down and I was given a whole bunch of forms to sign. There were over 15 pages to sign and it took a while to read through them. Meanwhile they were just finishing up with the patient that day, a Brazilian guy here for his second HT. I met him afterwards and we had a nice chat and he seemed happy. The first thing he said to me was "you look good you don't need a HT!" All subjective I guess? He talked about his prior experience having a HT in Germany and that he found this much more pleasant. He was kind enough to let me inspect his crown close up, and I was impressed with that I saw. I was slightly miffed however by the content of the pile of paperwork on my lap. Suggesting certain information was explained/relayed to me, when in fact they were not. Things like the prep leading up to surgery and what to do/not to do etc. Maybe this wasn't sent because there was doubt I would make it? I kept Ozen informed about the UK travel restrictions. I just don't know. Ozen was always available and answered any questions promptly, just perhaps not proactive with certain things. I got the distinct feeling she was juggling a lot of different patients. For any other place, I think this may have been a problem, especially for someone like me with a nervous disposition but I kept reminding myself the reasons I was keen on this clinic and it was all down to the wonderful feedback/results and experiences you guys have all shared on this space. I informed Dr Bicer I just took some painkillers a few days ago after my first covid vaccine, other than that I had a couple of drinks 4 nights before (they advise not to drink the 15 days prior surgery!) Sigh. Then Dr explained this won't be too much of a problem. Blood thinners are the main concern I believe, but that I already knew because I was sent some pre-op instructions by another clinic back in April. After the Brazilian guy left, we finally sat down and discussed the plan. Dr Bicer had a quick physical assessment of my donor area (note there was no tech or tools like a Trichoscan that some clinics use) she noted my donor area was OK and we could proceed with the 3800 session. We then discussed how we use that and the density we could aim for. Knowing perhaps she may be used to doing high density hairlines, I suggested I would be happy with a moderate coverage of 45-50 FUcm2 in hairline. In the interest of speed I drew up a planned diagram in the plane to illustrate the split of grafts. She stated we may not have enough to do 1000 grafts in my crown but she would try for around 700. This seemed agreeable as I was happy to have light coverage in crown for the first session. We left it there and I was told to come in around 8.30am-9 in the morning. I walked back to the hotel comfortable enough to put my trust in Dr Bicer's hands. I had such a positive feeling. Surgery day In the morning of the surgery I woke up early and made my way there for 9am . This time I was met by Ozen. There was a shoe bag outside to wrap my feet in while I entered. We discussed the final bits of paperwork including handwriting a statement saying I was making an informed decisions etc etc Ozen then went through the aftercare package and the instructions for the medications/shampoo/washing etc (again this would have been much more helpful to be sent in writing) There were quite a hive of activity in the clinic at that point with several members of staff in motion and phones ringing etc. We then sorted out the payments and I taken to the photo room to have my before pre-op photos taken. Then Dr Bicer came in to do a few measurements and start drawing the hairline. She checked in with me to make sure I was happy. We had a couple of attempts but I was ok with what I was shown. Essentially a very conservative hair line going from where my front tuff already was and building back a little of the sides. There was no real focus on the temples as I suppose I would just not have enough grafts to play with for this session. She spent more than half hour drawing on my head and I can already tell, this isn't just a robotic operation, she loves what she does and wants to make sure the hairline suits my face. Then it was time to shave off my head and while a blood sample was taken.. at the point I was getting rather tense and requested some sedatives. After my head was shaved, the head markings were re-drawn again but I no longer kept track of where that was anymore. Time to go up to the surgery room, it was already past 10.30am! My arm was bleeding a fair bit as I was told to keep pressing into it. Surgery Room The surgery room itself is fairly small but adequate, I was introduced to the two technicians and the third assistant, who will mostly be helping the other two. After changing into the gown in a separate changing room/bathroom for the patient. I laid down on the surgery chair noting it to be rather comfortable. Dr Bicer showed me the micromotor and then the local anaesthetic began. The anaesthetic involved individual pricks (like the ones you do for finger prick blood tests) the two assistants helped with that as there was about at least 25 of that, I lost count. The back of my head became numb quite rapidly, and they checked it was so. Finally Dr Bicer started the extractions. After a while the 2 technicians took over with the rest of the extractions. I was periodically checked on to make sure I was ok and with pain etc including having my blood pressure check etc. I even managed to fall asleep for a abit and woke up when Dr bicer was ready for incisions. I then really felt the new local anaesthetic in the recipient area and I must have dozed off again. The one thing I wasn't quite clear on was why I had a needle plugged into my wrist, which was quite uncomfortable at times. But I don't remember this being explain to me, initially. Later when I asked I got the answer. The incisions were all finished about about 3.15 pm and then I was had a short break to eat lunch which was ordered and prepared for me in next room. Then suddenly there was celebrations in the kitchen.. it was one of the other assistants birthday and we had a lovely slice of a very velvety cake. This one seems to be a signature treat for all Bicer HTs? Then back to the surgery room and the implanting began. During the first half of implanting I felt quite relaxed and dosed off a couple more times. Dr Bicer periodically came back to the room asking me if I was OK. Throughout the whole implantation, they sprayed my whole head with lots of what I guess was a saline spray? Later, there were times I could really feel them pushing the grafts in. This one went on for abit.. and then I suddenly starting to feel some pain at the front of the head.. I asked to have more anaesthetic without really being aware of how far along they really were.. as it turned out they were almost finished. Suddenly everyone was up and moving about... I was done! It was now fully dark out ..it had just turned 9pm. Almost 11 hours in the operating room! The assistants held me as I got up slowly. And there was Dr Bicer with a smile that radiated right back at me. The first thing she said was how pleased she was. As we slowly walked back to her office she says she reckons I won't even need a second session now. Those words were like music to my ears! I was over the moon. She asked me how I felt about the whole process and that she would like me to write a review online when I can etc. Dr Bicer advised I could sleep on my side with the travel pillow provided. At this point everyone seemed to have disappeared from the clinic, and soon we walked out the clinic together. Surgery Evening As I got back to the Sheraton next door, I had the biggest smile inside and out. The relief that I'd finally done this and it's gone well. I called my brother and a friend to tell them all about the day. Then had a quick dinner in the room and settled in for the night. And only then realised they did not take any post op photos?! So I am attaching my own I then noticed some bleeding and promptly messaged Ozen who asked me to call Dr Bicer. She informed that was nothing to worry about. It took a while for me to calm down after that, as I was worried the blood was gonna drip all over the lovely bed but I eventually managed to get a few hours of sleep. Day After Surgery The next morning I woke up feeling totally fine other than a bit of soreness. I contacted Ozen to check what time I should go back to the clinic to have the bandage removed. Later that afternoon I went back to an almost empty clinic, both Ozen and Dr Bicer were off on holiday and one of the assistants took out my bandage and gave me a head band and a hat to wear. More on this and the aftercare later. Only time will tell how this turn out for me and whether or not this was the best choice, as there were many paths I could have gone with. I am very thankful for Dr Bicer and Ozen, for the care with which they carried out the op, I always felt like I was in good hands, and it was obvious this wasn't just about the money for them. In any case, I am just happy to have done this finally. My mum always says, now is always the best time, because that's all we have guaranteed On a side note, I was a little worried about posting this because I do not want to encourage anyone to travel against their governments advice. My regular travel insurance would not cover this so I had to get special insurance for high risk travel that normally Journalists would get when they report from war zones! To add to that, my return flight back to UK got cancelled, as no airline is currently allowed to fly passengers directly from Turkey to UK. So I've had quite abit of run-around and still, even when I eventually do fly home, I won't be able to go to my home but rather a government quarantine hotel for 10 days until they deem me to be in the clear from covid. Unless you thrive in those kind of stressful situations or the thought of being locked up in a hotel room for 10 days and paying an extra 2000 pounds for the privilege, this is really not the a good time to travel. I will follow up with my day 2-10 progress very soon
    5 points
  11. I think post transplant assistance is as important as the transplant itself, and Eugenix proves to be the top in this regard.
    5 points
  12. Lots of results here from Eugenix, most of them tend to be excellent. Off the top of my head, check out threads from @Zoomster @paddyirishman @juanjs84 @Looking for HT @harin @BlackPanther @rishibostonian @MNIK @rubberduck@Wandererind @Jarvis@forest Really, the best thing to do is search 'Eugenix' and just scroll through each post to see the progression of each of the forum members' journey. If you indicate where you are on the Norwood scale, we might be able to point you to cases that have a similar hair loss pattern. Hope this helps!
    4 points
  13. This is a young patient, only 25 years old. He wanted to fill up his receding hairline. HDC Team has examined his family history and status of hair loss. It was found that he does not have a potential of high Norwood stage, so we proceeded with his surgery. In young patients, is important to make sure that they understand their future hair loss and to have realistic expectations, otherwise you end up with unsatisfied patients. It is also important to check that they have a good donor that can support possible further hair loss. In this case we only used 2500 grafts as you can see below. Notice that we kept a conservative hairline, as it will escort this individual for the rest of his life. Low hairlines and temporal rectification should be avoided in young patients. Before Immediately after 1 Year After
    4 points
  14. Hey Guano. I would tell you that before you get any repair to consider a tricology appointment just to make sure you dont have any skin issues, autoinmune, liquen or anything that could have caused your bad result. Because if you do not even a great surgeon will fix it. You would need to treat that first. You can check in Spain Dra. Cotellesa, clínica Zira. She has done many repairs. She is young but promising, and she has worked on cases with people with skin conditions. In these cases she just puts some grafts (maybe just 50 or 100) to check if they survive and therefore its green light to put more.
    4 points
  15. Sorry to say they have inflated those graft numbers. Not 5k. If I can be honest it does not look like particularly refined work. You could choose a much better clinic for round 2. If your sticking with Turkey you may want to consider Dr Bicer or HLC for example.
    4 points
  16. Folks, I just finished my HT in Eugenix and am back in the US. Thought I'll weigh in with my opinion. The law says you shouldn't carry more than US$5,000 in cash PLUS US$ 5,000 in travelers check by law. I recommend using third party transfer sites to do pre-payment in advance to avoid carrying cash. In parts or full. If you are, I highly recommend Remitly and NOT Xoom (By Paypal). I tried both ad Xoom asks for a bunch of extra documentation. Time to transfer is 4 days end to end. Arrive T-2 Day evening. This will give you time to relax, get your blood work done at Eugenix (T-1 Day) and your surgery on the D Day. When they do the blood-work, depending on your departure date, ask for COVID test to be done as well as you need that to get back. To India - It's painless. COVID test taken 72 hours or less before travel (NOT 3 days, 72 hours!), Letter from Eugenix and the acknowledgement from the AirSuvidha portal where you upload all this. To US - COVID test, declarations are done as part of the airline check-in process e-Visas and Medical Visas ARE being issued. I wouldn't say they are painless but not too much hassle. I could hear/see a lot of activity in Eugenix around this and as always, the super helpful folks there were coordinating with patients and consulates to make it painless. If you plan i advance, I don't think you'll face too much of a hassle... YES!! I highly recommend flying out AFTER 48 hours of surgery. As per Dr Arika Bansal, the recipient area heals in 2 days. I would say 7 days is an overkill but I can see the merits of doing that i terms of risk reduction. I didn't have the luxury of time so instead booked business class for return. Also, the surgery MAY NOT BE done inn one day. Eugenix/Dr Bansal is very thorough and meticulous. It took 2 sittings for me for 2589 grafts as they were slow and sure. Which is what you want! THIS! I was quoted around $400 for all the tests. I paid INR 3,000 (Approx $40) plus it was super convenient; the lab sent someone to my hotel room to take the blood and emailed me my reports! You are spot on. I thought about this as well (I stayed for 2 days)Even with all the precautions i took and despite having a secluded, flat pseudo cabin for the return flight, I could hardly sleep because of paranoia. If you can do this, then why not! Other comments/tips: 1. Take a bunch of button downs as you don't want the tee's/polos scraping the spot accidentally when you wear them. 2. Keep a 100 Ml (3 Oz) spritz bottle with you as a travel/TSA friendly saline spray option 3. The >100 Ml saline bottles are allowed through security checks/TSA with a doctors note IF they are sealed and labeled. They let the sealed bottle through but a larger spritz bottle I had with no label on it was not let through. 4. Travel pillow helps to ensure you don't roll over in sleep. Not just while traveling but even on your hotel bed! More details and progress updates on my dedicated post, if you guys are interested. Let me know if you have any more questions! Good luck!
    4 points
  17. Just got a haircut. I'm at 8.5 months. Donor looks fine to me. She used a 0.5 size guard around the ear and at bottom of back. This is about as short as I've ever worn it. Kinda like it! Headed to Brussels in 3 weeks to meet Dr. Bisanga to add some density to my crown (untouched) and tweak my temples & hairline.
    4 points
  18. We are pleased to present our latest blog post regarding FUE surgery and what happens when things may go wrong. With the demand for repair surgery at an all time high, we encourage all prospective patients to really do their homework and conduct thorough research. With limited donor availability, patients don’t get many bites at the cherry, so choose wisely as this may be the only real opportunity to avoid issue. --- What happens when FUE surgery goes wrong? You don’t get many bites at the cherry, so choose wisely as this may be your last chance for redemption! We live in a world of expectations, there are ones others or society puts on us, or even more harshly, the ones we put on ourselves when we survey the modern world in which we live today. Society is more interested in beauty than morality, that seems strong language, but I can prove it, we can see this in our spending habits. While we will spend thousands to look better, we won’t spend pennies to be better. I am not saying it is wrong, but this is the world we live in and it ain’t gonna change anytime soon, if anything it will intensify. The world is about equality, equality at work, socially and now in beauty! Men are rapidly closing in on females and and we are seeing that to look your best is not taboo now, be it from body to facial and not least, you guessed it, hair! In fact hair transplantation has gone from a pluggy doll’s look and all of the associated shame, to undetectable and something to be proud of in the space of two decades and of course only in the right hands! The ones you notice when you are out and about and draw your attention are the ones that have not gone well, you do however walk past many hair transplant patients without even knowing it! Thankfully, and for a host of reasons, hair loss and hair transplantation and treatments are becoming less of a taboo and especially as more celebs and influencers also undergo hair transplant surgery. FUE is becoming a term that even the TV are aware of, when it was prior just for the target group it attracted. When things go well it is truly life changing, yes, you heard that right, it changes every aspect from looking in the mirror to doing the shopping and not the least, work, social events and romance, from the mundane to the insane, it is with you, you take it everywhere and it is on display 24/7. This is exciting and it should be, especially when we think in centuries past, even the world’s most powerful had no chance to change their hair as we do or to deal with hair loss in any positive way. The social and mental impact of it was there and it struck without discrimination. Julius Caesar wore a laurel leaf, others wear hats, but today you can wear your own natural hair, and wear it well, if it all goes to plan! What was unimaginable now is possible and we have many success stories. Hair is not just for protection and to keep you warm, it is part of your vigour and identity, it gives you confidence and a semblance of youth. No-wonder it is sought after, that elixir that makes us attractive, both to self and to others and often self- confidence is a priceless positive side effect. Many hair transplant clinics however will play on this, their adverts will be emotion based and it is tailored to the “click now” approach to secure your new future, without any real pedigree or track record in the hair transplant industry, with come and go salesmen for unknown FUE doctors and hair-mill clinics. The dark side, like all industries, exists. Attracted by the glossy photos and polished reviews and the celeb endorsements, many fall victim to hair-mill type FUE clinics, your dreams can be achieved at a click of a button and for a low cost, fully endorsed and guaranteed for life! So, why pay more and why wait more? Your passport to happiness is here, so come on in and enjoy the ride. It is a trap that many fall into and is surrounded by a wall of silence, the previous victims will not warn the next and so the conveyor belt is fired up and the rotation continues on, for what essentially is a life changing decision, in the good and in the not so, you will be changed. Here in this video, Dr.Bisanga shows beyond the click and into the op-room some of the real technical aspects needed to repair poorly thought out and executed hair transplants and address when FUE goes wrong for the hair transplant patient, who rather than becoming the poster boy they dreamed of, are often a shadow of what they were before. Looking unnatural is worse than looking bald, you may get attention but not the type you want, and the end product is confidence is eroded not grown and mundane things become challenges. The hope is, that most are not beyond repair, but the approach will be different and an ethical and highly skilled surgeon will be needed. Well I have said enough, over to Dr.Bisanga, click and see the approach and the more technical aspect in the video description. Take home message, research well, don’t go for cost alone and don’t become another hair transplant victim! Now has never been an easier time to research, and remember, you may not get a second chance! Written by stephen@bhrclinic.com Copied from - https://bhrclinic.com/2021/07/17/what-happens-when-fue-surgery-goes-wrong/
    4 points
  19. It’s 4 days shy of a year so here are my obligatory 1 year photos. As I’ve said the last several months, there’s not going to be any change beyond my hair being longer. My hair length has now reached the “ugly duckling” stage for growing your hair out. For anyone who has ever grown long hair, you know there is a period where it just looks dumb. Sadly I am in that period, lol. But keeping my eye on the prize. Since there’s not much more to this HT journey, I’ve decided to start on a new hair restoration project - micro needling. I have read and seen great results on Reddit from micro needling combined with minoxidil. Since I don’t really need it overall on my head (and it could damage my SMP), I’m just going to do it on my temple points since I have virtually none. I may also do it on my hairline and temples just to do the whole area that frames my face. I’ll post pics on a few months if there are any results. I took “before” pics today but I’ll save them for when I post “after” shots if there is any improvement.
    4 points
  20. Hi everyone! This is my first time posting here so bear with me. In January of 2021 I finally took the plunge and got an FUE procedure by Dr. Cortez at Hair Medical Restoration (HMR) in Tijuana, Mexico. I received 2200 grafts in my temple area, and about 700 grafts in my crown area. At the time of writing this I am just over 5 months post-op. I knew I would see some decent growth around this point in time but I wasn’t expecting this much! I can’t wait to see how much it will improve over the next 7 months. I am beyond happy with the results and if anyone is apprehensive about getting this procedure done, I say go for it. It’s life changing. I’ve attached several pictures to this post which I tried to put in chronological order. Basically you all can see how my hair looked pre-surgery and how it looked at various stages after the surgery. I’ll be happy to answer any questions anyone has for me. To be clear, I am not an expert on this subject so any answers I give are solely from my personal experience, but I’ll do my best
    4 points
  21. This patient wanted to restore his frontal loss with a broader and straighter hairline design that was deemed appropriate considering his facial dimensions. Dr. Bisanga made recipient sites following the natural direction of the patient´s native hair, which as can be seen from the “in the op room” image, presented quite a unique cowlick that in this instance changed the direction of the hair placement toward the left as it approached the frontal hairline. Suffice to say that the patient is extremely happy with his transformation at the current 10 month stage and upon sharing his most recent update and comparison images, he quoted - “I didn’t know it was that bad before!!! What a difference!! Couldn’t be more pleased🙏🏻” Dr. Christian BISANGA Age: 28 Technique: FUE Donor density: 80/80 FUs/cm2 Hair Caliber: Medium Fine 2494 Graft Follicular Unit breakdown:- 1s - 455 2s - 1247 3s - 792 TOTAL: 2494 2494 FU = 5325 Hairs Average = 2,13 hairs/FU PRE-SURGERY PLACEMENT COMPLEX FRONTAL SWIRL RE-CREATED AT 6 MONTHS AT 10 MONTHS AT 10 MONTH COMPARISON
    4 points
  22. Im a patient of Dr Rahal and i have to say its the best choice i ever made check out my results! im sure he will give you a natural hairline for your age to! you are in good hands going to Dr Rahal. If you have any questions regarding my hair transplant message me. Im more than willing to share my experience!
    4 points
  23. I have and will always be a big proponent of free-speech. I value open dialogue, and if there are legitimate concerns by all means express them, especially if you are a patient. But these faceless people who join and start posting disparaging remarks about a surgeon and start looking up old threads to bump and post their thread are not genuine. I have been on this forum for almost a decade. I can smell it a mile away. The excuse is always “I’m interested in going here” and then it’s shade after shade, after shade. Everyone is entitled to their opinion. If you don’t like a surgeon, you don’t have to go there, simple, hell you’ve given examples and told us why. That’s fair, I have no issues with that. Systematically bumping old threads and posting to stir drama is obvious, and that I won’t stand for, when questioned they always lash out uber aggressively to another telltale sign. To the forum member who seems to love this drama, and always like these posts and question mine, if you have a problem let me know in pm.
    4 points
  24. Near enough 8 years with a further 2 HTs on top.
    4 points
  25. This guy isn’t genuine. I had my suspicions, but his behavior sealed it. Bumping year old threads to post his thread, then going on the attack when questioned. Clearly he had an agenda: Wrote about in the “how to detect trolls/shills” guide
    4 points
  26. Hey gang, sorry I haven't been updating the past couple of months. I took 6 and 7 month photos, but haven't had the chance to post get them off my phone and post them yet. This weekend it will be 8 months exactly and it's looking good and i'm pleased with the result so far. Hopefully I can find the time to post all three months in one go this weekend and give you guys an update.
    4 points
  27. At Huncholini, I am glad the reply was of help and it is often the dynamic of questions or comments that can bring this about. We are used to a lot of questions and are not only active in posting cases but also in answering, live insta, producing videos and articles and indeed commenting on cases not related to us at all, in order to genuinely assist the forum users and it is not just about self promotion. I used to take a very well known bus in Rome, the 64 that goes to the Vatican area and many were on it for the ride as it was a tourist area, some were on it for the pickings and to benefit from tourists and some were on it for the arresting of the pick pockets, so in essence everyone had a motive to be on it and more so regularly. Forums can be like this, regular users have motives, like the tourists, most are benevolent, some are malevolent and some are looking out to spot the difference. In other words, something brings them to it and not all will have good motive and like a CCTV will show a picture and a track like posting history is really helpful to look at to get a picture, it can be grainy and inconclusive or it can be very evident and obvious of the style of individuals. Melvin as the moderator will have different motives, duties and inputs to the forum to us as clinics and indeed ours is different to users. He for example would not have been able to answer the way in which I did in terms of knowledge to this case as he is not privy to the information until it is divulged here, so he will have a different view and concerns and we ourselves will not have the information he has about the forum running and some of the user aspects. In short, all of us, clinics, users and moderator want a decent open and honest platform that is also safe for patients to post in and one that will give genuine help and education. Believe me the patients who post their cases are really a very small fraction of the overall number of patients for any clinic, they are not paid, they are nervous at times, vulnerable to opinion, scared of being recognised and their motive is to give back, they have no renumeration at all and post because firstly, they are grateful to the forum and the users who helped them in their own decision and to predecessors who have posted and secondly they are genuinely grateful to the clinic whom they paid and trusted for the surgery. Without their consent we really have no forum and no cases because education and Insta and videos et al are all so well and good, but without the product then it is a menu with no food. Melvin has to uphold this and to challenge from historical content at times users posting habits, some may be genuine and it an extension of how they are and for others there are motives and then rightly so it needs to be challenged. We have seen a good number of shills here come and go and to the point a thread was made on it with the tell tale signs to look for that are pretty much consistent with the reality. I have been on forums for many years and Melvin has certainly brought this forum up, his own work is evident to see on all of the above mentioned things such as videos, interviews, newsletters, articles and comments and has been open and honest with his own case and made himself vulnerable also. So, for me personally we welcome genuine questions and as said it gives us an opportunity to further reply and educate and at times even learn, but we do hope in all sincerity that people will realise the purpose of this forum is to above all help and support people in their own struggles and or surgery. Many here are hidden and safe, the majority in-fact, so let’s corporately honour people who have posted, and from any clinic, and be supportive of them and mindful that they have made a decision that others were not willing to do. I hope this will not hijack this thread and that the patient who has been wonderful, will continue to allow updates. Sorry for the length of this, at least I hope it was interesting!
    4 points
  28. Here is an updated picture , 2.5ish years post-op: I've definitely gotten accustomed to working with the transplanted hair. Not sure if its because the hair has become more natural or not from the growth cycle, or just a mental thing. I've also kept the hair about an inch or so longer on top than I used to, and it has helped with keeping the hair looking natural. It has a tendency to want to flow up when its too short. Area on left side never filled in. I've basically accepted it and its fine - it's not noticeable when styled appropriately but you can definitely tell that the hair volume in general is just not as "full" there and I kind of do some voodoo magic with hair product to give it a little more volume there. Will need to fix that in some inevitable future procedure. Hair behind the transplanted hair has held out just fine, crown area slowly thinning but will probably not be a real issue for another 5-10 years. No issues whatsoever with donor area - looks exactly the same as pre-op at the length I keep it (3/4 guard) Overall continue to be satisfied with the outcome. Not perfect but still a solid 8/10.
    4 points
  29. Hi guys, I did my hair transplant 3 months ago and decided to come here to share my experience with Dr. Bruno Ferreira and show you my results since the surgery. Since 2015 that I started to become more bald year after year and the idea to do a hair transplant started to grow more and more in my head. In 2020 my brother decided to do a hair transplant with Dr Bruno Ferreira and that was the trigger for me to do it too. We decided to do two surgeries. I did this first surgery (April 2021) in two days, totaling 3.653 grafts, with 2.55 ratio between hairs/grafts. For me was an easy choice to do it with Dr. Bruno for a couple of reasons. My brother did his hair transplant with him a year before me and this allowed me to follow step by step his process and his recovery since day one, and I got to say that right after his first surgery (he did two) I could understand why Dr. Bruno Ferreira was the right fit for me, as I explain below: One important aspect for me was the guarantee that the surgeon was responsible for the two phases of the surgery (extraction and implantation), instead of an assistant/nurse. And Dr. Bruno does exactly that. He is present and executes all the way through, from the beginning til the end of the surgery; The hair line for me had to be the most natural as possible and for me this is another key factor that makes Dr. Bruno unique. His aesthetic sense is out of this world and I think it's a detail that separates a great hair transplant result from other not so great. He probably spent 20-30 minutes drawing in my head before the surgery so that everything was perfectly balanced and this is probably the main compliment that people gave me until now, about my transplant. We decided not to bring the line too much down because I wanted to balance a good frontline coverage (first surgery) with the rest of my crown (second surgery). I have to say, I'm very pleased with the results; The surgery is painless and Dr. Bruno and his team have a special attention to it. I remember that one of the first things Ricardo (Dr. Bruno's nurse) told me right after my arrival to the clinic, was that the objective of the surgery wasn't to hurt the patient in any circumstances and if I feel anything during the surgery, I should warn them right away. Dr. Bruno's way of giving the anesthesia is almost pain free, I just felt the first needlesticks. Every time I felt anything during the extraction or implantation, I warned him, and he gave me more anesthesia right away; Another thing that came as a surprise was the environment created by Dr. Bruno and his team during the surgery. From the music that was playing, to the funny jokes between them, a feeling of relaxation and calmness was created in the room which allowed me to be very relaxed and even fell asleep during the surgery; During this process I always felt accompanied by Dr. Bruno and his team. One unique feature he makes available for his patients is the possibility to talk with him and send him pictures via WhatsApp and he always tries to answer you on that same day. This is very useful because after the surgery, during the first months, you have a lot of questions and doubts, and this proximity permits that he can control the process of the air fall during the first and the second month; Finally, the post-op and recovery. The first two nights were strange, because you are always sleeping worried about your head and trying not to move too much. But I got to say that I was expecting a worst recovery. I didn't feel any pain, my face and forehead didn't swell and I personally didn't feel to much itch during these months. Besides this, as you can see in the pictures, Dr. Bruno's technique is so advanced that he leaves your head "very clean" after two days of surgery. Not only the implanted area, but also the donor area which was a big surprise for me. Finally, you leave the clinic with everything you need for the first crucial 15 days: they gave me shampoo, aloe vera, all kinds of products that you'll need for the first two weeks. Below you can see my results of the first two and a half months. Right now the transplanted hair is still growing. If you have any question don't hesitate and talk to me.
    4 points
  30. Holy shit, Submitted an online evisa yesterday and was approved this morning, im going to India!
    4 points
  31. @MazABis right that Toppik or or other hair fibers are great (I use fibers myself and love them), however, I would check with the clinic 1st to see if they feel this would be okay. I say this because I think I saw something at some point from Ian @Raphael84, the representative from Dr. Bisanga saying that they do not recommend hair fibers during the hair transplant growth period. I believe he said while they didn't feel that fibers were in and of itself harmful, having them might not provide the ideal environment for growth.
    4 points
  32. Thanks for the question. Dr.Bisanga has trained and opened clinics in the above locations and has trained all of the doctors/techs now who perform with their teams there and there will be assessments and prices from those clinics then sent along with consultations offered. If a patient wishes to have doctor Bisanga in a specific location then that is also fine and we would book for that but it would be subject to when he is scheduled for that particular location. If you book for Dr.B you get Dr.B and it may work better to travel to Brussels depending on the timescales as such or if you are able to then wait for when he personally would be in those locations. I suggest for any location, email them in the first instance for an assessment and consultation and they will be able to also furnish more details regarding Dr.B being there. Once booked for surgery, your booking document would detail Dr.Bisanga or whoever you booked with for the surgery, there is no switching as such. Raphael has dealt with patients form Israel and Greece but the clinics would also directly be able to offer patient experience and results and have their own reps their now for the work so please also feel free to email any you are interested in and they are self -sufficient now in handling the inquiries and would be able to answer any questions specific to those locations also. Raphael would have more knowledge than me on some specifics and may add anything to this also when able to also as I have just given some succinct generalities.
    4 points
  33. 12 month update So july 6 was the official 12 month mark i am absolutely grateful for the whole experience the Dr.Rahal clinc has given me in this 12 month journey. The whole team has been absolutely incredible from Dr.Rahal himself to the patient care team , i am so happy to have chosen them as my HT option. I absolutely recommend them to anyone going through with the procedure. I got the comparison from the day of the surgery to now. Thanks a million times to this top clinic for this amazing experience
    4 points
  34. 9 month update Everything is good.
    4 points
  35. Month 2 update. Pinkness is still noticeable but fading. Haven't noticed growth of new grafts but there is some peach fuzz that looks a little longer in the recipient area than the rest of my forehead. A few pimples on my recipient has me thinking new hairs are pushing up. I'm keeping my head shaved with no guard every week.
    4 points
  36. Hi, What meds were they if you don't mind me asking that you took in the past that were similar? Because unless it was Dutasteride, I doubt it was similar in any way to finasteride; these are medications that block the 5-alpha reductase enzyme (to different extents, finasteride to a substantially lower degree and Dutasteride to a higher degree whilst also blocking an additional isoform of 5a reductase that is found in different tissues that shouldn't really be relevant to hair loss). If you look at my post history, I left a comment for another user regarding finasteride yesterday, I don't want to repeat myself, so check it out. But essentially, the simple answer is: try them and stop if you feel you need to, there's not much more to it than that. The only caveat I would have to say is that if you are a particularly neurotic type of person, for lack of a better word, who worries non-stop about things then I wouldn't even bother for obvious reasons. PRP and laser therapy aren't valid alternatives to fin unfortunately, neither is minoxidil alone. The only way to tackle the root of the problem is to reduce the amount of overall androgens (DHT in particular) available to reach the androgen receptors in your hair follicles. Minoxidil may aid growth for some people, for others it doesn't do anything due to the lack of the required sulfotransferase enzyme that some people naturally are missing in comparison to others (this is necessary for monoxide to work essentially, although it can be negated somewhat by taking oral minoxidil). But even If it does work, it's not going to prevent further loss. As for having to take fin for the rest of your life, if you don't have sides, which is overwhelmingly likely to be the case statistically speaking, there is really no issue. But in any case, I'm pretty confident that there will be a number of alternative treatments available in the next 5-10 years that will be just as, and I would argue likely more so, effective than fin and should hopefully come with a very minimal side effect profile (finasteride already is minimal, but hopefully the things I'm talking about won't have systemic absorption, that is the plan). None of that is guaranteed of course, maybe no treatments will come out (although I think that is unlikely) but my point is that I don't think you'll have to take it for the rest of your life if you don't want to, but until alternatives are available, its wise to hold on to what you have. also, the fin may drastically improve your hairs current state, and on top of that, it will protect your donor hairs too. Additionally, unless you are a Norwood 7, trust me you can lose more hair, even if you're a NW5 now and you feel you're pretty much as bald as you can get, your sides can drop an inch, and your crown can dip two inches at the back and then you're pretty much screwed - this is particularly relevant if you're still young/showing the potential for this to happen (you'll need to be examined with a dermiscope or something similar by a competent dr).
    4 points
  37. Just my opinion(so don't shoot) but I think the forum was too quick to put Dr Arshad on the recommended list, he had a few decent results but too small of a sample size and not over a long enough period of time to say that they are the norm. His more recent active cases aren't looking so impressive - hopefully they will turn out good in the end though. I would 100% wait and go with Bisanga and it sounds like the price may even be in your favour to do so. The only proven Dr in the UK is Dr Reddy but of course he comes with a price tag that many can't afford.
    4 points
  38. Bit of a strange post. You're just scaremongering potential newbies who are coming here for information without any prior knowledge; I feel bad for you of course, but this is completely nonsensical. You had what is, by todays standards, basically a surgical procedure from the dark ages. Things are very different today than they were nearly 45 years ago. Hair transplants are performed completely differently and have come a very long way. That's not to say people don't still get butchered regularly and end up with terrible results, excessive scarring and physiological issues not unlike yourself, but that's why this forum exists... so people can avoid that. As long as you do your research, are aware of what you're getting into and go to a very good doctor, there is essentially zero chance of these things happening. the simple fact is, if you're a good candidate for surgery to begin with, are proactive at maintaining your native hair and make wise decisions regarding choice of doctor etc, you can have your hair restored and enjoy it for a very very long time; well into your later years in life.
    4 points
  39. Posting my last picture. Pretty cool to see the difference 1.5 years later at the same length!
    4 points
  40. You really can't generalize. It depends on a lot of factors. The average scalp has 6000-8000 grafts, the density you might aim for is really calculated by a few factors such as the amount of expected future hair loss, your current level of hair loss, your age, patient/doctor expectations and a few other factors. It also depends where in the scalp you're looking at. The midscalp, you can get away with low density. The hairline, is where you want the most density. A NW2 at age 40 can aim for near native density in the hairline if they really wanted to while a NW7 might not even be a candidate for surgery. I think the general rule is that 50% of native density is enough as it presents the illusion of density. Though really, it's not about the density so much as it is about the illusion of density. So as long as the transplant looks good, the actual density is immaterial. Also, density isn't the only thing as density only calculates how many grafts per cm2. It does nothing to calculate the actual thickness of the hairs. If you plant 2 trees it'll be thicker than 20 blades of grass for example.
    4 points
  41. 3+ month Update :- After no growth in month 2, I am seeing a lot of small hair covering the entire area. Having almost completed the ugly duckling phase I can't wait for the coming (magic) months. Every week is getting better than the last. It's all about being positive and the long waiting game..
    4 points
  42. Hi @Looking for HT, I just wanted to say that this thread has been a brilliant and valuable source of research for me. Eugenix are currently top of my list for getting a HT and my hair loss is fairly similar to yours. This thread has actually reaffirmed my choice for Eugenix given that a) if this is them at their worst, well... it ain't bad at all! and b) the aftercare and standing by their work and ethics to provide a free touch up procedure is extremely reassuring. Throughout the thread I was getting a little worried for you until month 9 & 10. The temple point reconstruction looked very ambitious, but by month 10 it had blended a lot better with your native hairs and although each side was not equal and the left a little patchy, it only added to the naturalness of it, in my view. I actually think had you styled/trimmed them down earlier it would have blended better before, but regardless, month 9 & 10 for the temple points were a big leap in my view. With the touch up, half a year on it's looking fantastic - really. I sense you're not 100% satisfied, but I think you may be guilty of a little hair greed. Really, it's an outstanding and undetectable result. You certainly don't need to use hair fibers! Thanks for your detailed write ups - they've been tremendously helpful. All the best Berba
    4 points
  43. Hi dtap! I really appreciate the encouragement. Post transplant can be a very uneasy time, so it’s nice to come here to a message like this. Although I’ve now had 3 transplants, I am definitely not an expert. But having been down this road so many times, there are a few things I wish I’d done if I could go back in time. First, you’ve come to the right place. When @Melvin- Moderator calls this site the “Google of hair transplants,” he’s absolutely right. There is a wealth of information here. Patient testimonials in real time. Threads and videos on technique and best practices (check out Bisanga’s bite-sized videos, for example). After care advice. Non-surgical options (medications, smp, etc). Not to mention a list of really great ethical surgeons (some of which participate here). On the first page of this sub-forum alone, you can see examples of success stories and failures. Spend some time here. Get to know some people. Read around before you make any decisions and ask the questions that you might have. I’m a big fan of Joe Tillman. Head on over to his YouTube channel. He has a series of videos called “Hair Transplant Class” that I think is really invaluable, where he discusses the pros and cons of surgery. The Bald Truth show is excellent too. Tune in. All the content he (and Spencer Kobren) puts out is superb. @Rolandas is another. One of the best voices in the industry. He researched really really hard before he chose the surgical route, and his YouTube channel is filled to the brim with invaluable information and first hand experience. It’s really entertaining too. I also think every hairloss sufferer considering a transplant should ask themselves a few questions first. “If my hairloss stopped or slowed down today, could I live the rest of my life happy?” Finasteride (especially) and Minoxidil are key. I know the internet is a scary place with lots of people shouting “fire” and talking about side effects and whatnot, but these medications are proven to be effective and personally I haven’t had a single side effect. I don’t think anyone should consider a transplant unless they try medication for at least a year first. If you respond to and tolerate the medicines well, you might avoid a transplant all together! If you still decide to get a transplant after the fact, the medication will stabilize your loss, ensuring your donor is as strong as possible, and will help to protect your investment too. ”Would I look ok with a shaved head?” I realize this might sound ridiculous on a hair restoration forum, but seriously, try it. I never did this before my first surgery and man I wish I did. I think I would have been ok with it and been able to live my life not thinking about my hair. But now I have all these surgical scars and that’s really not an option anymore. ”Am I emotionally prepared to handle a transplant if it ends up being a failure?” Understand, that although going to a great clinic puts you in the best possible position to succeed, that even the best surgeons in the world don’t succeed 100% of the time. “Am I ok with an illusion of density?” Hair transplants, depending on your level of loss, don’t restore your head to native density. Generally it’s about half (give or take). Don’t get me wrong, a good transplant that turns out well is certainly life changing, but be aware you may need to grow your hair to a certain length, or style it a certain way, to get it to look in a way where you feel confident. Also keep in mind, it’s rare that someone only has one transplant. Whether it be hair greed, or filling in spots that didn’t grow perfectly the first time around, catching up as the loss progresses, or your loss being so great it will take a 2+ step approach to get what you’re after. Ask yourself what you want from a transplant, and consult as many surgeons as possible before making a decision to do anything, and come up with a game plan that works for you. And hell, maybe try out some concealers or fibers. I haven’t yet but plan to. If you can stabilize your loss with medication, they might give you the boost you need to put off surgery either completely or until a time when you feel ready. Sorry for the rant. Anyway, thanks for following my thread! It means a lot and I wish you all the best.
    4 points
  44. Guys, As a community, we need to be better. We all know that 3.5 months is way too early to make these sort of statements. For one, we don’t have graft placement photos to say how many grafts were transplanted. Furthermore, nothing looks out of the ordinary for 3.5 months. You need to give it time. Takes 12 months to grow.
    3 points
  45. Forgot to congratulate @Egy @duchaine @Jimmy58 on their European championship 👏🏼
    3 points
  46. There are too many factors to know for sure how well your scar will turn out. If you had a really great scar that's almost non existent, then it's very likely that the next one will not be as good because if you have the best then the only place to go is down, however you also know that your scar heals very well, so even if it's worse it probably won't be bad as you will likely get a similar type of healing. It also depends on how many grafts you are trying to get. If you stay at a smaller number of grafts than the first one and not try to max out how wide of a strip can be taken then you will put yourself in a better position to have a good scar as opposed to trying to get as wide an area to get the most possible grafts. There are plenty of other factors too. Is it the same Dr, How much scalp laxity you still have, How long after the first procedure are you doing the 2nd one (scalp laxity after a HT continues to improve over the years, so it's better if it several years later), etc, etc
    3 points
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