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  1. If you guys noticed I was a bit silent over the weekend, it’s because I got married. It’s been a little over 6 years since I got my hairline HT. So much has happened in that time, leaving a bad relationship, starting a good one, getting married, and managing this wonderful community all within that time. While I know hair isn’t everything, there’s no doubt in my mind that I personally wouldn’t have had the confidence to land the girl of my dreams if I were still bald. Not that I couldn’t have, but my confidence wouldn’t have allowed it. At the end of the day, hair is about feeling good about yourself, not anyone else. I’m so thankful to have found this community. Cheers guys here’s to more hair 🥂 I hope you guys join me on my next hair journey.
    12 points
  2. What is this thread about dude. You do not need hair to attract a mate, nor do you need any of the other things you mentioned. This sounds like an incel thread. Change your mentality and perception, and you can land the girl of your dreams, and sure hair helps.
    10 points
  3. Hi Guys.....just giving you all an update ...I had my 2nd procedure with the wonderful team at Eugenix over 2 days 4 and 5 of September..you all know my thoughts on the clinic at this stage ...people are allowed their opinion..and mine is they are currently one of the best in the world for restoring HIgh norwoods through Mega session FUE / BHT over most probably 2 passes ...others im sure have their own favs and that’s perfectly normal . For the record the pre op pics attached were just after a shampoo and blow dry so there’s no styling product on board and my hair is around an inch shorter than normal so creating less of an illusion of density than normal.... I had the great fortune of meeting @MazABwhile i was visiting ..a really top bloke and whatever he doesn’t know about the HT industry ain’t worth knowin....he gave me a gentle nudge in the direction of having some temple work done to properly square of the face to give an added youthful touch for good measure ...on bringing this up with Dr Sethi he felt i didn’t need them but if I really wanted them he would do a very soft subtle version ....bottom line is ....I’m delighted I decided to run with it ...I think when they blend in soon and soften up ..I’ll be delighted I took Mazs advice I received 2,400 scalp and 2,200 beard for a total of 4,600 grafts which brings me to just over 11,600 FUE .. Im all out on scalp now ...I’m hopeing this procedure seals the deal as they say ...I know one thing for sure .. I couldn’t of found a Better Doctor to help me do it with the starting point and hair characterics I had . From the bottom of my heart .. Thank you Dr Sethi ,Dr Bansal and your team for all you’ve done for me I wish you both and all your team continued success long into the future Z ( PS...it’s been just over 20 months since I last visited Eugenix ..and it’s all the same team of faces that warmly greeted me ..techs,docs ,client support ....enough said )
    8 points
  4. UPDATE AT 6.5 MONTHS!!! I wanted to thank each of you for your above comments and support and provide an update as I have now surpassed the 6 month post surgery stage. I have been fortunate enough to have seen further improvement over the last month or so and the quality and feel of my hair continues to improve. My hair feels as though it has real structure and body to it and is in all honesty this is the best my hair has been since my teenage years. In terms of day to day life, there is no styling to conceal or styling to improve the illusion of density any more. Now it is genuinely styling to preference and the freedom that this allows is a great feeling. Again, if this was my final result I would be ecstatic, but with several months to go I do look forward to see how things will continue to mature.
    7 points
  5. Hello Researchers, I am Nigam Patel, 50 Years old and I had a hair loss issue both in the Hairline as well in the Crown. I was doing my research to get the best hair restoration procedure done for me and while doing this research, after seeing 5 clinics, I was referred to Eugenix Hair Sciences, Mumbai by my ex business partners. Then, I consulted with the Doctor from Eugenix Hair Sciences they said my hair restoration procedure will be a little bit difficult because of the cowlick that I had in the front. This consultation went on for around 2 hours where doctor and his team studied my case thoroughly. We had a couple of more meetings wherein during the discussion doctors told me that they will be doing the conservative procedure to recreate my washing out cowlick. They explained to me that my hair was silky, thin and light in colour and the procedure needs to be careful to ensure good results and then finally there was d-day 28th August'2020, I decided to go ahead with the procedure with 3500 Grafts from my scalp's donor area. Now you can see the results after exactly one year post my procedure and during this time lap, I have got done multiple hair-cuts. I also have sequencial pictures of my hair restoration results and reviewed my hair growth step-by-step with the help of Eugenix Hair Sciences. I am so happy to share my experience & results. Since my results have come up so well, now I thought of sharing it here. My first first was a little bit conservative. But now that I have a great donor as it's still in good condition, I am planning to lower down my hairline a bit. As my hair restoration looks so impeccable as well natural that nobody can make out that I have done the procedure and the best thing the cowlick which was recreated by Doctor has come so well naturally that I can say it is, Breathtaking! Here, I would like to share my experience and journey of Hair Restoration for others to make their decision-making process easier, while I am preparing for the second sitting of my hair restoration procedure. I shall keep the forum posted about my second sitting, may be in next few weeks. Very Best! Here I would like to share my before picture: Immediate post-procedure: After 1 Year post-procedure:
    6 points
  6. FUE performed on a 38-year old patient with • NW III vertex, Class P • Donor density of 92 FU/cmÇ occipital, 92 FU/cmÇ parietal, 80 FU/cmÇ temporal • Hair diameter of ~ 52-63 microns Treatment plan Follicular Unit Extraction to attain an aesthetic reconstruction of the hairline and midhead section. Performed procedure FUE (November 12, 2020) Follicular Unit Extraction with 3655 FU: * 600 single hair FU * 1986 double hair FU * 1069 triple hair FU HGI: 2,1 Parallel incisions in custom-sized blades technique (Cutting Edge blades of 0,75-0,80 mm). Extraction performed by WAW-system with a 0.85 mm serrated trumpet punch. No microscopic preparation of the follicular unit grafts. Dr. Bijan Feriduni
    5 points
  7. @Melvin- Moderatorand other HRN friends, my apologies for my long absence from HRN but I saw this thread from a fellow Portuguese and just had to take the time to contribute. @Luismendes535you have been given very good advice! Your first mistake was selecting a Clinic rather than selecting a Doctor with real proven results from real patients here at HRN or other hairloss foruns. I can understand you like Cristinano Ronaldo but surely you wouldn`t do a hearth transplant surgery at a clinic just because it`s endorssed by Ronaldo?!? Surely you would problably also want to search for a SURGEON that would actually be doing your surgery and one that has several references (successful patients that had successful surgeries). In Portugal there are only 2 top Doctors; Dr. Bruno Ferreira (one of the best in the world) and Dr. Bruno Pinto. The rest are clinics that hire underpaid nurses to do your hair transplants with zero to little involvement from a skilled Doctor thus resulting in a much higher transection rate (worst results). These hairmills that are doing upwards of 18 hair transplants per day will have a more skilled Nurse or Doctor do the slits/holes and then the others Nurses or Technicians (that may have no medical background) will use implantor pens to implant the graft into the pre-made slits. Pre-made slits will require the slit to be wider because the slit/hole will immediately start to close once opened and the wider the hole the worst the recovery and results. Implantor Pens are used when skilled Doctors want to load each one with a graft and be able to punch the slit and implant the graft at the same time thus reducing the time the slit/hole stays open (quicker recovery time and lower transection rate). Hairmills with underpaid Nurses or Techs will not be able to reap the benefits from this technique because the Nurses or Techs are not skilled enought to implant grafts without having the pre-made slits that show them where they need to implant the grafts. So basically your scalp will be punched twice to implant each graft instead of just once when you chose a skilled a Doctor. A skilled surgeon will have a transection rate of about 5% while the transection rate of the least skilled is between 20 or 75%. Our donor area is limited (a lot of people don`t have more than 4000 grafts of total donor area) so you will be wasting 2000 precious grafts by doing this surgery at a hairmill rather then going to a skilled surgeon like Dr. Ferreira that could probably rebuild your hairline with half that amount due to having a highly skilled technique and a lower transection rate. My advice, cancel the hairmill start taking finasteride 3x/week plus Minoxidil spray every night, do this for at least 6 months before having a HT with one of the two best Doctors in Portugal. After 6 months you might realize that you don`t actually need a HT. Remember that a hair transplant is not like buying a car because you can`t return it or sell it when you get bored! You will live with the results of this surgery for the rest of your life. Hope you make the right decision!
    5 points
  8. Hello everyone, I was a long time lurker here without the username but few days ago I underwent the surgery with dr. Bruno Ferreira so I decided to make a thread and hope both you fellow people and me can follow and comment on my results. I also know that dr. Ferreira doesnt have much exposure and a lot of people would love to see some more work from him and here it is !I will try not to make this post too long and also sorry for my English and grammar in advance as it is not my native language So lets start with some of my history, Im a 26 year old lad having MBP since my early age (probably 18-19) and as dr. Ferreira considered I am a class 3v-4 on the Norwood-Hamilton scale with a diffuse component. But after I had my initial talks with dr. Ferreira I had started using Finasteride (06.07.2020) and havent been using it before. Basically my frontal areas have receeded a ton, mid scalp moderately and crown was left almost untouched (luckily).So I started using Fin 1.25mg every other day and been doing it same way ever since. Fin didnt do many wonders to me, but it did keep my existing hair + improved crown and mid scalp a bit (will attach few photos). My surgery plan Originally dr. Ferreira suggested to do 4000-4500 grafts with a 2 day OP but he said that this might change as Finasteride could give me some boost and guess what, thats exactly what happened. When we met in person he actually decided that we dont need to touch crown and can focus more on my frontal third, mid scalp and just a refine touch on my temples as they were existing and very defined already but missed a bit of density. 1.st day OP So first day of my operation was September 7.th and thats when I went to the clinic. Doctor decided we should meet a bit early to do all the preparation, hairline design etc.. so we met at 07:30 AM. I was warmly welcomed by one of his nurses and given a key to my personal room where Im going to get dressed up for the operation. After that was done I finally met dr. Ferreira and the talks have begun . After I sat at the chair so he could examine my head a little bit better he instantly notices that my forehead is quite assimetrical (one side is a little bit in front of the other) so he drew an assimetrical hairline aswell which I really really liked, he was drawing it for solid 30 minutes, maybe even more. He really wanted to make sure the hairline fits my face and looks as natural as possible. After that doctor took measurements of my donor and the hairline and we decided we will go with 3500 grafts, we had to cover 75 cm2 and my density is going to be 45-50 grafts per cm2.As we agreed on the hairline we proceeded to the room where all the fun begins . First day doctor extracted and implanted 1.6k grafts, first he extracted and implanted 1k followed by a break and delicious lunch and then we proceeded to do the remaining 600 for the day.Doctor was taking a lot of pictures in between all the breaks but I still didnt receive them so will update the thread once i do. I also dont remember the hair count but I remember my hair/graft being 2.19 for the first day because doctor took almost 400 singles for the hairline.Worth noting i did have this one spot where i bleeded a little bit after the surgery but i was all fixed later on . When I got home all I had to do was spray ton of saline solution every 30 minutes and my night was actually decent, I managed to sleep some. 2.nd day OP So first day was over really fast and it was all smooth until I went to charge my phone this morning. I had a charger port right under some freakin lamp and I gently touched the lamp (didnt even shake it or anything) with my forehead but I wasnt sure if it was actually with my transplanted part. I called my GF we examined it and we still werent sure which is a good sign I guess because it didnt bleed or anything. I got really pissed as im really a perfectionist when it comes to doing things like this and I prepared so well for it but decided to remain calm. Afterwards I went to the clinic and instantly told the story to the doctor and he went to see whats up. He said that he thinks I did hit it with a upper part of my hairline (i will show it later on) but as i didnt hit it hard and i had no bleeding, follicles probably didnt die. After we went with the surgery on the break he told me that he opened a bit these damaged grafts (because they were a little bit pushed against the head but not moved) and everything will be fine. A little horror story but the spot is really not big and I think its healing very well but we shall see .This day we went with the same tactic as the day before and it went all smooth once again. This day we extracted the remainder of the grafts and my hair/graft count was 2.6 and had actually quite a bit of 4 and 5 hair grafts. Total hair/graft count was 2.48 or something like that (really dont remember exactly, I will need to wait for photos). At the temples there was around 50 fine single hairs placed in each of them (doctor said that we cant go agressive here and this is just a fine little touch on already existing hairs) Now the healing period starts So the surgery part really went smooth and clean and I was very happy with the outcome. After the OP I was given very clear OP instructions and a big bag with a lot of stuff (saline solutions, aloe vera, shampoos, some medicine etc.. ). I didnt get swollen a lot because doctor also gave me some ice packs and instructed me to use them 3-4 times a day for 10 minutes.Healing so far is going really good and at the moment i am at my second day so here are some photos.Day 1 post OP Day 5 post OP I feel like I have spammed way too much but thats just my way of writing haha. Hope you guys dont mind and feel free to give me some feedback.Also a special shoutout to our boy @Rolandas who gave me a lot of information and never hesitated to answer my questions !
    5 points
  9. Dear community, This is a 28 year old gentleman who had a 2 staged FUE procedure . He is a NW 6/7 pattern with a family history of the same. His donor area is of good density and calibre despite dipping low in the mid zone. He underwent 2 procedures. The first one was in May 2020 to address the frontal and midscalp zones. The second procedure was then done in January 2021 to address the crown and any added density in the previously done areas. Photos were taken recently which means he is just over a year from his first procedure and around 8 months following his crown restoration. We do ofcourse expect more growth in the crown area as it usually taken well over 12 months to show full results. Surgical details of 1st procedure: FUE 0.8 mm punch Total grafts: 3226/ 425 refined singles in hairline. Average of 2.24 hairs/graft. Sites made using 0.8 mm and 1.4 mm Sapphire blades. Surgical details of 2nd procedure: FUE 0.8 mm punch Total grafts: 3201 mostly in the crown, Midscalp and some minor refinement to the hairline defined zone. Average of 2.34 hairs/graft. Sites made using 0.8 mm and 1.4 mm Sapphire blades. Before: 15 months after procedure 1 and 7.5 months after procedure 2: Donor 1 months after procedure 2:
    5 points
  10. Hello guys, As I am writing this I just came back from the BHR clinic for my post-operation consultation with Hilde, who is my patient advisor. Before we start I must say that the overall experience with BHR from the point where we first came into contact, has really been 10/10. They are very professional and really care about their patients a lot. Of course they might be more expensive than a clinic in Turkey, but therefore you have the feeling that they take care of everything and you see with their results everywhere online that by picking them you minimize your risk of a outcome which will not satisfy you. This peace of mind justified the costs for me. The head is throbbing a little bit and I only had 3 hours of sleep last night (however I was able to lay relaxed without any issue for about 8 hours total), but I am absolutely thrilled that I took the step and that everything went without complications so far. Now I am moving into the most important process which is the healing process, but before this will be shared in the coming months I would like to share some background. Today I am 28 and my balding has started around 18 years of age and I was using topical minoxidil shampoo the first time with 21 I would say. As this was very inconvenient I stopped doing so but ofcourse the balding process progressed. Then with 22 years I started taking finasteride, first 1,25mg a day and since the beginning of June this year I switched to capsules with 1mg a day. I am also using 5mg of oral minoxidil since 3 months (starting from 08 June 2021) to improve my donor area pre-operation. Apart from that I try to live healthy by eating whole foods, having a lot of regular exercise, being social and try to laugh as much as possible (reduces stress they say ) So upon first contacting the clinic I was looking like this (April 2020, only on my finasteride regime here): As can be seen pretty clearly the frontal area is thinning but my crown area has good cover, which I pretty much thank to the religious finasteride intake (of which I have 0 side effects by the way, also not what my reproduction is concerned). Now let us fast forward one year and a bit, to June 2021, as I was just about to start with the oral minoxidil. Now let us fast forward another 3 months to nearly the time where I had the operation and after I had my first three months with the 5mg oral minoxidil added to my regimine: What I have observed with the oral minoxidil: better hair thickness, increased body hair length (arms/legs) and more visible body hair in general. If we compare there two shots with the very first shot from April 2020, I feel that my overall hair quality and density has actually improved. So now let us move to some pre operation foto's of the hairline and after shaving: And then the day after the pre-op consultation I arrived at the clinic at 07:30 to be done at 17:30 that same day. They gave me some valium and overall I did not have any pains, it was a lot less bad then I have expected. Graft count: 2609 Graft breakdown: 1 Follicular Unit: 424 grafts 2 Follicular Unit: 1011 grafts 3 Follicular Unit: 1077 grafts 4 Follicular Unit: 97 grafts Donor density: 80/80 Now the immediately post-operation picture: Looking forward to share my healing process here with you guys and would like to thank everyone here sharing past experiences for us all to learn, benefit and make an educated decision from. Cheers
    5 points
  11. Thicker by the day …. My 4month mark is on the 28th of September just for reference!
    5 points
  12. My main concern is that you are worried about your partner’s reaction to you being on a drug (be it for hair loss or otherwise). Any successful relationship should be based on values and open communication. If you don’t have this you have nothing. I’m just stating this not to have a dig at you at all. I’m stating this because I would want my girlfriend to feel that she can tell me anything. All the best.
    5 points
  13. Well of course you don't need minoxidil dude. You're taking dutasteride. That's like saying you didn't need a GED to get a good job when you got a degree from Harvard.
    5 points
  14. So 3 and a half months down and the results are growing (literally) by the day here’s a picture of me yesterday
    5 points
  15. @JohnAC71Hey, thanks for checking in! There isn't much to report since my last update, but just passed the 3 month mark. It's all gone so quick! I did take this comparison shot though. (L) Before (R) 13 weeks, 3 days post-op.
    5 points
  16. 3 month update.. hello everyone…. I will be videoing a 3 month update today or tomorrow which I will upload onto here … just wanted to let you know of some slight changes to my routine now, I will up my use of topical dutasteride 0.1% to 3 times a week and dustasteride mesotherapy 0.01% once a week with the dermaroller… I have the 0.75mm roller which I’ll test out and let you know how it goes ! I’ve found a picture of my head a couple days before leaving the uk for the op and I’m sure you can see a big difference already ! First 3 pics are pre op and the last are up to date … I think I have some decent early growth happening here !
    5 points
  17. 5th Month Update Big Overall Improvement Had a haircut with very short sides and back. Hairline is filling up nicely..not perfect and a lot of gaps but under normal lighting it looks good. (Secretly hoped for more improvement but it is what it is..) Temple points have also improved through are still very light.. Met Dr Priyadarshini as well She says it's 50-55% growth still so a lot of room for improvement.. Frontal hair is still very short and growing slowly. Once at proper length the coverage will be much better..🤞
    5 points
  18. 20 Week Update Hi again, everyone. It’s been exactly 20 weeks since my surgery. I shot these yesterday for the clinic and figured I’d post them here for you guys as well. Every day the hair seems to be thickening up. The growth the last few weeks has been crazy! I have to say, I feel like a new man, and am incredibly grateful to everyone on the HDC team. @Doron Harati, from the bottom of my heart, thank you for everything brother. It’s not to say I wouldn’t like to see improvements in some areas, in the hairline and right temple mainly (not to mention the scab area, which doesn’t really have any hair due to the trauma). But, if this ended up being my final result, I have to say, I’m extremely satisfied. And just to think…I have a many more months of growth and maturation left…wow, just wow. I couldn’t be happier.
    5 points
  19. Dear community, This is a 29 year old gentleman who had a car accident at a young age and ended up with a wide scar in his donor area of the scalp. Luckily he has no obvious male pattern hair loss. We decided to transplant around 750 follicular units in it. I did use a higher concentration of TCN in the tumescent fluid to possibly enhance the raised scar better. I present the results 9 months later. Before Immediately after 4 Months 9 months
    4 points
  20. Is Jordan out of the question ? If it’s possible I can recommend @DrTBarghouthi https://www.hairtransplantnetwork.com/Consult-a-Physician/surgeon-list/JOR/Jordan
    4 points
  21. I just completed my second FUE, 1700 grafts with Dr Arika Bansal and Dr. Pradeep Sethi at Eugenix in New Delhi. My first procedure was in December 2017 (FUE, 3000 grafts) and the results were so spectacular that I’ll just let the before-after photos do the talking: As you can see, my hair looked pretty sparse and sad before the procedure. During the following year I experienced what can only be described as a hair explosion on my head. It was amazing. I had never had such full hair. And completely without finasteride or Minox. It was magical. Back then I decided on Eugenix because the price-performance ratio simply couldn't be beat - 3000 grafts, 3 day hotel stay, transport to and from the airport, hotel, medication for the equivalent of around 1 euro per graft. Every patient is also assigned a consultant from the clinic who answers all questions via WhatsApp 24 hours a day and is responsible for preparation and follow-up. Dr. Bansal and Dr. Sethi have already helped over 9000 patients and have successfully performed mega procedures of up to 7000 grafts. They have developed their own version of FUE in which the extracted grafts are immediately re-implanted in order to minimize the time spent outside the body. Due to the success of the clinic, prices have unfortunately risen a bit, but the result of my first FUE was so unbelievably good that I knew pretty soon after: I had to go back.
    4 points
  22. As some of you may know, I have decided to go to Eugenix for my fourth hair transplant procedure, hopefully my last one for the foreseeable future. I wanted to make this as interactive as possible, so you guys can get an idea on what questions you should ask for the consultation. Here's my list I would love if you guys would add to the list. 1. Who will be operating on me the day of the surgery, what will the technicians do vs. the physicians. 2. Can you provide me with some examples of cases similar to mine. 3. Can you connect me to some past patients to speak too. 4. What will the clinic do in the event, the results aren't satisfactory. I would love it if you guys joined me this September 19th at 9am pacific time, 12pm eastern time , and 5 pm UK time.
    4 points
  23. Dude, this is not an incel site, stop posting this kind of crap here.
    4 points
  24. If you carefully look at this picture comparison .. . aside from the lighting being much more favourable in the ‘after’ photo - OP has his side hair combed over the mid section of his head, which is what is doing the majority of the work making the hair look fuller. The first picture has the side hair combed downwards, fully exposing the balding section.
    4 points
  25. So what if they're having good results - no one says that every result from a clinic such as this is bad or terrible - most are probably just meh, ok with some very bad results thrown in amongst some decent ones too. But, knowing this, why would you even risk it? You clearly know the possibilities of what can happen - I can't understand why you'd potentially create years or even a life time of distress for yourself and place yourself in position where you could, with reasonable likelihood, effectively ruin your life. You just admitted all of this could happen by admitting its a hair mill! You're going for a HT because this bothers you - think about how many people lose their hair and how many people actually do something about it - 99% of people just let it happen whether they like it or not. Considering you're here in this position, about to get a HT, you clearly care and are insecure about things as we all are here, and you would clearly care even more if you were still receding but now had scars all over your head and funny looking har on display whenever someone looked at you.... not to mention the regret you'd have considering your starting point if this did happen. You can easily have a 'perfect' head of hair just by going to a good dr. Please, just get in touch with Emilio at Clinica O Porto - Ferreira takes ages (months and months) to answer, by which time it will be far too late for you if your surgery is in days obviously, but Pinto (Emilio is his patient advisor) will probably get back to you in a day or so. Speak to him and explain your situation, he's a good guy and he'll do what he can to help you out and steer you down the right path. Ultimately it's your choice, but doing as I say might just save you a life time of regret... I'm not sure if I'm allowed to post contact details so I'll message you his WhatsApp number.
    4 points
  26. some people put hair gel in their hair to style and others might put fibers...that is the way I see it. If it is a cosmetic improvement to you and not harmful, then why not?
    4 points
  27. Bro, you’ve left me speechless 😶🤯
    4 points
  28. Sorry but 4 months is not nearly enough time to see results. You should absolutely wait. Hell at 4 months your probably still healing. Should wait atleast a year. If you are that self-conscious right now I would just look into getting some good hair fibers to cover. They can go a long way.
    4 points
  29. This is just one chart out of many !
    4 points
  30. illusion is a wonderful thing 😉 thanks guys
    4 points
  31. That's fine. Be sure to take a deep dive into the patient reviews on the forum for a handful of docs. This way you can see what has been happening of late.
    4 points
  32. These are some pictures 2 days post procedure. Everything seems to be healing up nicely, I was provided with several sprays and balms with detailed instructions as part of the post-op care so have been getting a couple of nice days rest and carefully following the schedule. My hairloss has always been worse going out from my right temple and I could see the hair was weaker going back further in this area. Therefore I requested that we take the placement a bit further back into this area and the Dr obliged. I’m pleased about this as I’d like this procedure to buy me as much time as possible before I need to consider if I want to do another one - and to see if the newly started meds can stabilise what I have. There was minimal swelling on day 1 post-op so this is a very good time to fly back home if you need to do so, now on day 2 I have a lot of swelling in the forehead which I’ve been advised is totally normal. You maybe can’t tell from the pictures but I look a bit like some character from Star Trek due to this hah! So when popping out for food the bandana is coming in useful. Note that many people take pictures immediate post-op or on day 1, so it’s important to note this is day 2 if you are going to compare anything. I saw a few stories on this forum where people scratched the new grafts in the night so I used the neck pillow to sleep and am covering my hands in a pair of socks each night to prevent this! I have just been looking at some other stories on here and the pictures look better when just the eyes are covered, so for the next round I’ll put more effort into getting some nicer pics. Feel free to comment on this thread.
    4 points
  33. FUE surgery, and indeed like most things in life, has levels and quality change, and this is evident with the same product or service usually given, all things are not equal. This came home to me when I was a student and on a tight budget. I was buying bread for a few pence, it was white, no thrills, thin and basic with plain wrapping, while the artisan bread was £1.60 a go and for sure more appetising to the eye, well labelled and marketed, but less friendly to my pocket. In the building trade the cheap white is great for cleaning smoke damaged walls, (free tip for you if you have a fire), but not for much else. The product is still called ‘bread”, it is edible (just), and often what you put in it makes a huge difference, but you are aware that it will not look, taste, feel, be packaged or give the same outcome as the more costly one! We are as a society aware that products are not all the same and this is valid from washing up liquid to the latest technology, you get what you pay for and for the most part are aware of that, I am not revealing any great secrets here thus far, this is all obvious up to this point. Enter FUE, an acronym of three letters that for the unlearned is just a technique, FUE with one doctor for many will be the same as with another, a bit like getting a cappuccino, there may be some small variants but nothing to write home about and indeed many market this as the case. The most important aspect is the cost, how much per graft and adhorned with some dubious results from unclear angels and favourable lighting and bingo, many will be happy with the representation. The truth though, is far more complex and for many of these clinics they will avoid to show clear surgery photos and above all the of the patient’s donor. They know that most will not ask to see this and are actually totally oblivious to it and only focus on the so called “result”!, So, the marketing is geared to the lesser educated and about impulse buying. This is a fatal error and one not to be be overlooked. At BHR Clinic and under the tutelage of Dr.Bisanga, we are big on transparency from the first contact, be it price, the role of the doctor and team, but also on the actual surgery detail, the size and type of punches used, the quality of the equipment, magnification, the cutting tools et al, all need to be without thought of expense but what is in the best interest of the patient. The cheaper you go, the worse the patient will heal, because for cheap deals you cannot expect the best tools or even the best hands on the tools and you certainly cannot expect a thorough protocol for your FUE surgery that takes into account the harvesting and the placing and what is or is not good and ethical practice. With this in mind we come to what for many is really an unknown and therefore unquestioned element for the masses, i.e donor preservation and the importance of a good extraction pattern with as much as possible with a small punch! Yes, people talk graft amounts and results, but what they tend to over-look is how these grafts are taken and the resulting damage to the donor and more worryingly, the impact of this, both in terms of longterm harvesting and more immediately, how short they can wear their hair! Although FUE has come on a long way from back in the early 2000s, there is a still, sadly, a real lack of expertise when it comes to the artisan approach, and I will explain what I mean. I see countless FUE cases posted, they get great applaud while the sole focus is on the hair line, often there are no donor photos or they are there but hidden in plain site, because the viewer doesn’t know what to look at nor what to expect . The extractions are often not well spaced at all, but rather become a messy blob of puncture wounds, no thought has been given to the donor, the healing, the damage to surrounding grafts or to the donor zones. The longevity and keeping the donor in good condition for future surgery is not a priority, nor indeed even harvesting from the right areas for the transplanted zones needed. For many, the goal is just to get as many grafts you can and in a the shortest time possible, while remembering every graft is an extra pound, dollar or euro. The hair may grow, albeit at very weird and wonderful angels, but the donor has often been badly compromised and the rich occipital area has been exhausted and wasted on what is really a simple hair line reconstruction. One can ask why is this a concern? If the growth is good who cares? Is that not the most important element? Well, firstly, the result will often look pluggy, it will have the wrong calibre and also follicular unit make up on the hair line or temples. Here you have by nature single, finer hairs, so the aesthetic look already will be off and draw attention for the wrong reason. Secondly the donor has been robbed of the rich pickings that should have been kept for a rainy day and for more potential loss. The occipital only approach, aside from not getting the correct grafts that should have been cherry picked for these delicate areas to reconstruct, you have wasted the larger, coarser and more hair-dense areas that should have been in kept in reserve for areas further back that will need them. Once these areas start to thin you will struggle to cover them with with fine, single haired units. And lastly, the concentration of grafts taken, often with no thought for tomorrow will actually mean you will get less grafts long term. The healing will be worse, the punch can kill surrounding follicles and effectively you strangle and stifle grafts that would have survived had the whole approach been more educated and with thought and scientific and proven protocol. The patient will have obvious hair deprived and over-harvested areas that mean they will need to either wear their hair longer or need SMP or similar to then camouflage the resulting patchy donor. So, in summary, don’t look just at the growth, ask yourself why do clinics post with no donor photos or if they are posted, do they look as if they really have harvested with any thought in mind and with a clear pattern or is it a case of smash and grab, take as much as you can now approach? Yes, the finer areas are harder to harvest, more time consuming the angles are more acute, more expertise is needed and you wont be able to split them up as much as the richer areas, but for a doctor who appreciates this, it is sacrosanct and against every fibre in their body to do otherwise! Extraction pattern is not just a nice expression to throw about, but something that has real impact, not only own your result but also on your longterm and your styling options, and like that loaf of bread, there are indeed levels! Thank you for reading, we hope it was educational and please feel free to leave a like and a comment and let us know how we can serve you! Written by - Stephen stephen@bhrclinic.com https://bhrclinic.com/2021/09/06/three-reasons-why-fue-extraction-pattern-is-important-if-you-get-this-wrong-trust-me-you-will-regret-it/
    4 points
  34. FIRST INTERVENTION Patient’s details: Sex: Male Age: 44 years old Hair characteristics: Brown/Grey, straight and medium thickness hair. Level of alopecia: Norwood IV Surgical plan: Hairline, receding hairline, central area and vertex restoration, in 2 days of intervention. Grafts breakdown: 1 Grafts – 498 = 498 Hairs. 2 Grafts – 1545 = 3090 Hairs. 3 Grafts – 1118 = 3354 Hairs. 4 Grafts – 240 = 960 Hairs. Total: 3.401 Grafts = 7.902 Hairs. Average: 2,32 Hairs/Graft. SECOND INTERVENTION Patient’s details: Sex: Male Age: 45 years old Hair characteristics: Brown/Grey, straight and medium thickness hair. Level of alopecia: Norwood IV Surgical plan: Increase density. Grafts breakdown: 1 Grafts – 611 = 611 Hairs. 2 Grafts – 1158 = 2316 Hairs. 3 Grafts – 843 = 2529 Hair. 4 Grafts – 217 = 868 Hair. Total: 2.829 Grafts = 6.324 Hairs. Average: 2,23 Hairs/Graft. POST-OP TREATMENT: Finasterida Minoxidil 5% loción Shampoo Ketoconazol BEFORE DESIGN PLACEMENT 12 MONTHS LATER WET HAIR COMPARATIVES VIDEO (Here you´ll find both interventions) We are at your disposal. Best regards to all forum members!
    4 points
  35. Just an INSANE come back, Freitas is a genious ... No wonder those ladies are turning around to look at "your hair" 😍 ! Congratulations BB!
    4 points
  36. So ... I'm very happy with the end result. Uploaded a mirror selfie. If you have any questions, just let me know. Thanks for reading along here in the thread!
    4 points
  37. Thanks GOAT! Thank you, John. I appreciate your presence on these boards. Haha ye! Thanks mate. Followed your journey too, an inspiration for sure. 8 months before procedure. Quit July 2021 due to new gf and maybe trying to start a family. Milder sides on and off. Thanks man! To be honest I expected a great result. Dangerous, I know, but I can't lie. I have told my five best friends, noone else knows or have said anything. I was a true master at the combover before procedure. I will tell you the main difference though; the amount of ladies that give me a second look now is up massively. Not bragging, it's just the reality of having hair.
    4 points
  38. I'm sorry to hear this, but if the grafts grew initially I'm not sure how your case is the fault of the clinic. There isn't a surgeon in the world who can guarantee transplanted hair won't be subject to miniaturization, especially if you're not taking medication. A case with subpar growth could be attributed to errors made by the clinic, but if you had the desire growth and began losing hair years later, that isn't something they have any control over. The OP's case is a completely different scenario in that he had poor growth as well as some kind of dermatologic reaction which may or may not be related to the clinic's surgical approach. In his case it is worth discussing that possibility with the doctor.
    4 points
  39. @MazAB I think you have hit the sweet spot with the revised hairline! Was great to hear from you and Zoomster briefly yesterday. You sounded so over the moon which you should. Really looking forward to following your journey. From the very begging you have done everything right. Started on the meds, maintained great patience and pulled the trigger at just the right time. There's a lot of life ahead of you brother now also with a lot of hair. Wishing you all the best! I can't wait to hear from Zoomster soon too! 👍
    4 points
  40. @WandererindHope your well ! We must be due another update please 🙏
    4 points
  41. I'll post an update soon, I need to select and crop the pictures and tell the actual story of how I feel and what I see. It's annoying going through other posts where people just disappear and don't post updates but I understand now since first you forget about the hair problem and second it takes time and effort to make an update, especially if you're not updating every few weeks. Long story short I am happy with the result and it looks natural. It's not ultra dense and under certain lights you can see the scalp and also somehow the appearance of density depends on the day (weird I know), but overall Dr. K did an amazing job. I even had a couple people in the past few months tell me how lucky I am that I am not losing hair lol
    4 points
  42. Thanks for your question @bw77 In many frontal restorations, Dr. Bisanga is essentially placing amongst some native hair, especially when transitioning into the "crossover" area of scalp without native hair, into areas of native hair to ensure of a smooth and natural transition and result. This is why Dr. Bisanga will always suggest shaving when possible as the precise exit angles and direction of native hair can be more thoroughly seen and understood to ensure of less trauma to existing follicles when making recipient sites and therefore avoiding/limiting shock loss as much as possible. The strength of the native hair in the recipient area will also have an influential role in potential shock loss as the "trauma" of surgery can trigger weaker follicles that are heavily miniaturised to fall. This is where patient depending, stabilisation with medication pre surgery can be effective. In this patient, no shock loss was reported post surgery, but as this patient presented a repair surgery, placing in the hairline was amongst previously transplanted hair which as long as the donor is strong and healthy (where the hair was extracted from), means that it should in essence be less prone to potential shock. However in repair surgery such as this case, other challenges are present such as previously transplanted hair not being placed at optimal or natural angles and so further expertise is needed to avoid any transection below the scalp and to be able to blend any such hair into the restoration approach to achieve the most natural result.
    4 points
  43. Please stay away from the “hair mills” your looking at ! They are nothing more than tech team’s performing the procedure. The only names you should consider will be Dr Bicer, HLC, Dr Pekiner and Dr Keser. Or the more affordable options like Dr Demirsoy or Dr Yaman. The difference being is that all of these involve the Dr doing part of the procedure.
    4 points
  44. Dr. Bisanga and myself are looking forward to joining Melvin this coming Sunday for a Q&A style session to discuss/answer any topics and questions that you may have. It would be great if you could join us. Sunday 5th September 2021 7pm CET 6pm UK
    4 points
  45. I think the absolute first thing anyone needs to do is to make sure they're researching the correct stuff before even thinking about making a list of clinics. So: - Understanding what a natural (non-transplanted) hairline looks like (irregularities, single hair grafts, direction of the grafts etc) - Understanding how to recreate natural looking hairlines & what that requires a surgery to do/have/be able to do (microscopes, ability to dissect multi-grafts into singles if required, natural hairline design, creating irregularities) - Donor area management - Medical/topical interventions - Understanding how long and complex HT surgery takes/is Once someone has gotten a firm grip on that stuff (and that's by no means an exhaustive list!), then that should automatically start to whittle down the list of eligible surgeries/clinics. Then I think it's definitely critical to get onto forums and start looking at unfiltered, non-selective (ie, the full truth!) patient journey threads and really look at results, levels of service, aftercare, comparable hair loss cases and so on. Lastly I then think price & location. Location shouldn't be a factor - if you live down the road from Hasson & Wong then... Tremendous! But if you have to jump on a 9-hour direct flight to India because you want to go to Eugenix then that's also awesome. How many guys go to some bang average or even terrible HT clinic because it was sort of convenient and nearby? Price is a fact of life. If we could all afford Hasson & Wong or a top Belgian clinic we'd all go there. Finding an affordable option does require more careful research because the worst clinics on earth are also the cheapest ones. So price shouldn't be the *leading* factor, but it will inevitably be a factor.
    4 points
  46. I will share current pictures in my next post! You guys literally saved my life and I will take what you guys Say to heart.
    4 points
  47. Ok my friend, here’s my reply: I had my first HT procedure at age 40…coincidental that you are presently 40…I had 4 FUT procedures for a grand total of approximately 6900 grafts. I am now 65 years old so my original grafts were done 25 years ago and they are still growing; so are the rest of my grafts…I know this because my restored appearance has not changed, visually speaking…I know that low dose finasteride has played a factor in maintaining my native hair for more than several decades and I am not advising you to take it as you stated your preference not to…it’s just that it’s made a huge positive difference for me. In addition, I had lung cancer 12 years ago and lost 100 percent of my hair due to chemotherapy…BUT IT ALL GREW BACK!…so, obviously physiology also is a factor. Having shared my personal story, please allow me to offer some thoughts…I cannot emphasize enough the critical importance of having your entire donor areas (zones) microscopically examined because as long as your surgeon selects donor grafts that are DHT resistant, you have a great probability that you won’t lose that hair after its transplanted for many years…oh sure, there are no guarantees however at age 40, if you have any miniaturization in the donor, it should show signs at your age…and because you want FUE, your surgeon can cherry pick only terminal hair grafts. Ideally, the surgeon will use custom size blades to create the recipient sites which can make a huge difference in minimizing any visible scarring…most of my sites were done this way and there is absolutely no visible scarring in my recipient areas, NONE…and I am thankful for that. I mentioned physiology… as long as you have a decent auto-immune system and you heal well, my premonition is that you are low risk with upside potential. One last comment: Because of your decision to avoid taking finasteride, you want to plan your restoration on a lifetime basis considering how your progression of MPB will go based on family history…in other words, it’s imperative that your surgeon’s grafting pattern considers future loss and that includes density…you don’t want to have islands of hair as you continue to lose native hair that adjoins your grafts…actually, it’s important to have your entire scalp microscopically examined to know for sure how much of your native hair is diffusing and where…especially the hair that adjoins the proposed recipient area(s). Best wishes to you Rooter!
    4 points
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