Dr Tejinder Bhatti

I will follow up with you on your progress.

Hi, Inspite of having omitted, you are doing alright. I will recommend you start Finasteride right away.

Dear Mr Sunny, Can I have the latest update from you please?

Thanks for posting your update.

While in the clinic barberman1986 taught us which haircuts will further create the illusion of fullness after a hair transplant- The videos are attached. Hair styling after hair transplant -1 Hair styling -2 Hair styling - 3 Hair styling- 4 Thank you very much for the time barberman1986

Dear Mr. Ivery22, I do believe that a result similar to that which you shared is possible with one procedure. In fact, I believe this is a very modest expectation so it should not be a problem. If you would like a formal assessment please email me at dearbhatti@gmail.com.

Dear Mr. Dharam2018, Thank you for the update and for sharing your photos. Be sure to stay in touch if you need anything for your recovery.

Dear Mr. Ivery22, The first course of action is to not have a procedure at this time. You should give the medication time to do what it is going to do. In other words, your scalp may thicken considerably in the next nine to fifteen months, which in turn will reduce the number of grafts you may need to a desirable result. I will caution you, however, in that one procedure is not going to restore the density you have lost as there is not enough hair in the donor region to replace every hair you've lost with any hope of maintaining a healthy appearance. The donor region would have to be severely depleted to get so much hair, and at that point, your true "lost" density will remain lost. Your pattern of loss is that of a NW6 but your loss is diffused which is why your continued use of finasteride may reduce and reverse much of your loss. You are a very good surgical candidate, however, so when the time comes you can have a very pleasant result that will have fuller coverage and added density. Your benefit is that the sides of your scalp are still quite strong and your temple points are very well defined so all of the grafts moved can be used to concentrate on the top and the back.

Dear Mr. Yordanov, You have provided very good photographs of your case that allow me to verify your hair loss state. First, you do not necessarily have to be a NW7 "soon" because of medications available. I recommend you heavily consider finasteride, either oral or topical, to help prevent further hair loss. Second, I believe that if your hair were to be grown out we would see what is referred to as a "diffused" pattern of loss, as you are not bald and you have hair all over your scalp. It is simply miniaturizing in some areas more than others but the frontal region appears to have strong terminal hairs that are not being affected by DHT so much as the rest of your scalp. You may have a very favourable reaction to finasteride in that your hair may thicken considerably, thereby reducing the need for surgical intervention. However, as long as you are not seeking that which is not possible, then a very reasonable and good result can be had for the front and the top in one surgical procedure, with an optional secondary procedure to reinforce the crown at a later time.

Dear Mr. Sethicles, I'm very pleased to see your update. Be sure to let me know if you have any needs.

Dear Mr. Itxrd, Thank you for this wonderful update. I'm very happy to see this progress. Be sure to contact me if you ever need anything.

Mr. Melvin, Thank you for your comment. I am pleased you like our work.

Dear Mr. WJC, Thank you for your interest in my clinic for your hair restoration. While there are many clinics in the world now that are performing hair restoration surgery, one of the most important questions you should ask yourself is if you prefer to have the doctor you choose perform your procedure of if you are accepting of unnamed technicians perform your procedure. Many choose the latter, but many still also choose the former, for various reasons. I would suggest that you consider trying finasteride to further fight your hair loss above and beyond the capabilities of minoxidil. I perform all of my procedures myself, except for where technician assistance is deemed acceptable with non-surgical duties. If you have any questions feel free to contact me through my clinic.

Dear Mr. Investor99, If you have lost this amount of hair in ten years, and you are 36, then your future holds more loss coming your way. Your first priority should be to reduce the chances or slowing the degree of loss to come with medication. Finasteride, either orally or topically, as well as minoxidil are your two best weapons in this regard. The game plan would be determined by your goals. Do you wish for the most aggressive approach possible or do you prefer something sensibly conservative and appropriate for moderate coverage and achieving an age appropriate hairline? If the former, then a bigger session of 5000 grafts over two days would be an approach that could give you strong coverage and a moderately placed hairline that is lower than your current hairline. The crown would still be somewhat thin as most of the grafts would be placed further forward. The second approach would allow for a new hairline in the place of your current hairline but the density would be significantly increased. This will give you temple recession that would be quite natural while allowing for better coverage into the crown. This second option would reduce the need for more surgeries but nothing can guarantee that any procedure will be the only procedure. I hope this helps with your research. Regards, Dr. Bhatti

Dear Mr. Beardworry, This is not a procedure carried out on a regular basis by many clinics so finding one in the UK that has much experience may be a challenge for you. Beard restoration or creation can be a tricky procedure so finding a clinic with experience is paramount.

Mr Barberman1986, Cases like yours make my day, where your result has been so overwhelmingly impactful on your self esteem that you provide not only testimony but guidance for others. Your story is very common with many many men, and even women, in that they try to find solutions to a problem they notice growing with time. This is the very definition of Karma, in that you bring your own good fortune unto others with compassion and care for their well being. I'm also glad to know of your career change because now I know where to go when I'm back in the UK for a haircut:) I look forward to seeing you again and thank you for sharing your experience.

Mr. Wheretogo, I am not familiar with your case but I will try to answer constructively. You should have no problems with using one trimmer for your face and your scalp. It is always a good idea to cleanse your trimmer properly (read the instruction booklet that came with it) to ensure it is in good working order and to prevent dirt build up. Biotin and MSM will increase the speed of hair growth all over your body, as well as your finger and toe nails.

Forgive the oversight of the thread. Mr. Melvin-HTsoon, I believe that the approach of exhausting the donor zone first should be considered carefully. SMP is not a consistent option for all patients as, from what I understand, pigment does not always react the same. In most patients it does, but because scar tissue forms differently in different people, pigment does not always settle the same either. SMP should be looked at as a last ditch alternative but if one is considering it in their long term plan, it would make sense to have test patches performed first before the act of complete donor depletion is attempted. This way, if the SMP does not "take" the way one would hope, then they know not to push forward with the plan of exhausting all donor hair. Mr. Wibbles80, I do not recall and I'll have to look into the record. Mr. Mania1, Thank you for your observation.

Alopecia areata would not be a result of the procedure as it is an autoimmune issue. But yes, it would probably be a good idea to double check with your physician if you are considering any medical advice from a non-physician because of your having Chron's disease. I wish you luck dealing with this issue.

Thank you, Mr. Mikeyhwk. Your well wishes are very much appreciated.

For most patients, the first procedure is intimidating, not just because of the surgery, but because of the experience. There are many questions that patients have that can only truly be answered through first hand experience. Once the first result has had time to manifest properly the prospect of a second procedure is more appealing. The second visit may not seem so daunting since a relationship has been formed and returning would be more familiar. The second visit is many times due to fears and concerns about the procedure overall being allayed and the patient is free to explore their "greed" to find perfection.

Mr. Crankyhair, Is this to avoid shedding of the native hair, the transplanted hair or both? Few grafts can result in less redness as that is directly correlative to the amount of trauma. This is also related to your skin tone as fair skin is redder longer than skin that is less fair. Shedding of transplanted hair is simply a part of the process and the act of transplanting hair itself is what causes the shed. The follicles are separated from the blood supply and it takes up to three days for new vasculature to form to properly deliver needed nutrients. This triggers the turn to catagen then telogen. Sometimes the shed does not arrive but it is unpredictable and is the exception when it does not happen, not the rule. The degree of native hair shedding simply depends on how much native hair is present and must be worked within during the procedure.

Mr. Cyrilha, Your pattern of loss indicates a NW4V and I believe your future pattern will be more severe. Medication is of the utmost importance at this time as you must arrest the loss before you can consider surgery. If you do not, you will continue to lose more hair thus rendering any procedures much less effective. You should consult with specialists in your area and even send out for online consultations to get various opinions, but nothing should be done until you see how medication works for you for at least one solid year. At that time you can evaluate again.

It also depends on the length. The porosity of hair does not allow for much outward expansion but rather the hairs will clump together making them appear to be larger in diameter, when they are in fact multiple hairs.

Mr. Jooey, I have been busy with my new facility, 5 Rivers Hospital, so please forgive the delay. If adding any hair to a hairline, or any place on the scalp, we are adding density so this is a simple matter. The challenge, again, lies in the type of hair that is being used and we cannot categorize the hair type based on it's original donor source alone. As you have noted, you have fine chest hair whereas others have chest hair that may be more coarse. Thus, we can only make plans based on the absolutes of what each patient's donor characteristics provides. This is where donor photos and/or video can help via long distance assessment. To answer your two questions: 1. Survival rates are lower than those found with scalp hair, but in experienced hands, this is reduced greatly and a positive aesthetic can be achieved. We must simply remember what we are doing and adjust expectations accordingly. Body hair takes patience, both for the physician and for the patient as scalp donor is "king" (as some would say). This is why body hair is not the primary donor source for most patients. 2. Body hair can and does take on the characteristics of scalp hair, but it will not be a perfect match. The baseline variance is a strong determinant in this equation but if the donor is fairly similar to the recipient then a blending can be achieved. Body hair can grow longer on the scalp as well, generally speaking. This is due to the scalp being generally more vascular as well as potential signalling from neighbouring hairs influencing the growth. I hope his helps.