gat4

53 minutes ago, nb98 said:

Staying away cause of one sub par result? Who’s to say it’s just not payam’s hair/body responding well? 

Better stay away from all HT doctors as none have 100% success rate. 

it's my decision on who I feel confident with  and who I choose to go with for a HT. Thanks to Payam's post   I wont ever be considering Dr, Koray as it was a real eye opener.  And while no doctor has a 100% success rate there's some doctors out there who are willing to put their money where their mouth is by offering some sort of warranty incase the HT doesn't go according to plan. Far better than having Dr. Koray's assistants work on me while he supervises from an office chair  looking at a television  screen!

On 2/4/2019 at 9:35 PM, Payam said:

 

On a positive note I have consultations with two very good surgeons this year, hopefully they can tell me something about how many % growth I had as well as options for the future, I just hope like hell the scar tissue isn't bad enough to make surgery too risky. It will be a long wait until I can put this ordeal behind me but at least there is a plan now.

Could you please reveal the names of the two surgeons you intend on visiting this year?  Btw really sorry to know about your results as I was thinking about visiting Dr. Koray but after reading your post I am definitely staying away!

If your headaches do not subside or get worse, then I strongly advise that you get an MRI. I don't intend to alarm you, but morning headaches which lessen or disappear in the early afternoon could be a symptom of something more serious which may not be related to finasteride use at all.

Then again, it may be nothing at all, but better safe than sorry.

 

All the best.

If you read the OP's message the headaches were in relation to using Finasteride and Headaches and not Headaches by itself which is a cause of concern so please in the future read before writing.

Thanks for your replies guys, much appreciated!

Just curious to know at what area should a doctor strip donor hair from the side ear region? I have attached a photo where the scar is seen in this area. Afterall, in the years to come won't hair from that area eventually fall due to the normal hair loss pattern which will result in a massive scar visible to all?

Your thoughts would be appreciated.

Thanks

Bill,

Also please note the front hair you see is all my natural hair that I had prior to my transplant as the video clearly shows. My main point of concern is the midscalp region where the hair is far less than what it used to be. While one could blame the natural balding process, I don't see any growth from hair that has been transplanted in this region. The transplant has accelerated my hair loss more than anything.

Bill,

Here's a photo showing my results where my hair isn't as 'messy'.

Thanks,

Gat

Bill,

Here's a video of me prior to my transplant.

Hope this helps.

Gat

Bill,

Thanks for the reply. Appreciate it.

Gat

Bill,

I was referring to this post. I got the name wrong then when it came to the 'X factor ' rather than the 'H Factor' as thats what I thought I heard when speaking to Dr Madhu over the phone.

Thanks,

Gat

bill,

I was only posting my views on what I felt was adding to the thread and thus educating people. However I shall post in my own thread from now on and for your information while my thread has been discussed there is room for further discussion. Also I find it very confusing that you seem to be very selective in your responses for when I have asked you specifically in my thread certain questions you tend not answer where it feels like to me you don't want to discuss it because you're trying to hide something but yet you seem like an expert with your opinions on everything else.

When I had my transplant Dr Madhu was around during the first 15 minutes of the surgery, then it was his attendants who took over and by attendants I mean nurses. He only came in to supervise every now and then and also during the last 15 minutes of the transplant it was just his nurses who were attending to me. It seems that Dr Madhu charges extra for his presence and yet he is isn't fully present when you pay for his services, strange.

It does lean towards the fact that he has become money minded rather than looking at the overall well being of the patient especially after completing my transplant with him I was told that I have about 1400 grafts left and that I could have another transplant within the next 6 months if I wanted. Any reasonable ethical doctor would make you wait for at least a year before making such a suggestion. When I brought this up on my post he changed his wording and mentioned that what he did say was he would assess my hair first and then make a decision which is completely false. Even if this was true 6 months is way too early considering that I only have 1400 grafts and I am in my early 30's!

It makes my blood boil when these results happen and the doctor says that it is external factors that are to blame. I know from first hand experience that Dr Madhu didn't give me the results I was expecting as patches that were present before my hair transplant became more evident after my hair transplant and never grew 1 year after the transplant. When I addressed this with Dr Madhu I receive a call from him to tell me that I am an 'X factor' patient which means that hair transplant does not work on everyone and I happen to be one of those patients. Well I don't buy that story for I think it is a poor excuse on his part for doing a poor job. And the moderators of this site who stand by Dr Madhu beats the whole purpose of this site for anyone who complains about a doctor recommended here is always made to feel that the patient is in the wrong and the doctor is always right. Well one day I shall have a transplant with Dr Hasson or Dr Wong and then lets see whether I am as Dr Madhu puts it an 'x factor' patient or not.

Bill,

I am willing to get in touch with Dr Madhu over the phone and skype sounds a good idea too.

You have misunderstood what I meant when I mentioned that I used to call his clinic in the past. By 'past' I meant 3 to 4 months after the transplant and not recently such as the in last 6 weeks or so.

Also in all fairness you seem to be accusing me of begrudging Dr Madhu over him not receiving my emails yet you don't mention anything when he is begrudging me of not sending him an email when I did reply on 31/08/12.

We are now getting in touch over Skpye or a phone call but for the benefit of all lets keep things fair here.

Regards,

Gat

When it comes to communication David 'taking the plunge' had requested Dr Madhu to express his views when I posted my thread during the 8 month mark. For reasons unknown Dr Madhu never did.

I did reply to Dr Madhu's email that he sent me 3 weeks ago. It's strange that he never received it considering that we both have yahoo email accounts and that I have been receiving his emails without any problem. However I did not reply to his email that he sent me yesterday so yes he would not have received an email from me there.

I did mention that my hair is more or less the same prior to my transplant with Dr Path but after Dr Madhu's procedure my hair is far less than what it was as the hair transplant accelerated my hair loss due to shock loss which never grew back. I remember several days after my procedure when I removed my head band there were so many hairs with white dots in them. That in itself was alarming to see as I know hair with white in them usually doesn't grow back.When I enquired about shock loss prior to my transplant I received an email from Dr Madhu's clinic to tell me that "in our technique of hair transplantation for so many patients shock loss is a minimal concern which is very temporary."

This clearly wasn't the case for me. Take for example the midscalp region which is far more bald today than what it was as well as the crown which Dr Madhu worked on in a small area but there is no growth in that area at all and it has infact become worse.

I have had close to 5200 grafts so far counting the transplant with Dr Path. I thought after his transplant my hair would be thicker and I would be able to go about my daily activities without a cap but instead I wear one every day. Plus the hair in my front is all my natural hair so I should have got even better results.

Regarding the second session I shall repeat what I have mentioned all along and that is I was told by Dr Madhu that I can have another hair transplant in 5 months time (if I wanted to). I don't remember being told anything about inspecting the donor and the recepient areas as it came across more like if I wanted to I could go ahead. Its similar to what occured before my transplant when I asked his junior assistant Dr Deepak whether I should delay my transplant for a few years to which I was told that it would make no difference if I had one now or in a few years time and that since Dr Madhu had seen me it he would have suggested I do so had he felt that was the right thing for me.

I may have been a good client of Dr Madhu's and on the same token Dr Madhu's staff may have been courteous and helpful to me when it came to finding a dentist, money exchange procedures etc but at the end of the day it is the results that count as that is what we as clients pay him for.

When it came to me mentioning Dr Madhu presence during the transplant I never mentioned that Dr Madhu was not present at all during the surgery and he would leave everything to his technicians . I shall repeat what I have posted earlier and that is Dr Madhu was not present throughout the procedure. By this I mean he was absent during the procedure during various intervals leaving the nurses to attend to me which is a fact.

I replied to Dr Madhu's email that he sent on the 30/8/12 but I had not heard from him and that's why I addressed my problems here as I thought he was ignoring me. Again this is strange considering we both have yahoo accounts and that I have been receiving his emails without any problem. When it comes to why I didn't ring him, firstly, I am not in India, so it does cost money for me. Secondly, I have rung in the past, where I get hold of his receptionist or Dr Vijetha (another assistant working there) and I am constantly told that I should send an email and Dr Madhu would get back to me.

I don't know when I shall be visiting India again let alone Hyderabad which is quite far from my home town just to visit him to get a better understanding of my case. All I can say is that I am disappointed in my hair growth as I feel it has turned out to be a bad decision for me. Thats why for me email to me is an ideal form of communication. After all I'm sure thats how Dr Madhu gets to hear about about new clients interested in hair transplants regardless of where they live.

Podda, as mentioned on my post Dr Madhu wasn't present throughout my surgery when compared to Dr Path which I felt could have been a hindrance to my results. Please note I am not saying that he was absent throughout the procedure but what I am stating is that he wasn't present throughout. It's a good thing that your results have turned out well for you but they certainly haven't for me which is why I also mentioned in my post that things can turn into a 'hit or a miss' situation. As far as medication goes you seem to be amazed that I am not on it but yet you aren't amazed by the fact that Dr Madhu suggested that I can have another transplant in 5 months time (if I wanted to) considering that I have only 1200 grafts left. After my hair transplant with Dr Path there was noticeable hair growth at the 12 month mark (without medication) whereas here after my hair shed they never grew back again after the first few months of surgery. This I believe was caused by extensive shock loss but I was told by them that shock loss after surgery is of minimum concern. And yes I am in the process of getting in touch with Dr Madhu and he has been advised by Bill and David 'taking the plunge' to publicly bring his point of view on here.

Bill,

Thank you for your post. I did reply to that email he sent me on the 8/30/2012. I received another email from him yesterday to tell me he had not received an email from me so I shall try again. I also think its a good idea that Dr Madhu reply to my concerns publicly.

Regards,

Gat

Thanks for the reply Spanker. I'm not on Fin or Minoxidil and I don't intend to be which is a personal choice. The fact is that I had grafts placed in my midscalp with the idea of thickening things up without the use of drugs. Instead it is far more sparse here than what is was prior to my transplant (disappointing).

Its been 3 weeks since I wrote to Dr Madhu expressing my dismay as well as various questions but he hasn’t replied. Anyway I can’t wait any longer so I've decided to let everyone know what I think about my procedure and review.

To compare my hair transplant results with Dr Damkerng and Dr Madhu I can honestly say that after my hair transplant with Dr Path my hair felt it was thicker than what it was prior to my hair transplant but after my transplant with Dr Madhu my hair is far less than what it was. Dr Madhu performs 2 to 3 surgeries a day if I’m not mistaken. I have to mention that when I was with Dr Damkerng he was present throughout the surgery whereas Dr Madhu wasn’t. He had his nurses there doing a lot of the work instead. Maybe this was to blame? If that is the way he works then clearly the odds of us getting the best results possible goes against us as it becomes more of a hit or a miss situation.

Also it’s interesting that David ‘taking the plunge’ mentions that a hair physician should look at a ‘long term hair loss planning’ solution. I was told by Dr Madhu that I have about 1200 grafts left and that I can have another transplant 5 months after my procedure (if I wanted to). Had I been ignorant and undergone another transplant in 5 months time I'm just wondering where would Dr Madhu place those grafts and don't doctors usually wait a year? Isn't 5 months too soon? This considering that I have natural hair in the front, sides and below the crown. When all of this natural hair falls in 5 -10 years what would I do?? Makes me seriously think if he has my best interests in mind and whether he takes long term hair loss planning seriously . As in my case Dr Madhu should take it upon himself to say NO to a hair transplant instead of performing them to any one that is keen. Surely this is one of the characteristics that separates a quality doctor from the rest.

I am ashamed to show my mother my results and she was so supportive about me undergoing this and it's a good thing she isn't in the same country that I am in. What a disappointment this has turned out to be as I paid him my hard earned only to be get results like this.To conclude I cant recommend Dr Madhu to my friends or family or let alone any one. We as patients put our hard earned money and trust in the Doctor to do a good job everytime regardless of the number of surgeries he does a day. That is one of the reasons he has been chosen on this panel and we trust the site to provide us with the best information. Therefore he has to remember that his reputation is on the line with every transplant he performs.

Hope this will also help inform others about Dr Madhu so they can make a better decision in the future. Better yet instead of ignoring my case Dr Madhu can look at this as a way to improve his own service otherwise he will continue to come up with unhappy patients.

Thanks for your reply David (taking the plunge) and also good to know you sent an email to Dr Madhu to notify him about my results. It would be helpful to know what he thinks. I remember you'd sent him an email during my 8 month result post but for whatever reason he never replied so it would be good if he did for this post.

Thanks Raulbrammin for the kind words. Yes, I might looking at cutting my hair shorter and using a concealer to thicken things.

Here are my 12 month hair transplant results that I undertook with Dr Madhu. To be honest these are not the results I was expecting as I don't feel there has been any growth at all. If I was told that these were the results that I would expect after my hair transplant I would never have opted for a transplant. This is because my hair was much thicker prior to my transplant. After the transplant alot of my hair shed but they never grew back again. Dr Madhu worked a little on my crown area too but there is no growth here at all and its infact worse here than what it was. I believe this is is because there has been alot of shock loss in this region. I opted for not shaving my hair when I got my transplant as Dr Madhu provides this option but at a cost. He was confident that he could do this as he felt I had good hair. The hair in the front is my natural hair and thank goodness it never fell but I feel alot did in my midscalp and crown without growing back again. Infact the hair he transplanted on my crown is not to be seen at all in terms of growth as it is far more bald there than anything else. Even my midscalp area appears to be more bald and patchy than what it was before. The hair in the front as mentioned is my natural hair and the hair that I had before from my first hair transplant. I have had roughly a total of 5200 grafts with 2412 grafts with Dr Madhu and 2700 odd grafts from my first transplant with Dr Damkerng. I thought after this transplant I would be able to go without a hat 12 months on but instead I wear one at every opportunity.. Also even now, 12 months on, when I touch my donor area there is a slight sting that I feel. I'm not sure if this is normal or not. If you want to see what my hair looked like at the 8th month mark as well as prior to my transplant you can do so in my other thread that I started here http://www.hairrestorationnetwork.com/eve/165309-8-months-hair-transplant-dr-madhu.html Photos of me before my first transplant with Dr. Damkerng is my album photos if you click on my profile page. Unfortunately I don't have any pics of me straight after my transplant as I didn't take any. This is because the clinic took some of me and I thought they would send it to me via email only to be told later about 2 months after the transplant that they lost my pics.

If there's anything to want to know feel free to comment. Thanks.

Just uploaded my 12 month results, let me know what you all think and I shall put in my input after.

Thanks..

David and Bill,

Thanks for your input. I have lost a lot of natural hair a result of my transplant. This is from why observation as I am my best judge and get to see my hair everyday. Let's see what the next 4 to 6 months will do but as I mentioned before I don't feel it would make too much of a difference. However as David mentioned I may be pleasantly surprised by the end of it.

Just wondering though David, Bill and anyone else who's reading this and would like to provide their insight; what do you think about the Assistant doctors opinion when I asked him whether I should delay my transplant for a couple of years more and I was told that it would make no difference whether I choose to have my transplant now or later as it would eventually come to the same thing? I would like to know more about this from an educational perspective. Also would be good to get Bill's opinion on my hair transplant in general.

Many thanks,

Gat4

David,

Thank you so much for your feedback. Interesting to know that you too had a transplant without shaving your hair. However 3 months after my transplant I looked up the Hasson and Wong website and there is a question there that reads: " Does my head have to be shaved for surgery?

Yes, the recipient area must be shaved. In order to achieve the most natural results, the angle of the new hair must match that of the native hair perfectly. The incisions into the recipient scalp must be made parallel to the direction of native hair growth. Only when the hair is shaved to roughly 2mm is the true direction and angle of hair growth revealed.

If the native hair in the recipient hair is not shaved, the doctor must move the hair out of the way to make incisions. When this is done, the visible angles of hair growth are distorted and it become virtually impossible to match the angles, resulting in permanent shock loss of the existing hair."

If only had I read this prior to my hair transplant! As you can imagine I was angry that I wasn't told this by Dr. Madhu or Dr Deepak. :mad: Therefore I got on the phone and rang them up to enquire why I hadn't been advised about this. I spoke with Dr. Deepak and he intially tells me that he had advised me about the adverse effects of not shaving my hair and hence the reason why they charge an extra fee which is to discourage patients from not shaving their hair. I then had to remind him of the celebrity client story he told me where various of his clients who are celebrities opt to have a transplant without shaving their hair due to their work constraints. I also reminded him that at no point did he mention any adverse effects of not shaving my hair because if he had I would have shaved my hair and not taken a chance. He then acknowledged this and said that he and Dr. Madhu would have told me to shave my hair but they felt I had good strong natural hair and I would not experience shock loss. I then sent them an email showing them the link of Dr. Hasson's view on this. After all 'Hasson and Wong' are one of the leading hair transplant surgeons and there must be a whole lot of truth to what they have mentioned. Dr Madhu's response to this was "Yes we agree that Hasson and Wong are great surgeons. Always we give two options , not only in crown in other areas also we do with shaving and without shaving on regular basis and getting consistently good results, mostly we can detect who is suitable for with shave and without shave depending upon the recipient area and the existing hair, don't think much about the angulation of the hair, the existing hair helps for better angulation while implantation much better than shaved recipient area, so if we performed a procedure on you means you must be ok even without disturbing your existing hair.

Shock loss and permanent hair loss always depends on the quality of your existing hair and other fact you have to accept is that balding is a continuous ongoing process."

Yes while I do accept balding is a continuous and ongoing process but I don't accept an accelerated rate of balding due to Dr Madhu's mistake of not advising me to shave my hair. To give an example if there are two 40 year old's who lead completely different lifestyles where one uses harmful drugs, is into heavy drinking etc he is bound to accelerates his aging process regardless of the fact that aging is an ongoing and continuous process when compared to the 40 year old who chooses to stay away from that kind of lifestyle .

Also in one of my previous emails to them (prior to my transplant) I had enquired about shock loss and their response was " in our technique of hair transplantation for so many patients shock loss is a minimal concern which is very temporary."

Well it's been 8 months and I have less hair now than I had prior to my surgery especially in the mid scalp/crown area. I know there's still another 4 months to make a year but honestly I don't think there's going to be that much of a difference. In hind sight it would have been better had I not had the surgery and I should have waited a couple of years.

At the end of the hair transplant I was also told that I have another 1000-1200 grafts left in my donor area and that I could have another surgery in 5 months time should I want to. It's funny how various doctors work as Dr. Pathovanich would advise you to wait for at least a year before undergoing another hair transplant.

Anyway thanks for the feedback though David. Much appreciated.