RCWest

Dr. Rahal always makes the most of what he has to work with. You are looking awesome so far!

Thank you for writing about your experience with Dr. Panine. I always enjoy hearing from his patients. He is the surgeon I will be going to once I get enough money together.

That's a crazy good result for 1281 grafts! He's a very lucky patient and his new hairline is one of the best I've ever seen.

Woah 7572 hairs out of 3441 grafts is an amazing average! This is excellent for only 7 months, proving that Dr. Shapiro is among the elite!

Im against mega sessions over 4000 grafts. Its is because if anything went wrong in that particular surgery, then it would very hard to get fixed. Grafts are like dollars, using them all at once is a crazy gambling. No matter who your top surgeon is, Shit happens. Better do 3000 grafts at first and see how things goes then do the other 3000 grafts. There are many uncomfortable mega session patients in the forum but they stopped posting due to unknown reasons.

This is my only reason against being all for a one pass megasession. If something goes wrong, you would have used 6000 grafts that you can't get back. If you do 3000 and something goes wrong, you still have the other 3000 plus what else is left. If the first surgery goes wrong, they can figure out what went wrong and adjust for the second go.

Tightness is normal after any hair transplant. But what feels tight to you might actually be a no tension closure. You have a lot of swelling back there.

This is a huge change in this patient's appearance. Thank you so much for posting this, Kira!

Some docs have large extremely talented techs who have been in the business for many years. Some doctors prefer to remain fairly limited in the number of grafts they can do to keep overhead costs down.

I agree with Spex. Dr. A is highly regarded. I wouldn't worry much.

i wonder if all the hormones and stuff in the foods/meats we eat today could have any effect on men balding earlier...if that is in fact true that we bald earlier?

I would say that is a safe bet. It's been stated by Dr. Rassman that before WW2 when the Japanese hadn't adopted some of our Western dieting habits that balding was very rare there. After WW2 and having our troops teach them our eating habits, balding in men became much more common. Also, we have a LOT more processed meats and hormone laden meat and milk than we did back then.

Beautiful, Dr. Cooley! Great hairline.

Thanks for posting this case Stuart! As always, I look forward to your monthly patient results. This is excellent! I know the patient is happy as can be and you can tell it in his smile. Also, your photos and presentation layout are as good as anyones!

More Testosterone can equal more DHT, but the Fin would still benefit you.

The trichophytic closure does not reduce any graft totals, whether it be first, second of fifth procedure. All the trichophytic closure means is that they chamfer the edge of the incision so that hairs can grow through it, instead of a straightforward incision where hairs will grow on either side of the incision.

The trichophytic closure is the best thing to come to the donor area.

First off, you have a thick beautiful head of hair! Second, you look to just have a maturing hairline. Some people end up with a deeper V shape than others. I'd be proud to have your hair!

I keep saying the donor area is not permanent hair like the Drs want you to believe. This area does thin out in some people and it happens long before they reach "old" age. I posted some new pictures on my profile to show what I mean.

This is very true! This is why everyone is recommended to wait and see where things are heading before embarking on a hair transplant.

Belgium is the mecca of quality hair transplantation in Europe. Drs. Devroye, Feriduni, and Bisanga are outstanding at what they do. You can't go wrong with any of them!

I'm with Spex. I'd go for 3000-3500. It's going to cost you at least twice what strip surgery costs, and it will take more time to perform. Keep in mind though that if you hammer your donor area with a large FUE session then it makes for smaller strip surgery harvests. Most people who need a lot of hair max out their strip procedures first, then get whatever else they can by FUE.

While David is correct about the mature hairline, keep an eye on it. It's not a very good picture to telling you if you are receeding or not, so I'm not going to offer an opinion just to be fair to you . Some people get a more pronounced V shape than others. If you wouldn't mind uploading one or two larger pics with your hair pulled back then you might get more opinions. That being said, if you find that you are receeding, you are a prime candidate for Finasteride and Minoxidil drug therapy!

Thanks so much for responding, Dr. Simmons! After I responded to your post this morning I found the ISHRS transcript from Anchorage online. I must say that hair transplant surgeons are always looking for ways to further the success of hair transplantation! Thank you and all surgeons approved by this site, for always looking for improvements!!

Wow Kira, how did I miss this one! Things are looking awesome so far.

This is an excellent result Dr. Simmons! I know he has to be elated with the results. BTW, I don't believe I've ever seen that many 3's, but like you said people with finer hair usually make up for it with more 3-4 hair FU's.

Can you elaborate on this scoring-blunt donor dissection a little bit? This is the first I've heard this method mentioned.

This is a beautiful result! Nice and dense. I do not see where the patient needs a second procedure at this time!

Some unlucky men have donor hair that thins along with their normal Norwood pattern thinning. I've seen this in the more advanced cases of baldness, not usually in someone at NW4 or lower. Most recommended physicians will check for this.

Dr. Lindsey, you have really gotten in great shape! Best of luck in NYC!!