Sean

You are right. Some docs dont care you take propecia and some do when working on you. If you are partially thinning, propecia can amp your result overall and can make your post op photos look better than without it. Even in areas where a doc has not worked on. Sometimes, such photos can confuse a prospective patient because you try to guage the quality of work but then get confused on what is transplant and what is native. Propecia and rogaine should not be a prerequisite for surgery unless you have definite early thinning in other areas where you are not going to have grafts placed. If the zone for loss is too great then surgery may not be the best option and a surgeon should turn away patients rather than take a persons money and give them false hopes.

If seeking interest in Turkish clinics, i do not think all are just tech only. It is best to email all clinics, in general, and ask about their surgical protocol, the tools they use, the size if punches, the number of grafts a day, who does incisions and extractions, who will be the doctor the day of your surgery, what are their gaurantees, if any. Some of thos Turkish docs end up on forums and become members, and some dont. Some of the docs may not be part of all forums. ive been impressed by the work of carious Turkish docs that have done work manually.

Shockloss can happen. I actually know quite a few folks that didnt see most of their shocked hairs return. They have different hair types. Could be the surgical protocol that caused it. But it can happen either when high density implantation occurs between native hairs in recipient zone or in highly compressed extraction patterns in donor zones. Transection can cause it too. For some it may be temporary but for some it may be permanent. I know folks with thick course hair may be able to hide it better if it turns out to be permanent shockloss. Approach this very carefully and make sure the doc has the best interests for you and your safety. Massive megasession via FUE can possibly cause it too. So a safe surgical protocol with highly experienced FUE doc may improve chances for success. A doctor has to safely extract and harvest the donor grafts and create proper recipient sites. Good luck with everything

MbSingh, ki haal hay? Are you planning on a FUT or FUE route? This will take plenty of research. Id try to look for cases of traction alopecia and similar hair restorations. See if you can meet folks in person. I am trying to enlarge your pics but it might be my phone that is preventing me.

Screen a surgeon thoroughly. Evaluate the surgeons surgical protocol. Ask who will be doing what aspects of the procedure and how much experience various folks (if any) have. A surgeon should carefully evaluate your scalp via scientic tools and no eye guessing. Not only that, ask them what they offer for your safety and customer satisfaction if something goes awry. Will they refund? Will they try to do repeat repair procedures? Will they blame you or have a habit of blaming their patients for physiology and etc. This is a cut throat industry, pick the one surgeon that does all aspect ethically and for your safety. After all, your coughing up valuable time, money, priceless grafts, your head, your emotions for a very valuable procedure. Surgery is surgery, cosmetic or not. It should be done with the most utmost care and level of perfection. The operation should not be run like a mill but with complete dedication. And please try to see real patients of doctors and not showcase patients. There are reasons a showcase is a showcase. If you need any help with good questions or things to consider and etc, feel free to send a message and ill gladly give my time to help. Best of luck.

Suprabob, you have a great donor area and it looks dense. This can be determined with an in person consult. Do try to get a donor evaluation and estimate of donor availability. That said, i am sure if you go to a surgeon that is highly experienced in FUE and has a great surgical protocol, your chances of a top notch result are greater. Do your research and see if some patients are willing to meet you. Especially, those cases that mimic your goals. Again, if you need more than 2000 grafts, id consider breaking the procedure up more than one day to maximize graft yield. That is if you do FUE. You do not want your grafts be exposed and out if body for long periids as they may cause graft death. Play it safe and research and think this through wisely on how to proceed. Ask surgeons plenty of questions. As for Bosley, they have wo many docs and you dont know how experienced they are or if they will do the procedure themselves, aside from that, they really screwed one if my relatives over with strip procedures with distinct scarring. Very noticeable and the guy continues to wear hats to cover it up. So, imo, id find a well known FUE expert that does the surgical aspects of the procedure and is good at it. Best of luck and best wishes.

Sadbrows, look up eyebrowqueen on these forums. She went through something similar. Pittig, scarring, bumps are a concern, but you are ay 3 months. Wait 3 more months and see if you still have the issue. I would also inform your surgeon of the issue and concern at this point. Hope this resolves for you and wish you the best.

Wishing you the best and i really hope the best for you Lorenzo. Very sorry to hear you are going through this. My prayers are with you and i hope you overcome this soon. Best wishes. Take care.

Very interesting exchanges. FDA could analyze certain things if needed. I think they analyzed some tatoo inks and makeups based on some articles. Dr Rassman didnt chime in, so I am thinking it may have been an independent study?

I would carefully monitor that donor area. The clinic might have screwed things up with improper extractions and a jacked up extraction pattern. It could be permanent shockloss if it doesnt recover in few months. This is the type of incompetence that screws a lot of paying patients. You look at extractions that are in larger amounts by certain docs and you cant see such halos, but with some others, its like your talking to tons of donor area jacked up patients daily via pm. This is unacceptable. No doctor should have a rookie tech extract on a patients head and do tons of extractions, it means you didnt do what is safe for the patient. It Is getting quite frustrating to see this type of stuff but it exists and some known docs hide these things. Extractions should be done by highly experienced doctors with the utmost care. If you want to make money, do it ethically or be reported to proper channels.

Sam, thats a tough call. Are you going to speak with any other doctors? Especially, repair specialists? There is Dr Umar in California, you may want to get an opinion from him as well. The whole punching out thing is concerning as you do not want distinct residual acarring there, not to mention, possible loss of existing hairs if something is off. Carefully analyze and do get 2-3 more opinions. It doesnt hurt. Good luck.

Dude85, youve heard the verdict, people see there is an issue. Now, realizing this may take multiple repairs, request refund from the responsible party/surgeon so you can pay for those repairs. You even have evidence here. I would not go back to same surgeon. He may end up eating your grafts trying to repair in the same zones and etc screw up your donor, possibly. It would be nice to know who this doctor was so that others are aware for their safety. As well as their clinic address. Email the doc and cc yourself. If issues persist you can contact several agencies. It is clear you need to move forward with this strategically. Sorry this had to happen to you. As an existing repair patient myself, it really blows and i certainly know how frustrating this can be. Good luck.

Sometimes it is better to wait a little longer before you proceed with HT surgery. If you have lots of native hairs and have grafts olanted in and between such zones, you may get shockless and the outcomes can be worse. Give meds a shot and monitor the area. If you do go the FUE route, it may be wise to break up your surgery if lots of grafts are needed. You are right, there are surgeons that wont take you till 30, but there are surgeons that may even take kids that are graduating high school and do FUT. Just be careful. FUT or FUE, you want to ask plenty of critical questions. Good Luck.

Do you have any preop pics you can post now before any surgery. It will definitely help you document. Do you know what design and placement would be like? Do you know, if you do FUE, what punch sizes will be used? What is the extraction pattern going to be like, scatterred or in a conxentrated zone? Have you met any patients there or seen pics of fue results? Do you know the density cm2 to be planted in recipient zone? Will any work be done in and around native hairs? Who will be doing most of the surgery? Will you have any work on temple areas? Just wondering. Regardless of what you personally decide, FUT or FUE, please do document in detail here and other areas. Do what you feel comfy with. Take pics and keep full track of your progress. I really wish you the best.

Ezel, any updates? How does the result look now? Any changes?

William, how are things looking now?

That's pretty alarming. I remember TC talking about this as well. I hope there is a well rounded explanation to this. If there are such risks, it should be disclosed, otherwise, there are liabilities. Does anyone have any copies of consent forms when going for this procedure to see what they say? Sometimes they are vague and sometimes they may say it upfront. It would be good to know as it is worriesome.

You have to weigh the pros and cons of each and see what best suits your own individual needs. FUE does require a lot of skill and it may be worthwhile to evaluate a surgeons FUE surgical protocol. That is, -is the surgery personalized for you and are you the only ptient for the day? -if you need lots of grafts in excess of 2000 grafts, can you have the surgery in 2 days instead of one? This concern is real especially if your grafts are going to be out of body for a couple of hours, you do not want extracted grafts to die or be useless for implantation -is the recipient area filled with existing native hairs where the grafts will be inserted? If so, a careful thought to density should be considered to prevent shockloss. -is a tech goingg to be extracting or performing surgical extractions as part of the surgery? Some folks prefer a doctor doing surgical aspects of surgery including fue extractions due to the experience thy may have and it is a surgeons procedure, not a techs. -does the doctor have bad cases for fue? What about cases that had donor issues from patterns of extractions? -will the doc offer to touch you up or refund you if they fail to deliver or leave you hanging? -i can keep going But it is good that a surgeon carefully listenes and does everything in benefit and for the safety of a patient. Grafts are priceless and so is time. You do not want to end up wasting money and time if there are issues with a surgical protocol. Please analyze carefully and make a solid decision. For anything you feel uncomfortable with, with a particular doc, is enough to consider another doc to get the job done. Surgery and results are projected by numerous surgeons to be top notch and so forth but again, not many can hit home runs most of the time. It is very important to evaluate lots of fue results with your caliber and texture of hair, along with your pattern of loss to guage how successful a surgeon can be. If anything, see if you can meet non clinic presented existing patients of surgeons in person. I really hope the decision you make answers your restoration goals and i really wish you the best.

Shampoo, you know it is crazy. This LPP was something even my doc thinks i had due to the issues i am going through where i am having growth, design, and donor issues, and this was suggested without a biopsy. However, i was cleared by Veteran docs that i do kot have this condition. I would think, that if a doc is to be doing surgery risking priceless grafts and a so much momey and time from a patient, that it may be reasonable for them to do a mandatory biopsy during in person consults to make sure things go as planned? Some patients you can detect scalp issues while some you cant, a biopsy prior to procedure can rule out the 'physiology' blamed cases by a doctor. A doc shouldnt screw up and then expect a patient to get a biopsy, a doc should do this prior for patient safety. Especially, if this condition can be detrimental to a result if not handled properly. As for me, i dont have the condition but it was being projected at me after my repair procedure since i still had issues and its definitly not my physiology, so, im now just waiting on things to be rectified and soon hopefully. Its a paint being a repair patient. Its a pain what folks go through and its a pain what im going through.

Sam your surgeon is responsible regardless what he put on that bullshit trickery consent form. You had no idea what LPP is nor was it discussed nor did you know you had it. Looks like he is unable to even handle cases where LPP is present unlike other top docs. He should have done biopsy but since he went ahead with surgery he thought you were a good candidate or else he wouldnt have proceeded right? He had the ultimate decision.So he is at fault too and shouldngive some refund esp since he didnt offer any other repair assistance or etc. I would highly urge you to name the doctor or clinic and this may help pthers who go to such docs. In case if this situation happens again to someone else, at least there is some recourse for that person. You may be saving a life. Imagine what you are growing through, how would you feel if someoen else goes through this? Thats whybis important to mention who and it doesnt matter if it is a recommended doc or not because things like this are being documented by something possibly bigger. Good luck and wish you a successful repair. And i agree dont remove grafts it may make it worse. See if you can have experts fill in between.

Sam, all hope is not lost. Several options were indicated above. Im sure you will get through this. The surgeon, that took you on, did he offer any type of refund or any gaurantee? Im surprised the surgeon didnt say when LPP is inactive, he wouldnt be able to help you. Is this surgeon well known? There are a few surgeons that have taken on challenging cases, you may need to reach out to get an idea, with consults from repair experts. This is an interesting case too: http://www.hairrestorationnetwork.com/eve/175742-lichen-planopilaris-patient-successfully-transplanted-one-session%3B-dr-beehner.html No doubt your next steps will require critical steps and adequate research, but I think you will be able to move forward. Have patience, this isnt khalaaas. Best wishes and goid luck.

Approach this carefully. Try meds first and see how it goes for sometime. You do not want to get shockloss in recipient zones. This can happen when a surgeon implants in and within your native hair area. Especially, if they try to do a high level density placement even when you have native hairs in that zone. In any case, if you feel you need a restoration, you should get consult from surgeon like Dr Konior or any well experienced surgeons that do critical surgical aspects of surgery. Safety and careful planning will be extremely important. I would think you will at least be looking at 1500 or more grafts. This can all depend on the caliber and texture of your hairs. Are you considering FUT or FUE?

This is very concerning. Get some refund or something. I agree with others, do not go back. You need to go to a very experienced hairline expert. This will need some careful repair. Is the doctor well known? Hope you get it rectified and successfully. Best wishes

Impressive so far for someone with fine hair at this point in growth timeline. Would love to see updates. Thanks for posting!

Imo, you shouldnt touch that area with surgery just yet. Try to maintwin it with toppik or nanogen. You can try prp but it is experimental unless you meet folks that had that as the only therapy and seen becore and after pics. Crown is a black hole and can suck up grafts. Also, since you have native hairs there, it could be risky as you may get permanent shockloss if surgery is done incorrectly.