Sean

Do you have preop pics to see your native angulation? Would like to see if transplanted hairs were angled improperly or your native hair has varying degrees of angulation. It's been a few days since your last post 4/11/16, the date you signed up. If there is no response, then I guess it is safe to think the clinic saw your post and is trying to deal this matter with you privately, or, telling you not to post utilizing other tactics. Regardless, hope you get it resolved.

Im sure they will make the procedure comfortable. Let then know and in sure you can take breaks in between if you need to stand. It is tough sitting many hours but the meds do help. Wish you the best.

Who's your surgeon? I agree, the calming meds should help. Let your doc know about it though.

I read about this few weeks ago. I think the article said somewhere in California, but not sure where.

1900 grafts and only 5 months? I think the result is coming out great so far. Esp considering the yield thus far. Made quite a dufference so far and would love to see how it looks at the 1 year mark.

Konior does some amazing hairline work and ive read, when it comes to FUE, he dedicates the surgery to you and does the surgical aspects himself. That's a major plus point. His online rep Spanker is a great guy, very knowledgable, and would probably help you with what your looking for. Best wishes.

From the pics you posted. One side looks less dense and is noticeable. At 15 months, you wont get more new hairs so that would be a valid repair. If it is a known doc, i am sure they would understand and rightfully so. They should be able to touch it up for you without charge as the picture you showed shows a distinct difference. If they charge you, well im sorry to say but some may follow that track. If they follow that track, it informs others in case of a not on target result what could happen. I am hoping your sitution is resolved without any issue and you are able to proceed and enjoy your goals soon. Good luck.

When you look at the cost and surgical protocol, you probably are getting the best pricing in North America with Dr Vories. I think he charges under $5? And he does all extractions himself, not Techs, but himself (as he states on forums). That is a dying trait in North America as more and more are trying to rely on techs and Robots to do surgical aspects of FUE. It actually makes him stand out on forums- his price and surgical protocol . There are other docs that do the surgical aspects of fue themselves in North America, but you may have to cough up more money per graft but even so, it is a handful. Those docs that do the fue work themselves definitely stand out regardless. Some folks pay just the same or more with docs that utilize surgical robots (or techs to extract) but have their name on their business/brand image. I really think you should consider and maybe seek docs that do, at the very least, create recipient sites+do the surgical fue extractions themselves. Good luck nd best wishes.

This was no argument against you btw. I didnt say im not happy with human hands in general. I think if a doctor has strong surgical protocol and does the work him/herself without pawning it off to a rookie fue tech, then human hands can work very efficiently for FUE in most cases. If someone seems to be learning fue on you, the human hand can be dangerous. Regarding my case, well i am a repair case needing repairs and solution at the moment where the doc says he is willing to cover my repair in full, but im waiting for that to happen. So lets see if promises are delivered and exactly when after repair surgery is scheduled. Where on real self and google, can you share those Artas links privately? Im also looking to see massive reconstructions of hairlines with Artas, where minimum grafts are used? You know where like 3000 grafts cover like front half of the head, not just the 1st cm distance in hairline and in between native hairs. Id like to see standalone growth achieved from Artas showing great coverage with adequate yield. You know, like the yoeld that Lorenzo, Konior, Umar, Bhatti, Lupanzula, Vories, etc etc other docs can deliver without the robot? Close up photos are very helpful too. The way i look at it is If robotic fue is better then surgeon skills, then all surgeons should buy artas. But it isnt happening and some surgeons even stopped using it as disclosed on this forum and others. So, its not just me saying it. But there are folks pushing it to the point that this is the new miracle machine. But this machine keeps needing updates and etc. these fixes and updates should have been done in clinical trials, (thats where docs had hundreds of supposade subjects), why now? You are right, you wont personally hear from much patients or sufferers privately but if you are a repair patient that's very well known across forums, you tend to get 1000's of messages and inquiries. Lots of these folks i spoke to, do not want to be behind a robot, but have a human do it. Its not argumentative against you, but im just mentioning what i heard from the number of users that contact me. I also know a few folks screwed over by artas too. You do not have to take my word on it at all and i am not expecting you to whatsoever. I really could careless. I am just mentioning facts from my own discussions. But by all means,if you are comfortable with it and it would be great to see who you go with and if you do get Artas, to showcase it in very high resolution, close ups and all. That would be nice. But if Artas floats your boat, then by all means go for it. Go with your gut and i wish you a great surgery.

You haven't seen any bad results or lower yielding results with the ARTAS robot? What particular Artas results have you looked at and where? Can you Direct me to results where grafts extracted solely by Artas were for major hairline work? The way its being pushed across some forums is that it is very improved and basically flawless due to the algorythms and learning patterns and its ever so many improvements time to time. There is some other forums where some member docs have sections related to ARTAS, but other forum members and persons can not comment or give opinions in such threads as the moderator may edit or deletes the posts. Maybe on such forums you havent found negative feedback on it, which may make sense? Tons of forum members and other parties have spoken tons offline and privately, and most opinion believes a robotic tool can't supersede human skill and art and that is why 'improvements' and 'updates' are made based on robot learning etc. no doubt though, i give props to folks that go under that robot as sacrificial test bunnies for better updates. Apparently, it seems questionable these things were not discovered in the clinical phases + trials of the robot where hundreds of supposade folks were under the Artas as subjects for FDA approval. Maybe some docs should consider changing their clinic names to "Dr so and so and Dr Artas" because Artas will be doing surgery designed for those with medical degrees. Until I see lots of wow and comparitively better results with Artas vs Human skills, id say a doctor who extracts and does FUE work themselves is a +1 in a matchup.

HT, how is your donor area? Do you have any signs of a donor halo or distinct visible extraction patterns? Where your extractions concentrated in a particular zone or soreadout throughout the back? Thanks

Very nice improvement. More than what some other docs can achieve, especially with just around 2000 grafts. Dr Bisanga work on any repair patients or had any repair patients that had donor halos due to poor extractions? Also, any cases with hairline and temporal repairs? Would like to see those as I need to get things repaired and corrected. Thanks.

Based on your norwood level, that is a remarkable result and for the 9 month mark. Looks like for the amount of grafts, your doctor got you maximum yield. Impressive and well thought out approach. Glad your doc did delivered for you and with your safety in mind. Congrats!

Also. Is there a way to reduce the bumpy recipient site. It is kind of raised because i had 65cm2 density in it first time around, then the doc went back in and attempted to add more recipient cm2 to that original area. The recipient area is raised and feels awkward. Is that called pitting? Ive got a lot of folks concerned about my overall situation and I am trying to find a way to move forward to get things addressed soon. Thanks.

As an existing repair patient myself who is waiting for futher corrective work to reach my initial goals, i'd approach this repair with the utmost caution. -it may be ideal to break this procedure up into two procedures to increase the survival of your grafts that are to be extracted. -I wouldn't touch the already impacted areas and would rather implant in zones in front of then to blend in with the exising transplanted hairs. Any doc that works on you should not repair and insert more hairs into an already impacted zone where your grafts may or may not take, that is something some folks will fail to tell you. -id go with someone who is very careful and commits the surgery day to you to fix your procedure without any 'other' patient distractions or risks -id also make sure the surgeon is very skilled at fue extraction, preferably manual and is used to extracting the types of hair texture you have. Youll notice some surgeons are better at extracting thicker courser hair and obvoiusly can show better coverage but when it comes to straighter hairs they may not be that good enough as the skill level increases. - go with a surgeon that is very mindful from where in the donor the extract grafts from and what types of patterns (spread out extractions or all extractions from concentrated zones). This is important as you do not want donor halos -surgeon should be the one extracting grafts and creating recipient sites at tge very least so if one or the other is done by a tech, then find another doc. -you should be able to get repaired but i suggest you plan this out very carefully As long as you are not some test bunny and a doc listens to you carefully to your concerns, there should be no problems. Keep us updated, I'd like to see your success. Best wishes.

Frustration...but i guess it happens quite often. It means patients are uninformed and it goes against the consents. Dr Bloxham, that is quite alarming. Gaurantees should not be given to patients and things like this constitute as uninformed consent. Thank you for your input though. What is also sad is a surgeon may say 1000 grafts were extracted but wont tell you 1500 extraction attempts were made doing it harming donor areas further. That shows that some clinics may have extraction and transection issues and not up to par with exteacting certain hair types. That is also uninformed consent where patients are not fully informed. Maybe thats why some patients end up with donor extraction halos when they are told you had x number of grafts extracted but in actuality you may have had anotger couple hit and miss extractions. Are you able to repair fue donor that has varying degrees of halos? Have you worked on such repair patients yet? Can you fix hairlines and temporal areas through pure manual fue extraction and maybe in safe multiple sessions to maximize graft yield? I think it is not right to implant in existing heavily impacted recipient areas but in front of them to blend it in. Both for hairline and temporal areas. With manual FUE, how effective can you rate your yield and growth? Dr Bloxham, are you in the upstate NY area or ever around this area (Saratoga or Albany areas)? Have you ever also done any extractions with other donor sources (beard, body, or leg hairs)?

Very few of the FUE docs are able to do body hair extractions. I think Dr Umar may have more results on the web showing long term growth of beard and other types of body hairs. Dr Bisanga does these types of surgeries too i think. Again, some other docs are trying to attempt it, but they do not have that adequate yield with such sources of hair or not that successful. A lot of docs put down these sources since it takes longer type to extract such hairs and other risks involved. It is doable, but only in the hands of the very very few who do FUE.

Dr Bloxham, is there a good way to guage available donor capacity. Example: Patient A is told he has over 9000 grafts as donor hair for FUE based off eye fukment, then he has fue procedures totalling around 4500 grafts, then asks same doc how much is remaining then doc flat out says he doesnt really know after few followups. Also, is there a way for that Patient B to guage how many extractions were made in donor area overall from FUE. For example, if patient was told 800 extractions were done but then another doc says more like 1200 grfts and so forth. Are there machines that can help count extraction scars and points a year or two down the road? Thanks for your inputs on forums, it helps a lot of folks.

Wow. What a substantial difference based on the number of grafts used. Decent yield and growth and all with FUE. Very well planned and decent coverage. Great job. Some folks where some docs place as much grafts in a very small recipient area do not get such results. This has to be the surgical protocol tgat Dr Bhatti follows that pushes out these great results.

Quite a change for the area covered. He must be thrilled.

Voxman, good luck on your surgery in a few hours. Keep us posted.

You know, I do not understand why some doctors call motorized extraction manual? To me: Manual extraction is when you use a regular punch and wiggle it yourself to make extractions. Motorized extraction is when you use the safe system or any other system that uses a motor or power source to drill extractions for FUE. Robotic extraction is when you use a system like the artas. It seems like some docs that are using motorized devices prefer calling it manual for reasons not known, but only a few do this. The rest call it as it really is. There have been tons of threads where folks preferred manual but then some motorized folks started saying motorized is also manual. Manual is manual, without any transmission that changes speed or motors + gears in the device. The hand is what powers the total extraction by the extractor, that is manual.

Significant improvement with the amount of grafts utilized and at this stage. How does the chest donor area look now? How about the beard donor area as well? Great seeing repair by utilizing hairs from other parts of the body and when those hairs work in recipient zones. Have you had a case where the donor of the scalp had shockloss from FUE extractions and came in for repair by you? Wondering if these partuclar hairs could be used to fix FUE donor areas where a patient may have extraction halos as a result of permanent shockloss from concentrated extractions?

Both can have their place. In fact, some may regret getting fue and should have stuck with FUT in the first place. But some docs at consultations may say to their patients that their FUT matches their FUE quality and you may end up believing them not knowing the reprecussions that may occur. You get all these gaurantees and assurances and things may change the day of surgery or their may be surprises. But thats why it is very important and prople learn this now, that a sirgeons surgical protocol is very important. For FUE you have to be more cautious of the skill of the surgeon and their protocol as it is a very sensitive procedure. I've seen amazing results for FUE with docs that have a great surgical protocol. If they extract properly, pace your surgery, use the right tools, the right placement, and dont hammer your recipient area,they can do amazing work on you. There is even a doctor, Dr Umar, who can do amazing repairs on thos that had even donor hair depleted or severe cases of damage. He does this all with FUE. So, depending on the doc and their efforts, you can have an outstanding result in FUE. It is a very delicate procedure. Not one that rookies or rookie techs (rookie to FUE) should be extracting. I think it is hoghly unethical for someone to use a paying patient as for testig and learnig purposes without that patient knowing that a tech has little to no experience whatsoever. So, you really have to look through a surgeons surgical protocol.

Regarding Canada and surgical extraction laws, this is from H&W site: "If you are having FUE extraction, the extractions may be performed by your surgeon working with specific technicians, or may be performed by specific technicians alone. " Source: https://hassonandwong.com/surgical-team/