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NEWHAIRPLEASE

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Posts posted by NEWHAIRPLEASE

  1. That is a load of bull that your friend told you. There is NOBODY who undergoes a HT who is "thankful" that their hair in the donor area is thinning along with the hair that was transplanted. I would bet anything that if his donor wasn't thinning he simply would have had another HT to soften the hairline and even add some density throughout. He can't do that because the donor is thinning, so he has to tell a story about how it's a great thing that the donor is thinning. How else can he keep on selling his HT to potential patients.

     

    I have pluggy old transplants too and my donor is also thinning. Yes the plugginess isn't quite as bad as it once was, but it's NOT a good thing. My hair is just thinner all over and will only get worse as time goes by. I'd MUCH rather have a more pluggy appearance and be able to improve it with some available donor.

    It's not a load of crap! First of all it came from Dr Konior so that's good enough for me. Secondly, look at Joe Bidens early plugs as compared to now, it looks so much better and it's a result of blonde hair and thinning.

  2. Thats correct. One thing that i took notice of is the high amount of finasterid that Dr. Limmer is recommending. My doc told me that clinical studies showed significant more people having serious side effects like man boobs etc. When people took over 2 mg instead of 1. mg. But i havent found any support for it.

     

    Again, Dr. Limmer does NOT recommend taking high amounts of finasteride on his site! He states for WOMEN 2.5 mg POST MENOPAUSE, FOR MEN he clearly states 1 MG of finasteride.

  3. Corvettester

     

    Let me clarify that the observation of miniaturized hair within the donor region is not uncommon in many of the patients I examine during consultation; however, the proportion of miniaturized hair versus non-miniaturized hair does vary widely. Unlike pattern loss, where an entire zone will experience progressive miniaturization – thereby leading to the appearance of a balding – miniaturization observed within the donor area tends to be sporadic. The significance of this type of sporadic miniaturization can vary widely from person to person and the occasional detection of donor site miniaturization does not mean cosmetic devastation for every potential or former hair restoration patient. However, this phenomenon must be recognized and appreciated by all potential patients since it can affect the end result. Fortunately, however, the end result will not be adversely affected to any significant degree for the great majority of patients since the “aging” process of individual hairs within the grafts will occur sporadically just as it occurs sporadically within the donor site.

     

    This reminds me of a conversation I had many years ago with one of the all time pioneers of surgical hair restoration. Remember that there was once a time when the primary method of surgical restoration available was “plug” grafting. This particular physician, just like many others during that time period, had his hairline restored with standard 4 mm plugs many years earlier. Despite having what was considered at the time to be a very good result, he still had the distinct appearance of plugginess along his hairline. Years later his hairline appeared to look much better and I asked him if he had undergone any additional procedure to soften the old plugs. He indicated to me that his improved look was a result of sporadic miniaturization within the old plugs – not from additional surgery. He also made it clear that he was experiencing miniaturization in his donor site and he was thankful for it since it helped to soften the contrast of his former too-dense plugs. Because of the randomness of the miniaturization process, both his donor site and his recipient site were thinning in proportion to one another, thereby leading to a balanced appearance between the donor site and the recipient site. This man, a leader of our field with well over 30 year’s experience, was very surprised to discover that the process of miniaturization was a real entity. Once again, although he did experience a density reduction, it was age appropriate and he continued to look natural.

     

    Some members have suggested that this process should be detectable during consultation. However, information obtained during consultation, despite the highest of high-power magnification, is heavily determined by age. I would challenge anyone to examine an entire class of high school seniors and predict with great accuracy the primary factors associated with aging hair, i.e. who will bald, who will go gray and who will develop donor site thinning. However, our ability to predict the future for these parameters of aging hair will increase proportionately as we inspect the same men at their 10, 20, 30 and 40 year high school reunions. Age of presentation makes a huge difference in our ability to forecast the future and thereby recommend a sound surgical treatment plan.

     

    It seems to me that the sudden appearance of a few patients with what may be recipient site thinning has thrown many members into a state of panic with current thinking being that this will happen to everyone. Rare events such as multiple lightening strikes or multiple lotto wins experienced by a single person do occur – but they are very uncommon, if not downright rare. We have recently seen a few isolated cases of this problem, but we also continue to see thousands upon thousands of satisfied patients who get great results and achieve a lifetime of satisfaction following their restoration. Patients are entitled to know all of the risks, limitations and alternatives available for a medical treatment plan, and this is just another factor that has to be considered. Patient presentation at an appropriate age to a skilled, competent and caring surgeon will tremendously increase the odds of achieving a successful outcome.

     

    Dr Konior

    Great post!! Thank you for taking time to post on this subject! I truly believe that you are one of the most caring physicians Ive ever had the chance of meeting! All I can ask you as that you do not retire anytime soon as I plan on being back to see you early in 2013.

  4. To whom it may concern:

     

    I did a consultation with Dr. Wesley and I was very impressed with the man. I found him to be very professional, knowledgeable and extremely thorough. In fact, I found him to be the most thoughtful of all the physicians with whom I have met.

     

    He gave me his undivided attention. There was no patient advisor to meet with first, no interruptions, no ringing phones and he saw me promptly at our scheduled time—not thirty minutes late, which tends to be the industry standard. He spent well over an hour with me answering in detail all my questions and thoroughly considering all the variables involved. He left no stone unturned.

     

    One thing I particularly liked about him was that he didn’t shy away from competing views and philosophies. He acknowledged that each doctor does things their own way, yet emphasized that philosophical difference do not necessarily equate with qualitative differences—in short, he refused to denigrate the competitor. If anything, he showed an awful lot of respect to efforts and contributions of his colleagues in the hair restoration field.

     

    I’ve come across many doctors who seem to think themselves infallible. I’m naturally suspicious of anyone in any profession who thinks this way. This is not the impression I got form Dr. Wesley. He respects the science, the artistry, the craft, and the various contributions others make to the advancement of HT. He seemed very passionate and intrigued by the science behind it all.

     

    He’s very cerebral, like a scientist with a personal stake in his research, which comes off as passion. Clearly, he’s a man of ideas. He understands that each patient requires a completely different approach. He discussed at length the importance of personalizing every procedure because of the individual variables such as ethnicity, age, family history, hair characteristics, etc...

     

    It was a relief to learn that he only does one procedure a day. I’ve heard of physicians that run their clinics like automated factories. He emphasized to me that HTs require an enormous amount of concentration and detail in graft placement, the angle of recipient incision, design, etc... needless to say, I was impressed.

     

    My consultation with him was the most in-depth and thorough of any of the consultations that I’ve had. He spent well over an hour with me in his office and went through my hair several times with a fine-tooth comb. He certainly taught me a thing or two as well. I learned a lot.

     

    Clearly, he’s in the conservative camp. The way I see it, either you’re conservative or you’re not. That’s all there really is to it. Conservative doctors produce excellent results. Aggressive doctors produce excellent results. I don’t see the point in debating it any further. To suggest that there is only one path of performing URFUT would negate all the fine results from either side of the conservative/aggressive camps.

     

    I learned more in my consultation with him than I did in all my other consultations. He taught me a few things about HT that I had never come across on the forums. If anything, he impressed upon me that inexactness of the science of HT, however, what we do know is encouraging.

     

    As for his results, I like what I have seen, however, I have only seen those posted in this thread and those in his B&A book during our consultation. He is relatively unheard of on the HTN, but that really does not mean anything. Thus, I encourage Dr. Wesley to contribute more high definition photos to the HTN so that the community can come to a well-informed opinion of his work… you’ll never hear us complaining that clinics are posting too many results on the forums!

     

    Lastly, at no point did he try to sell me or assume the sale. He gave me his analysis and explained how he came to it and why. Very professional, patient, no hard selling, no urgency to make a decision, yet genuinely passionate about his work.

     

    Long story short: Dr. Wesley has my recommendation.

     

     

    Corvettester

    Good enough for me! Excellent post

  5. I had a transplant scheduled with Dr Konior for this summer and I had something come up that is gonna require me to wait for a while to have it done. Mainly because I have to save the money all over again, sucks! However , on the bright side now when I have it done I will be right at 40 yo. Im hoping through medical management, 2.5proscar daily, rogaine foam 2x daily, biotin, and nizoral shampoo 3x a week I can at least maintain all my existing hair! Dr Konior has been excellent and understanding. I had a wonderful in person consult with him! I can't wait till i get to reschedule my surgery with him!

     

    My question? Is it truly possible for me to maintain my hair over the course of time while I'm saving for my future transplant?

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