Hey guys,
I was back on the forum only a few days after the op, after I came home and was quite taken aback with your reactions to post op pics as it doesn't seem to be very promising. Let me share my impressions abt the surgery with you and potentially get additional feedback and advice from you all.
Before and during the operation, all Transmed staff was most kind and professional, on top of the assistance for transfer to and from the airport, hotel arrangments etc. What also may be of interest is the announcement by the Transmed manager (I'll fwd the email exchange to Bill) that the planning and supervision during the surgery will be done by Dr Kulahci, however she was not present in the planning at all but only came in twice during the surgery for about 5 minutes each time, while the surgery was done by Dr Apayidin Ilker, second most experienced surgeon in Transmed. Dr Kulahci came after the surgery was over and told me that the results will be excellent.
Anyhow, Dr Ilker was fully professional and committeed during the surgery and explained. As noted in my first post on the forum, I asked him a few questions prior to surgery (what is survival rate for grafts in mega sessions, what will be the punch size, is medical tratment/regime needed after surgery to improve and boost results and of course, if it would look natural once it's grown). I was told that punch size would be 0.8mm, that the donor area is exellent and that Dr Ilker will take out ca. 3.000 grafts. Also, the expected results are going to be 100% nautral as Transmed applies state of the art techniques and that it would be helpful if after the operation I would take Propecia and Rogaine foam, especially if I am concerned about any side effects. Frankly, I was quite satisfied and reassured after the operation that all went well and that effects will be as desired, until I saw your comments and concerns which I greatly appreciate but find really upseting and would invite your advice on anything that can be done to make this endeavor worthwhile.
To go back to the surgery - after I was given answers to the initial questions, we started the surgery with a very dedicated team that paid attention to me feeling comfortable and going through the extraction process in a releaxed atmoshpere. Three hours later, I was told that they extracted 3.200grafts, most of them (2.250) with three and four hairs, 650grafts with two hairs and 300grafts with one hair. Following the extraction came the planning phase although Dr Kulahciwas not present but I had trust in Dr Ilker and remained confident that the surgery will go well even without her present in the planning. It was explained to me that 2.300grafts will be placed in the frontal area and 900grafts in vertex and should I wish for better results in the vertex, I am welcome to be back in a year for evaluation and adding grafts to the vertex area. According to this distribution, Dr Ilker made channels asking me kindly not to pose questions during cahnnel-making as he has to do the counting. Technicians who performed graft selection were most pleasant and told me that graft quality is excellent which only added to my confidence in final reuslts. In the afternoon 3-5 technicians were engaged in placing grafts into channels (technicians were changing every half an hour). My personal impression is that this segment of the surgery was done very carefully, whereby at the end of that stage Dr Kulahci came to supervise and seeing my situation, claimed that results will be outstanding and Dr Ilker fully agreed with her statement.
After the surgery was done, I had a short conversation with Transmed Manager Taner and Dr Ilker who provided me with a list of medications to use five days following the surgery and while in the pharmacy I also bought propecia supplies for the next six months. I left the clinic feeling most positive about the surgery and hopeful of its outcome. I don't know if I beld and scabbed alot although I didn't feel I did. However, since they used punch size 0.8 I'd expect that there was some bleeding as it would be the only explanation for graft size you saw on the post op pics.
After I came to the hotel, I posted the pics on my profile and when I saw them, it appeared to me that in the frontal area grafts are placed like in a stadium row (as you noted) but bearing in mind that I have some of "my own hair" in the frontal line, I still believe that the applied placement method might be appropriate. At the same time, vertex distribution was a bit of a surprise to me although I was told that I would need to refill the area in one-year's time and after seeing the results of the surgery aided by taking propecia. Still I was very happy because I passed the surgery and made the significant step from my perspective (Toppik is an amazing aid, but not good for gym and sports as you may know).
I really read alot over the past years and tried to bring myself up to date with modern trends in hair transplant techniques, but now it seems to me that I remained ignorant in spite of all my efforts to prepare well and make the right choice of the clinic/surgeons, should any such thing exist in transplant terms. Please don't get me wrong, but I have to admit that my enthusiasm about the surgery, clinic and positive outcomes was deeply shaken by the comments to my post op pics on the forum - while I'd like to maintain my belief that the results will be as expected, I look fwd to your continuing comments and constructive input to make my prospects better if possible.
I do appreciate all your comments and input and would be thankful for advice on anything I can do at this point to improve the effects and results. Also, you may rest assured that I am a real patient and that my case is truthful as my only motive for joining the forum and spending time to read and post is exactly to share my experience and concerns with all of you and learn from your experiences which I find helpful and informative.
Today is my fourth day after the surgery (a new ear has begun and I am taking the new count) and I will post fresh pics during the day today
Many thanks again!
Lisco