jmghair

On 6/26/2020 at 4:03 PM, ukpaitent said:

Hey, I will be posting month 7 mid July. I do feel that It is lacking density and see through but I am 6.5 months and will give it a few more months to mature. Did you go back for a top up etc? Do you have any pics ?

I do have pictures. I ended up going the FUT route as I felt the 1800 FUE gave me poor results.

On 6/26/2020 at 2:23 PM, Taken4Granted said:

@jmghair

Dude, avoiding the linear scar is the #1 reason FUE exists in the first place. When I say it’s less risk, I don’t mean it can’t turn out poorly for some people. Who was your surgeon? FUE leaves scars to be sure, but you should not be so traumatized.

He is a top FUE surgeon. With FUE you trade the decreased possibility of scarring by using a small punch with yield because the smaller punch takes less supportive tissue which decreases the rate of graft survival.

On 6/29/2020 at 5:31 PM, ruca2 said:

He said he didn't want it lowered under where his current hairline reaches so not sure why you would give him this hairline. Also, you thinking 1500 grafts will give adequate density dropping his hairline 2cms is just plain wrong. Please don't take this advice. 

If you were to lower it the amount shown with the blue outline it would take way more than 2,000 grafts (closer to 4k). This may sound excessive but if you only used 2k grafts in that region, the hair would look sparse and thinned. 4k would give you adequate density. A better idea to save grafts would be to fill in on each side of the forlock and temple angles but not bring down the center of the forlock. This could probably be achieved with much less grafts (2,500) and improve your look drastically.

On 6/26/2020 at 6:17 PM, ruca2 said:

FUE being hit or miss is an antiquated take on a very viable extraction technique. It comes down to surgeon selection. If a patient does their research and chooses an ethical, well established surgeon with years of experience then the technique doesn't matter. Both will yield similar results in the hands of of skilled surgeon. Now whether or not you think a patient needs to start with FUT to maximize donor capacity is a different argument. That usually comes down to donor characteristics and not actually dependent of extraction method. Your experience with FUE may have been negative but I don't think it's prudent to be telling prospective patients just starting their journey to disregard a surgical option based on your own bad experience. Once again if you went to a top tier clinic you would probably be happier with your result.  

This couldn't be more incorrect. Even top clinics have cases of poor FUE yield. I know because I went to a top FUE clinic and had poor yield. The truth is many patients have had this as well. The truth is that for all the good results you see there are many patients that you don't see. The facts of the the science behind the surgery is that FUE grafts have less supportive tissue due to the small punch size which decreases the likelihood of graft survival and takes less stem cell from the transplanted grafts. This isn't opinion this is a scientific fact. It is absolutely prudent to tell patients what the risks are with each so that they can make informed consent. Saying the yield will be similar is 100% false. The yield of FUT will always be superior due to less trauma to the grafts are just better quality because of the amount of supportive tissue it allows you to take. Any prudent surgeon would agree.

On 6/28/2020 at 6:24 AM, xabi86 said:

No I think he meant stretching the old scar. I’m pretty sure he meant that. 

This doesn't make sense. The old scar is cut out when the new strip is taken. At that point the old scar will not exist anymore.

4 hours ago, Taken4Granted said:

@jmghair

I mean it’s less cosmetic risk because it doesn’t leave a linear scar on the back of your head. Even if you’ve done FUT, FUE is less risk than a second FUT because the scar can def get worse and more visible. If your hair loss is moderate enough to address with FUE only, speaking long-term, then that’s what an ethical surgeon will usually recommend for precisely this reason. No matter what, you’ll reserve the option of buzzing it down and giving up on hair. With FUT, you have to maintain coverage or accept a George Castanza hair style for the rest of your life - or bare your scar for the world to see.

This couldn't be any more incorrect. I have had both. The FUE scars are worse. There is more cosmetic risk with FUE. The risk is that the yield will be poor.

9 hours ago, xabi86 said:

Yes Dr Rahal believes that I have another FUT i’d be stretching the current scar.

You mean stretching the new scar? After a new FUT procedure the current scar would be cut out.

3 hours ago, ruca2 said:

Firstly, he wouldn't be "wasting grafts in the forelock". If you look at the first cm of his hairline you would see that these are miniaturized hairs that are on their way out. Any transplant around the hairline could potentially shock these out so you have to reinforce the area or else he could end up with strong temples and a receded midline. This equates to unnatural. Meaning doesn't occur in nature and will draw attention. The goal is to recreate a hairline that is undectable or "natural" thereby not drawing attention to the restoration. Secondly, a blanket statement about FUE being hit or miss is kind of ridiculous. I'm not getting into an FUT vs FUE argument as it's an exhausted topic. The reality is if he goes to a quality surgeon he will get a quality restoration regardless of extraction technique. FUE cases of 2000-3000 grafts are routinely being done with extremely high yielding results. 

 

His forelock looks fine to me. It looked thin in the pic where he is pulling his hair back because the hair is at a weird angle pointing straight forward. How is it FUE being hit or miss ridiculous? Its a fair statement. I'm speaking from my own experience as this patient has a hairline similar to mine before I had my first FUE procedure. If so many grafts are at stake its prudent to go for the highest yield possible.

1 hour ago, Gatsby said:

+1

There are a couple of patients that show their results and personally they missed so many bullets and were lucky getting a great result. However, if you do your research, the main factor people go there for is because it's so cheap. Why? Because a hair transplant surgeon doesn't just focus on performing one surgery on you for the day. They perform on up to 10 or more a day. It's well known that ex barbers, taxi drivers and Syrian refugees are involved in performing hair transplants in Turkey. I know this sounds crazy but it's all the more reason to be super critical in doing your research before making a major surgical decision that you will have to look at every time you look in a mirror. Look for a surgeon who does all, if not most of the operation and ask about the team who work with that surgeon/surgeons. What parts do they take in the procedure? How long have they been part of the team, etc. Their have been some good results that have come out of Turkey but you want to minimize the risks of a bad outcome, not maximize them. All the best!

Even if you took all that out of the equation, FUE is risky enough with the risk of graft trauma low yield etc. Couple that with the lack of any regulation out there and its a recipe for being super f*cked.

On 6/14/2020 at 7:06 PM, Taken4Granted said:

If you have a bad HT, losing your deposit will seem like a petty concern in retrospect. I’m aware that Rahal has done outstanding work, but I ruled him out for my first HT (strip) bc some of his patients do have unacceptable results. It’s less risk with FUE, but you should never go under the knife with a surgeon you don’t trust. Can you share some of these bad results you mentioned? If ALL the results you can find are unacceptable, it could be an issue with your expectations.

How is it less risk with FUE?

I agree with @Tbcruz and @Egy. There will be slight improvement, but no drastic changes. This is why it is a big risk to have an fue procedure with so many grafts. Given the hit or miss nature of FUE, if the yield is poor so much of your precious donor is at stake. Hopefully you haven't depleted your donor to the point where a strip can't be taken for repair. That being said, like mentioned by @Melvin-Moderator this is still decent improvement and when it layers it will change your look a lot.

On 6/22/2020 at 3:24 PM, Sam818 said:

You’ve met the doctor in person which was a great thing and came away feeling good. Now your having some doubts which is totally normal. I never had a procedure with Dr. Lindsay but one thing I always liked about his videos is he seem like a “no BS” kind of doctor. And his responses to you are very much along the same “no bs” attitude in saying he will do his best. That’s the only thing an ethical doctor will guarantee you is that they will do their best. I agree though he could do a better job of providing a more detailed answer to you. At least you have direct contact with him and not a consultant. 
      The best advice I can give you since you live in the area is maybe try to see if you can speak and possible meet up with a couple of his patients in person if possible to ask them about their experience and see the results. If that doesn’t put your mind at ease then you shouldn’t go thru with it and consult with more doctors. Good luck with everything!

That it was you want with a doctor. Not overpromising goes hand and hand with informed consent. Better to be honest and not make any guarantees and give the patient the facts than to overpromise so the patient has a false expectation.

According to dr sethi at eugenix, the heirarchy when it comes to bht viability is beard, chest, pubic, abdominal, then leg.

I don't think it is safe for your hair. Turkey is the botched hair transplant capital of the world.

7 hours ago, xabi86 said:

Hi jmghair,

 

Dr Rahal’s view is that another strip is not suitable for me. I guess I could consult with another doc perhaps hasson & wong.

 

 

Did he say why? You should consult with Doctor Feller. I know there are some people that have had 7 strip surgeries.

On 6/12/2020 at 6:08 PM, ruca2 said:

It looks like you have significant miniaturization in at least the first centimeter of your forelock. So that would need reinforced along with filling in the completely hairless temple areas. You could probably get away with 2000 grafts but it wouldn't have significant density. For a dense result with reinforced frontal you're probably looking at 2500-3000 grafts. 

Why waste grafts in the forelock? Strategically speaking, if he already has hair in the center the wise thing to do would be to pack the sides and temples. I agree with 2,500-3000 graft estimate. Furthermore, Its a mistake to be considering FUE. You're rolling the dice with FUE when you need that many grafts. Many take it for granted they will have good yield with FUE what with all the online photos. Reality is that its more hit or miss. When you need such a large number (~3k), its not worth the risk. FUT is a much more safe bet.

2,000 at least to match density and fill in the temple angles. But it will come at a cost like the others said, so there is supply and demand to worry about.

From an FUE standpoint your donor is probably not worth touching. If you had only one strip so far, have you looked into the possibility of a second strip procedure? Perhaps a good FUT doc could get another 2k strip out of there.

On 5/17/2020 at 9:37 AM, Clark.Ethan said:

Usually in 5-6 months you will see 80-90% how your hair transplant looks. You have the same problem as me, I can see the scalp through your hair because the density is lacking.80%  I will say you will need a third HT for density.

I think I agree with this. Ukpatient, your results look similar to the results I had with Dr. Bisanga. Honestly I was a bit disappointed in my outcome as well as my hairline ended up see thru and lacking density.

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I had an FUT procedure with grafts placed to my crown and hairline two days ago. I washed my hair for the first time post-op 24 hours after the procedure without touching the recipient area. I forgot I had to use baby shampoo only and used Head and Shoulders shampoo. I did it today again on day two until I realized that I was using the dandruff shampoo. Will these two initial washes at 24 hours and 48 hours affect my results? I didn't apply the shampoo directly to the site, instead diluted it in a container of water and poured it onto my scalp. Has damage been done? Should I be concerned?

hi, I am a Hairdresser now working with Interlink (is a hair enhancement technique). I have a lot of clients that went thru a Hair transplant and some of them weren't happy about the fullness and anothers have concerns like yourself. I work with this clients doing this technique to achieve a greater fullness that covers the scaring from the HT. This technique is undetectable because the hair is attached strand by strand. I think if you get this on top of what you have it will have more of a natural appereance and you wont have to worry about people starring. This technique will cover the areas exposed.

Bill please ban this spammer.

There is no way you would be able to tell I have had any work done other than me telling you-its undetectable. Noticeable hair transplants are a thing of the stone age.