Davis91

Hey Dr. L Hope all is well. You and Wendy are making some AWESOME educational videos, please keep going! I think you said something important on this one that warrants discussion, specifically that one of the issues of HT failure MAY be in some cases that hair grafts put in between non-shaved hair may be uprooted and lost by the non-shaved hair sticking to new grafts in the recipient area. This is of course correct. Moreover there is NO DOUBT that a shaved recipient area is the best option to prevent this, better for visualization by the doc, the placers, and even patient when taking care of the grafts post op. However, a large number of established coalition recommended doctors on this site offer no shave recipient (and donor) FUT and recipient no shave FUE placement. They offer this to the patient to allow for example going back to work sooner or with less obvious work done, some offer it standard, and in many instances their placers are very used to doing it. Again, there are a lot of variables involved to go ahead with non shaved placement (including both doctor and placer training), so the question is with the caveat that it is always better to work in a visually clear placing area, are you saying that the danger of placing hair into a non-shaved recipient zone will sometimes, frequently, or always result in lost grafts due to existing hair sticking to and pulling out grants? This issue may be of prime concern to a subset of patients hoping to get a HT without shaving down their recipient area.

Hello. It is actually hard to give full advise because the graft breakdown would be good (how many in front vs crown). That said it seems from the album photos that the docs did ok to go in the crown with grafts extending into zones that will be thinner later. So that spread out the grafts more and indeed likely 800 more into the crown would help a decent amount. However the thin parts on the temples are not (based on photos) a satisfactory result. Unclear what happened here but either some grafts did not grow, or not enough placed. Also it looks like some double hair grants MAY have been used in the front of the temples vs singles which is not acceptable to produced a feathered effect. If you trust this doc and want to sty local then he should stand by his work and fix the front for free, and maybe you pay for the crown portion. Good news is your donor looks very good. You are actually in good shape hair wise for 43. It doesn't hurt to get a consult or two, and its possible some docs on this site in N. America or Canada can do an online/skype consult with you as a first step.

Great photo documentation !

It does make a difference how techs put in hair. Experienced techs know how to follow the angulatiom of slots made. Slis can be made with needles (bigger hole), or blades and may have vertical of horizontal slits. Techs need to know the intention of the design and that means communication with the doc. How a scalp heals can alter angulatiom slightly as noted. Imagine using corse and curly beard hair in a donor depleted scalp. Forced at a wrong angle on insert it could grow at an awkward anlgle. So while the doc's positioning of the angle is CRITiCA, the techs also have a part to play. Some docs on this site have shown work with some acute angels for coverage. Others have shown work with hair more "straight up." It is theoretically easier to place straight up and down vs acute because it means less manipulation of placers hands. Some docs may make more up and down vs flats angles if they don't have experienced techs or a small team. Researching this is advance with your prospective doc is CRITICAL as docs can and do have their own philosophy and skill set in this. It's not JUST about matching angulatiom of old native hair, it can include trying to cover more of your individual scalp OR in some cases matching angles of another doc's work if you have switched surgeons. Great topic and not discussed enough in my opinion.

Hmmmm...hi Doc! Concussion protocol in effect! Do you not point to your right eyebrow in video one for the old healed scar and in the update point to the left eyebrow for the old healed scar when you meant to point back to the right side (even saying "in this eye?")

1500 won't do much. If you cherry pick via fue all 3s and 2 hair grafts it might do a little more but you'd be using up a good junk of your FUE donor reserve. You have a bigger issue that the front may also be a little weak. You would likely need 3,000 in the crush and mid scalp depending on your head size. You also based on your level may be a way better candidate for strip in the long run due to your current level of loss. More pictures of front are needed.

Hang on now hold your horses. First you have some very good things happening. You have grey hair already relatively short, you at nw5-6 so you aren't going for anything radical like shaving a relatively more full recipient area where It may REALLY stand out that you had something done. Here's the thing: when you get it done at about month 3 and it starts to grown in people WILL know something went down anyway. My advice: go get it done, and when you get your stitches /staples out at week 2 or before, you will get a sense of how to adjust your haircut via-a-via the remaining grafts which will still be on your head but starting to fall out. Redness will almost certainly be there but if you get a little tan before you go you may be able to say you went to a sunny spot and got a little frazzled up top. But you are going to have to own up at some point once the grafts come in and you look kinda weird for a bit as it grows in. While not 100%, if your doc uses blades vs needles there may be less trauma and maybe less redness. Liposomal ATP spray, used by some docs, may also help with local healing and inflammation. And yes, inflammatory diets may not help heal as quick, but it won't make or break redness--you have to expect some light discoloring fir a bit.

Great update on temp smp

It's ok to raise questions about a clinics photo practice. Just know that Hasson and Wong are widely acknowledged as being among the earliest industry leaders I documenting their cases. A lot of their photography techniques were previously discussed on this site by their former rep.

Wibbles If you can and are willing, try shaving down now or get close to see how your head shape is with a close crop. That way you can say if your head shape is condusive to shaving you can plan for different types of options---eg if you want to keep if close you might want FUE. At this point you likely would progress without finesteride to and NW5 maybe with high sides. If you wanted strip now you could do a 3,000 spread and get a great result if you are stable with your current crop.

Remember SUNBLOCK and SUNSCREEN protect against different UV waves spectrums, including what reaches the dermal layer or not. It's worth checking out the difference online so you can be aware. Also you can find a lot of sports caps that note protection against UV rays. It's important not to wear a cap with tiny mesh holes or too light fabric to disrupt any heavy sun.

It could be that there is not a huge sample yet of results. We mostly hear from Dr. Lindsey. It would be good if Drs Feller (approved Coaltion Dr) or Dr. Bloxam (working towards coalition status, but an advocate of MFUE) would show if possible some more ops and also some results with mFUE

YouOnlyLiveTwice I would politely disagree. Dr. Lindsey is really the only HT Network approved Coalition practitioner who has been instrumental in providing consistent photos showing this key part of the operation. They are hugely informative. I can't think of one (I could be wrong) Hasson and Wong post discussing AND showing their inter-operative scalp excessions and closure techique. Cheers

The March USA edition of Men's Health has a great article on the latest efforts and future ones to stop balding/grow/replace hair. Great review of products (current and future), the science of future treatments, and modern hair transplant techniques. Its a nice article for a general overview but written where even the most experienced on this site will get something out of it. Plus...it goes so far as to definitively (well, most likely) declare Donald Trump as a recipient of the old surgical hair flap technique. Check it out if you can.

Not a definitive answer to my knowledge. The question especially on topical application after a HT is ow it would penetrate to reach the grafts. However, topical application likely may not hurt the grafts and MAY help. If recommended by your clinic, certainly it may be wise to follow protocol. Also, clinics receiving shipments will likely have stronger quality control in place for the product vs. you trying to get on your own.

Dear Bill (or David): Are Non-Coalition, non-recommend Doctors allowed to post videos on this site? I think the answer would be yes, if that doctor wishes to be considered for membership. It may be helpful to inform or remind readers of the rules, as Dr. Bloxam has is not a coalition Doctor recommended by this network. AS (BILL) noted in another post: "Regarding Dr. Bloxham, when he establishes himself in time, we can consider him for recommendation and eventually Coalition membership."

I think this is helpful to see examples of one way to do FUT surgery. Readers should understand that there are variations, including injection technique protocol, strip removal method (including vertically/horizontally), suture/staple techniques, placement/angle protocols, and many other factors that are numerous. One interesting reveal is he used what look like scissors to make the recipient slots for the graft. Recipient slots can be made with gauged needles, individually cut surgical blades, and other means. Perhaps Dr. Bloxam can expand on why he used the perceived scissor edges. All in all I think it it great that an established coalition member who has taken on a new, non-caolition Doctor is willing to post a small portion of his technique for a video that may be informative. As always, new patients should do their research and try to understand that each doctor's technique may vary. This raises another question for the moderators... (next post)

Because wavy hair naturally can cover more territory when grown longer. It can tend to be thicker as well.

Bill thanks for replying. Can you confirm that your answers then to my questions two posts above are: 1. Yes 2. Only if results go downhill as a result of the new procedures introduced and/or new practice arrangements. Thanks

Dear David As noted my questions are not about Dr feller. Its for all docs. It's about the standards for this site and its practices. I repost the questions: 1. If you evaluated clinic "a" or "b" for membership and the conditions under which you originally evaluated change, Does membership need to be reevaluated ? 2, if yes, under which conditions/circumstances would you reevaluate membership ? Would be really very grateful if you could focus on those two questions. The first can be "yes" or "no" and the second explanatory, Thanks

Thanks Stig these are good points. Moderators I choose my HT surgeons based on recommendations on this site and the way it operates and also visited an additional 6 more in my search. After approximatley $30,000 spent--and more to come--all I ask to start after 7 years of using your site and your recommendations is to answer in the first instance those two questions I asked by reply to this thread (Bill as you said you would earlier). Thanks.

Asking David or any moderator to answer the two questions I asked above. Thanks.

Dear David This post has over 200 relies and 10,000 + views for a reason--very little of which have to do with inflammatory and personal attacks. This is about standard setting and patient ability to get information from sites like this that act as defacto industry watchdogs. The moderators have been silent mostly--and the mud slinging allows you to do so. It provides you little reason to intervene so unfortunately the focus is list. David--what are you going to do with the standards you set for Doctor approval if the practice changes its operating standards? Please answer this: do you agree that if you evaluate practice "A" or "B" fir membership and then the conditions under which you evaluated it originally change, membership must be reevaluated ? If so under what conditions would you reevaluate specifically ? Thanks

Bill---really keen for you and the Forum team to reply here and quickly. This is a potential tipping point for this Forum and its future ability to provide top notch screening services for its readers. Thanks

Bill---really keen for you and the Forum team to reply here and quickly. This is a potential tipping point for this Forum and its future ability to provide top notch screening services for its readers. Thanks