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Hair Replacement Procedure | Hair Club ® Is it any good? What exactly is it? This website gives a vague explanation.

PupDaddy, can you tell me more about what mistakes can be made with implanting of the grafts by bad tech's?

The bruises got a little better, but what does it matter? The bruises were barely any better by day 5, and Dr. Karadeniz and Dr. Hairwear above both say that the first five days are when the new grafts need fresh blood. If the clotting choked off the grafts during the first five days, then any healing after 5 days will not bring the grafts back to life. The black and purple areas covered most of the recipient region, with varying shades, so I've lost most of the transplanted grafts. Consider bruises as severe as in my pic. Consider even if Dr. Karadeniz is wrong about their being vein damage. Consider if the same dark bruise was in your knee. Would it really clear up much in 5 days or even 10? Bruises don't heal that quickly, with or without vein damage.

I think I understand. Joe Tillman is saying that the standard of care is to try to implant with high density, while watching for blood bruising and clotting. And if bruising and clotting come, then pack less densely. In this way, you can avoid the massive blood clotting I had, which the veins could not manage to pump away to save the grafts. As long as you aren't high speed densely packing without watching for blood clotting, you should not get the massive bleeding and graft loss I had. And as long as you watch for it, then generally the only other way you might get this massive bleeding is if the grafts are implanted badly as with sticking them in too deeply, as Dr. Karadeniz discusses above. I don't even think I should bother to look if the massive bruises healed up. They did not by day 5, so the grafts are already dead.

I'm not sure you realize that the entire recipient area is blooded with some areas a complete pitch black and some areas more moderate in darkness. So when you say this area, you would be referring to the entire 2300 graft area. And I don't have many grafts left to correct it. Dr. Madhu said I cannot have another FUT, and can get FUE for only 500 to 1,000 more grafts.

Wow, I'm in a great panic and depression. The blackness or internal bleeding has not diminished much at day 5. The tech's worked real fast. The entire surgery with 2300 grafts FUT took less than 3 hours. Dr. Madhu does several surgeries in one day, so maybe the tech's don't have long to do the implanting. Any guess from the picture how many grafts I will lose? I'm actually more worried about necrosis, which could be worse than going entirely bald.

One doctor scared me off about the use of body/beard hair. He said body/beard hair have much longer resting period, and he implied this results in moving 10 scalp hairs giveing you about the same density as moving 100 body hairs. Is there a counter argument?

I actually doubt that in nature someone can naturally be a norwood 1 in the front, while having a big bald spot in the vortex. So it might look crazy, and you might want to fill the vortex. The problem is the vortex is huge, and will take so many grafts. I would really hesitate to fill it because you might bald in the front later in life, and then won't have grafts to fill it. Almost no one considering a hair transplant has enough grafts to spend on the vortex. I'm surprised this doctor has put so much thought into it, when almost no one is a candidate for it.

Madhu looked at it. He said to mail him a picture every two days. The only remedial action he said to take is to swallow aspirin for circulation. Are you saying I should go to a different transplant doctor to look at it?

As best as I can tell, David is saying that you are better off with a Coalition member, instead of a recommended doctor. Guys who are not experts want a bottom line answer: are the Coalition doctors better than the recommended doctors. It sounds like David is saying that the answer is yes, but he doesn't want to announce the recommended doctors are the B team, so instead of simply saying yes, he refers you to the definition, hoping you will conclude the answer is yes, without him having to outright say it. I think that is what is going on. I cannot be sure, but there definitely appears to be some intentional ambiguity, and declination to answer the question, and I cannot think up any other motivation.

Yes. Madhu is recommended here and in India. My impression is he is conservative. First transplant with another doc 2 1/2 years ago was 2716 grafts. Skin felt very tight. Ears swelled. A lot of post surgery pain. This time Madhu cut a second scar saying he can get more grafts that way. Zero tightness. He said he could only get 2308 grafts. (I would prefer tightness and more grafts.) He said he felt my skin does not have the laxity to ever get a third FUT again. I think this is also because he is conservative. He said in addition to little laxity, I have little laxity and only 65 grafts per centimeter density. More than anything, I am worried about a low yield now because of the dark spots in the picture. And I am wondering if the dark spots have anything to do with India. There are a lot of germs here. Madhu said I have to boil water before shampooing with it because there is too much bacteria in local water.

Well, he didn't exactly exclude necrosis. He did not mention necrosis at all. He said, with some confidence, that the dark spots are caused because blood is not circulating to there.

Dr. was Madhu. He is a dermatologist / hair transplanter. He said the dark spots mean that the blood is not circulating there. He said it is bad, but would not give exact numbers.

So I should walk around with a surgical cap?

How bad does the picture look to you?

The hat has no clearance. The recipient area was shaved. The hat would sit on the grafts. So I shouldn't wear the hat?

Why would a doctor choose to be on the recommended list, but not on the coalition list? Do the doctors have to pay more to be on the coalition list instead of the recommended list?

I think virtually all patients are better off putting their finite donor grafts in the front of the hair. It almost doesn't matter how bald the patient is. Even if he is only a Norwood 2 (in the front) with major vertex balding, he is still better off filling the front up to make that part a Norwood 1. No one cares what the top of your head looks like, and no one will see it unless they are an NBA player. The vast majority of HT patients are much higher than a Norwood 2, and for them it is even a clearer no brainer not to waste grafts on the vortex.

This is what I understand, which understanding was hard to reach because they won't give you straight answers here. This site vouches for the good doctors and calls them part of the coalition for ultra refined hair transplants. These doctors, the site is calling the A team. Then the site says there are inferior doctors, who are still better than average but not good enough for the A team. These doctors, this site calls recommended, but not up to the coalition standards. I understand this to be the reality. But if you ask whether the coalition doctors are better than the merely recommended doctors, this site gets all vague, refuses to answer the question, and directs you to the definition for the coalition. It is as if the site is wants to be politically correct at the expense of obfuscation. But there is no way to identify an A team, without labeling the remaining doctors the B team. I guess it is awkward for a site to call the remaining doctors inferior, so this site does that, but is vague about it.

Picture.

The day after my FUT, the doctor said it does not look good. There are dark spots in the shaved recipient area. They look like bruises, like internal bleeding. (Not merely dots, but quarter size red areas.) The doc said that means blood is not reaching the bruised looking areas, and I might not keep all the grafts. He said recipient areas take better during the first FUT, but the skin gets thicker after that. He gave me an injection to help circulation. He said to take off the band that was holding a bandage over the donor scar because that will help circulation. He said to take aspirin too to help circulation. How often does this happen? How bad is it? He says he expects at least 80% of the grafts to hold, but would not get more specific.

How can a baseball cap not touch the donor graft region. A cap sits right on top of it.

I had FUT. Why would it matter which one I had?

Just had transplant. Someone in the doctor's office said to wear a surgical hat for the first 24 hours instead of a baseball hat. She said the baseball hat could damage the grafts. Someone else in the office said not to wear a baseball hat for a full 72 hours. They shaved the recipient area so I got to wear some hat. Need to fly home. Is going to look really weird wearing a surgical hat for 3 days. Any advice?

I am limiting myself to the cheap docs. So which one should I go to?