Patriot34

You're right that doubles in the hairline are generally not what this industry should be doing this day in age. However, 10 days out is not even close to being able to determine this. You will have to wait till you start getting the transplanted grafts growing and can see where they fall into place. It may be possible to tell this early, but there are also other reasons to explain it. Doubles in the hairline can be done but very sparingly and in an artistic manner. There is a lot of info on here regarding this topic. I was a victim of a run of the mill hair clinic that did this to me. It is generally a sign of a hack, not a respected surgeon or clinic. No reason for HT to look pluggy anymore, unless done improperly.

Nice updates and from my perspective I believe everything looks good. I have seen some really nice results from Dr. Haber. I think yours is progressing nicely. How is the donor area progressing? PS hair grows faster when you don't look at it. But keep pictures at least every two weeks or you will regret it later when you want to look back at the process.

Sounds like a very dishonest sales pitch to tell you that by the clinic. You have options. I am not a fan of the SMP and FUE suggestions myself, but I think that is something you need to talk over with a doctor. I think your first step should be visit Dr. William Lindsey. He is near your area and is a very honest doctor and might be able to give you some insight. You need to determine future hair loss, pattern of hair loss, and consider ability to take fin/propecia. If your looked good grown out I think you would probably grow it out, that might still be an option. On the plus side it sounds like Washington Medical Hair Clinic was conservative on the grafts and therefore you still have plenty of donor area available. The size of the scar isn't bad and would allow another FUT procedure to cut over top. This is of course assuming you want to go for the longer hair look to cover the scar. If you are determined to keep your hair that short then even FUE is going to look bad from the back. Keep us updated and we can help you out with advice. Don't do anything drastic till you gather some good research and opinions from those with experience on the topic. The problem is fixable, with the right skill.

I agree with the Doctor's assessment that you are likely going to be a NW7. Where I perhaps disagree with him is that a likely NW7 patient should never be operated on. The transplanted hair is permanent and the scar is permanent and if you end up with the classic horseshoe hairline with transplanted hair sprinkled in on top in a some design then it will look very odd. You'd be better off with a horseshoe or complete shave. However that option would no longer be available because of the goofy scarring from the donor area. I wouldn't look at it as a simply getting hair for the next ten years and enjoying it because the misery you would have after that time frame would not be worth it. HTs should always be approached from a cradle to grave mentality and your last years on this world should be taken into consideration, not just the next 5-10. Obviously, many doctors would be happy to operate on a likely NW7 because of the repeat business, but IMO, an ethical doctor would steer you away. However, if you have reason to believe based on genetics and medication that you are not destined for that level of hair loss then you might be okay. You have a good texture of hair for a HT, but that pattern of loss is not a good sign. Do not put your faith in a doctor for a diagnoses, though listening to their opinions is very beneficial. You have the best research available, as mentioned above, to give a fair estimate of your future.

Stay out of the sun and continue to build a photo journal like you have been doing. No hair would reasonably be growing at this point. The skin will and redness should be fairly normal within the next several weeks. I think the design/pattern looks good. My only concern is that 3.5k grafts doesn't seem like a lot to cover as much area as the pattern shows, however only time will tell. Aloe worked for me. Just put a little bit on the time of the finger and rub it very gently around the redness of the hairline area and see if you get much progress with it. Keep a hat over your head when outside, that's a good rule of thumb for anyone HT or not Take photos every two weeks in the same manner. I would also be sure to document your scar as well, as this will be good information to have down the road. But everything looks as expected. Also avoid hot showers. Try to keep water luke warm, I know it isn't as pleasant but it will help fair skin people like you keep the redness from being inflammed.

Put that clinic who is responsible in the original post to allow future UK patients the fair warning. The US still has work like this done as well. My experience was very similar to a clinic that operates out of Rockville, MD and Virginia Beach, VA. The placing of doubles and larger grafts in the frontal hairline as seen in these photos is an utter disgrace. I can think of no other reason techs would do this other than a cruel joke based on the fact they will likely remain anonymous and will still be hired by the "out of box" hair clinics out there. Can't wait to see some results for this patient.

Consider cutting your hair short and taking photos for better feedback. You will be cutting your hair or shaving your head very close for surgery anyway so that's something you are going to have to be willing to do. I echo the advise above. If you are not a candidate for medication then I would tell you that you are not a candidate for a HT, especially at your age. You'll find a million doctors willing to give you a HT with or without medical treatment, but that should serve a serious red flag to you. Continual loss will happen even with medicine, but without medicine you are absolutely screwed. What is your genetic MPB odds? What do the males in your families look like in their later years? That is going to be your best indication of where you would be so keep in mind that if you have permanent transplanted hair somewhere where there is no more native hair that it will look unpleasant. With Fin/Propecia you can slow it down quite a bit. If you have some good genetics on your side with hair then going forward and filling your spots you would like more density may be realistic, but from looking at the pics you gave I suspect you have some future loss concerns and if medicine isn't an option then you should NOT get a hair transplant.

Nicely done. Let's avoid the "power" and "ultra" sales terms though:) They are misleading with no scientific relevance. 6000 grafts is a huge job. This was a realistic estimate by the doctor. It looks very nice man. It's important for readers to understand that even a 3000 graft HT is a decent sized job so doing two of them is a very large commitment. But this large number is what it takes to get such results from OPs pre and post pics. Are you happy with the donor area? Taking that many grafts FUE can effect the look of the back of the head for sure. Do you have any problems with this or does it blend well?

I disagree. If you look at the pre-op photos you can tell the patient mostly covers his frontal area with a comb over and is nearly completely bald. All the hair you see in the post-op is transplanted hair, which I consider to be right in line with the 3000 graft estimate. With the patient's genetic hair loss traits I would highly recommend he approach this issue with the help of Fin. It's not a good look to have the front covered so well and to lose everything around it! There's only so much hair to be transplanted after all. But as it stands now I think it looks like a nice improvement. Nice work.

While most doctors will probably give you the all clear based on that time fame I still wouldn't risk it. Since there is no scar repair from FUT you shouldn't have to worry about spreading the scar out, but of course there is the risk that the transplanted grafts could get damaged. Most say after 10-14 days the grafts are "secure" but that is an average not a guarantee. I'd play, but I'd reduce my minutes drastically and avoid headers. But that's just me.

Very well done by Dr. Feller. I'm not sure if I'd consider an irregular hairline "creative". I haven't seen any natural perfectly straight hairlines, hence I don't think they have a place in modern hair transplant surgeries.

Very informative and a nice addition to this site. I believe there is a need for FUE in the hair transplant community. But I am still against having FUE done for large sessions with patients who are genetically predisposition for significant future loss. Even with medication patients will have future hair loss if genetics are against them. For this reason the thinning of the donor area will become very problematic with future surgeries. A FUT scar can be concealed with FUE down the road and does not impact the donor area thickness with the exception of the linear scar that is typically minimal and not visible. With a young patients who first go for a FUE and then determine that they can't slow the genetic hair loss down and need additional sessions then the FUE method will leave them looking mangy in the back of their head. Great write up and there is a lot of factors to consider when choosing FUE and FUT, but for me the genetics factor is probably the most important. Don't ever let a doctor steer you one way or another if they haven't so much as tried to ascertain what your genetic predisposition is to MPB.

BEFORE you confirm anything the first talk you need to have is with her. If she is completely unsupportive then you will be choosing between being a hair transplant patient or her. A hair transplant is permanent and something she will see every time she looks at you, good or bad. If she is not on board and is against it then I highly recommend you pull the plug, no pun intended. This could be devastating to your future as a couple. Not only because of the physical change but also the medication that you will need to take for the rest of your life. It is a very big commitment. I am an advocate of hair transplants, but ONLY in the right circumstances and based on the facts you provided you do not have the right circumstances at this time. Besides, if she is happy with you the way you are maybe you can rethink the process in general and find happiness in your current state. I think hair transplants from talented doctors, like your choice, can be a good move for a lot of people but it can also be a devastating, life altering choice if the circumstances aren't right. Hope that helps you and future patients in their decisions. This is not something you hide from a spouse or future spouse and you should consult with them before consulting a doctor.

Before undergoing a 2nd HT, based on the many cases I have seen on here I think it is a must to wait more than one year and probably recommended to wait 2 years. I suppose this will be a case by case though based on all the many factors that play into HTs. And I agree with the comment that it is better to go for multiple smaller sessions as well. But I don't know if there is research that proves survivability rate of follicles is better with smaller sessions. I just feel like it is better to get hair in the spots you want and then fine tune it based on how the growth.

Everybody's case is different. In the end I don't see how a wig is going to save you any grief. I suggest minimum of 4 weeks if possible. When it is all said and done you will just have to own the fact that you had surgery to fix what you felt needed fixed. Nothing to go work and brag about, but if asked I wouldn't lie either. As time goes it is likely that people would know you had a hair transplant procedure or multiple done. They are not as undetectable as patients and doctors would like you to believe, but the patient just has to accept the fact that even though detectable they look better than the alternative. If they don't feel that way then they shouldn't go down this road since it is a life long commitment. I've compared them a lot to breast implants and augmentations for women. I think they are very detectable as well, however I also think many times they look great. With age, all of us who have some sort of cosmetic enhancement will have to face the fact that one day those around us will be able to realize that we had something done at some point in our life. Even Biden's hair looks great from the front and then you see him from the back and realize he is completely bald in the back with a hairline of an 18 year old and common sense wins out. Something all should consider before cosmetic surgeries and I am reluctant to call HT cosmetic surgeries but I suppose that is what it is.

I like the idea. But keep in mind what constitutes as a repair is very subjective. Some consider a repair as work on a previous botched HT. Some consider it a HT after a previous one that no longer looks desirable based on additional hair loss that may or may not be attributed to a mistake of the previous doctor. But I do see some value in it for sure. I like the suggestion.

Nice result. As long as his hair continues to stay stable he is in great shape.

I agree with Blake on this one. I feel I am very good at detecting them. However, with that said I am fairly certain that I have suspected some people of having a HT that did in fact not. I think the majority go undetected. The days of plugs are behind us. At least they should be, but unfortunately you still see some lingering poor results from doctors that should be imprisoned. Mostly if they are detected the reason is because someone received one when they should never have been classified as a "candidate". Some doctors out there will perform whatever you ask them as long as you give them money.

Damn that's a lot of grafts. But with his hair that short I don't see any scar and the work looks very natural. Nicely done.

Looks like nice work. I'm always concerned about temporal jobs like this because future temporal loss is very likely so hopefully as that loss occurs the look remains natural. But no complaints as far as front work. Hopefully you didn't thin out the back of you head too much with FUE.

Research on this site will answer those questions for you. That search button works, trust me. Dr. Hakan should have provided you instructions, follow those.

Here's my advice. Ask for a refund or threaten with posting your photos online with the full story. I doubt they will want to stand by the results if these photos are an indication of how the surgery was performed. Plugs were a thing of the past or so I thought. I would not pursue legal action because in the end no amount of money will make it "right". Start working with top notch HT surgeons recommended on here and see what can be done. IT IS FIXABLE, but it won't be easy or cheap. Another option in a completely failed HT is shaving it completely off and accepting the scar in the back of the head. But I'd just start consulting others as soon as possible. HT surgery is not a poor man's game and hopefully you can afford the cost that you will likely incur.

M1A1, you are the first person who I have heard say that they had positive results using LLLT. Is it possible it is just a placebo? I am in the boat that tends to think LLLT is a gimmick that cons use to make some money on people who want to believe it could be this easy.

Wow that's a lot of work. I'm curious, would you have just shaved it bald if you knew how much work was going to be required and may still be required?

Avoid Botchly. Avoid any clinic that treats a hair transplant like a tire change. If they have sales guys and techs doing all the talking and a doctor who is behind the curtain till it's time to make a cut then you need to always throw up a red flag. A hair transplant needs to be something that is done with the rest of your life in mind. Meaning you should discuss your strategy, genetic hair loss likelihood, risks, expectations 10, 20, 30 years down the road etc. It's sad that some of these guys just want to get you on the hair transplant treadmill knowing that once you get on you can never get off. This site is great because of all the photos and results you can dig up when researching a doctor on here. A doctor's reputation is everything and should be the name of the clinic, otherwise it is probably a company that goes after sales and couldn't care less about the medical side of such a procedure.