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Dr Gabel- Impressive result. Do you have immediate post op pictures that you can provide showing the placement etc? Is this patient on meds?

Great scar with additional grafts will be even better. Impressive case that has held up Doug OP has very mild loss or is on meds or both ?

I think the work is below average based on what has been presented. The last picture looks good but the previous photos clearly shows a lack of density in the corners. As Sean mentioned we may need some more photos at different angles to make a better analysis. A lot of grafts have been used on a relatively small area in your case.

And let’s not forget the questionable extraction pattern that was extracted quite low in the donor zone. Is there a reason for this Odd.

Also why is the thread labeled “2000 Artas/Manual FUE” this is quite confusing for perspective patients and the Artas machine should not be confused with a manual punch FUE Case. Apples to oranges in my opinion..... A manual punch typically is being used by many of the Elite FUE surgeons. Artas is being used by amateurs and mediocre FUE surgeons primarily. The pictures? Why even post these.

Dr. D excellent result. The patient must be thrilled. What size punch was used ? How many remaining FUE grafts do you think this patient has left? Your work continues to impress.

KO’s result are sub par if we are being honest and objective . If this weren’t a well respected surgeon and was some random Turkish clinic everyone would even more likely to view the result this way..... that said KO still has some options ..... wibbles point about Rooney is pretty accurate as well. His hTs less concealers and styling are quite poor. I think with his head shape and athletic frame he would have been better off shaving or SMP.

Great work. Love the hairline design for this patient. He must be thrilled with result.

Great Selection for new mod. HT Soon as always provided transparent and sound advice. Congrats.

Dr Devroye, This is a great case your patient must be thrilled with his results. A lot of real estate covered with 4225 grafts. The hairline design considering that amount of loss is great as well. A nice age appropriate placement that isn’t too conservative and should suit him very well in the future. how many FUE grafts does this patient have left to utilize for future procedures if needed? I imagine he has exhausted close to 5000 grafts and would be interested to hear what is left of his donor? Terrific work.

Fantastic result. The hairline and front look terrific. This is as natural of a result as you will find. Did you notice much of a texture difference with the BHT that was used compared to scalp hair? Best of luck if you decide to finish off the crown in the future.

Outstanding work.

You have one of the better clinics in the world in your back yard. Have him do a consult with Matt at Shapiro Medical Group. It would also be wise to look in Dr Konior in Chicago. He is considered by many to be the very best in the business but he does have a long waiting list. Your brother won't have to travel very far to consult/visit with two of the best clinics. I have never heard of the doctor you referenced. :confused::eek:

Brilliant work.

Extremely impressive result. Doug 1. How old is the patient? 2. Did this patient start taking meds after the transplant? 3. It is tough to tell in the images (appears not) but was any temple work done in this case? Life changing result for this patient. Great work.

Bill, I believe that HLS2015 has already given you info on unhappy Rahal patients in a previous post; "Why he has a consistent pattern of over harvesting donor areas. Let's get Sean, Sharkman, Bridget Jones, The Flyer, Marco (FUT), etc to chime in here." I think most forum members who have been around for awhile are very much familiar with Sean's unfortunate experience with Dr Rahal.

KO, I agree with some of the previous posts but like yourself given where you started the final result appears still appear to be sub par. As HTSoon mentioned I would consider growing your hair longer and side part or comb back. This should make your hair appear denser. I would circle back with the clinic if you haven't already and get their take. A second pass/repair to add density frontal 1/3 and mid scalp may be something to consider. Best of Luck!

Doug, Can you explain why H & W implemented a motorized .85MM punch vs the manual .08MM punch I have seen on the majority of the other H & W FUE cases you have presented? Is this change case specific or have you implemented this change for all of your FUE cases? If yes can you elaborate on why the change was made? The patients results look good. What is the patients remaining donor capacity estimated at?

KO, Sorry to see that this result did not turn out as expected. As you have been a long term contributor to the forum and clearly did your research this is disappointing so far. Have you spoken with the clinic regarding the results at 10 months and what has been their feedback? Hopefully things improve for you over the next several months.

Impressive effort on your reply. Thank you. But nope. None of the things you listed are advancements in FUE. Dr. Feller every single thing that was listed is a clear advancement of FUE. If those clinics didn't feel that was the case it wouldn't be presented in FUE workshops highlighting the "advancements" in the field. Not a single graft coming out of the scalp via FUE today is affected any less by the three detrimental forces than they were 17 years ago. It is this reality that cuts through all the noise and the hype. Dr Vories has posted that he has been able to overcome these forces as some many other elite FUE surgeons have done as well. This is evidence in their results which is what the patients are after. 99/100 grafts The fact remains that each and every clinic you discuss in your post shows more FUT results than FUE results by a huge margin. And I ask again, if they believe FUE was the equivalent of FUT why would they keep performing FUT ? Why would there be any FUT presentations by them at all? They clearly feel that both methods are sound and has there pros/cons. Dr Konior recently suggested FUE for a patient as opposed to FUT? Why is that? Dr Konior's reputation and results stand out even among the elite. Why would he suggest FUE to a patient willing to undergo FUE if he didn't think the results would be the same? I can't speak to why any particular clinic would choose to jeopardize their good reputation by performing FUE but I can make an educated guess. Wishful thinking, internet hype, and shameless/illegal marketing schemes have misled potential patients into believing FUE is the equivalent of strip. I can see how this happened on this very website by the incredible rejection of reality by so many posters. This is absurd to think these world class clinics would be swayed in such a manner. FUE has become a religion on this and other websites. So to keep the doors open these doctors believe they had better offer FUE or perhaps go out of business. They are just giving the public what they think it wants. The problem is that it is wrong and unethical and can't be justified when the realities of the procedure are compared to that of FUT. This is a reckless and irrational theory of yours. Are you implying that SMG, Hasson & Wong, & Konior would go out of business if they didn't offer FUE? Konior has a one year waiting list for FUT patients..... This is equivalent to Lavar Ball stating that he can beat Michael Jordan one on one (in basketball). Is this the knee jerk response that you after to keep people tuned into the next outlandish remark that gets made? That's why, at least in the United States, informed consent is where the BS stops. Failing to inform a patient of the differences between the two procedures and the specific disadvantages of FUE in particular is a violation of most if not all State Medical Board regulations. This can lead to medical license suspension or revocation. It can also lead to civil action. The medical boards of other countries, especially the third world ones, don't seem to give a damn. Physician accountability is non-existent especially when the procedure is elective. You focus on all the "successes" posted online by FUE doctors in general. That's very nice, but how many failures and unhappy patients do you see on these doctors websites ? None, of course. No sane doctor would do that. But there are plenty of unhappy FUE patients on this very website that you completely ignored in your post. There are plenty of unhappy FUE and FUT patients Dr Feller. You would be remiss not to mention the failed FUT cases for which they are plenty. How many unhappy patients were given money back by their doctors in exchange for keeping their mouths and keyboards quiet? Again this happens with both methods FUT & FUE so another moot point. I can guarantee you they exist because such patients have come to my office and told me their silence was paid for by their doctor. You didn't mention them because you have no idea they exist. But they most certainly do. I have been reached out to by forum members who weren't happy with the results on many instances asking for options etc... I don't doubt you have had your fair share of repair cases but yet again those aren't only FUE cases you have repaired? I presume you have done your fair share of FUT repairs, scar revision etc ? Most or all of your entire field of view concerning FUE and hair transplants in general is from online reading. That is simply too narrow of a view for you to be truly informed. All I can say is trust me when I say there is much more to the picture than you can possibly be aware of. Please enlightenment us all and elaborate on what we aren't aware of so we can be "truly informed"

This isn't accurate there have been several advancements in the FUE procedure; 1. Devroye- WAW Punch 2. Edrogen- KEEP, coverage value tutorial, donor capacity measurements 3. Lorenzo- Coverage value tutorial. 4. I am not a proponent of the Artas but Dr Alexander & Dr Arocha's clinics have continued to mention the advancement of the software along with improved results. 5. Dr C***- CIT, along with numerous punches being utilized by some top surgeons. *6* FUE is also currently more popular than FUT. In my eyes "advancement" and "detrimental forces" are two different topics. It would be nice to hear how these forces have been overcome (clearly they have, how much precisely would Be nice to have more data on) based on patient & clinic posted results. FUT/FUE surgeons do not need to come on here. They are not the ones making the FUE claims. But if you want to "hear" from the FUT/FUE surgical crowd they tell you every day where they stand on the FUE vs. FUT issue, all you need to do is know how to listen: I have "listened" and the majority of them performing FUT/FUE would disagree. I think their silence is deafening and more of them would have chimed in but their results simply speak for themselves. The results can't be argued and I don't think they are cherry picking all of these cases any differently than your clinic would cherry pick your FUT cases. I still have not seen a large case of yours 3000 FUT+ that rivals any of these FUE surgeons; 1. Dr Cueto 2. Dr Lorenzo 3. Dr Diep I am sure you have seen the results on you tube for yourself as there are hundreds of videos. Most prospective patients bottom line is what are/were the results from the procedure. If the detrimental forces were overcome (evident in these clinics) less the linear scar which NO ONE WANTS then they are satisfied in the end. A linear scar is a deal breaker for a large percentage of prospective patients. Look at their websites- H@W, Rahal, Shapiro, T@D, Cooley, Alexander, Gabel, Konior All show mostly FUT procedure results and virtually no FUE results. Look at the cases they themselves choose to post on this site every month. You can be sure they pick the very best result they can find for the month because they know it will be scrutinized for years and become the basis upon which they are judged professional-these results are almost always FUT results. Why do you think that is ? Hasson & Wong don't have an extensive list online as they haven't been performing the procedure as long. They have mentioned on these very forums on multiple occasions now that their FUE results are on par with their FUT cases. They use the same protocol as Dr Koray and frankly their FUE cases have been pretty spectacular that have been posted to date. Rahal has posted numerous FUE results that again rival his FUT results and his clinic reps have mentioned comparable success with the two procedures (see patient rep Matt's results). Plenty of results on these very forums to be viewed if one were willing to research. SMG has stated that their FUE is on par with their FUT results. A lot of members are eagerly awaiting the results of the FUT/FUE combo case study. They have plenty of results that have been posted (see patient rep Matt Zupan's results which were pretty rock solid). Their website has a pretty extensive FUE catalog of results as well. Konior/Gabel- two of the most ethical doctors based on patient reviews and forum feedback. The results of their FUE results yet again are comparable to their FUT cases. Dr Gabel has a pretty extensive amount of FUE results that have been posted. Of course these clinics have more FUT results on their websites as they have been performing the procedure longer. I am not sure if these clinics have ample free time but a lot of the "websites" are often outdated in my personal opinion and that could be why their isn't more to view? That would be a question you could ask them. So again while I do admire your persistence I simply can't get on board with your line of thinking. I believe FUT has it's place. I can't be convinced that these clinics would be continuously performing these surgeries if it was as nearly detrimental to these patients as you make it out to be. If they weren't producing quality results would they continue to perform procedures that they new were doomed to fail? Why would they do this? These clinics have reputations that have been hard earned through the years of producing world class results. Why would they jeopardize their reputations by performing FUE if it has as many flaws have you & Blake have boldly claimed? WHY DO YOU THINK THAT IS?

"Not true and you know it. 1) Dr Lupanzula and Dr Bhatti have both come on to debate you" AGREE. LETS NOT FORGET DR. JIM HARRIS AS WELL WHO LATER RETRACTED HIS STATEMENT AFTER MANY FOLKS HAD ALREADY A CHANCE TO VIEW HIS OBJECTIVE OPINION. DR MICHAEL VORIES ALSO HAS JOINED THE DEBATE AND HAS DISAGREED WITH BOTH DR. FELLER AND BLAKE ON MANY ACCOUNTS. SO THERE HAVE BEEN FOUR WELL RESPECTED SURGEONS WHO HAVE DISAGREED, AND WE ARE STILL WAITING FOR ANOTHER FUT/FUE HT SURGEON TO JOIN THE DR. FELLER CRUSADE OTHER THAN BLAKE.........

"Robotics is not the problem...the problem is the degree of skill or competence of the individual using the tool." __________________ I couldn't disagree more and the results speak for themselves. Some of the most respected clinics who have implemented the Artas are no longer using the system. Rahal, Shapiro (SMG), and Hasson & Wong who clearly were after the best method possible for their FUE extraction. A statement from Hasson & Wong website; We have spent the last four years researching the FUE process. We have looked at manual punches, multiple varieties of power punches and purchased an Artas robot. Each technique has been assessed from multiple angles and in great depth. Approximately six months ago we made an assessment and came to a conclusion. The best technique -in our opinion – and by a large margin, was the manual punch. I would like to thank personally our friends Dr. Jose Lorenzo and Dr. Korai Erdogan, for their very kind assistance and opening their doors for us -so we could learn their techniques. This speaks for itself.

sure thx. H&W is a really good pick, however for some reasons I can't leave the U.S. As for Chicago Hair Institute the wait time is way too long and also expensive to me . For SMG, it seems to me their approach is too conservative. Any recommendations for any doctors in the U.S who are more aggressive or well know for lateral slit dense packing ? I would also consider Dr Gabel & Dr Cooley. Are you considering FUT/FUE ?

I would also take at look at the costs as well which are quite high even compared to the elite clinics. H & W, SMG, Chicago Hair Institute etc... Hair Transplant Cost | Hair Surgery Pricing | Feller & Bloxham Medical Not being able to choose your surgeon would be an absolute deal breaker for most and costs are excessive even for NYC.