MrGio-WHTCClinic

The post-op instructions are supposed to be helpful and effective in avoiding infection. The photos are not clear. Can you post a few more photos with better resolution? From the photos, the scabbing remains and hair fragments may remain below the surface. If you still have this degree of scabbing and redness, it's quite possible that all of the area needs to be cleaned and freed of hair fragments.

All things are equal among FUE and FUT, especially aesthetic results. However, hairs per graft are more likely to be more with FUE. The surgeons who are newest to FUE don't produce the level of consistency in aesthetically pleasing results. The level of trauma is as good as the surgeon's skill set and training allows. The leaders in FUE all have one thing in common; experience, which can't be taught. One surgeon will present a better yield and consistently minimal trauma. To further my opinion, there are surgeons who innovate, and there are surgeon's who rely on their name. To separate the best from average, training, instrumentation, and artistic ability are key. Poor FUE signifies poor practices, attention to detail, and training. If one surgeon is better at FUE or FUT, that surgeon will produce the better result. The entire reason for FUE is a matter of donor results. Current poor FUE results are performed by clinics and surgeons who are newest to performing the method. FUE is not better than FUT, the difference is merely a matter of expectations in the donor. We can compare the differences among the most versatile surgeons with new surgeons and see that experience is a leading common denominator. Furthermore, expert surgeons can remove poor aesthetic FUT and FUE results. Think about it; in this community, FUE results are best represented by the most experienced surgeons and clinics. Experience separates the majority of good FUE results, bad FUE results, and ugliest FUE results. We can study and observe how yield, transection, and aesthetic quality are produced very similarly among results in the hands of good surgeons who posses the versatility. Learning curve can be an issue for new FUE surgeons. The investment of time and determination to perform the physically exerting work is demanded by FUE, and that may be the factor that separates many poor FUE surgeons and their FUE results. That said, be mindful of the differences in geographical locations of today's acceptable FUE practices and results. FUE is an extraction process that is far more complicated than FUT. FUE requires specific protocols in handling of grafts, graft storage, and instruments with the technique. There are simply great FUT surgeons who perform poor FUE. Poor FUE means improper growth angles, misplaced grafts, and high graft transection. The best aesthetic surgeon practicing FUE and FUT is the evidence that no one technique can be performed to be more superior; results are specific to a surgeon's ability, training, and education. That said, don't look at the doctors who charge cheap and produce cheap, economics is irrelevant in this thread. Lastly, various FUT clinics have technicians handling and dissecting grafts while FUE is more dependent on the surgeons skill for graft removal. These are reasons for the trend of 'poor' FUE results; skills, training, artistic ability. In consideration of poor FUE, experience is above all.

Using beard in the areas behind the hairline may benefit you. Have you considered using your scalp hair in the front and then restocking the donor area with beard hair? You could maximize your resources with this approach.

Look for the results and research who does FUE in these locations. Maybe try with the certification boards or the cosmetic surgery societies (e.g. International Society of Hair Restoration Surgery (ISHRS). All the best...

LookingforHelpWithThis. Are you more concerned about the temporal regions or the frontal hairline?

Our surgeon does most of the physically labor in the process. We do the procedure in one concerted effort. The surgeon controls the phases of the entire process. The surgeon physically removes the grafts and implants some of the grafts. The grafts are placed by the assistants, but the doctor performs the incisions for the placement of grafts into the recipient zone. The entire process is done under the quality assurance of the surgeon. This is not the case at every clinic.

Should you be inclined to recognize your hair transplant surgeon’s impending plan to restore your hairline, translating the physical details may be difficult to accomplish. The final result of your hairline may or may not be consistent with the visual evidence within the immediate post-op design. The design of the hairline should not only frame the face but also be unique to your characteristics. Obviously each patient has unique goals, but the hairline’s curvature and location can be similar to what is seen in the immediate post-op period. After a patient leaves the care of a given clinic, there may be some swelling on the frontal hairline, so adherence to post-op instructions is important. Scabbing naturally occurs and should subside within about three to four weeks but some pinkness may remain. Before and after scabbing discontinues, there may also be visible hair fragments that accompanied each successfully transplanted graft. In many cases that don’t involve corrective hairline work, the new hairline can be located within about one centimeter of the hairline design. After healing, the actual appearance and density of the new hairline can easily be unpredictable. Under a given measure of magnification, a given density can be calculated by the surgeon, and placement will be consistent to your goals and surgeon’s standard. For example, more conservative surgeons will prefer to place a 40-year-old male’s hairline at 40 follicular unit grafts per square centimeter. Although the final density on the hairline can remain unknown to patients, placing too high of a density might adversely affect the growth. Surgery only offers the illusion of fullness, so no patient should have surgical hair restoration if expectations aren’t properly managed. As a treatment solution, hairline restoration can only be consistent with your goals and donor availability. Those who seek hair transplant surgery and manage expectations can effectively navigate on the road to combat hair loss. Hairline repair patient of My World Hair Transplant Center in Europe - Dr. Patrick Mwamba Top Left: pre-op hairline design, Top Right: immediate post-op Bottom Left: 3-month follow-up, Bottom Right: 6-month follow-up

True...

The FUE surgeon's experience is the issue.

Ephraim. You are going to need to travel outside of Kolkata to get the results you want. You should post some current photos. Do you want to repair the effects from the first surgery?

Dear Afronation. If you haven't already been privately contacted by Dr. Patrick Mwamba today, please let me know so that I can take care of you. This degree of patient care is not in the character of MyWHTC and Dr. Patrick Mwamba. Dr. Patrick Mwamba has been traveling and away for some time over the last six months. I truly apologize for your inability to successfully get any response from MyWHTC until today. I would appreciate it if you could contact me via PM so that I can follow-up with you and address your every concern. I look forward to hearing from you. To forum management, I apologize about this occurrence.

Thanks for sharing, normalguy1. Sorry to learn of the heartache.

Have you changed your diet or physical fitness activity? When did you first check your laxity?

The recipient zone is negligible to graft survival. Shaving the recipient in FUT is not today's standard.

I would take another direction in expert views. I would pursue the opinions of additional surgeons before attempting to correct the appearance of scars and improve the illusion of coverage. These are two different goals; and which may involve treating the scars (skin color and physical texture) before adding hair or simulated hair is effective as a solution.

@palmtree91 Welcome to the forum! Proscar is a.k.a finasteride and can be very effective in conjunction with minoxidil, but check out the forum for those who have experienced side effects (sexual - decreased libido). Hope to see results in about 6 to 12 months. All the best...

Thanks for sharing. Graft placement looks sufficient.

Hi, Refusetogobald. It's quicker in terms of harvesting time to shave the recipient. 'Better' is minimizing surgery time, which, in many opinions isn't practical for a large number of clinics. Visibility and speed are two different aspects of the process. Most clinics use a certain measure of magnification while performing FUE extraction and insertion. Regardless of the technique, the given measure of magnification allows the ability for easy recognition of hair shafts and areas that have less hair density due to the miniaturization process. Hair being implanted is seen under magnification as to avoid making recipient sites over preexisting terminal hair. Hair being removed is also seen under magnification to determine where it will be implanted in the recipient zone. In FUE, hair is extracted from the donor region at magnification with a small device as to avoid transecting (destroying) the surrounding donor hair follicles. Most FUE surgeons will have transection of donor follicles anywhere up to approx. 5%. Most FUT surgeons will also destroy a small percentage of donor follicles with the FUT/strip excision. FUE and FUT in the hands of different surgeons will increase or decrease transection rates. Time is the factor for clinics who don't routinely shave the donor area. Examination of the donor area is much easier for a trained professional. A professional should be able to recognize a patient's hair characteristics. Not shaving the donor area is common for us but not shaving the recipient is also common for us. We have many preparation methods for our patients, especially because our patients come to us with unique goals and demands. Things like instrumentation and protocols are constantly changing at certain clinics and at My World Hair Transplant Center (MyWHTC) in Brussels, Belgium with Dr. Patrick Mwamba.

Sam23. You may want to get some input on the medical photos. Would you happen you have them? One problem can make two problems, but opinions are almost always different. There is a physical and mental change after surgery. How are you right this minute?

It would be wise to look at which surgeon is more likely to accommodate you best. There are many surgeons who are more conservative and less conservative with patients. Don't hope for the best, do homework on the surgeon who produces consistent results to the cases most similar to yours. Multiple consultations are beneficial as you won't decide on one surgeon in a day. Best wishes with FUE!

You shouldn't have to shave the recipient zone for the next procedure. You can conceal the scar with hair products like Couvre, and Dermatch works as a concealer as well. The clinics should give you pricing upon request of consultation.

This is a more aggressive hairline and the improved caliber of hair is certainly more noticeable. Hair styling that may or may not include hair product is also creating a much thicker appearance of the 11-month results.

You are responding to the medication as a Norwood 2. The thinner hairs may thicken in the hairline but keep the photos to hopefully prove even more results in the next 6 months.

Photos are hit or miss, but I think you have retained many grafts.

Just free your mind for a few more months. The physical growth and results will show up soon. The hair needs more time so stay positive. The results guide isn't exactly indicative in every case. May you share any photos?