FUE2014

Very nice transformation!

Yes, definitely, BUT you must be prepared to spend a bit of money and go to the best, which in my opinion is Dr Lorenzo.

Just an example of what he can do:

http://www.hairrestorationnetwork.com/eve/171121-dr-jose-lorenzo-9999-fug.html

LOVE the hairline design and temple points. Feriduni has the best hairlines in my opinion. Has Feriduni stopped using staples to close the donor? The suture work looks absolutely pristine and neat

What about Rahal? He is known as the Hairline King ?!

Congrats! Looking really good. I honestly don't think you need any more grafts in the front. I reckon you can kick back and enjoy your hair and save the money for a few years down the road (if needed).

What a transformation....home run already!

i went to doganay last september,he didn't Knock me out,he offered me a valium before,which i gladly took.

Thanks for clarifying Xkos, I had a look at your pictures and the work looks very refined. How has the growth been since your two month picture? Do you have any further photos?

Happy growing.

Great post from 3 years ago from a doctor on this forum - highlights the motorised/manual debate is actually a lot more nuanced than I thought:

I'll add my 2 cents here. Take it for what its worth and of course this is free advice so it may be worth little.

Dr. Feller, with whom I'm associated, taught me to do FUE's several years ago. He taught me with his Feller punches and his fancy machine...actually several prototypes and the real final product. I have used several other machines at meetings and product advertising seminars but never on actual patients. I've used a few other hand punches both at seminars and on our own patients.

First of all FUE is more variable in its results than strip. I really try to beat this into all potential FUE patients both at our initial consultation and at the preop consent process. I think FUE is fine for small areas, ok for medium areas, and potentially a lesser choice for large areas, but an informed patient can weigh these issues and decide the pros and cons of FUE's possibly lower yield vs. a strip scar.

Second, I think FUE is hard. Its hard for me and I've done a lot and it requires concentration AND it requires a good extraction team who will take the time to try to minimize follicle root damage and yet maximize yield. THAT is why FUE is expensive!

Third, at this point my maximum FUE/day is 1200 and often by 800 or so I'm too tired to keep going OR my transection rate starts to rise.

Fourth, I almost entirely use a Feller hand punch because it gives me more control over where the punch is going. When I use the automated punches, the above posters are correct, its less fatiguing, but eventually that vibration actually makes my hand tired-er than just doing it by hand, and when I go in by hand, I can steer the punch better.

For harder cases and the more recent black guys' FUE's that I've done, if I have trouble with the Feller punch I use a different punch. Its still the same size, but doesn't have the ventilation hole...I'm not sure why it works better for me in black skin but in the past 3 cases, it has. And I bought a bunch at the Boston meeting last year, but for the life of me I don't know who sold it...so at some point I'm going to be looking harder for the name so I can buy more. But it too is a sharp hand powered punch.

Conversely, I believe Dr. Feller uses the motorized punch, I'm simply not as consistent with it. But he is and many doctors are comfortable with it. But its(FUE) still a harder procedure, so make sure that whoever you work with is using what works for him/her.

Don't go just for some tool or type of device...I got an email yesterday from a patient who appeared ready to sign up for a smallish FUE, but had decided to wait until I, or someone else locally, had purchased ........such and such new fangled fue automated device.... Rather than wait for some device, he should choose someone whose done some FUE's successfully.

I hope this helps.

Dr. Lindsey McLean VA

http://www.hairrestorationnetwork.com/eve/162180-manual-vs-automatic-punch-fue.html

Great thread Mickey.....bookmarked

Thanks jbrant, Doganay's results are generally great and he is a recommended surgeon here, however so many doctors seem to prefer manual and as Mickey says the results tend to be better. Another thing worth noting is (unless I am wrong here) it is not Doganay doing the extractions with the motorised tool but his tech....and I have no idea how experienced he/she is.....I have also made enquiries with Dr Erdogan who is a bit more expensive, but he does only manual extraction (again I am not sure if it is him or one of his techs who performs the extractions)......anyway food for thought

I just want to clarify that I prefer manual over motorized in general. However your opening post sounds like you are debating whether Dr Hakan to operates on you via manual or motorized method? Or if you should go to a manual FUE surgeon like Lorenzo? I have not seen any manual results from Hakan so I cannot advocate the manual method through him. I can only advocate manual extraction with guys like Lorenzo, Bisanga, Erdogan, Maras etc who use manual method exclusively and have produced many great results over the years using manual. I have not seen any manual results from Hakan though.... His motorized results are very good mind you, but I do prefer manual surgeons.

Yes, that it is a good point. I will contact him and ask if he could post some results where he has used manual results.....goodness having an HT is definitely not straight forward

Thanks Mickey, you have helped me make my mind up. Manual it is :-)

All,

If the doctor who was going to operate on you (in my case Dr Doganay - in June) documented in their website that they preferred to do motorised extraction over manual; claimed no noticeable difference between the two methods of extraction; and charged less for motorised, is there anyone here who would still elect to go for manual and if so why?

I obviously want to maximise my result and am still on the fence about manual vs motorised. I am happy to pay more for manual but if the tech doing the extraction is more proficient with the motorised extraction, then who I am to argue?

However, there is a part of me that thinks motorised extraction only really serves the doctor in terms of increased turnover of patients and profit, or is this overly cynical?

Hey Bradford looks good ... looking forward to your write up - in particular whether you opted for manual or motorised extraction, and whether the surgery was performed under local or GA?

Ive been asking him the same. And i Think i Will decide when i get to turkey in april. I Think if the dr. Is used to do motorized Then that would proberly be the best choice.

I'm going for manual in June with Dr Doganay.

There is a poster here who wrote a great article (think it may be Mickey) on the difference between manual and motorized and the general consensus appeared to favour manual

Really? That does not seem to be good practise in my opinion, surely the patient should be given the option beforehand?

The work looks nice and clean.

I am with Dr Doganay in June, so I would be interested to see your 14 day pics, as this is when I go back to work after the op, and I'm wondering what to expect.

One thing that does concern me slightly is this: Dr Doganay seems to be the only surgeon that I read about on HRN that knocks his patients out with general anaesthesia. IMO there is absolutely no need to be doing this, and the patient should be awake throughout the entire procedure to maintain the communication channels and ask questions etc; there is also the matter of quality assurance which you cant undertake when you are knocked out.

I would be interested to get others' views on this.

four months is nothing.... you are not going to have noticeable dense growth after 16 weeks .... got to realistically wait at least another 2-3 months before making an assessment.

Quiff01 - happy growing. Did you go for manual or motorised extraction and how long have you been on the meds?

Just a thought, can HT experiences and surgeon reviews not be merged with Patient's HT results? Just thinking they are kind-of-the-same, and people won't have to switch between the two when searching for information etc....

If that was Dr Lorenzo you would pretty much have the illusion of a full head of hair by now.....problem is there is about $20,000 difference in price between him and Dr Maral for 4000 grafts....as with everything in life, you pretty much get what you pay for and hair transplants are no exception

I think you will just have to suck it up and be prepared for colleagues to stare etc but it won't be forever and you will kick yourself that you put it off all these years

WHo did the transplant and where did you add grafts to?

I appreciate that Mickey85. Trust me, I would not voice my opinion here if it was not for the good of anyone seeking top quality care. That was my frustration in thinking…did I miss in communicating something here? I did not want to be sold on something or accept less than what is asked for. The Doctor has a good reputation and what matters is how one handles a particular situation. Just unfortunate I have to fly back to Turkey so soon…that's life.

CS88, thanks for your input and what a nightmare having to fly back. I trust they will not charge you foor the cost of the folllow-up?

TBh, CS88 doesn't do the community any favours at all coming on here, expressing a problem with his procedure, but failing to elaborate on it....if you are waiting to hear from Dr Hakan first with an explanation, then it would have been prudent to have reserved judgement IMO before painting the surgery in a negative light.

Thanks can you tell us a little bit about your experience with Dr Hakan, such as the extraction and implanting.....