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About 88mph

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Hair Loss Overview

  • Describe Your Hair Loss Pattern
    Receding Hairline (Genetic Baldness)
  • How long have you been losing your hair?
    In the last 10 years
  • Norwood Level if Known
    Norwood II A
  • What Best Describes Your Goals?
    Maintain Existing Hair
    Considering Surgical Hair Restoration

Hair Loss Treatments

  • Have you ever had a hair transplant?
  • Current Non-Surgical Treatment Regime
    SocialEngine Value 23
    Generic Minoxidil 5% for Men
    Nizoral Shampoo

Hair Loss Story

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  1. Hi, I had an FUE procedure with Dr Path in April 2015. When it comes to strip the Dr cuts out the strip, has the technician's cut it up and insert it into the recipient sites the Dr has created-as far as I'm aware. For Fue he uses a motorised hand tool to cut all the grafts, the technicians then extract the cut grafts from the scalp using forceps. The Dr creates the recipient sites and the technicians insert them. The Dr has a large team with a lot of experience. Can you post the links to the websites where you have seen these botched jobs?
  2. Hi All, I've just updated my blog with 6 and a half month post op pics. Let me know what you think? Pics taken before and after a haircut. The sides were shaved to a blade/guard no 2 (6mm). I'm very happy with the design of the hairline but worried about the density, the hair that has grown is thick already and I can't see many thin new hairs in the hairline. You can see there is quite a difference between my existing and transplanted hair. Thanks, 88
  3. Hey mate, Check out my FUE procedure with Dr Path 6 months ago. Like u late 20s, receding hairline stabilised with meds. My website blog showing everything is just below this post. Also yes only my sides and back were shaved. He shaved maybe 1cm of my existing hairline to blend the new grafts.
  4. Hi All, I have just created my hair transplant blog and started a new thread. I'd really love to hear your input and thoughts? See below. http://www.hairrestorationnetwork.com/eve/180905-dr-path-blog-fue-1-756-grafts.html Thanks, 88
  5. I hope so David, the thing is that I can't see any new thin micro hairs come through. It just seems to be the same hairs just getting longer and thicker, it that normal? I would have expected almost peach fuzz hair, and that later on that would thicken therefore giving a great result at the year mark. But at the moment it seems like there's just sparse thick hairs. Transhair - I'm not sure of the surface area but I do remember the doctor measured the area and told me the number of grafts it would take to get coverage of 30 grafts per/cm, 35 per/cm, 40 per/cm, 45 per/cm and 50 per/cm. I chose the 50 per/cm option.
  6. Looks great, you must be very happy? Hows your FUT scar at the back, has it settled down?
  7. Apologies, please try the updated link in my post above.
  8. Hi All, I have just created my surgery blog with Dr Path from just over 5 months ago. It is the first blog website on here for an FUE performed by Dr Path. I would really appreciate all of your input. Here is the link. The surgery is far from standard, there were definitely some ups and downs. Thanks in advance... http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=3100 I had my FUE surgery with Dr Path on the 8th of April 2015, I was a little apprehensive as Dr Path would be predominantly be seen as a strip surgeon however through online consultation and numerous emails I decided to go with FUE. I am in my late 20’s have a receding hairline and like to shave my hair short on the back and sides, also FUE allows me to “tap out” if my hairloss progresses too far and I won’t be left with a nasty FUT scar if I shave down. I have shaved my head before and know that this is a viable option for me, but would just rather have hair. One of Dr Paths nurses confirmed that around 10% of his cases are FUE, but that this is growing in recent times. A little background about my hairloss. I have been receding since I was 18, I started using 5% minoxidil at 23, and have been using various dosages of finasteride since i was 25. Going on and off fin due to some side effects but am using a lower dosage now with acceptable side effects. My hairloss had definitely dramatically slowed/stopped prior to my surgery but I was unhappy with what I had so opted for the surgery. So I met with Dr Path the day beforehand to go through my goals and for us to reach a plan together. I have always had a high hairline and a weak temple point on my right hand side. I never wanted a Brad Pitt style juvenile hairline, I just wanted to drop my hairline about a centimetre, close the temples and strengthen the temple points. Through online consultation Dr Path suggested 1,000 grafts would be needed but upon the pre op consultation the number was closer to 1,500 in order to get a density of approximately 50 grafts per centimetre. We took great time creating the correct hairline, you can truly see the doctors passion in this regard as this is the artistic element of hair restoration. The Dr also uses a laser technique to help guide the hairline to make it as natural and in the proportion to my face as possible, I’m assuming this is linked with the golden ratio (i.e. symmetry and distance that occur in nature and how we perceive beauty etc) The initial hairline and temple points were a bit too aggressive but we started all over again until I was satisfied. I spent maybe 2.5 hours at the pre op surgery consultation; the doctor has a true wealth of knowledge and explains different aspects of the surgery using humorous anecdotes. The doctor shaved my hair including a small portion of my existing hairline (maybe half a centimetre) so that he could blend the new hairs with my native hairline. The day of surgery I arrived at 9:00am, the estimated time for 1,500 grafts was 4-5hrs. Well it took close to 12hrs as I will explain below. I was the only patient being operated on on the 8th of April. The surgery started at 10am approx. The doctor used a number of motorised punches including the SAFE system, the average punch size I believe was 9mm. He was the only one to use the motorised hand tool while his technicians used forceps to extract the graphs using 2 forceps. This was the first area that caused the surgery to take so long. My hair below the surface is very spread out kind of like an anchor, so it made it more difficult to extract the grafts. The Dr explained that there is a test for this called Fox Negative/Positive and that years ago if someone were deemed to be negative they would recommend against FUE. The Dr said that this would not affect the overall outcome of the surgery but made the extraction process A LOT longer than usual. In this regard the Dr said I had less than 10% transection rate overall. All grafts were examined under microscope before implantation. The Dr mentioned he usually gets 80-85% yield per grafts implanted with FUT, and a bit less with FUE 75-80%. The second point was that the Dr noted that I was a “bleeder” although I don’t bruise easily and heal very quickly usually, but was surprised that I didn’t have swelling and black eyes post op as “bleeders” usually do. This slowed down the extraction process because I bled a lot over the day. Also they needed three times the amount of anaesthetic to keep me comfortable, administered three times more often than the average patient. I am quite a large fit guy, 6 foot 2 and approx. 95kgs (210lbs) so maybe my system broke down the drugs faster, also I have a high tolerance to alcohol so maybe this meant I needed more I’m not sure//. But these three points all made the day a lot longer than expected, but I really have to praise his team as they were very professional and very pleasant throughout the whole day. They extracted the units along my right side and back of head, then we took a break for lunch. Continued back straight after extracting my back and left side, all the while technicians were checking the extracted grafts and discarding transected/damaged grafts. I think the extract process was finished up around 6pm. The Dr than created the recipient sites and the nurses implanted, we had discussed beforehand to have the sites positioned to mimic my existing hair rather than just all pushed forward. As my hair is a bit wild I suppose and not just straight down it leaves the skin in a lot of directions. This took longer but again I would seriously doubt that this would even be an option for less skilled surgeons as they would likely just use the straight forward method. The implantation of the grafts was so much more enjoyable than the extraction. I was on my back, there was no pain and I really felt we were on the home stretch. Towards the end of the implantation process the Dr noted that he would need more than the 1,500 grafts that we had agreed upon and paid for prior to surgery. The Dr said that he would do this free of charge and gave me 128 grafts for free. The breakdown is below. Hair Count 1 416 2 699 3 438 4 75 Total 1,628 There were some post op complications. The first day was fine but the second day I went into have my hair washed etc the nurses noticed that I had an infection across a number of the grafts. The Dr prescribed a stronger antibiotic (500 mgs Ciprofloxacin 1 tablet twice a day), gave me a cream (Fucidin Sodium Fusidate- Antibiotic 15g ointment 2%) to use on the recipient area twice daily and told me to wash my hair with watered down pre op antibacterial shampoo. He also took a swab of the puss and sent it to a lab to see if they could grow anything from it, this later came back negative. The infection finally cleared. By day 5 it had really cleared up, the Dr was initially very worried as these kind of infections can be very damaging if not caught early, so he was happy that this wouldn’t affect the outcome. The Dr even opened the clinic to see me on the Sunday over the Thai New Year’s eve celebration (Songkran, where Thailand basically shuts down for 3 days and celebrates) to check on me personally. A+ for patient commitment!! Here is the link to the forum post from then also http://www.hairrestorationnetwork.com/eve/179124-help-2-days-post-op-infection-recipient-area.html As I mentioned before the Dr harvested 128 more grafts as there was not enough to cover the area, I went for another touch up 10 days after my surgery to help blend the temple points into my existing native hair better. I posted this in the link here asking for advice with photo evidence. http://www.hairrestorationnetwork.com/eve/179225-post-hair-transplant-temporal-bald-gap-existing-hair-advise.html Here is the breakdown for the temporal point touch-up which the Dr agreed to do free of charge, after some discussions and emails. Again a great sign of his commitment to the patient. Hair Count 1 40 2 54 3 32 Total 128 Overall at the time of writing this (5 month mark) I am a little nervous that the number of grafts have come through is not as expected. I know I have to wait another few months but I would have expected maybe more grafts but for them not to be as thick, maybe a lot of thin hairs that will mature over the next years etc. I would like to get your opinions?
  9. Yes Dr Path does the same, all fue grafts are examined under microscope, trimmed and discarded if damaged. I think because of the danger in transection is higher with fue the doctor predominantly aims for 2s. If he gets that and extracts it perfectly, great. If not it may be able to be spliced so as to get a viable single.
  10. The coverage from his first op really is sub par. Interesting I thought that cutting down larger graphs was the norm. I had an fue procedure with Dr Path 4 months ago. The doctor used 1s, 2s, 3s, 4s but he said that they never extract singles by themselves as the transection rate was much too high on singles. So they extract 2s and 3s and then cut them down to singles. Does this sound normal?
  11. Great result doctor with such a small number of grafts for a large balding area. I'm sure he's very happy.
  12. It looks good Dr. Can I ask what was the target number of grafts per square cm that was agreed upon before surgery. It seems like a large bald area for only 1442 grafts. How many cm was the measured bald area that was operated on?
  13. Hey mate, Pictures can be deceiving but I agree with others here ur hairline looks OK without the toppik. I would maybe just use the toppik behind the hairline, cos at the moment with the toppik it looks like a microphone and unnatural. If u actually look at guys with full heads of hair and great hairlines, there is always a bit of miniaturisation in the hairline. I think u should show your natural hairline. And use the toppik to reinforce just behind it. So it looks natural but also gives the illusion of density. There are VERY few white guys that have the hairline you're going for. Also if u were 17/18 maybe it would look OK. But u need to have a realistic age appropriate hairline in order to trick people. It's like when you seen a guy in his 50s without a single grey hair, everyone knows instantly that they dye their hair... Also the big thing is, don't let it get u down or stressed. I know hair loss is a very personal thing and what u see matters, but we are all hair loss sufferers who look out for this kinda stuff and we're all telling u it's not nearly as bad as u think it is.
  14. Hi Transhair, I had FUE surgery with Dr Path last month. All good so far. Great team and Dr Path is great to deal with. Let me know if u have any questions. Cheers, 88
  15. Good news. The Doctor has confirmed they will perform the follow up free of charge next Monday. Which is an excellent outcome. I will post a full report of my experience etc. soon. Very happy! Thank you all for the advice.