elduterino

Thanks for the update! Looks very clean and a tight packing of grafts To prevent further hairloss behind it look into topical Clascoterone this is the upcoming finasteride replacement with no side effects. I would start with finasteride first for the first months until you can use topicals, you may not even notice any side effects

Hope it goes well and please update us I am booked there for next month looking forward to that this will be my second fue Are you using any hairloss meds?

I am going there too end December as well - looking forward to that this will be my second FUE after the one i Had with Umar in 2014 just call you card company before and tell them your going to have a large payment in baht from "clinic name" and let them know the dates so they dont block the transaction... or just take cash I always felt very safe in Thailand

@denominator what was the clinic in Thailand ? PM me if you prefer

Sure but do we have that many truly independent advisors ? I never encountered even one, perhaps I am missing them or they are unknown here The ones we often hear from are mostly going to promote the clincs & type of work which they are associated with

Good luck I see a need for a totally independent, experienced consultant with broad knowledge who could recommend clinics/docs based on patient needs, expectations, current hair and budget etc.. A consultant who refuses compensation or sponsorships from clinics, but instead takes a fee from potential patients. Research takes time and mistakes will be regretted or may rquire futher work & costs, therefore as a potential HT patient I could imagine paying $300 for a detailed individual report.

Doctor, your point about graft drying using Neograft is extremely valuable to us here. I was actaully considering having work done at such Neograft clinic and you have extensive experience using this tool - could you please elaborate ? Was the yield too low or did you notice other issues versus a non-suction tool And what about the positive air pressure - push - implanter pen from Neograft/Medicamat, when it comes to tight graft placement or angle control ? Thank you

Quick update : this clinic use the omnigraft/neogtfat tool which is made by the French company medicamat Medicamat | Aesthetic, Medical and Surgical Devices Several clinics are also offering this out of the USA I think ... I saw a few discussions here any experiences and results ? The doc is experienced in using it and he is a real ht only doc with previous Fut experience who does use the machine daily now for a few years he said . They store the grafts in liquid as soon as those are sucked out by the Punch air-matic tool, so graft drying isn't really an issue according to him... They seem pretty confident in terms of yield of 90% or more but again , not sure how to compare to regular fue . I am not really constrained by budget or travel and this neograft procedure isn't particularly cheap either at around $8 per graft but with no travel costs for me though . I am only looking for the best results though

the clinic is in Asia They don't have much curly hair patients as you can imagine, They use one size punch for both the extraction and implementation, which based on their test is the best size combination for the system to work and graft survival. From what I understand the machine and implanter is calibarted to deal with only one size graft. They also offer some regular lateral slit implatation work for special areas such as the lower side of the temples which may be harder for the machine to achieve a natural look because of the risk of implanting too thick of a hair...they don't select each hair one by one - they only select which number of hair a graft has and load a bunch of it into the implanter. One issue we have with regular FUE is the diffculty to achieve a high density for good coverage especially if your native hair is dense..this method seems quite good in this regard. Is 0.8m a really small punch size for the extraction ? What sizes are usually used at other places ?

I visited a local FUE clinic to discuss covering the one inch or so of hair at the hairline , lost long time ago before I started FIN. We are talking 1500 grafts. My hair has been stable since the time I started FIN. I'd like to discuss HT methods used not the needs for the surgery. They showed me their special tools and explained in detail how they work: the extractor is a motorized punch of 0.8 mm diameter. They extract grafts and divide by group of 1, 2 or 3+ hair and then load them into the machine which sucks them up. The implanter is a 0.65 mm punch but it uses a vacuum/air pressure apparatus to squeeze the larger graft into that small 0.65 mm hole in the skin at the implantation zone. They say they can achieve higher density since holes are smaller and the implanter does not rely on the technique of lateral slit. The lateral slit uses a tool like a pinset to stretch the hole open by hand while the graft is inserted. They said that the lateral slit is good to place carefully selected hair at a certain position but it does not allow such high density and also produces more skin damage - the bumpy, avocado skin effect we often see. Their implanter also allows for angle control. Any feedback on this method ? Note: I have been posting for years on another hair loss forum, I just registered here today as there seem to be more activity o hair transplants overall