Spidey

Mine is 6 mths. 

This is a slam dunk already. You could technically be one and done it's you can live with some minor loss in the future since this procedure yielded a lot of grafts. If anything just a minor fue procedure down the road but imo I think you're set. 

On 10/17/2023 at 7:26 PM, Kevin Mendez said:

I’m all for breakthroughs of new hair loss treatments. But I’m confused as to why there is such a hefty price tag on Xyon’s topical dustasteride. Since it is only the vehicle that’s changed and they did not pay for the expensive clinical trials needed to bring a new drug to market. Which also brings me to my next point: there’s very limited data showing its efficacy. Looking on Xyon’s website it shows they did 2 tests, one was on excised human skin, and the other on a very small sample group. I understand they are a business for profit, but isn’t selling a preexisting drug with their own vehicle cream that advertises reduced risk of side effects without the proper clinical trials to back those claims, at a 10X mark up than said preexisting drug a little unethical? It seems like the anecdotal evidence is promising, but I still think the the lack of clinical data, and price is very concerning. I would love to hear more from Xyon themselves as to what justifies the price tag, and what they are doing to further the proof that what they’re selling is as advertised. 

If you Google them you'll see there's a lot of advertising done for this product. Mind you if their delivery system does what it says it does that's a part of the reason too. 

For those who are using this. Did you read the leaflet fully? I ask this because it's clearly stated that you use it in the morning and they advise against using it at night and sleeping with it on your head/in your hair. Reason is bc it'll transfer onto your pillow and can then transfer onto your partner which is a big no no. I wonder if people with systemic sides are due to improper of cleaning their hands after use and incidentally ingesting some.  

Anyways I got my bottle today but after reading the leaflet I'm pretty deterred from starting it. The warning and side effect section of the leaflet is pretty scary. I know they have to put it on there because it's their due diligence but still it's kind of off putting 

10 minutes ago, mister_25 said:

 

And yes, whilst I do agree that there is a increase in documented cases that will both add more negatives and more positives in total, I feel like the jump of negative cases is not proportionate to the jump in positive cases.

That's your opinion. Both you and I will never know for certain 

9 minutes ago, mister_25 said:

As much as I want to be a neutral party because I chose H&W as the clinic to perform my HT, I'll have to heavily disagree here.

When I selected Dr Hasson as my surgeon, I combed through every single result on this forum/reddit/elsewhere that I could find and made a notepad on how many successful cases vs how many failed cases, and even wrote the reason as to why I believe and why others believe the transplant failed and in what areas (Usually Poor yield or Native Hair shock loss) In total I found 3 Conclusive Failures on this forum dating back before 2022. There were others that could be seen as "doubtful" that they are truly poor results, but I think its fair to say that out of them all, 3 were blatant failures.

Too also note that in these failed cases, patients followed up with the doctors and seemed to be usually satisfied with moving forward with H&W or end up with somewhat positive words in spite of the poor growth if they decide to conclude their business with H&W.

Now In the past year, I'm seeing a upward trend of more unhappy H&W patients with factors that are objectively negative rather than subjectively. I even wrote here what the clinics/doctors response is as I want to be fully transparent.

• Reports of the Planned Hairline being different than the transplanted hairline - No Comment
• Poor Placements/Angles - Surgeon offered a follow up refinement/repair procedure free of charge
• Unnatural Temples - Surgeon offered a follow up refinement/repair procedure free of charge
• Accusations of a technician doing incisions on a patient - No Public Comment
• FUT Scar Stretching - No Comment
• Cases of Lower Yield than industry standard - Refunds or Free Touchups promised/offered
• Patients being upsold amount of grafts doing a surgery and told to come back in the future for a second one - No Comment

And on the subjectively

• More grafts being used than needed - No Comment
• Diminishing Communication - No Comment

I don't think its fair and actually a little bit insulting to admonish the critics as "vultures", when you factor in that there have been a increase of unhappy patients, people want answers and I'm sure OP wants them more than anyone.

Overall, Do I still think H&W is a good clinic? Yes, their positive cases speak for themselves, infact they impressed me that much that I chose Dr Hasson out of a list of other HT greats, but can I say that they are living up their reputation this year? I don't know.

I agree that on the positive side, that there is still a lot of hope for your future transplants. 

Also its promising that you've been on treatment for 16 years and your still probably a NW3 or NW3A. You can still meet your goals even if all your future procedures yieleded the same as this one, provided that of course you stabilize for life.

Although an increase in documented ONLINE cases might make it seem like there is an increase in "failed" procedures, it doesn't mean that there is. For example, if HW performed more procedures during this time period then the % may not be any different than their overall avg. Also online posts on this forum doesn't reflect anything close to the real numbers. Also of the 7 "objective" points you made, aren't some of them from the same patient/case?  

10 minutes ago, BurnieBurns said:

Even the most renowned of surgeons have cases that don't grow as expected and I'm sorry you're one of them.

Any ethical doctor will not tell you that anything in surgery in guaranteed, though it must hurt even more having paid that amount of money and chosen someone with a good track record of success.

 

I think people tend to jump on the isolated poor results like vultures... people seem to forget the reputation of Hasson and Wong is what it is for a reason. Even with the successful home run results posted here, there far many more people that have great results that don't even post online at all. How many procedures does HW do in a day. And over the years how many posts have we seen regarding poor results? Ya it happens and like you said it sucks to be the person that is the vast minority, but to scream neglect and other defamatory comments is just ridiculous. But I guess that's the nature of the online world we live in. 

3 hours ago, TorontoMan said:

I have to agree, the 50% growth so 50% refund policy is insanely idiotic, he should be embarrassed to even offer that.

The logic is baffling, as if someone came to a hair transplant clinic with the aim to get a 50% return from the procedure. If he admits that only 50% seems to have grown out, that doesn't mean the procedure was 50% succesful, that means it went wrong, and he should own up to it instead of being money hungry. Imagine hiring a contractor to build a house for you, they build it half way or half ass it, and then they say well, we built half.. its not livable, but we still did half 

Well to be fair lots of contractors put out barely satisfactory renos and builds but I see your point. 

You know that even with this procedure being a successful one it won't be a one shot cure all. Your hairloss would progress down the road and you would require another surgery to keep up with having a "full head of hair". What you can probably count on is the area you did get the procedure done on will more or less stay the way it is as the majority of what's there are transplanted hairs. 

17 minutes ago, ITA said:

Why a joke? Wong did the job. Are we sure the OP doesn't have some scalp problem or autoimmune disease that she isn't aware of? Let's go back to the discussion from a few posts ago, surgeons (especially the more expensive and renowned ones) should do a biopsy or recommend doing one, and recommend careful examinations to their patients before operating on them.

I still strongly believe it's a case where majority of the transplanted hairs held but a lot of the miniaturized hairs died. 

I think ultimately it comes down to whether you're going to get another procedure in the future to add to the density. If so, you might as well take the fut offer unless you're really against fut. 

Just now, Der3k7 said:

Pre op and 10 months

There's a very noticeable difference and tbh you should be happy. I know your previous surgeries probably made you very anxious and self conscious and disappointed but this procedure has been successful. 

14 minutes ago, Der3k7 said:

Here justA casual car selfie. Face is definitely framed better but from sides photos the corners are see through and don’t frame right so I plan to eventually get those reinforced and then I’ll have The rest of my grafts to use/save for my crown and mid scalp

Are these taken the same time or is one before and one after your most current procedure 

7 minutes ago, bigmistake said:

FUE scars are really sticky, they will be difficult to excise without hair. Moreover, if verteporfin does not work the excised scar may look worse. 

Maybe after Dr Bloxhams FUT scar a small FUE scar revision session can be done.

Smp technology now can easily camouflage fue scars. 

Honestly it looks good and a great improvement from before.  I also dont think you'll ever be "happy" per se even though everyone else around you says it looks good. 

On 7/17/2023 at 8:47 PM, hongkongfue said:

Your scar will be great. Here’s mine from Dr. Wong 18 years later and it was done without Trichophytic closure. No railroading. 

U ever consider smp. It would do wonders for that minimal scarring. 

It's going to look so good

8 minutes ago, Dillpickle123 said:

9 month update 

Hey guys here’s my 9 month update nothing much to report when I rub my scalp I still feel the stubble hairs that are stunted hoping for them to grow hair looks good with fibers not so much without will need another surgery to finish things off unfortunately most cases aren’t one and dones but I can create the illusion of full hair with fibers so I’ll see what the doctor says at 12 months but I do not plan on any other transplant any time soon 

Are the second pics with fibre?

5 hours ago, milito_22 said:

yes! thank you again. This is not definitely related to my expectations. I have been struggle with this since I was 16. Now I am 32. 16 years of minoxidil and then fina/dutasteride. Of course I am exhausted. I literally saved every cents, I starved in order to save money, to go to Canada for H&W. I cannot accept this as a final result

To be frank, 2000 grafts wasn't going to solve your issue long term especially if your medical treatments didn't cease further hairloss. Your hairloss seems like it'll proceed to a high Norwood level sooner than later and although I agree the cost is a lot, you would have had to get another 1 or 2 additional procedures in the next 10 years or so. I'm sorry you're going through and although I'm sure Hasson and Wong will do what they can to make things right, even with this particular ht being successful, I think you still need to work on your mental health in general. 

5 hours ago, Dillpickle123 said:

Got a haircut today was wondering if anyone here has done smp in the donor with good results? How does it look after getting a bald fade? Thanks 

The good news is there are more and more capable smp artists out there now vs before. And when done right it looks flawless. I'm lucky enough to have a couple close to where I live. Heck I live blocks away from hasson and Wong...

9 minutes ago, BackFromTheBrink said:

I'd certainly say anxious, possibly pessimistic and like many of us, desperate for a good result. 

It's amazing how much hair impacts mental health, so I try to look at posts with that in mind.

I was the opposite - (some would say overly) optimistic and calling success at 4-5 months. I guess we all have our own ways of handling the tortuous wait.

I can relate for sure. Hairloss sucks especially when it starts earlier in your life. If I were to go back in time I would've told my younger self to just go with it. Once I had a kid my priorities changed and I would've just rocked a shaved head. But for sure I totally get how it messes with your mental health. Really does suck.

The thing about hair transplants is that unless you wait until you're a high nw, you're likely going to need multiple procedures down the road to keep things looking good, or your progression is very slow and a procedure can last years without having to touch up.  Also, once you get into the ht game, it kind locks you in. Shaving your head after may not be a great solution down the road bc of the fue and fut scarring, and the blotchy areas where you had the transplant. Smp of course could be an option if done by a good technician.  

For me, my procedure with Dr Hasson was in 2015. 8 years ago now and only needed 1036 grafts. I'm think of getting a touchup in the next couple years as some areas are thinning a bit and the transition between native and transplanted hair is slowly starting to show. 

5 minutes ago, BackFromTheBrink said:

That entirely depends on the expectations that were set by the surgeon. If he went to his consultation and asked for a few more years of slightly thicker hair then I agree, he's been unrealistic. 

If he asked for the same hairline but full coverage then he hasn't got what he asked for.

The surgeon is the expert, saw his head under magnification and understands what hair transplants can deliver.

If he needed 3500 grafts because the miniaturised hairs wouldn't survive the surgery surely that is what should have been quoted?

The patient could have them decided whether he continued with 2000, saved more money for 3500 or used a different clinic?

I've seen top clinics perform miracles with small numbers of grafts and hair mills use twice as many. Since he paid for a top surgeon I think its realistic to expect the former rather than the latter?

Fair but the fact that the op made this post saying it was a failure at 5 months shows to me, he has very high and unreasonable expectations. 

I think you didn't have realistic expectations going into this. 2000 geats isn't a tonne and the area you had the transplant, the remaining native hairs were thin and easy to go. The hairs there now look thicker and are the transplanted hairs while the weaker hairs either are gone now or are so thin they don't make any density difference. This wouldn't be what I call a failed ht but you and the clinic probably weren't on the same page regarding expectations. With your level of hairloss, the reality is that 2000 grafts wouldn't really hold up in keeping that area dense for more than a few years. Your kind of hairloss would require multiple touchups and procedures. 

10 minutes ago, HisHairness said:

Thank you both @JohnAC71 and @Spidey. perhaps I am being too harsh of a critic. One thing to note is that before my operation I was walking around with my hair combed back and very few people could tell I was thinning. My pre-op photos are really accentuated to show the degree of my thinning - I haven't really taken the same photos here (where I explicitly pull the hair to show weaknesses).

nonetheless it is good to hear positive results from you guys - thanks!!

Also remember your mid scalp was untouched as well and that area probably continued to thin after the procedure. The areas that were addressed like the crown and forelock/hairline looks good. Rmbr that ht isn't in supposed to look give u back the density in u had ore hairloss. But the illusion that you have a whole head of hair. And by the frontal picture u took of the mirror , it looks solid. 

Dude. Compared to before it's night and day. It looks pretty damn good man. You should be happy. Look at the quality of the hair vs the wisps you had before