octave

Hi Szotz, Could you share if your case has improved? Thanks

Almost 8 months now, did you see improvement since June ? Thanks

Thank you for your message. I didn't pay too much attention to it but I will update in two weeks went I will cross the 6 months mark.

http://i.imgur.com/zPng6Ev.jpg http://www.gannett-cdn.com/-mm-/ac1394dbdcca6a36cbf486633b129cd813095ac3/r=x404&c=534x401/local/-/media/USATODAY/USATODAY/2013/04/12/teslaelon13-4_3.jpg Incredible... I would be also interested to know the surgeon

I agree with matt you don't need grafts

I will also try to visit Rahal, Raymond Konor, Shapiro and Feller to get different opinions. But I should admit this isn't an easy task to pick the one with the highest satisfaction rate. They all have patients that are not satisfied. To differentiate the good, the bad and the ugly, I think it could be informative to conduct a survey to see the surgeons who are the most consistent. Is it 95%, 75% or 50%? If it's like to flipping a coin I'm usure that it's worth to take the bet.

Thanks for your answer LondonHTseeker. I understand that my questions may appear mundane to those whose have more advanced cases. As I said from my modest knowledge, the main issue is to be too aggressive too early... When I read posts from 25-30 years old that do dense packs with so many grafts... I cross my fingers for them. If I can do the maths for the worst case scenario... the area that I want to cover 1/10 of that patient bellow. 8400 grafts / 10= 840 grafts. Or at worst 2/10 it will be 1640 grafts (I'm OK to keep the M shape) https://hassonandwong.com/hair-transplant-results/patient-1908/?_sfm_norwood_scale=type_6&_sfm_number_of_grafts=0+11000 Now I don't know if it's really achievable but at least what I know is that I'm not so interested to end up like this http://farm3.static.flickr.com/2634/3827297494_861d80bfb7.jpg But I guess it's only a question of personal tastes

I've found that chart 1 bellow with a grafts estimate for different Norwood scales. 3000/4000case Photo by paulshapiromd | Photobucket I think it can help to avoid the mistake of being too agressive. From the table 2 bellow we can see that the central core region require 4 times more grafts that the transition zone and 33% more than the defined zone. Zones Photo by paulshapiromd | Photobucket If those charts are still accurate doing a dense pack on the transition and defined zones for a NW2/3 case is foolish, since eventually the process will continue with less grafts available and a large zone that require a greater number of hair per cm2... Thanks for you thought

Thanks for your replies. Now I have taken some pictures of my hears wet.. and I'm effectively loosing some density from the hairline to the crown. So dense package is definitively not suitable for me... I'm still wondering about the best strategy to manage the hair stock... with a long term perspective in the long run.:confused:

Maybe he's too conservative but I guess his estimation is based on 1000's of experiences about hair loss pattern. I don't care to have an handsome hairline that last only 3-5 years. I want a result that is possible to maintain in the long run let's say 25 to 35 years further. I guess that some surgeons are more like carpet sellers, they only think to short term gains. While I'm looking more for an architect, that makes plans, and develop a strategies, that are realistic and sustainable.

I think 2000-2500 grafts would be really insane to cover such a small zone. I mean what about if I end up Norwood 6 when I will be 50-55... I will still have max 3000 grafts to cover a zone which is 5-6 time bigger.

Hello hair network community, Here’s my issue; I'm 38 years old and I lose my hairs at a constant rate since I'm 16 year old. About 10 years ago, I did some research about HT but was cooled by some awkward results. Now, I’m reconsidering more seriously this option, encouraged by numerous of procedures that look by very natural and also the possibility to avoid huge scar with FUE. I've already consulted a few surgeons, however, I'm a bit confused about the number of grafts that I would need, there is a huge discrepancy and it range 800 to 2500 grafts… I understand that they have a financial incentive to do a maximum of grafts however my main objective is to get a procedure that is sustainable in the long run and to keep a maximum of hairs stock in case I would need further interventions. Could you please advise me on the number of grafts that I would need? Here are my expectations: 1. To recover my hairline, starting from the first weak hairs 2. To get a bit more density behind the hairline 3. To slightly close the temples corners (I'm OK to keep the M shape) Here are the quotes that I have from 3 surgeons: 1. Dr Wong , from H&W, advises me that 800 grafts would enough. He would start 2 millimeters bellow the first weak hairs and close lightly the temporal corners. I insisted on the number of grafts; do you think it will be enough? He told me that with more grafts and start a bit more upfront it wouldn't look natural since the transplanted hairs will look stronger than those at the back. 2. Dr Bisanga in Belgium; and he told me that I would need at least 1500 grafts otherwise I wouldn’t get enough density and it will look obvious that I had HT. (he will implant the hairline a bit more aggressively, than Dr Wong, by starting from the first front weak hairs). 3. DR Feriduni, after an online consultation, gave me a range between 2000-2500 grafts. From the more conservative to the more aggressive surgeons the estimations very from double to triple, but as I said they have incentives to do a maximum of grafts but according to my goals and my age could you please give me a fair estimate to get a natural and sustainable result. Thanks a lot for your contribution. *Sorry for the quality of the pictures

Thanks a lot for the link. Well, I think it's probably to risky since they don't have a track record FUE on yet. I will visit Dr Bisanga in Belgium, according to the reviews he's one of the best on FUE and he does FUE for while. I wish that I'm right this time

I meet Dr Wong. from W&H, last week to get his opinion about doing FUE and he told me that he can do a 800 FUE on me. First, I was impressed by his conservatism which contradict with what I have read on the forum that W&H usually do agressive hairlines. But I think is a good point since I want to manage the stock of hair for further interventions (I'm 38). However, I can't find posts about FUE with W&H since I've read that at least until least year they didn't do FUE. So, I would be interested if you could share your experience of FUE with W&H or to simply give your opinion if they master well the FUE technique. Many thanks for your contribution!

Excellent topic but no answer... I'm interested too a perfect result; who did it? Cheers