chris39

The supposed reasoning of H&W charging US dollars is pure bullshit . If I were to consider H&W for a procedure , I'd demand that I be charged in Canadian dollars . If they didn't yield I'd go elsewhere . Some East European countries charge hotel rooms to foreigners at different rates to citizens . Possibly not fair , but they're relatively poor economies . Canada's a wealthy nation .

Thanks HT - appreciated . I'll take the next year to think of my plan for the 2nd procedure . Will be my last major surgery , so need to plan carefully . I've been following your updates so interested to see how it turns out - I'm sure it'll turn out fine.

Just hit the 12 month mark . Pretty busy at the moment so will just make this a quick post - I'll try and do a more detailed post over the next week or so with further photo's and particulars on grafts , scar healing etc. I'm really pleased with the result . Was going to get a 2nd HT over the Christmas period to address the crown , but didn't work out this year and I'm not overly disappointed it didn't happen . Attached below are 3 photo's: 1) Pre op consultation photo from November 2015 2) Pre-op photo on morning of surgery 3) Photo taken today - 12 months post HT surgery

As Sultsay mentions , depends on age and level present and future hair loss . I was going to take proscar ( Fin ) post-op , but decided against it . As long as you're mindful of possible future loss , and plan accordingly , you should be good . If you do a HT , make sure you keep some in the bank for future procedures if required .

Looks great Tav . I'm just coming up to the 12 month mark . Did you notice much of a change after the 12 month point ?

Substance over style any day of the week . A spruce up wouldn't do any harm though .

I see this surgeon also does other surgeries . I'd steer clear personally .

Not come across this Dr before , but the cheap price sounds suspiciously like a tech' clinic .Have you asked during the consultation who will be doing what parts of the procedure . As a minimum , you want the Dr doing both the extractions and the recipient incisions . Some of the tech' clinics do produce some good results though , but it's a bit of a gamble as to what result you'll get . There are some members on his forum who have had a great result from the tech' clinics , but I think even they will admit it was more good fortune than anything else .

I recently received updated pricing information from Dr K and his reasons for doing so . There have been a few comments on various threads recently about pricing , so hopefully this will clarify the situation : I have always been looking for a fair way of pricing hair transplants. The per graft pricing isn’t fully to the patients benefit, therefore it has never been appealing to me for the following reasons: 1. The per graft pricing gives the clinic the incentive to sell more grafts which is frequently against the patients benefit. 2. Patients get coverage from hairs, not grafts. 3. In strip surgery, clinics prepare more grafts from the same strip to charge more. The patients not only pay more for a strip that has a fixed number of hairs, but also gets more recipient site incisions for the same number of hairs. I don’t believe in the theory that distributing more single and double haired grafts gives a more natural result. It is also proven that chubby grafts have a higher chance of survival compared to skinny grafts. Single haired grafts are at a much higher risk of drying out. It is not fully proven yet, but sub follicular unit dissection to create more grafts may also lead to poorer survival rates due to the disruption of the follicular units natural structure. 4. In FUE, the per graft graft pricing is even worse. This causes at least two more harmful things. The surgeon usually tends to over harvest for more grafts. A smaller surgical punch is used to make punch holes and get more grafts. This causes a significant increase in the transection rate. I don’t believe in the theory that doing more punches with a smaller punch causes less scarring than a punch that removes the whole follicular unit without damage and needing less punch holes. This may sound controversial at first but, we should be trying to get the most hairs out of the fewest possible grafts, which is exactly the opposite of what happens when there is a per graft pricing. 5. I am in a very unfavourable market where 99% of the market is dominated by cheap technician clinics. The typical surgical approach in Turkish technician clinics is to over harvest by doing 6000-7000 punching attempts, waste 50-70% of the donor hairs, get only 5000-6000 hairs from these attempts and tell the patients that they got 4000-5000 grafts for a very cheap price like 2000 Euro. When we charge per graft in Turkey we look as if we are much more expensive than these technician clinics. But when you consider the wasted donor hair and amount of healthy hairs that you get in these clinics, we are actually much cheaper. This has led to me trying to find a pricing that points out this reality. At the beginning of 2015 I tried a fixed pricing for certain price ranges. I was charging a fixed amount between 2000-2999 grafts and 3000-3999 grafts. This was intended to get the patients mind off the grafts number issue; but it didn’t. Very soon, I realised that patients that received a graft number close to the top of the range would leave without any comments, but ones that received a number at the lower end started complaining. So I was only causing dissatisfaction. I even got a patient on the forum complaining about this as asking for a refund. Bill from HTN advised me to start using ‘a more conventional pricing structure’, so I started using the 1.5 Euro per graft. The per graft pricing quickly started causing the above-mentioned problem. When I quoted patients they could have up to 4000 grafts, they would quickly make the maths 4000x1.5=6000 Euro and run to a cheaper clinic that offered 5000 grafts for 2000 Euro. I had to start thinking again on how to make a pricing that both educated patients on the 'graft number controversy’ and made it more affordable for them to choose us. I then thought about the per hair pricing and started using it about 6 months ago. The advantages of the per hair pricing are as follows: 1. The patient pays for coverage, not for pieces of tissues that may have very different coverage potential. 2. It takes away the incentive for over-cutting in strip surgeries and over-harvesting in FUE. 3. It distinguishes quality FUE from unprofessional FUE; the main determinant of this is the hair per graft rate. Quality FUE is the fewest possible grafts for a given hair number. 4. I consider a hair per graft rate below 2 to be poor both for FUSS and FUE. It is certainly is very poor for FUE where multi-haired grafts are cherry-picked. Hair per graft rate between 2-2,5 is good and above 2,5 is exceptionally good. 5. By charging 0,6 Euro per hair, I have actually reduced my price, because it will only cost more if I get a hair per graft rate above 2,5. 6. In FUE I charge 3000 Euro for 5000 hairs which should be an excellent offer. Considering the quality of grafts with no donor damage, my price is very close to technician clinic prices. To be able to survive in such an unfavourable market one has to be very creative about things you would not have to think about in a developed country. I hope my explanation has been useful.

Hi Kiran . I appreciate your reasons , but you need to give it serious thought . If you rush the 2nd procedure , and results don't turn out as hoped , you'll have little donor left to fix things .

I'd agree with Wibbles - May be wise to wait at least 12 months before you go for another surgery . I'd guess that your transplanted area is in excess of 100 cm2. You need to have a good think about what your expectations are for the crown , especiallly if your donor is not that great .See how things develop and take it from there . Good luck.

I had my first HT with Dr Karadeniz , but he's booked up for the dates I wanted . Always worth sending him an email . Apart from the ones you noted , others I've heard mention of are Resul Yaman and Ozgur Oztan .

Hi Shirgawi . If Turkey is your preferred destination , all I can suggest is to to make a shortlist of surgeons you'd trust and email them and you may just get lucky . If you can travel at short notice , you could also ask to be put on a standby list in case anyone cancels . I was also hoping to have a procedure over christmas ( the only realistic window I have ) but missed the boat this year .

There are places on the internet that sell the Fin' variants , but don't know which ones are trutworthy . I'll try and find out and update if I get any joy .

If you're looking for a decent surgeon , at such short notice , you'll struggle .

Good to see this thread continue . Keep up with the good fight and keep updating this thread .

Lorenzo , Your health and wellbeing are the most important things in your life , and wish you all the best in your fight against this horrid disease . Would just reiterate what others have said . If need be , just take a break for now and return when , and if , you want to. There will always be differences of opinion on a forum such as this , and healthy debate is the lifeblood of such forums . If you do cease posting , I fully respect your decision . Good luck.

Unfortunately , this is one area where the Dr's remain silent ( which I can understand to an extent ). What has your own surgeon said in this regard ?

Checks calendar . Nope , not April yet !

There have been a few threads recently concerning this very topic , and there's no easy answer unfortunately. One of the threads was here : http://www.hairrestorationnetwork.com/eve/185440-if-only-20%25-your-grafts-stayed-did-doctor-screw-up.html The only suggestion I can make is to consult with your surgeon . Is he a recommended surgeon on here ?

I'm sure Athirss will chip in , but would guess a strip was taken from both sides .

Thanks hamburger . Will probably wait until next December for my 2nd pass. Keeping my options open for now regarding surgeon choice , but good to know the waiting time.

Mine was sensitive for a good 2 months and improved gradually from there . I avoided weights for at least 4 months after my surgery .

I'd guess you're around a NW4 ( maybe even less) . 4650 should give you great coverage , but in my opinion you could go for less grafts than that and get a great result. I'd only use what you need to and conserve as many grafts as possible for any potential hair loss in the future. Have you had any consults ( I person or online )?

Work looks neat and refined as always from Asmed . What kind of waiting period for surgery is there for this clinic ?