Guy73

2200 graft in that large of an area and light hair is definitely not going to give density you hoping for. Don’t worry it does not look like poor growth but just not enough work done. You obviously will need a second pass but I think is normal for many people. 

Yeah , I was lucky to find my doctor and happy I stuck with him throughout all my procedures. 

On 2/21/2020 at 6:34 PM, H & W Doug said:

 

Here are a few photos 1 day post-op. When trying to determine how skilled a clinic is at extracting grafts, look for the smallest possible punch size (while still preserving graft integrity) and an even distribution of extraction sites. (Of course don’t neglect the recipient site regarding growth rates, angle direction control of transplanted hair, hairline design, densities among other factors). Or just look at the quality and consistency of the results over many years😊. Also keep in mind the harvest is important in preserving the donor hair for future considerations. If the harvest is not properly executed, collateral damage to the surrounding follicles can occur and therefore diminish the donor area reserves. An improper harvest can also prevent the purpose of being able to wear the hair short without any noticeable defects.  This patient’s remaining donor reserves have been carefully preserved. Notice the uniform spacing of the extraction sites, how small they are and how quickly they start to heal.

 

Looks Amazing! Your spot on about the donor area. Something I have been trying to say for a while on this forum. 

Yeah maybe someone else can give their opinion. I think different hair type might benefit from different sizes.

47 minutes ago, Mike_2020 said:

 

8 hours ago, Mike_2020 said:

Your link states you had 8300 grafts, which is a lot of grafts. Did the surgeon additionally use beard/body hair to obtain this number of grafts, or was it all from your donor on the back of your head?

It is a lot, but I feel the combination of using 7/8 size punches for extraction and mapping out my donor with a grid every time there was a extraction definitely helped. Everyone will be different and might have different pros and cons to their hair type. My pro is , I have light brown/blonde hair and my skin is light also. This is great combo for transplant patients from what I am told. The con is my hair is thin and probably required more grafts per sq cm to achieve a density I was looking for. Most guys no matter what, if they brush their hair forward can pull off my transplant was a success look. I always wanted to grow my hair long and even brush back. This requires density of almost natural proportions. Otherwise I would be stuck with a shorter haircut and trying to play around with it until I found a style that works for me. Lucky now I can part this in any direction and grow to any length. I am truly amazed at what Doctor Nader has done. 
After a transplant you find yourself looking into mirrors in public locations that you might not have done before. I find when a light is directly above you or in front of you in harsh lights that really can make you transplant look weak. Although I am good now, My first pass was just not enough to make me happy 😃. (No beard hair. all from back and sides it was a very uniformed extraction using .7/8 size punches.) I will say this if my doctor used a size 1. Size punch I would have been In Trouble long ago out of these 3 procedures. 

12 minutes ago, Mike_2020 said:

So the bulk of your transplant is "traditional" FUE and it's the front hairline that is FUI - is this correct? You've no FUT?

It’s all DHI/FUE. All front and crown. Never once considered FUT. 

3 minutes ago, Mike_2020 said:

That looks fantastic.

What can look so unnatural about some hair lines is that they are so perfectly straight.

I know what you mean. I see a lot of these (even reputable) doctors you see implant in uniformed rows and a direction of the hair to be straight forward. I like my the fact my doctor tried to match the direction on what ever I had left of my existing hair and looked at pictures when I was younger. I believe you have better control of the placement of grafts with DHI. 

I know my doctor started out doing FUT and switched to this DHI method after attending a conference showcasing a particular implanter tool. He switched not because it was easier, actually the opposite. You need way more time and over double the employees to achieve a smooth operation. Also the fact the results were superior, at least in his opinion. 
This my hairline , which all was done in this method. 
https://imgur.com/a/mCbSVBy

I am a believer at least🙂

3 hours ago, Gasthoerer said:

Interesting, I am not aware that H&W using DHI. Can you share a link?

Joe Tillman who has done extensive work with doctor Wong mentioned it in is last procedure. Also my doctor met doctor Wong at a convention they both attended and they discussed the fact they use the same tools and similar procedure methods. 

9 1/2 month update. Hair is really getting long. 
https://imgur.com/a/41i5r6q

I think in FUE the channels are bigger resulting in more trauma to the scalp. Also this prevents grafts being placed as close. DHI allows technically for more density. Although I have seen great results with both , we are talking in general. This is one reason why I believe hasson and Wong switched to DHI and probably promotes this method more now a days. Before they never really would use this method on large cases but I see it more and more. 
 

21 minutes ago, maltesefalcon said:

Did you experience hair loss after a year of your first transplant too? 

This has happened from March until now. Before March, I experienced only growth. 

I believe I did. Looking back at pictures and knowing some grafts placed in between hair that I was probably going to lose. Now I am on a pretty steady regimen that’s seems to help. Honestly I have grown my hair out and close to 10 months to haircut. I do notice more hair shedding. 

11 minutes ago, maltesefalcon said:

I was told that 2,500 went to the front / and 1,250 went to the middle and back end.

It’s hard to say based on post op pictures. It’s does look like they tried to cover all zones with that 3700 grafts. Define front in their layout? Either way your front had a large area to cover and the post op pictures look pretty uniformed in graft placement. Either way you probably were looking at a second procedure to get the coverage you are hoping for no fault of the doctor. Trust me, I have been there!

3700 grafts spread over that big of area does not give perfect density for most people. Most people would need almost 2k grafts just to make that front band look good in harsh lights. Also on top of that hairloss being progressive, it is possible no matter what you do you lose more hair.
 

Wow, looks great! I was always afraid of the shedding if I started that. I have been doing my igrow laser about 4 rears now 5 days a week along rogaine and essential oils. So afraid to give this routine up. But you really made improvements, nice to see. 👍

Speechless 😶 

@rob7331 when you look at your 10 -15 post op usually you can tell right off the bat if your going to need a second. Not always but once you grasp the ideal spacing for your hair type it seems that way. I mean I know they can only go so close and it’s kinda a “Hail Mary” to pack them in tight and hope for the best first pass. 

I have been in your situation. Dr. Nader I would say did a great job on me and two of my friends. He is worth a look! I have received density of a non balding person and it’s tough to do with light hair. 😀

Direct sunlight☀️☀️☀️  I have noticed throughout the four years of doing this depending on where the sun is positioned above you really determines what you see in the mirror. Doesn’t get any more real than this! I am very happy and waited very long for this day! I’m very glad I stuck with the same doctor throughout my procedures. Just the sheer natural look is impressive to anyone that I have told and has seen me in person. 
https://imgur.com/a/OceKS7A

Just checking in. Almost 9 month!

https://imgur.com/a/faAlN1S

Looks about right for the 4th month mark. Should turn out good calculating 3500 grafts just for the front portion. If you kinda run your fingers Gently  down into your scalp you should Feel some stubbles at this stage. That always keep me positive when I felt some.  Looks good!

13 hours ago, Dadda said:

Tomorrow marks 8 weeks and so far the recovery process has sucked and this ugly duckling phase of no hair has been a bummer . Nothing really to show because of the shedding . I keep buzzing my hair down to a 3 guard . I am very disappointed with my donor area and how extraction was done . Thought whole point of FUE was to be undetected .. this point of how donor looks I minus well have went with FUT . But yeah . Do you guys know when I can see some new hair in recipient area 

A good reason a doctor should grid out the donor area and extract even number of grafts from each grid. Very surprised at this, also the graft placement looks like uniformed rows, not sure of that but many people speak well of this doctor hope it all turns out well for you. 8 weeks is way too soon to tell. 

For anyone that doubts fue For mega hairloss should take a look at this fue European conference. 

Just wanted to outline my donor from my first two procedures. I believe the punch size played a big role in the outcome. 
https://imgur.com/a/RPMaqyS

3rd pass is to be determined but by the outcome of my second which at this point over 5700 grafts was taken you can see why I had plenty for a 3rd pass. I haven’t cut my hair in  almost 8 months so I can show anything really short after my third pass, but it’s pretty thick long so I am confident it’s all good.