BDK081522

Have you had a previous FUE? Your donor resembles FUE scarring when shaved to 0/1 guard.

I've been on finasteride for 20 years. Stopped it a few months before trying for my first child in 2016. Healthy baby boy. Continued use during conception of my second and third children. All were healthy with no issues at all. Remember to keep the pills far away from mother during pregnancy and breast feeding though.

I've never been on the Spanish forums so I'm sure you're right! Nonetheless, it doesn't change the premise of the post. He handpicks patients with favorable donor characteristics. Nothing wrong with that at all. It just needs to be considered that his results show great coverage and density with thick donor hair.

Thanks for posting Egott! It's the information that you provide which will guide those starting their hair restoration journey. Very informative and excellent description of your operative day and follow up care. This information will hopefully allow others a sneak peek into the process at Chicago Hair Institute and what makes Dr Konior the best in the world. You have an exciting 12 months ahead of you. Don't get down during the ugly duckling period. It feels like a lifetime while you're in it, but is really just a sliver of time in the whole process. You've chosen wisely!

@Melvin-Moderator this young ambitious 24 year old needs guidance. He's demonstrating the very misconceived notion of only caring about his hair until he's 35. Drugs110, we all know what's it's like to start receding early. Most on this forum started noticing recession or crown thinning in their early 20's. Many have had the same thought that we want our juvenile hairline back. This is a very ill conceived plan at your age. Since you've shown loss early you will continue to lose, especially if not on medical therapy. No ethical surgeon will give you what you're asking for because they are trying to protect you from yourself and your desire to attain this boxy juveline hairline. Your donor is limited and you must treat it as a finite resource. Secondly, I think you're confused on terminology. Your temples have receded, not your temple points. Your temple points are very strong actually and trying to graft this area would open yourself up to shock loss. Trust the responses you get from this forum. We're trying to offer sound advice. The undeniable fact is that you most certainly will care about your hair past 35 so plan for the future.

Hasson and Wong have been putting out consistent results for many years. Raymond Konior from Chicago Hair Institute is probably one of the most consistent surgeons in the world. You wouldn't go wrong choosing either clinic. Dr Couto in Spain seems to do really good work as well but it might be riskier as there aren't many patient posted results to gather information from. All of his clinic posted results are stellar but most are Spaniards with thick coarse wavy donor hair. Search the forum for a true representation for what these surgeons can do.

You have to realize that family history doesn't signify how you will progress with your own hair loss. Sure, it can be used as a loose guide for planning but in no way is it guaranteed that you will not lose more than your family members. You just can't think like that. With such aggressive loss so early you should just assume NW6 is your pattern and plan accordingly. That doesn't mean don't get a transplant at this age. It means know what to expect and try medication to halt or reverse some of your loss. Also, why do you state that it's a high risk that you will get the same side effects as your family member? There's no science stating this to be true. Just as with hair loss you shouldn't assume your experience will be similar because you're related. Don't let the internet scare you into not at least trying medication. If you can't tolerate it just discontinue use but at least you can say you tried everything.

Yes, it is definitely too early to be thinking about repair. Let the result pan out and and if repair is necessary then start doing some research into surgeons recommended by this site. I agree that there doesn't seem to be enough micro irregularity in the hairline. As far as density, that's a large area to cover with 1500 grafts but your hair characteristics, number of multi graft units, and angles they were placed all at make a difference in the resulting density when the restoration is completely matured. Nothing to do but wait and hope for the best at this point.

You mentioned that you have two more months to gain density. You're only at the very beginning of growth at 4 months. Don't get caught up in the 6 month hype. It takes 12-18 months to achieve a complete result. It looks great so far.

I would not count on being able to get a skin fade with either FUT or FUE. There are no scarless surgical options. If the FUT scar is very high you might be able to hide it under a 3 or 4 gaurd length cut. It's hard to go from skin to that length in the area below the occipital ridge though. More realistically you would have to start the lowest gaurd at 1 or 2 in the nape area and increase length to 3/4/5 around the FUT scar. Skin fades with FUE are pretty much contraindicated unless your punch size is very small (0.9/0.8) and you scar exceptionally well. Do not get a hair transplant if you are banking on a skin fade or shaving your head in the future.

The work looks pristine. Extremely clean post-op shows the attention to detail through each step of your procedure. Very dense packed and I think your result is going to be fantastic. I think you're selling yourself short on your pre-op evaluation though. You don't seem like a 3V with DUPA or retrograde from the pictures posted. Your donor actually looks quite average without any signs of DUPA and I think you were more of a 2/2A. Regardless, you're in for some fun over the next year. Congrats on doing your homework and putting in the necessary research time to give yourself the best chance of success. Happy growing!

It doesn't seem like a hairpiece to me. Especially the picture with it shorter. Most hairpieces aren't cut that short nor are they left that high. Why would someone get a piece to look like it receded halfway up their head? Hairpieces usually look off because they're low and dense with completely receded temple points and a wider forehead that doesn't match up. I think he had a dense but very conservatively placed transplant without addressing a temple closure.

Your hairline has simply matured. It does not appear to be miniaturized to any significant extent. You are not currently a hair transplant candidate at this time. Stay and fin and keep a close eye on it.

The beard area used is typically under the chin towards the neck area. The skin here is very elastic and the FUE scars heal extremely well. Most times the extraction sites are undetectable due to the great healing capabilities of this area and the fact that it's under your chin and there's some shadowing effect there.

Any surgeon just claiming to be able to get more grafts simply because they are better than every other top surgeon should raise some questions. Your donor is tenuous at best so donor management is vital to a successful restoration. Use the search function of this site. All of the surgeons mentioned in this thread have many results posted here. Both by the clinics themselves and patient posted journeys. Look for patients in a similar situation as yours and how each surgeon tackled those cases. Please don't take the word of any surgeon claiming superior results. You need to put in the research to get it right. Noone here is going to do the work for you, so your result will only be as good as what you put into it. In addition, you're putting too much credence into a surgeon's ethnicity contributing to success with same ethnicity patients. A truly elite surgeon can handle every patient physiology with skill and achieve optimal results regardless of hair type. You've made a wise decision to be part of the his wonderful forum so you're already on the right track. Good luck and keep us posted!

None of us here can give you an accurate answer of whether or not 1500 grafts are enough because we need a proposed hairline to show the exact areas you want restored. The second concern is that just because your family history isn't suggestive of a high Norwood, this doesn't guarantee you will not progress. You have DHT sensitive follicles as shown by your current recession. Without DHT suppression it's a gamble so just be careful.

This last transplant was in, around, and in front of the previous one. I lowered the hairline about 1cm, reconstructed the temple points, and he added grafts into the previous areas that already had been transplanted for blending and gradient purposes. I'm using the same regimen that I've always had plus added biotin and dermarolling this time. Finasteride, minoxidil and started rolling around the 8th month post-op.

My experiences were vastly different. My first hair transplant grew along a normal timeline but it wasn't done by a skilled clinic so it always lacked density. Hard to tell exactly when things were at their final growth because it just wasn't nearly dense enough to show the hairline. I continued to wear my hair down covering the hairline even after the transplant. My second transplant with Dr Diep grew in very quickly. Started seeing growth around 2.5-3 months with full visual density by 5-6 months. It was crazy how fast that one grew. Granted he used a large punch and thick grafts in the hairline. So, it was certainly dense enough but looked a bit stalky. My last transplant with Dr Konior has been much different. Started seeing growth around 3.5-4 months and it has definitely followed a more traditional timeline of sprouting immature hair that needs months of maturation before making a visual difference. I would say I'm at 80-85% visual density at almost 10 months. It may be because there's more scar tissue there or the fact that he used small punches and there's all very fine singles used up front. Upon close examination, I can tell many grafts are thin and still immature. Also, I'm still seeing a few new singles sprouting at almost 10 months. So, this one will take a full 18 months to mature. There's definitely a difference in growth rates for me that may be based on surgeon technique, scar tissue, patient physiology, or a combination of all these various factors.

As Melvin has already mentioned, Dr Konior doesn't charge a universal per graft amount. Each case is unique and as such, he charges a comprehensive surgical fee based on the complexity of the case. If you wanted to break it down to a per graft basis then I would venture a guess that his rate is between $8-$15. Also, agree that there is no universal better implantation protocol in the tech vs Doc debate. Whatever the clinic deems is the best option for optimal outcome is the correct technique for that clinic. Again, the reoccurring theme of individualized care based on best practice. Some clinics best practice are to use techs to implant and others would be better served with the physician doing the implants. Your job as a prospective patient is to figure out your own goals and what you're looking for in a clinic that will affect your appearance for the rest of your life.

Definitely go with FUE. Even if your scar revision is very thin it would be harder to hide then 300 FUE scars. Especially from the Chicago Hair Institute. Most FUT scars still need some length to cover and can leave an indent in surrounding hair. Grafts growing in scar tissue is always a risk but this clinic excels in repairs and I wouldn't be worried about graft survival if you go with Nadimi.

Your donor looks acceptable. 6000 grafts seems like a reasonable estimate from the pictures. You do drop lower on your crown then a typical 6 but the donor area below it seems on the larger side with adequate density. Your temporal areas above the ear are thinning but you should be able to harvest some grafts above that but below your lateral hump recession.

Hairline design looks good. I'm surprised they are willing to drop your hairline that much though based on your pattern. You're a diffuse thinner with a NW6 pattern. Without a DHT blocker for life that is risky. I would think just strengthening your existing hairline at the he height it is, along with a temple point reconstruction would suffice. That being said, for the area that is marked off there is no way 2200 grafts will give you a dense result. You will need at least 1000-1500 just to drop a hairline 1 cm with your hair characteristics. Then prob 750 per side for bringing in your temples and point reconstruction. That doesn't even include transplanting into your existing hair in the midscalp. I would guess 3000-4000 is a more accurate number for the hairline you have drawn.

The work looks impeccable! I'd be interested to hear the details about each day as well and the tech involvement. The unicorn 🤣

This is very confusing. Firstly, the pictures are comparing immediate post op to 4 months, not the final result. Grafts have barely started growing at 4 months, especially in the crown. Secondly, this post is 6 years old and obviously the OP never came back to update. So, no information can be derived from reposting other than the graft placement looks really well done.

If you still have crusts at 6 weeks there's a much bigger issue than comb vs brush. Nothing to worry about because your grafts are secure well before then. You're just shedding and it's normal.