BDK081522

Simple, don't go to Hair of Istanbul.

20 hours ago, HairRun said:

This is really fun to read about. With only 1 procedure a day, does Dr Konior not do a high volume of procedures? Like maybe 2 a week or something since Nadimi and Shah need to get their days in too?

Yes, exactly. He used to do 3-4 cases a week before Shah started so I'm not sure what his surgical schedule is like today. At this point in his career he doesn't need volume. My guess is 2-3 cases a week which also leads to longer waitlists. 

22 hours ago, HairRun said:

How many technicians do you think they have? Is it like a giant ensemble like Hassan and Wong? Hair Transplant Surgical Team - Hasson & Wong (hassonandwong.com)

I'm looking at the website for CHI, one thing that's interesting to me is that they seemed to branched out to plastic surgery as well, though I think Nadimi only. 

I wonder how they have time for that considering the high demand for hair transplants these days. 

On the other hand, plastic surgery may be more lucrative. It seems that top doctors are stubborn about not raising prices even as their wait lists grow up to 2 years. So it seems very hard for any one to do so. 

 

Oh definitely not like a giant ensemble. In fact, the exact opposite. Konior has one lead tech that helps at the surgical field. Maybe 1-3 others that help with graft sorting, trimming, etc. depending on the size of the case. His office and surgical areas aren't fancy with all the new shiny toys that places like Asmed try to woo you with. It's old school and just has the essentials. His surgical skill, attention to detail, and focused team are why they get such stellar results. 

21 hours ago, HairRun said:

They have the same technicians? Has this been confirmed? What about on days where they both do a procedure? 

They definitely used to share the same technicians as they didn't do hair restorations on the same day. There was always only one hair transplant per day at Chicago Hair Institute. However, there's a third surgeon in their practice now, Dr. Bhumik Shah. With that being said, I couldn't see them changing too much of how hair restoration is performed because it's such a well oiled machine. Their whole practice is run extremely efficiently and is the reason they get such good results.  

You guys shouldn't be thinking of this case as a per graft dollar amount. It's a very difficult repair case. It involves many advanced aspects of hair restoration including beard grafts extraction, scar tissue, wrong angled grafts, etc.. As a patient, you're not paying for a standard per graft hair transplant. You're paying Dr. Konior for the years of experience, meticulous attention to detail, and perfecting of his craft that has taken a long career to achieve. 

Haber and Panine are very good surgeons. They consistently give solid results. However, with that being said, I don't think they're on the same level as Chicago Hair Institute. Obviously just one person's opinion but if cost isn't an issue then I would stick with Nadimi. 

5 hours ago, Melvin- Moderator said:

I use minoxidil with Azelaic acid 1x per day, Revivv natural hair loss treatment 1x per day, I use Nizoral 4x per week, and the laser cap 30 minutes 5x per week. 

So no more oral minoxidil?

This might be some of the most aggressive temple points documented on this forum! With such minimal hairline loss, if the temple points turn out well, it should be a great result. Happy growing and just put your head down and plow through the ugly duckling phase!

Honestly, I have no clue if Diep did anything. I have complete amnesia from the amount of valium I was given. Last time I remember seeing him was in his office after drawing the hairline and taking the pills. I'm assuming he did extractions and incisions at bare minimum since it is illegal in the US for a technician to score the skin. But I can't confirm this. I know they had another case going on the same time as mine as they told me so. 

Yes, the grafts have been implanted at incorrect angles. They are almost perpendicular to the skin. They should be much more acute. He did the same thing to me. I was able to rectify the situation by having two subsequent procedures with Dr Konior. Luckily, no grafts needed to be extracted. Our plan was to implant in front of and around the misangled grafts to camoflouge them. So, he dropped the hairline about a cm and implanted high density at correct angles adjacent to Diep's misangled grafts. It worked very well. 

Not sure where you got that 6000 grafts to restore a full head of hair number. There's so many varying factors that go into calculating how many grafts would be needed. Hair color, native density, NW pattern, hair caliber, hairs per graft, hairline height, temple points, etc. Unless you go to the elite clinics at restoring high Norwoods like Zarev or H&W you're likely looking at more than two procedures. 

Not uncommon to shed weeks 4-6 but very uncommon to not shed at all. So, odds are that you'll still shed. 

@NARMAK Do you have any photos with the hair grown out pre-op? This thread only starts with post-op. Would be a good barometer for when it grows in to compare to. 

2 minutes ago, Blacklurker said:

I don't care if I'm bald in my 40s I just want hair in my 20s

To be young and naive. Trust all us "old guys" you'll care in your 40's. 

The issue is there are very few decent surgeons in Turkey. So, by minimizing your pool you're drastically minimizing your chances for a good result. If money is the driving force behind choosing Turkey then either save more or don't do anything. The results are permanent. So you may have lived 5-10 years with a receding hairline, but don't make the mistake of living the next 70 years with an unnatural one. 

@Captain Haddock Very sorry you're dealing with this situation after doing your homework and seemingly picking a top clinic. With that being said there's always options for repair. For less than 1400 grafts extracted, this is a very surprising and disappointing display of donor management. It's shocking for a clinic like Eugenix, who get so much praise on this forum to see a donor like this. Coupled to the poor temple point angles I think this result is certainly questionable. 

@AlexMeister21 just curious as to why you went back to the Diep if you were unhappy with the first transplant. Was it just the lack of density that bothered you or were there other issues such as angle of grafts or healing of the scar?

35 minutes ago, Melvin- Moderator said:

I guess my point is, even guys with no visible sign could benefit from getting on meds to stop their hairline from maturing a lot. 

Even on DHT blockers most men's hairlines will still recede if genetically predisposed to. Whether it be referred to as maturing or recession is a mute point. It's the crown that gets the most benefit from preventative medication.

5 hours ago, Tej123 said:

Is this a police interrogation lol, guy just asked for some advice jhz

Okay guy who joined 4 days ago. Give him some advice then. 

Why did you have a hair transplant without understanding the physiology behind how and why they work? Why didn't you ask Eugenix about this as part of your preparation? Why would you spend that much money on something that you weren't sure was going to be a permanent enhancement?

These are all questions that should have come up in your  preparation. You chose well by going to Eugenix but in the future make life altering decisions based on research. 

12 hours ago, SeanToman said:

Hi, does this also include transplanted hairs?

Can clinics add density without a full head shave down?

No, the transplanted hair will stay. It may miniaturize slightly over the next decades due to natural thinning but it will not completely fall out as native hair would. As we age even our donor (DHT resistant hair naturally thins) so this process will continue into your elderly years. Clinics can add density while keeping the hair long however it is not recommended. It's technically harder to graft in between long hair. It's best to shave and give your surgeon every opportunity to ensure graft survival without transecting neighboring hair. Think long term. If you're going to spend the money, time, and effort to go through this again give yourself the best possible chance at a great result. The hair will grow back quickly so think long term. 

You can continue to recede in the hairline while on finasteride but it usually holds the crown very well. I would stay away from smp in the hairline. It can look fake if not done correctly. I think your best bet is to go to a reputable clinic and have them add some density via more grafts. 

It's very safe if you go to a reputable and highly skilled surgeon. They implant in between native hair on a regular basis without permanently disrupting. Your newly transplanted grafts may get shocked out due to surgical trauma but they will grow back. I would guess 500-700 grafts should get you where you want to be. 

3 hours ago, Greenlantern2020 said:

Yea, I don't entirely hate my hair but just wish the yield had more density and the angles were a bit better. My surgeon advised me not to the temporaral points, but quite frankly it's probably because he's not experienced enough. I was thinking about going to Dr. Diep. Any thoughts on his work?

I would look elsewhere as Dr Diep himself misangles grafts in some of his transplants. You need an expert in naturalness and someone who creates soft hairlines. There are very few surgeons who do temple points well so do your homework before restoring this area. 

I do but I don't believe he has publicly stated who he has gone to for a repair. I believe he is waiting for full maturation so I will refrain from naming.