miko

Send him an email. You have to deside if is worth to wait. There is about 1 year waiting time for consultations and 1 year between consultations and surgery. But he doesn´t take new patients this time. Also Dr. De Freitas is very good surgeon in Spain. Last time I see a lot of perfect results also from Eugenix.

Quick update. I am 3 and half months after my repair surgery with Dr. Couto at Fuexpert clinic, who repaired my terrible result from Asmed clinic Istanbul, Dr. Koray Erdogan. I am in uglyduckling phase now. Almost all transplanted hair has fallen out, also with some others and now I see some of them starting to grow. I hope everything is on good way.

I´ve been at ASMED in 2017 and they totally fuc.ed my HT. They were good before 2017, in time when Dr. Erdogan was more involved in HT...

Thank you very much. I hope so

Hello guys. I am attaching pictures from 15th day since my repair HT with Dr. Couto at Fuexpert clinic in Madrid, Spain. I hope everything will be ok. Dr. Couto is satisfied with progress.

Thank you very much. I hope so. OK. Your table is perfect, it helped also to me establish that I was talking to the best.

Hello Mdc2021, Portugal25 gave you table of really good doctors with very important informations about them. Before my repair HT I spoke with almost all these clinics and doctors (except Dr. Demirsoy, Dr. Bicem, Dr. Maras, Dr. Nedimi and Feller&Bloxham). For me first league are Dr. Couto, Dr. De Freitas, Dr. Lorenzo, Dr. Konior, Dr. Feriduni, Dr. Bisanga, Hasson&Wong and HLC. Best newcomers are Dr. Ferreira and Dra. Vila. It depends how much money do you want to spend and how far do you want to travel. But remember. You (and everyone) have limited donor area. More important than money are grafts. Also estimated number of grafts in your case (3000+) are too many. Rather choose more expensive doctor who needs less number of grafts to achieve optimal result than cheaper who needs more grafts. If I went to the first operation and considered the money, I would choose Dr. De Freitas in Valencia (also Barcelona), Spain. I suppose you have good flight connection from Denmark to Spain. 3,50 eur for first 1000 grafts, 2,50 eur for every next graft, hotel included. If you want to the best, then Dr. Couto. But he doesn´t take new patients now. And if you consider Asmed, please check my story:

I came back from surgery with Dr. Couto at FUEXPERT clinic 10 days ago. There is not true that techs do implanting. Dr. Couto´s technician Esteban collects grafts and Dr. Couto implants grafts with implanter pen. Every single graft implanted to my head was implanted by Dr. Couto personally. Also I had personal consultation with Dr. Lorenzo and Dr. De Freitas in the end of June. Dr. De Freitas use to operate 3 patients in 2 days and the price is 3,50 eur per first 1000 grafts and 2,50 eur per every other grafts. Techs do extractions and Dr. De Freitas implantation. Dr. Lorenzo use to operate 3 patients per day and the price is 5,- eur per first 2000 grafts and 2,50 per every other graft, even if it is necessary 2nd or 3rd HT at his clinic. Techs do extractions and Dr. Lorenzo 80 - 85% of implantation, the rest is performed by his team.

I will be thinking about it but if not, you (and everyone else) can find all informations in this thread or just enter name of Dr. Couto to searching.

Thank you. I want to continue. Dr. Couto found 1500 grafts possible to harvest in the higher part of my donor area. First we decided to split them between hairline and vertex, but later we decided to reshape hairline a little bit and improve just the hairline and if after one year will be another grafts possible to harvest (approx. 500), he will improve also vertex area. I agreed with it because my hairline was really terrible and didn´t fit my face at all. I saw it right after it was drawn at Asmed and it remained so until the second operation. Now my front line is much better and for the 10th day I am not unhappy every time I look in the mirror.

Thank you very much. Yes, my hairline was terrible, because we decided to reshape it a little, but no so much because of not wasting of grafts. First we wanted to add some grafts also to vertex area, but we decided to put grafts to hairline and after 1 year Dr. Couto will check my donor again and if will be possible to harvest another grafts he will improve also vertex.

Thank you very much. I saw almost every published result of Dr. Couto on Instagram and Youtube I trust him. He is really passionate about his work. He works every day until late in the evening and it is clear that he really enjoys the work. I really hope it will be much much better. But also I am scared because of not many grafts left for 3rd surgery, maybe 500.

I was very tired, I didn´t take pictures step by step. Dr. Couto did pictures before/after surgery. I attached a few from which I have. But I want to attach pictures from my progress in the future.

Yes it is true. I stopped using finasteride 18 months since surgery because of I didn´t see any difference between my result in 12 month and in 18 month (I am attaching pictures). I started using finasteride again in December 2019 because of thinning in my vertex area. Dr. Couto just asked me if I am taking finasteride and how long. Also he told that finasteride is very important for me because of destroyed donor area and after repair HT there is very few grafts for possible 3rd HT and I can´t afford to lose more hair. When I underwent personal consultations with Dr. De Freitas and Dr. Lorenzo, they both considered finasteride as very important.

I hope so. I remember that extracting started every day at 8.00 in the morning and finished around 12.00, then lunch and around 1.00 p.m. starting implantation. Which means that between extraction and implantation of first grafts it was min. 5 hours. If they didn't have the grafts sorted according to the time of harvesting, it could have been even more. Theoretically, it could have happened that the grafts harvested in the morning were implanted late in the evening. Apart from the above, it is clear that my very poor result was due to low graft survival and that Asmed lied when claiming that the result is normal or that the discontinuation of finasteride after 18 months since surgery was behind it.

Hi guys. Few days ago I came back from Madrid where I underwent repair surgery at Fuexpert clinic, Dr. Juan Couto. Now I know exactly what was the reason of my terrible result from Asmed clinic. It was caused by low survivalence of implanted grafts which was caused by unexperienced nurses/technicians and long time between harvesting of grafts and their reimplantation. I am attaching a picture where left is my recipient before repair surgery and right is my recipient area 10 days after surgery at Asmed. On the left picture you can see how many grafts survived from grafts on the right picture. There is less than 50%. Asmed promises and also promised to me min. 90% grafts survivalence... But when I sent them my result they wrote me first that my result is normal and than that my result was caused by stopping using finasteride. Also they asked 6.250,- eur for repair surgery. The 2nd thing is that my donor area has been totally destroyed by Asmed´s nurses/technicians. You can find all the essentials in my thread. Now everyone can form own opinion.

When you are from Paris, France, I strongly recommend you to go to the Spain for HT. From Paris are very good flight connections to Madrid, where are more excellent doctors (Dr. Couto, Dr. Lorenzo, Dra. Vila) and in Valencia is Dr. De Freitas (he also offer consultations in Barcelona some days). If you are decided to go to Turkey for HT, thank rather HLC than overpriced hair mill Asmed.

Good decision

Yes. You choose between clinic, where doctors do all steps of surgery, which has very good reputation, which is not considered a hair mill and from which I have not see any bad result (HLC) with a clinic where "nurses"/technicians do all steps of surgery, or you need to pay more if you want Dr. Erdogan to touch you, which is considered a hair mill, from which I saw many bad results (also I have personal experience with this clinic - check my thread) and which doesn´t want to be responsible to its results (Asmed). For me it is like to compare Audi A6 with Renault Clio.

Thank you very much

Yes, Dr. Lorenzo does not do exctractions. I asked during the consultation how many patients they operate per one day and who do extractions and implantations and I got answer that they operate 3 patients per day, extractions do technicians and 80%, sometimes 85% of implantations does Dr. Lorenzo personally and the rests his team.

This question is as if you were asking if you should buy a Renault Clio or an Audi A6

Hello guys, I had my personal consultations with Dr. Couto 3 weeks ago, after almost one year of waiting (I booked it in July 2020) and I have some new info about him. (I wrote more in my thread). Dr. Couto now schedules his patients on summer 2022 (it is not true that he is fully booked for several years) and he offered me date of surgery in September 2021, which is in 3 months since consultations, because of some patient cancelled his surgery. The price is 5,- eur per graft, because of I am repair case (normal price is 4,5 eur).

Thank you very much. Yes, also for me Dr. Couto seems to be the best option.

Hello guys. After 4 and half years since my terrible experience with Asmed clinic and Dr. Koray Erdogan and after reading a lot of stories and after seeing a lot of results, after speaking with almost 20 clinics I had my personal consultations with 3 clinics which I consider the best and from which I want to choose the doctor for my repair HT: Dr. Rafael De Freitas, Dr. Juan Couto (with him after approximately 1 year of waiting) and Dr. Jose Lorenzo. Two of them said that my hair transplant result from Asmed clinic is very bad in all ways, from unnatural bad hairline, through very low density in recipient area, through very high number of used grafts, till almost exhausted donor area. In their opinions my result was caused by combination of unexperienced technicians (nurses) and long time between extraction and implantation of grafts which caused low survivalence of grafts. The third one didn't want to speak much about reasons of my failed HT and he focused on his work and future. Dr. De Freitas estimated number of grafts which is necessary to repair my result as 2000. Dr. Couto and Dr. Lorenzo both as 1500. The best looking clinic is Clinica De Freitas. It is very nice and clean, it looks new. Fuexpert clinic (Dr. Couto) and Injerto Capillar Medilor (Dr. Lorenzo) seems to be older but also nice and clean. The best approach has Dr. Lorenzo. He checked my hair with microscope, draw the hairline also with laser, checked my hair dry and also wet and made some calculations. Dr. Couto also checked my hair with combe and with microscope, Dr. De Freitas just combed my hair. The best price offered me Dr. De Freitas. He usually asked 3,5 euro per first 1000 grafts and 2,5 euro per every next graft, but in repair cases is the price higher. But he offered me 2000 grafts for 6.000,- eur (hotel and one session of PRP included), one day operation and he usually does 3 patients in 2 days depending on difficulty. Nurses extracting grafts with micromotor and implantation does Dr. De Freitas. He schedules his patients on summer 2022. Dr. Couto usually asked 4,5 euro per graft, but in repair cases the price is 5,- eur. He offered me 1500 grafts for 7.500,- eur (nothing incuded), operation will be divided in 2 days because of he want to do it slow and perfect according low capacity donor area. He usually operates 2 patients in one day. His nurse Esteban extracting grafts manual or with micromotor and implantation does Dr. Couto personally. He said that my result will not be perfect as usually his results are, according previous HT and weak donor, but it will be much better than now. He also said that he would achieve much better result with 2500 grafts than Asmed achieved with 4500 grafts. Now he schedules his patients for summer 2022 (like e.g. Dr. De Freitas). I have luck because of some patient canceled his surgery in september 2021 and he offered me his date. Dr. Lorenzo asked 5 euro per first 2000 grafts and 2,5 euro per every next graft. He offered me 1500 grafts for 7.500,- eur (2 nights in hotel are included), one day operation and he usually operates 3 patients in 1 day. Nurses extracting grafts manually and Dr. Lorenzo implants 80% of grafts (the rests are implanted by staff!). He scheduled his patient for autumn 2021 (first aviliable dates he had in September 2021). Please, according this informations, who of these 3 doctors will you choose? Thank you for your every opinion in advance.