miko

Hello guys, like I promised, I am attaching several pictures of my progress after HT at Fuexpert clinic with Dr. Couto, who repaired my terrible HT at Asmed clinic with Dr. Erdogan. Dr. Couto said, things will start to change between the fourth and fifth month. I am 4 and half months after my repair HT and I like what I see in the mirror. The pictures were taken outside, in the winter sunlight. What´s your opinion? Thanks

Hi guys. I am in Dominican republic on vacation now. I will update you when I'll come back in the end of January also with pictures. 

On 1/11/2022 at 3:31 AM, Prof101 said:

How to contact Dr. Coutou's office? Their website says it's under construction... 

He is worth the wait, if he offers a good consultation(?)  

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.

On 12/20/2021 at 3:33 AM, MeetYourMaker said:

maybe in 2017. now HLC streamrolls ASMED İn terms of quality. Realized that after following a local Turkish forum for 3-4 months. 

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...

4 minutes ago, Gasthoerer said:

Looks great and very clean. I believe you will get what you are looking for. 

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.

On 9/29/2021 at 10:58 AM, Portugal25 said:

@mikocongratulations on having your HT with one of the best Doctors in the world. After the terrible ordeal you had at ASMED hairmill i`m very happy to see you come out victorious. 

Thanks for the update on the prices. I will update my table accordingly.

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:

17 hours ago, Portugal25 said:

@Mdc2021it`s very strange to see a thread comparing two hairmills with HLC that is the best clinic in Turkey. 

ASMED has several patients at HRN complaining about being mistreated after their botched HT and how this clinic is a hairmill with techs doing HT on several patients per day. 

Cinik is the most famous hairmill in Turkey because they invest a lot on Marketing and even sponsor the British premier league soccer. You can imagine how patients per day that marketing budget requires.

HLC is a clinic where the Doctor does the whole surgery with a more refined technique called stick&place same one used by Dr. Konior in the US.  You can`t compare HLC with hairmills only with other Doctors that are involved in the whole surgery using a similar technique like Dr. Pekiner (former HLC Doctor) and Dr. Kesser.

A better option to the two hairmills you were considering is Dr. Bicer and Dr. Demirsoy.

I would suggest you to spend a bit more and have your surgery in Europe.

Check my table below with the prices, technique and Doctor involvement.

Wish you all the best with your HT

 

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. 

On 9/27/2021 at 12:58 PM, Curious25 said:

I’m glad you were able to find a solution within Dr Couto - since there is such demand for patient posted results of his on here, would it be possible if you could make a separate thread documenting your journey with him? Or even ask if @Melvin- Moderator could change the title of this thread to include his name also? 

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.

23 hours ago, Egy said:

@mikoI am also convinced that you will have an excellent result.  You could continue your thread above maybe, indicating the strategy that Dr. Couto has adopted, perhaps indicating the details such as how many grafts he managed to take from your now devastated donor area, etc ... etc ...

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.

On 9/26/2021 at 12:19 PM, Gasthoerer said:

Great that you finally are on the path to keep things resolved. Fingers crossed for your growth.

Was also the hairline design changed or was the focus "just" adding density?

 

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.

On 9/26/2021 at 11:47 AM, bw77 said:

Couto's work looks great to me. I know it's been a long haul, but I think you'll be really happy with the final result. Second passes by good docs often make all the difference in the world. Even though your previous HT didn't meet your expectations, it likely provided some base level density that will make Couto's work look great. I look forward to seeing your growth in the coming months. I bet you'll have a fantastic outcome!

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.

On 9/24/2021 at 5:40 PM, Egy said:

@mikoCould you also post pics of the entire procedure with Doctor Couto?

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.

On 9/24/2021 at 3:36 PM, shadowcast said:

Is it true that you stopped taking Fin? If so, did Couto make you start it again before having surgery with him?

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. 

15 hours ago, shadowcast said:

Wow. Well, obviously Couto will leave you much better than he found you. Do you have any idea of how long you waited between extraction/implantation at Asmed? I didn't go to Asmed but felt like I was waiting quite a while between phases of my surgery...

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.

On 8/5/2021 at 2:04 AM, MeetYourMaker said:

yes, decided to go HLC (canceled my operation in ASMED) 

Good decision 

On 7/27/2021 at 1:19 PM, MeetYourMaker said:

can you elaborate? 

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. 

36 minutes ago, 5BetaReductase said:

Congratulations miko, he is a great surgeon and can hopefully turn your situation around

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).