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jjsrader

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Everything posted by jjsrader

  1. Why are people bumping this thread and keeping it alive you ask? 'Cause we know a total sell out when we see it and would do the same shaming of a U.S. doctor doing the same thing with such exuberance. Imagine a U.S. doctor monitoring from his 'throne' 9 monitors filled w/surgeries and he pops in for quick slit sites and is pretty much a ghost the rest of the time? Sure, there are lots of sleazy plastic surgeons in U.S. that have geared up and created 'clinics' - but it would be my opinion that they either have much better personnel and quality control OR they are being lazy and too excessively profitable that they are undermining their previous good reputation. You are witnessing this w/Dr. Erdogan. He can fix it but he won't do so. Thus - we rant. And people rant all the time on forums about poor U.S. surgeons and clinics (their opinions of the 'processes' involved). 'Tis all we are doing. We also post about excellent surgeons who are much more intimately involved and have better-trained personnel. This is a topic that people like to read. With all due respect; get over it. It drives traffic anyways so it is to your benefit. Oh, and now you can stress to your PAID sponsors that you are even more knowledge after following this thread - so make sure to subscribe to it. Thanks M! peace...
  2. jjsrader

    Minoxidil 5% vs 10%

    I'm at 10mg morning and 5 mg evening (started that after 9 months of 5mg morning and 5 mg pm). Everything is the same and I do check my Blood Pressure at least 3X's per week. It works; simple as. In another 9 months I'll move up to 10mg morning and 10mg evening. Oral Minox (Loniten) is tolerated exceptionally well up to 60mg per day in divided doses w/o side effects by the vast majority of people Note: I take 150mg of Aldactone/Spironolatone per day (100mg in the morning and 50 mg in the pm) . It is a mild diuretic and is frequently taken w/Loniten for water retention. I work out a lot and have actually lost 15lbs since October '18. I have no side effects and will continue this regimen indefinitely.
  3. Dude - you ARE the MAN! I'm a gonna' go on a MAJOR rant right now - so all you TL-DR 'dear readers' may exit stage left at this point. TYIA. Major cosmetic surgery that is botched should be 'shouted from the rooftops' and to be brutally frank (and yes, I am in the legal field and licensed in 3 states as well as Israel) it is horrifying to me that a foreign surgeon cannot be SUED up his ass for Compensatory {expectation & consequential}/General/Punitive as well as Aggravatory and finally Restitutionary Damages. Dr. Erdogan is a reckless unfortunate well-known MILL surgeon operating in Turkey. I stand by this written statement. Unequivocally so, in fact. So sue me, eh? Oh wait - that's what Dr. Erdogan says (not to your face) when he and his staff 'ghost' a persistent and rightly so PISSED-off U.S. patient. Shame on him. And if I am given a 'timeout' for my written statement - no matter. I'll take the charge. It's really no skin off my sack as they say in Jersey. And yes, my last surgery was in India w/Dr. Suneet Soni (4.5K FUT & 500 FUE) in March '17, previous to that surgery in Great Neck, NY w/Dr. Feller 2,243 FUT in March '04, previous to that surgery two surgeries w/Dr. Mark Pomerantz in Chicago, IL (700 and 1100 FUT 'mini and micro' grafts) in two sessions '93 & '94 and finally my 1st initial surgery w/the stupendously arrogant yet 'dim' Dr. Matt Leavitt (100 and 120 minigrafts) FUT in Detroit, MI in Dec. '90 and Jan. '91 Of course I will get more surgery - 2 to 3 FUE procedures and I will utilize 'beard' hair in the process because although I have complete coverage and NO visible thinning my hair is Asian-esque BONE straight and my hair-caliber thickness in Microns is embarrassingly low - thanks Mom & Dad. You fucked it all up when you capriciously concieved me without thinking about genetic predispositions in 1966. Flaccid and weak lack of forethought, but I digress. So, I know of where and when I speak. In fact I would say I am the most informed hair transplant consumer that I've ever known personally. I am obsessed w/hair - it is who I am. Since I get a modest amount of feedback in these forums I will post my last 2 major surgery 'before/after's and my 'current situation' in great and nauseating detail later this spring when I have more free time. SLR photos - professional lighting - wet/dry combthrough videos. Scar and donor area combthroughs and both just-washed hair (wet) - towel-dried hair, no-product dry and styled hair as well as w/a touch of DermMatch concealer. I will walk the walk because I admire everyone here that posts photos and tells their story - it takes alot for me to respect other men - this is hands-down the very best hair-restoration website on the planet. Simple as. For this I owe - a mitzvah if you will for my fellow brothers (in spirit) that suffer from this terrible progressive illness that is passed down from inferior genetic donors (our parents). In the far future hairloss will be a relic of the past that time has forgotten. Until then 'by endurance we conquer!' Peace & Degenerate Blessings...
  4. I have a question for the surgeons. What are your incision techniques (lateral or saggital)? Do you ultra-refine single hair grafts for very frontal hairline by actively looking for finer-caliber hairs w/your loops when extracting? What are your loop magnification levels for extraction? What is your personal philosophy for smoothing out the very frontal hairline going into the 1st 1/4 inch of the frontal hairline zone? What density in 2nd surgery can you achieve in the frontal hairline and frontal hairline transitional zone and what % of your patients solicit your services for a 2nd surgery to refine their frontal 1/3rd of vertex and/or hairline zone? I'm asking for specific reasons 'cause I have really good coverage from my 8.5K FUT's in the mid 90's, 2004 and 2016 and now I am actively searching for surgeons that I want to do my last 2 or 3 FUE procedures (perhaps up to another 5K of remaining grafts - donor left to homogenize my entire scalp somewhat and add frontal 1/3rd of vertex density and then a final 'tweak' of the very frontal hairiline.
  5. Where's your temple points work? Nice 'lid' on top - I think you should add 500 grafts on each temple to better frame your new profile. But what do I know?
  6. jjsrader

    Minoxidil 5% vs 10%

    Agree - I was on 15% and then 30% creams from Murray Avenue Apothecary Compounding Pharmacy vis a vi medicalwellnesscenter prescribing physician for many years. I switched to ORAL Minox and ORAL Spriro in May of '18 two doses per day - there is no comparsion between topical and oral systemic results. Taking the pills though has potential side effects at higher doses; I would not recommend this for the majority of male hairloss sufferers. Better to stay w/5% foam in the long run.
  7. jjsrader

    3rd hair Transplant

    C'mon man! Use logic. Unless you were fat and lost alot of surgery after strips - 2 strips in and your scalp has less skin in the same area. Simple as. I would guess your doctor can give you an accurate guess w/another consultation. Alot of guys can do up to 3 strips - some are done after 2 strips - and a minority have to be done at 1 strip. I've had about 8,500 grafts via strip. My last surgery was March '17 - it streched in some places. I'll wait 'til near end of year and see if I can get it cut out and get as many grafts harvested out of there. I'll have staples done this time. I don't want the scar to stretch this time if I can help it. It might be FUE time for me. I'll find out when I do consults in late fall '19. peace...
  8. Laser is an adjunctive therapy and works best when your remaining hairs you are trying to 'revive' (lengthen hair cycle and increase overall/length of thinning hair) are still alive and have diffuse hair loss. It works best w/oral medications (dut/fin, loniten/spiro). If it works for people it usually improves a females hairloss quicker/better than men due to hormonal interactions and females have overall higher quality density/hair caliber than men. I've written before that it works better with 5 to 6 uses of about 22 minutes per week. Also, one really should use 400+ diodes for better overall coverage. Finally, it is my experience that from month 12-15 I started noticing the subtle yet visible results w/more coverage of my existing hair (subtle but visible). To the untrained eye - very little difference. To the critical eye a modest improvement. That was all I expected (at best). My overall hair quality is better all over and just a bit of thickening of weaker hairs. It's really not for 99% of men unless you like putting a laser helmet on your head 6X's per week while you are in your recliner and can schedule consistency over time (also - I don't recommend ever using if other people are around). You will be mocked relentlessly (reason I keep it in a drawer next to my recliner & only use it alone). peace...just my personal experience and I'm 52 - so I'll take what I can get 'cause I've been balding since age 21 (and have had many surgeries and use alot of meds progressively stronger over the decades).
  9. jjsrader

    HT#2 with Dr. Nader

    I wish all photos were done w/a camera this good - clinics should be using only professional-quality as well. Nice! It's worth the 5K-15K on a good studio-quality setting w/good cameras/lighting/consistent backdrops, etc... at each clinic.
  10. Consult w/the most respected plastic surgeons in a major city or teaching hospital - this is not as uncommon as you think and a full brow lift is probably not the ideal answer. Maybe there are some new developments in this type of surgery? Good luck!
  11. jjsrader

    Turning 40, Finasteride, and Dr. Konior

    Regardless, you waited 'til your mid 30's - had very little miniaturization (as you noted) and got a great yield vis a vi strip and yea, Konior combines the ART of a hair transplant w/the science & has a very good eye for his craft. How many grafts for your strip, btw?
  12. jjsrader

    Hairloss Concealers

    No problem. If you are really into the whole thing you could even go to a makeup artist w/all your 'gear' and see if they could give additional tips - although I doubt it. It's a fine line (as you know) between too much and not enough and keeping the natural sheen/color/light-diffusion under the most varied lighting conditions in one's day to day. Once you do that - you've reached the endpoint. Frankly, 95% of the people on the street don't notice subtle details like we do as hairloss experts. If you introduce something 'new' to your concealer routine - the only other advice I have is to use less than you think you need for several times and see how it really looks throughout your day. Better to be a bit cautious as you know than overkill. Every now and then when I do use my full arsenal of hair products/concealers and such - I look at mutliple angles in different lighting environments (before I leave my compound) and I say - nope. Be more subtle today. I don't use everyday (usually 1X per week when I'm a very light color) and about 6-8X's per month w/dark hair. I sometimes think about having expensive hair added to my own when my hair is long - but that's just ridiculous (2-4 hairs attached to single follicular unit hair groupings, advanced yet very light 'weaves' and all that) and is a market that is 99% female oriented.
  13. jjsrader

    Turning 40, Finasteride, and Dr. Konior

    Your natural hair caliber and wave are extraordinary for a male at age 40 (your native hair). Frankly, I'm pleased you are so happy - but you're results are not typical. They are so far outside the norm from a statistical standpoint. I would put it at less than 1% of hair patients could possibly acheive your look - maybe those Spanish guys and dudes w/insanely thick/wavy donor hair that is the best of the best (comparitive to a woman's hair diameter and natural density). Also, as a Norwood 2 who then had a hair transplant (considering how likely your donor hair's exceptional quality) - your doctor really did a great job cherry-picking the best fue's - after all he could use your entire donor area and be very picky 'cause you didn't have a large procedure, right? Results like this used to trigger me - now I take the high road. Rock-star hair my man. And the hairline will serve you for a long time. I'm sure you know all this and are grateful for your doctor's excellent work and your proactive research that most people don't fully appreciate. Cheers!
  14. jjsrader

    HT#2 with Dr. Nader

    Awesome update! Well, as experienced clients of multiple surgeries know - even at times pretty damn dense hairlines (like the kinds H&W can pack upon request and w/the right hair characteristics) sometimes need tweaking after a 1st surgery. Very very few surgeons will ultra-dense pack on 1st pass - even w/really good donor hair (thickness/caliber/texture) that original poster seems to have. Dr. Nader gave him a good base and now he came back for more density and refinement. Hope it gets him satisfactory results. It's the rare bird that gets ultra-refined and real density results in a 1st pass - it happens. Just not as much as we all hope for. I'm glad original poster provided an update. I think he also has a really good SLR camera he uses for photos (see his 1st thread). I would say his original pass resulted in about 30% of normal density. Now he's trying to bump it up to near 50% which will give him the 'appearance' of a nearly full head of frontal hairline that flows into his temporal corners that meet his native density hair on the sides. If growth survival rate of terminal donor hair is 80% or even more - I think the results will be excellent. Don't know if Dr. Nader inspects each graft after extraction for quality - but poster has what looks like better donor than most and he is very young - w/stronger genetic healthier and younger donor hair. So should get a good bang for the buck for sure. I'm curious if Dr. Nader gave you a density rating of recipient area? How many follicular units per cm2 for this frontal 'zone' and line leading into temporal peak areas. Good growing!
  15. jjsrader

    Hairloss Concealers

    If you wanna' get really OCD about it I would (when hair is wet) apply just very small amounts of Dermatch (diffused w/water) w/fingertips or applicator brush from your mid-vertex blending forward to near your hairline. I find fingers work better than applicator on scalp if you separate your hair for each small zone going forward. This would cut the contrast from your frontal hairline 'zone' and soften the transition from your frontal hairline of transplanted hair and create a bit of a shadow effect into the hairline zone just behind your frontal hairline. Some girls use mineral-based eyeshadow powder w/brushes to do the same thing or use root-zone touch ups. I find the powdery products on the scalp are too sensitive to clumping or patchy spots. So Dermatch is really the absolute top product for larger zones. You could use a minor-touch up of your very frontal zone (I'm being very picky 'cause I also would like a bit more in the very frontal zone to break the contrast of darker hair w/white skin) 'cause you have visual gaps. Probably only us transplant guys are this critical of your frontal hairline. At regular glance I would be totally checking out your eyebrows and wondering what hair paste/clay/wax you were using to get nice clumping high off your scalp w/your longer hairs. Overall, your use of Caboki is top notch and the way you are doing it is sneaky smart mixing w/other thickeners and then going for product that gives your hair a bit of natural sheen afterwards. Even fibers like Hairatin (I consider this the best fiber product) need a bit of blending that is very subtle along w/other products to get the best results - you are doing that exact process, imho. Just my .02 cents. I was a licensed cosmetologist whilst I attended University to get my degrees, as was my older brother. That's just my critical-eye perspective for a guy that wants to go all out.
  16. jjsrader

    Hairloss Concealers

    I change hair color frequently - sometimes using demi-permanent to go very dark (blackest black) - then sometimes all the way back to permanent hair color (using an experienced colorist) of sandy blonde/lightest blonde. Dermatch has 'discs' for all the base colors and w/really good brushes - that's my base (if I'm doing my hair and feel like putting some time in). After that I'll use a root plumper plus that lifts and separates my hair at the scalp level but doesn't overdry. I find this gives a bit of hairs at the very root line a boost that Dermatch can sometimes overwhelm. After that, I'll sometimes use just a pinch of Prothik as a spray (but rarely). I've tried about 10 fibers in the last 20 years (mostly out of boredom) - the light-diffusing properties (doesn't give off typically brashy 'off-color' overtones other fibers do) of hairatin are the best I've ever used. I rarely use it but if I want a super boost; it's the most natural. I find all these products work best w/proper volumizing routines (shampoo/conditioners/mousse/root plumpers/finishing dry sprays/dry pastes & styling creams for thinner hair volume & heat-protecting products w/a blow dryer etc...) and really learning how to blow dry the hair properly for different purposes (if applicable). Finally, I use deep-conditioning oils and treatments every week to keep my hair very soft and shiny and healthy 'cause all the thickeners can be a bit harsh on hair at times - even though when my hair is lighter I basically don't use any fibers or mineral-based scalp concealers. Just keeps my very fine and bone-straight hair strong & healthy looking. My day to day? About one night a week just a blend of dermatch and high-end eye shadow blends (w/the proper brush) to minimize the color of my scalp contrast. I have about 45% of my natural density in my frontal hairline and transition zone & nearly 50% thru frontal 40% of my scalp - going back to crown and the last part of the back vertex I'm probably at 65-75% of normal density. In my crown probably 80% of normal density. So, when I'm sandy blonde and/or lightest blondest blonde there is very little scalp contrast (I'm extremely fair/white skinned) - I might use some combination of the above every now and then but not on the regular. With darker tones, more frequently, maybe 6-8X's per month. Like alot of transplant guys, us very picky guys know the best people to cut our hair due to the surgeries we have had & are quite knowledgeable on products & care that gives us the biggest bang for our bucks for this silly vanity we spent so much money on. I'm thinking of doing SMP or Mark Weston for 'base' down the road but since I change colors I'm not sure which 'base color' is neutral enough for very dark to very light hair and in between? If that even exists. At the gym, nothing & I wear a bandana or large sweatband or hat just so I can just concentrate on working out and not give any attention to how my hair looks. 💲🙄
  17. Do alot of research on hairpiece forums. I would just get creative and use a tiny hairpiece w/crown whorl details and make sure the hair is non-processed w/cuticle intact and matches your hair diameter and 'wave' nearly 100% - w/a perfect color match the blending would be nearly seamless. Maybe even a very thin/fine partial w/less density that you bump up ever so slightly w/Dermatch or very subtle amount of hairatan fibers (they deflect/diffuse light best when blended w/scalp and real hair). Good luck w/your eventual decision. Or you could get another crown surgery - say 1.5K grafts and work w/like a 20-25% of natural density and use concealer products that help w/the 'base' you've established.
  18. Dude - w/your native hair caliber and density - I would think you are near 10K availability for FUE unless your head is really small. You could literally take fue extractions from a huge donor area over time as you get older and keep up w/your very slow hairloss.
  19. I apologize and will let this thread take its long & winding road forward. Okay, delete my post. I'll try and keep my comments objective going forward. ty. peace...
  20. That was me; you are correct sir! Always remember, physicans are real people too - we are talking about difference in doctor approaches in the end.
  21. H&W Asian techs are MILES ahead of Erdogan's techs - it's not even close. 1) Better intelligence & hand-eye coordination 2) Longer/better more experienced training. 3) I am sure the average age of H&W techs is older and I am 100% sure that the vast majority of hair techs employed by H&W have some medical background (Nurse, etc...) 4) I guarantee H&W techs interact real-time and in so much better granular detail with each doctor. 5) Finally, H&W took some of Erdogan's best of the best initial talent - had their techs interact and now H&W FUE is top 5 in the world. Simple as. -------------------- Erdogan's approach now is ludicrous. Mr. 50K gross per day and he chills in his 9 monitor room 75% of his day. Have you noticed how he dis-engaged from the forums? He'll take the hits here and expand his marketing (don't get me started on his marketing youtube videos from years ago) and hire more 20 year-old Turkish girls w/no medical background and limited training and keep ballin'~~ Some shameful ethics imho. It's a money grab now and he is looking to optimize his profit model w/the least amount of personal involvement as possible. It's a factory w/average results - and I suspect a lower-than FUE survival rate than top-tier FUE surgeons. Oh, the techs who are supposedly examining each graft under a microscope probably aren't even doing that 100% of the time or correctly. Finally, although I believe Erdogan's incision reception sites are angled properly, those techs are just banging those grafts in there as fast as they can while they laugh and listen to music and gossip among themselves in a foreign language. It's a shame. Had he stayed intimately involved in 1 surgery per day, used his most experienced techs (2 or 3) that are the best of the best and he had a bit more artistic approach to hairlines - this guy could be charging $4-6 USD per graft or maybe even more and not have to be a factory. Turkey really is a moneygrab for 99% of the surgeons there. Erdogan is building up his wealth quickly once he saw he could automate his earlier work. That, to me for a physician, is laugable.
  22. Hey Legend! This patient has extremely fine/thin-caliber hair w/a big skin/hair-color contrast and a massive family history of alot of balding. He's going to be a NW5+ or NW6 - so it really doesn't matter if he wants to proceed slowly over time. If his Artas harvested grafts survived just like other FUE extraction methods - what difference does it make? I think Artas even has small mm punches now - down to .7 and .8mm. I recall Arocha, H&W and other top clinics buying the machine - although I think they realized eventually it was ALOT more work for them in the long run than extracting via mechanized fue punches (AROCHA) or manual w/technicians doing the work (H&W). Also, this doctor is showing a small procedure on a guy w/alot of balding already and less-than desirable hair characteristics - so apples to apples I always say. Many of the smaller FUE procedures we see on this site are very young guys w/'in-their 20's' hair qualities and superior donor quality and very exceptional hair characteristics (caliber and wave). I would consider Dr. Rosanelli a 'boutique' surgeon - and I bet he does too. His career is based on conservative work that he feels should hold up 20-30+ years over time. I am sure alot of his clients are high-net worth and even if you are worth mid 7 figures and have a family history of alot of balding and you hit your 50's and 60's, if you went HUGE young and blew out your donor, with the progressive nature of hairloss that intensifies as one gets older (40+) - those guys don't want to have to explain visible excessive fue scarring and would rather be a bit more subtle in the way they present their hair restoration surgery over the decades. I don't think alot of young guys understand that completely. Dr. Rosanelli's primary client base is most likely the wealthiest guys of N. California fwiw. I understand the doctor's attitude towards erring on the side of caution and believe it or not alot of guys that are subtle don't mind smaller surgeries just so that virtually no one will ever know. In high-net worth society and corporate life - just the stigma of noticeable plastic surgery/hair restoration can trickle down and these types of guys are trying to avoid that (methinks) as much as possible. A complete 5000 graft or mega-session w/a funky shaved head and downtime for many of these guys - it simply can't happen. Too much $$$ on the line imho. Many probably won't allow the appearance of excessive vanity - people that work w/and under them could use it against them. I consult (work only-in person quarterly) w/alot of high-power attorneys in South Florida, East Coast & some from Israel and China. Not a single one of them would ever consider having a large procedure at one time. Two of them are using the incremental approach over time very discreetly. Since I have had many surgeries but do NOT interact day-to-day in an office setting nor do I have a social circle of high-net worth friends; a few of the attorney's ask me in great detail about what I've done over the last 29 years - but really aren't considering a cosmetic procedure seriously. Normal everyday Joe types - it doesn't effect them quite so much in terms of sheer economics & a upper-echelon social circle. Of course some guys overcome bad work (ALOT do) and just say screw it and live their lives w/bad work regardless. Just my perspective.
  23. With just a bit of dermmatch or a sprinkle of hairatin hair fibers - he could look near normal density. Dr. gave him back the foundational aspect of the crown 'whirl' - nice work! Add a bit of volumizing shampoo/conditioner and a volumizing mousse and finishing spray and that crown would look pretty normal. Always remember w/the crown you can drop 5K of grafts and you may not achieve the illusion of normal density. It's a black hole for grafts as they say. Looks like his hair is lying flatter in the after photo and his hair is more forward oriented than in the before shot. Sure, another 2K of grafts would look even better - that's 3.5K grafts for a small visual area but proportionally larger surface area. He looks like he has wonderful hair characteristics though - which is a good thing.
  24. Okay. I counted w/him my FUE 500 grafts. I also watched my strip dissected via microscope into follicular units. I didn't get an individual 'breakdown' of hair groupings. I didn't get that info from Dr. Feller in '04 when I had 2250 grafts either. But I did look at my graphs being dissected via microscope by his techs as well. Suppose someone could count all of a Dr.'s 'slits' as he goes along - but being drugged and in the middle of a surgical procedure makes that difficult.
  25. Fair enough, I have to respect your thoughts. They are of your experience and you provided photo documentation of your results. I was quoted 4K of FUT and 1K of FUE in my online consults w/Dr. Soni. I got 4.5K of FUT and 500 FUE on the day of surgery. So that was a 5K of grafts consult - 5K of grafts on surgery day. I wasn't 'fooled' in any way - but maybe you read something wrong. I wrote a positive review because my personal individual experience was positive, I enjoyed the staff and interaction at his clinic for a few days and everything I saw from Dr. Soni was professional and of the nature of an experienced competent and skilled surgeon. I have no reason to say otherwise, I'm not paid nor a shill but I am nothing more and nothing less than another guy on this forum who wanted to give a very very detailed write up on my procedure and long personal hair transplant and balding genetic/family history so others can learn more and then do their own research and decision making. I'm going to write a nauseatingly long response - so everyone knows my follow up. It's really long but entirely my experience. I am so sorry you had bad/no growth and a dramatically lowered hairline done and interaction w/Dr. Soni that you do not feel was appropriate for your needs. I really am - I can't comment more 'cause I'm not you, but I believe you feel you really knew what you wanted based on past experience and what you wanted. You seem quite intelligent and as a former H&W patient that went through 'touchups' and an experienced hairloss patient - having a procedure that didn't work out for you and dramatically reduces your lifetime donor - I don't need to say anymore. I am very surprised Dr. Soni was so persistent in his thoughts going in a totally different direction from your wishes and your online consult and agreed upon plans. Very surprised. I had a great time at the clinic and got exactly what I wanted. That really sucks for you - I'm not good with pressure and from reading your entire thread even w/H&W you had initial issues w/growth in that area of your scalp (very frontal where there was no hair). I got what I wanted for my extremely fine/thin hair. I have the finest hair I know - even 15K of grafts on me wouldn't look as good as someone w/really good hair characteristics @5K of grafts. I'll just relate what I got from Dr. Soni. Grafts that grew, all dissected properly with German microscopes at proper magnification by a highly-experienced tech team, properly angled single hairs for 200 graft temple points on each side to another 4.5K grafts placed from frontal hairline (high-end of low up to medium density of grafts) to mid-scalp (somewhat lower density grafts) to vertex (much lower density of grafts). My very frontal hairline are all singles properly angled (as good as the surgery I had w/Dr. Feller in 2004 and I have terminal hair throughout my scalp now). I do believe I had alot of shock loss for 6+ months due to the size of my surgery and I had a certain amount of miniaturized hairs throughout the mid-scalp and vertex that probably went away for good. These miniaturized hairs were much older than when I had my 2250 graft procedure w/Dr. Feller in 2004 and frankly, I don't think I had any miniaturized hairs left from my frontal third up to the middle-back of my scalp - that was all transplanted hair from my previous surgeries - none of which went further back than the very back of the frontal 1/3rd to maybe 1/4th of my scalp. I replaced a see through front/top and slowly-losing vertex w/over 10K hairs - my scar healed very well on the sides into the temple. The scar in the middle (3 inches or so) stretched some, my closure was very tight. I'm not entirely satisfied with the width of my scar in the middle portion - but I have a strip scar lower from Dr. Feller, two more on the lower middle/sides from 400 and 700 grafts in '93/'94 and even two more small ones from 110 and 100 grafts in '90/'91. It's a war zone back there for sure. When I have my final FUT, (if I am still a candidate) I'll try and consolidate one or more scars and have them take from the best donor area remaining. I do think the grafts in my crown (not too many placed there - probably 500 or so since I still had about 30% of my initial density there of regular hairs there) took longer to grow in. What I think helped me was final results hitting me after about 18 months (everything synced up and a hair transplant typically takes final form in fine-haired recipients w/very slow-growing hair 18-24 months after a transplant). I don't think I was lucky nor an exception to the rule as a Dr. Soni patient. Yes, I'm not Indian nor do I have that jet-black thick/wiry hair most of them do. My hair is auburn/brown and extremely fine and wimpy. I don't see any gaps in my hair from front to back. It's all filled in (yet probably only about 45% original density - thus why ideally I plan on doing another 2.5K up to 6K or so of grafts to bump up the recipient density to above 55% or so for full cosmetic 'ILLUSION' of a regular head of wimpy/fine hair). I might even sprinkle in a few thousand of beard hair from the back of the frontal zone to the vertex when I'm older and if I want to go that way (baldness never stops). I also want to get more density in my frontal hairline and transition zone - since my hair diameter is so thin/fine - I need way more hairs than regular men to create that illusion of full density. Everything at Dr. Soni's clinic seemed at the standards I wanted. He has done well over 2K surgeries, uses an experienced tech team, he does FUT w/trichophytic closure, has authored chapters in surgical texts, belongs to proper medical associations, angles hair correctly throughout all zones of scalp, uses industry-best follicular-unit dissecting microscopes & can do megasessions via FUT or combo FUT/FUE. I see so much consistency in his work w/advanced hairloss patients - in clear video w/regular scalps and a wide variety of ages from younger to older. I do think he does too many surgeries per day - but he is at the clinic and does all FUE extractions and recipient sites himself and of course does the strip as well. His residence is the top floor of the clinic and his wife is a dentist in the same building. So, he is hands on and available pretty much all the time. Allow to me admit that I thought my growth from my procedure w/Dr. Soni was lagging - for well over a year. But I was shaving my head to stubble that entire time and up until Sept. of '18 (18 months from my surgery in late March '16) after my surgery because I'm weird and I didn't want to grow out my hair and be potentially disappointed. I was being OCD about it. I knew I had acceptable results on the temple points he rebuilt and the very frontal hairline - 'cause I could see that growth even when I stubbled my hair w/a stubble electric trimmer every 4-6 weeks. Although my hair is extremely fine, my face is framed better now. Of course I want to add density to my frontal hairline and just behind it, almost everyone does, especially if you have fine/straight hair. I still look like I have thinning hair. I only have about 40-45% of my original density - but all of the transplanted hair is terminal and my donor is of okay quality. If you look at guys with very thin hair and their results on this website, that's me. When I style my hair it can look fairly normal. If I wear a baseball cap for a few hours or wake up and my hair (I have very oily hair as well) is not combed - I look a bit thinning, but no big gaps or blatant bald spots. I'll wait until after my final FUT surgery and have a surgeon cherry-pick my best FUE's for that. I haven't decided on the surgeon I want for my final surgeries for FUE - most likely H&W or Shapiro or another extremely experienced doctor who really is meticulous about cherry-picking FUE grafts and also can dense-pack w/artistry the final very-frontal hairline and transition zone behind it. I may have 4K of grafts left, 3K or maybe 6K - I don't know. That's why in my next round of pic consults (after a few in-person consults) I'll have my hair evaluated at a length of 6 inches and then cut down to 1 inch and then shaved to stubble, so a full evaluation can be done. Even though I have had 8.8K of grafts (110 and 100 in '90-'91, 400 and 700 in '92-'94 and 2250 in '04 and 5000 in '16) - I want and will have more. Every single male family member in my immediate family and extended family are all NW 6-7's. My pictures I sent Dr. Soni in Feb of '16 show a NW5 guy (why I was quoted 5K+ of grafts by the majority of my physician consults) - I feel I now have terminal, good-quality hairs from my donor all over my head. Finally, I do believe my growth was much slower overall this time (even w/me shaving my head for 18 months after surgery) - probably 'cause I was 50 years old when I had the surgery, 5K is a huge procedure and alot of trauma for the scalp, I wasn't on brand-name Avodart (had been using generics for years) - wasn't on the laser, wasn't on the aggressive oral meds yet either. When I have another procedure (probably later this year in the late fall) I'll request my photos from Dr. Soni from March 2016 and the pictures I sent him and then do a proper photo story of it. I'll compare my photos of 2 months of grown out hair in March '16 prior to my procedure w/Dr. Soni and before I get another FUT surgery, if I can still have one - I'll have my hair cut to look exactly like 2 months of grown-out hair. I'll have my face blurred out on all my photos. I'm not a picture person - especially on the internet. WARNING: The rest of my post is a wall of text/paragraphs of me and my anal regimen - (optional reading I suppose for regular guys). Everyone's mileage may vary and results may vary individually - but I KNOW that a proper laser w/alot of diodes used at least 5X's per week but not more than 6X's per week over time de-ages the hair and turns back the clock, so to speak, on any EXISTING hair in 12-18 months is healthier, which helps overall. Clinical studies have shown varying levels of improvement. It is subtle but your existing hair improves over TIME. You need to use the right laser helmet/cap w/alot of diodes and use the laser more than 3-4X's per week for optimal results over time. Yes, one 'may' regrow some weaker hair and thinning areas may shrink a bit - this is almost entirely due to existing hair (terminal and all hairs that are higher quality than vellus hairs) getting thicker, able to grow longer and having a longer growing cycle. I do KNOW that oral minox and oral Spiro and brand-name Avodart are a kick-ass combo of systemic high-potency hairloss DRUGS that work synergistically together -especially when they are all used together for the 1st few years. So, I'm really anal about 'treatments' 'cause I know how stressful hair surgery is for older people w/fine hair and miniaturization and terrible family genetics - so at 6 months after my last surgery in '16 - since I was still shaving my head and was trying not to think about my final18 month mark that was coming up in September of '18 when I would start letting my hair grow again I decided to for better/worse to research and then gradually amp up my regimen and help my megasession of 5K grafts any way I could for the long term. 1) I ordered a 420+ diode hair laser from overmachogrande.com and since September of 2017 5X's per week religously for 22 minutes I use it. 2) Also, I have been taking brand name 10mg of brand name Loniten (oral minox) and 100mg brand name oral Spiro (Aldactone) since the beginning of May '18 - yes, I know the potential side effects. I checked everything out initially w/my physician and the 1st month/3rd/6 month and nothing negative thus far. 3) I also switched back to brand name Avodart in April of '18 - (I was taking generic Avodart since '08 - previous to that I was on brand name Avodart since '02). It is common knowledge that generics are often 70% as effective as brand names in the pharmaceutical industry. The quality of the main ingredients matter - very much so in hairloss meds. Generics use the cheapest possible in terms of cost primary generic ingredients of an original patented drug - that's a fact. In fact H&W believe this as well - they highly encourage all patients use Dutasteride (Avodart name brand) and Finasteride (Propecia name brand). That should tell you something - and they are doctor's that practice in Canada - not U.S. based. I hope this rather lengthy reply of my personal experience is useful to others. The question is would I go back for another FUT from Dr. Soni? I didn't go back to Dr. Feller and his FUT results of 2250 grafts on me in '04 were done correctly. Dr. Feller did a conservative surgery - Dr. Soni's was 2X's more aggressive. My scar (about 2.5 to 3 inches in the middle) from Dr. Soni is not what I would consider ideal, it stretched a bit. My final FUT surgery, if I can have one - be it 1K or 2K or ? grafts I will once again be going for the most bang for my buck and trying for alot of grafts. I'll consult again w/Dr. Soni, Hattingen Clinic, H&W & probably Rahal & Shapiro. I don't know if I want to go all the way over to Europe and Asia again, but if I can combine it w/another 6 week vacation like last time - who knows? I think it's 50/50 I can have a final FUT surgery; I might have to have parts of the worst sections of two of my scars excised and re-closed - yielding me maybe only several hundred grafts or up to ? grafts. I tell everyone I know to NEVER have hair surgery - it's a game of diminishing returns for most patients. Especially if you continue to lose hair or began balding in one's 20's. Even w/lots of surgeries and the best meds and regimes - baldness is a progressive condition. I say especially don't have surgery if you have fine/thin hair (in microns) and it is very very straight - and you began losing it early in life. My family history is stacked against me 100%. I keep fighting baldness, but it's just an avocational hobby at this point. It doesn't really matter in the long run as a person.
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