jjsrader

What's your camera? Those are very clear shots!

Are you still working on portfolios of guys who use your services with grown out hair (temp SMP as a 'base')? Would be great to start seeing you build this portfolio as I'm sure you would get business from it if more people saw this type of treatment w/long hair (though the vast majority of your clients don't do this).

Nice dense pack into frontal 30% of his head! What follicular unit density was achieved per cm2 in very frontal and going back?

He uses lateral slits, right? Perhaps he feels like Armani surgeons - that dense packing is his specialty and he's good at it, he has the techs and facilities to do so and naturally he makes more money w/his techs doing 80%+ of the workload. I would think one would have to ask him in person and even then would he say the same thing to a patient vs his staff? Not judging - just interested as well. Good thread w/good posters!

I 'would' be a NW6 or NW7 without hair-loss treatments by age 60. I have used finasteride since the 90's and then began dutasteride in 2002 and began minox 2% in the early 90's and have upped my minox to 30% (compounded at a pharmacy) over the years. Also, long-time 20+ year user of Nizoral 2% Shampoo 2X's per week. Finally, I use a 440 diode laser helmet. Without any transplants I would be a 4A on the Norwood scale at this point. Without treating my hairloss with medications or transplants I would be a NW6 at this point. I am considering PRP w/ACELL as well this year but need a proper evaluation from Cooley and a certain doctor in Georgia I can't mention by name here. Unfortunately I have been losing my hair since age 21 - very slowly but somewhat steadily. I will post my next hair transplant experience in the fall of '18 and have doctor and my sister take high-resolution detailed photos. Yes, the back of my head looks like a war zone due to several small strip surgeries in the early-mid 90's but I only shave down for surgery. Frankly, due to my very fine hair caliber and straight hair and slightly below avg. normal density of donor hair my current 8.5K transplants probably don't even look as good as alot of guys 3.5K restorations. Thus why I am going to do more surgery spaced out. I noticed more hair loss from '10 through '14 in my mid-vertex and slowly creeping into my crown and that's why I did a mega-session of total 5K in March of '18 (to address this region for now). I'm not proud of still having surgery at my age nor do I want to be the person to end up with so many grafts - it is just I don't identify as a bald man. I'll be that guy with coverage but never outstanding hair. Perhaps w/my final strip surgery in fall of '18 I'll have enough coverage to satisfy myself for several more years. I won't know until another 18 months after that to assess properly. So be it. It's all about genetics. Usually I don't even think about surgeries and my regimen and 75% of the year I keep my hair fairly short 'cause longer hairstyles don't work well with my hair.

Maybe; but I've got an extremely large head. My last FUT surgery was in March '17 and I've lost 70lbs+ since then and if I'm at 175lbs that'll be 95lbs of weight loss. In October '18 I'll see how much flexibility I have for my final FUT. Was told that w/alot of weight loss (I'm way over 6ft and carried my girth well) at 12-18 months after one can usually go back at the most recent scar and take another big chunk. It feels like I have alot of laxity back at 9.5 months post op. I'm guessing I can get another 3K. After another 12-18 months I'll have my FUE possiblities checked out by a few surgeons. Keep in mind without surgeries/hair loss treatments I would be a NW7 by age 60 (I'm 50 now) so I don't mind having my FUE 'thin out my native' healthy hair zone quite a bit - but not to 50% or anything silly. I'm guessing I'll have total 5K FUE available in 2 final surgeries. I wear my hair grown out so I don't care about 'dots' or 'scars.' I did a write up my most recent surgery in March '18 in the most recent Dr. Suneet Soni thread. We'll see how everything goes - if I end up 2K short of my estimates I'll still consider it a success. I have very fine (Swedish/German heritage) brown/auburn hair - w/a very pale white scalp so I need the grafts to have full coverage. I know a couple internet posters that have had 15K head hair grafts - so it is not unprecedented if one is willing to go through all of this. I don't even recommend hair restoration but I started in '1991 - so I'm locked in for the duration of my life. To be bald for me is simply not acceptable.

It's all good my friend. Yes, I have had 8500 grafts (8000 FUT) & 500 FUE thus far. I'll have another 3K FUT in Oct' '18 and then finish off with 5.5K (3K and 2.5K a year apart in '19 and then '20) FUE. I believe my main surgeons and treatments and such are on my profile. I am not talking trash - I just realize that too much FUE too soon and in too large mega-sessions can compromise further sessions. I'm always open to learning more about the nuances of hair restoration. I'm a veteran at this game though. peace...

That maintaining after age 45 is a given w/even high % minox (5% or 15% or 30%) and fin/dut. It ain't - baldness is progressive and can sometimes accelerate randomly at older ages. Your hair strands always stays the same looking even if thinning. Hair caliber can decrease as you get older - it doesn't stay the same in all people (male and female). You won't care about your hair when you are 55 or 60. Tell that to older women and men that are thinning - it matters. Going grey won't happen to me. Um - sure. Haha!

He should be set for many years w/his hair characteristics and moderate thinning. I am sure he is quite pleased with your detailed work.

I don't believe you'll get a refund - partial or not. He had you sign an agreement. You got probably 60-70% growth of extracted FUE's (though not densely packed) and in that agreement and in the consultation it was probably documented what size punches were used. You had the surgery - he got paid. On to a better doc for your next surgery. Typically if you contact him again you KNOW he or his consults are gonna' tell you let's go for round 2 and offer a bit better pricing or some free grafts. Don't - and move on. Not being harsh here either; just the way the business model works w/avg. to below-avg. hair surgeons. Several of my surgeries back in the 90's were the same type of deal before I stepped up to qualified competent ethical expert surgeons with the help of forums like this one.

hsrp10, Do you think overuse of Nizoral (which I agree can dry out the hair alot if also using minoxidil foam or 5% liquid or higher minox 'cream' %'s) goes 'systemic' to hair health or simply to hair that is already growing? I find it very difficult to believe that Nizoral does any damage to the root or hair characteristics before it exits the scalp. It's shampoo (medicated though) after all and @2X's per week it is almost impossible to believe that even if leaving on head for 5 minutes per shampoo 2X's per week it is powerful enough to do such damage. I never heard about others having this experience until I read it on here. My Nizoral overuse was in 2007 but I still use 2% 2X's per week but did take 6 months off after my most recent transplant. It's interesting to me and would be even more interesting if a doctor or clinical researcher would jump in who has studied this anecdotally or from a clinical perspective. Cheers!

I love this guy w/his pics everyday - what a document this will be down the road. Very anal but no judgement.

You'll just have to patiently wait and see if some of that is shock loss surrounding the scar or directly adjacent to it. Give it a full 6+ months & then fully reexamine again. In the meantime I would NOT examine it except every few weeks to make sure the redness is slowly fading.

If someone is radically losing hair prior to age 25 then NO action is warranted until at least then because if you transplant into a very young (rapidly losing hair) person it's like trying to fill a bucket w/massive holes in it. You'll probably kill off all the minituarizing hair and even some terminal hairs into the areas transplanted. Lose lose. Good advice.

Looking at the length of your eyelashes I would say your hair characteristics are probably pretty damned good and you heal like that dude Wolverine in the movies - nice! As long as you are okay with the transplanted density (you could always get a bit more density in the new 'zone' you have implanted into if you want later) - this will be an excellent result. Does Nader have a tech examine each follicle under a microscope before implantation to truly know if a) any grafts are transected? b) each extracted follicular unit is a 1 haired graft/2 haired and ONLY put 1 haired grafts at your very frontal - NEWLY created hairline?

------------ McGrath is putting in mulit-follicular 'line/slit' grafts on your 5 hair count FU's btw. It's outdated thinking and I think you are getting spot-on advice from Speegs. This really isn't a debate anymore - your next surgery should be with a qualified up-to-date surgeon who only does true follicular unit surgery and examines each graft under the micrscope before implanting. Good luck.

Well done.

Typical LA plastic surgery 'all-in-one' boutique. Pass.

Everybody's different but yes, I agree.

It can be done and if your motivation is strong enough and you have the cash and can't bear to be completely bald - then yes. Anything short of that I probably wouldn't. Good luck on your journey if you go through with it!

I prefer 'parted styled hair' before shots (not combed away emphasizing baldness) to 'parted styled hair' after shots. I find these before/after shots somewhat disingenuous - you need to have baseline to baseline photos (same exact hairstyles if you are going to have the hair same length before/after). Lots of clinics do this to show 'before' baldness but it is somewhat misleading. Overly messy and flyaway hair that is purposely parted to emphasize baldness in before shots then have to be compared in the same way with the after shots. Also her hair is slightly lighter in after shots which also makes the results look more dense - but that's her own hair coloring maintenance thing - clinics can't control that. That being written you do good work for sure.

I recommend preventative proven medications: 5% or higher rogaine and finasteride or dutasteride. Simple as. Baldness is progressive. You just paid good money for cosmetic surgery. I don't think there are any verifiable studies that show minoxidil or fin/dut having any side effects of weight gain that is statistically signifcant. The gyno (if it ever happened) would be short-term and not permanent if you stopped if noticed. Go with the science rather than what you are concerned 'might happen.'

Yea; just go for it +1 day after. Be careful, do the ice thing and even if you are swelling some on the flight you'll be fine. FUE isn't nearly as traumatic initially as FUT. Finally, getting back home is a good motivation to protect your grafts on the flight home 'cause no one wants to be overseas recovering unless you want to just sit around for 4-5 days or really want to make a vacation out of it.

Um, 'cause I am psychic, of course! Ha! I've spent lots of time oversees and have many friends that are of Indian/Asian descent. Also, I've got advanced 'hairdar.' ; )

Question: What difference does it make if someone did all of their donor available in 2-3 sessions over say 3-5 days (not for me) vs the approach in this post. Hair is hair and it is my understanding that going back after 1st FUE (significant time later) that the damage is already done to surrounding blood supply, etc... Just wondering...