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HairLossMentor

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HairLossMentor last won the day on December 29 2018

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About HairLossMentor

  • Rank
    Junior Member

Basic Information

  • Gender
    Male
  • Country
    Canada
  • State
    AL

Hair Loss Overview

  • Describe Your Hair Loss Pattern
    Thinning on Top only (Genetic Baldness)
  • How long have you been losing your hair?
    In the last 10 years
  • Norwood Level if Known
    Norwood III
  • What Best Describes Your Goals?
    Maintain Existing Hair

Hair Loss Treatments

  • Have you ever had a hair transplant?
    Yes
  • Hair Transplant Surgeon
    Dr. Hussain Rahal
  • Current Non-Surgical Treatment Regime
    Propecia (Finasteride)
    Rogaine Foam
    Nizoral Shampoo

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  1. If you can, speak to your doctor about getting on Propecia. Maybe add Nizoral to your routine. It's cheap and the active ingredient is found in a lot of hair loss shampoos. A study suggested it's just effective as Rogaine. Take your time man and ask lots of questions. Good luck man!
  2. Looks great but give it another 5 months before judging the final result. Hairs still needs to thicken and mature. You will notice a difference at 15 months, then again at 24 months... you'll know what I mean then. Keep in mind a hair transplant creates the illusion of density, and after a couple of haircuts you will find the "Sweet Spot" - when it looks the thickest. Use a Matt clay when styling your hair. A nice pomade would work great at that hair length, just make sure it's not shiny. Dry shampoo is great to create some volume, and check out a thickening shampoo. Thick & Full is great and inexpensive. There nothing wrong with wanting to refine things. 100 or so graphs can do wonders. Let Dr Rahal know, it's included with your growth guarantee. It's an awesome result, enjoy man!
  3. What's important here is expectations. There are very real limitations with a Class 7. Instead of saying yes you can do this, we should ask "what do you want to achieve?" After 25+ years in the industry, I promise you a 28-year, who is a Class 7, will most likely not be satisfied with what he can achieve. Maybe when he's 50 NOK with a little hair on his head and some strategic styling. But at 28, not a chance. Best bet for this guy, shave his head and get SMP. I just get the feeling he's chasing something he can never achieve.
  4. Agree with what's being said. Contrast between hair/scalp is low and will add to the illusion of density. Just go into this knowing you will need 2 hair transplants now, plus another possibly down the road. Also keep in mind at best you will achieve a thinning crown with your second hair transplant. Though you can definitely thicken things/create the illusion of density with SMP. Meds can also thicken some of the miniaturized hairs, adding to the density. Re: I wouldn't call it a more conservative hairline… I think dreaded V or U shape hairline here. But maybe go for more of a male angle. I agree you should not lower it. Keep in mind, depending on your facial structure you can opt for slightly higher placement and less recession. Though based on your ethnic background… Avoid too straight of the hairline. You want that male angle. Not sure if you're on medications? Maybe speak to your doctor about Propecia prior to your hair transplant. Not necessarily to stop hair loss, but the thicken some of the miniaturized hairs. The hairs that are on their way out and most susceptible to shock loss. Then of course the big three after to keep what you have. Another point, your crown is starting to drop. Meds a most effective here. See the photo example. Hundred percent speak to your doctor about the big three. Your goal is to keep as much of your original hair as possible. Nothing wrong with getting a hair transplant. And it looks like your a candidate. Just don't think this is a one-shot deal. If you take the leap… You're committed for life. The benefits can be life-changing, but it's a lifestyle change. Meaning you need to do everything you can to keep the hair that you have/slow your hair loss. Don't think it's a one-shot deal. Good luck man.
  5. PS I would wait 15 months before you schedule a session to refine things. With my hair transplant I noticed an increase in density after 12 months, basically the hairs mature and thicken. Things start to flow, hair starts to settle. It's around this time you can judge the final final result… And a great time to tweak things
  6. Result looks great man! I love seeing this kind of stuff. Another thing to look at is your donor area… looks awesome. Re: tweaking things. Maybe 100 grafts or so on the right side to thicken things up. I think I noticed an area that is a little thinner. I know Dr. Rahal is really good about this stuff… And would fall under his growth guarantee. Maybe schedule a session to refine things. I would not touch the hairline, especially the micro-/macro irregularity… he nailed it.
  7. I would schedule a consultation with Konior, Dr. Rahal, and Dr. Ron Shapiro. It sucks where you're at man. I've been there. You can fix this though. Maybe I missed it? But have you asked for a refund from the other clinic? You can use that towards getting this fixed.
  8. HairLossMentor

    Disappointed…

    P. S. I have seen the results up close and in person, including the donor area. This is one of those things, the big secret in the industry. As I said the robot has very real limitations. One thing to consider and if I'm wrong please do correct me… But ARTAS is only FDA cleared for one patient/hair type?? However, is it being used across the board??
  9. HairLossMentor

    Disappointed…

    It's not about sharp vs dull punch. It's about the very real limitations of ARTAS. For example, donor management, as in the example I cited, is not possible using ARTAS. Plus I also take issue with the punch size, limitations on maximizing the donor area (possibly resulting in over harvesting), and in my opinion not providing adequate training in hair restoration, donor management, hair loss to doctors who purchase the machine. Literally a doctor with no experience in hair restoration can perform 2000 FUE very next day after purchasing the robot. Do you think that setting the guy up for success? As I mentioned, I'll be presenting this information, with proof and inviting any doctor to defend their use of the robot.
  10. HairLossMentor

    Disappointed…

    Well said
  11. HairLossMentor

    Disappointed…

    I can prove this and will very shortly. ARTAS in my opinion puts severe limitations on the doctors ability to harvest grafts. It's also FDA cleared for a specific patient/hair type... Say tuned. The information will be factual and I welcome any doctor who offers ARTAS to join in and defend their use of the robot. I had a nice debate/discussion with one of their sales reps at the last meeting… They know where I stand. I agree about the ISHRS. The standards are low. But here's something to consider… I think we all agree it takes years of training before you can perform natural hair restoration, plus a massive investment in staff. One of my biggest problems with ARTAS, besides it being rejected by some of the best in the industry, is that it markets to part-time hair transplant doctors, a.k.a. do a facelift, boob job and hair transplant on the side. These doctors with little to no training in hair restoration and use the robot to harvest 3000+ graphs in one session… clearly harvesting outside of the safe zone. It's the industry's secret… Everyone I speak to, every doctor, every patient advocate all say the robot is not ready. Everyone says this in private but publicly many will purchase the robot because "patients ask for it." In fact, a doctor in LA who owns spa and injects Botox is purchasing ARTAS for that very reason. Thank God for these forums. I give credit to yourself and Bill for allowing an open and honest debate. As long as were all respectful to each other and supported with facts. Thank you. The industry is a mess… And we need forums like this so the truth comes out. P. S. Who would like to see a $250,000 robot get run over by a bulldozer? 🙂 Stay tuned P.P.S. An easy solution is to reject part-time hair transplant doctors. At one time hair restoration was a specialized field. This specialization brought us FUE but also led to the industry being hijacked. You just can't get consist results doing hair transplants part-time. You can't just dabble in hair. You need to do this full-time, for many years. I challenge anyone to disagree.
  12. HairLossMentor

    Disappointed…

    Hi John, helpful info. Thank you. I feel we should never blame the guy who watched an infomercial and decides to get a hair transplant. Most guys don't do their research. They assume that since it's a medical procedure, doctors are bound by medical ethics... crazy thought I know. Sadly it's not the case. Money talks in this industry. In the example I posted, the guy had his hair transplant outside north amerrica, where many of the medical standard are not the same. Why does realself give this doctor a platform? Why won't the hair transplant community jump on this and say it's wrong. Yes, even in north america the industry is a disgrace in many ways. But it's not the wild west like Turkey for example. @John Baris if you really want to help guys, and I know you do... Demand the ishrs and medical boards... 1) only allow membership to doctors who practice hair transplants full time 2) ban non-doctors performing hair transplants, as in the case of many clinics in the usa 3) ban the use of ARTAS 4) set standards for transection, plus make it easier for patients to make a complaints 5) set standards what doctors can and can't say. That fue is "scarless" is a great example. The above is a great start. We are facing a crisis To hair transplant doctors: In my opinion, the problem is ARTAS, neo-graft, smart graft. They market to "non specialists." Cosmetic surgeons who perform boob jobs and hair transplants on the side. It's time to focus on the patient. Put differences aside and put the specialization back into hair transplants. It's been hijacked by amature cosmetic surgeons who only see profits. Or worse, non doctors. Yes, you don't need to be a doctor to perform fue in the usa! You know how difficult is it to perform and master the art.
  13. HairLossMentor

    Disappointed…

    -grafts were taken outside the safe zone, meaning they are not resistant to DHT and he will lose them as his hair loss gets worse - a large punch, most likely 1 mm was used. I doubt this poor guy is able to get a second procedure after this - there is no donor management, they just harvested as many grafts as possible. While FUE scarring is a problem… The real problem is not having enough grafts when your hair loss progresses. A lot of guys won't discover this until it's too late. Even after thousand grafts, when done wrong, FUE can destroy you donor area. FUE has been hijacked by amateur hair transplant doctors, with little desire to learn how to do it correctly… This is a great example of it. I wave of unhappy patients is coming… This is worse than the 90s and the era of plugs. Much worse.
  14. I agree 100% that FUE is not scarless. Though you can minimize visible scarring, that's key. The simplest route to achieve this is punch size. Keep in mind that if the doctor is using a 1 mm punch, the actual size of the punch depends on the thickness of the metal. Depending on the manufacturer, it can be 1.2 to 1.5 mm. In the wrong hands even 1000 grafts can destroy your donor area. I seen it many many times unfortunately. The problem we're dealing with here is donor management or lack of donor management. It's a technique used by very few North American doctors. I commend any Dr. willing to learn FUE- and as with anything in life they will only get better in time. The problem is at the last FUE conference, I only noted 3 doctors from North America… Dr. Rahal, Dr. Wong, Dr. Shapiro. That says something. It was at this conference where they talked about the stuff, share tips of the trade. Here's a quick explanation of donor management… Donor management - a strategy to maximize your donor area, both in the number of grafts you can safely harvest for transplantation and visually, allowing you to wear your hair short and get the most amount of grafts possible... Tactic #1: Using calculations, you are able to predict how many grafts you can safely harvest from the safe zone. Not only in one session but over multiple. Punch size is a factor here. Smaller punch means more grafts and less visible scarring Tactic #2: partial transection to avoid this kind of stuff-scarring, patchy, moth-eaten look. If it's a 3 hair, you will strategically harvest 2 and leave 1 hair behind. For it to work you need 8x magnification and .8 punch size and under. The magnification alone is 10k. So not many want to make the investment. Tactic #3: punch type, sharp, dull, etc. motorized vs. manual - each has its place, depending on your skin type. FUE experts are masters at each, and prior to each procedure actually test each. What they are looking for is the technique with the lowest transection and highest graft quality. Note: smaller is still better You also need a high level of skill to pull this off, why I am so against the robot. In the hands of an amateur hair transplant Dr. you can do more harm with FUE to a guys donor area than any other procedure. Bottom line, if you are using a 1 mm punch, the robot you're not practicing donor management. Donor management is a highly advanced strategy and means a massive investment both in staff and equipment. But it's also what separates the amateurs from the professionals. Please refer to this example photo… This is just a quick explanation… There's much more to it. But in the example I applied tactic #2, with just 12 single hairs. And you can notice a visible difference in the donor area. I do commend Dr. Diep. I'm seeing some good results from him. And I encourage him to continue learning the craft and to learn about and master donor management. It would be super helpful if he would jump in and let us know about his technique, punch size, tools of the trade. I always encourage an open and honest debate. That's what makes this forum great.
  15. If any of these doctors needed a hair transplant, they would not get ARTAS.
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