johnto

Can you post some photos of your hair wet? Haven't seen any yet 

How long from when you offered to pay 9 euro per graft were they able to get you in for a procedure ?  I feel like now that some people will pay $9 a graft the $5 a graft will get pushed off to the long end of the waiting list 

It's honestly really unfortunate his wait list is so long.  If he just had a better way to streamline his consultations it would be easier so so many people who are ready to go don't have to wait so long 

2 minutes ago, Grouse said:

Hey @HugoX obviously this is a top 5 transformation of all time. Amazing!

If you ever get a bald fade on the sides, or otherwise, shave, I'd appreciate if you could upload a pic. Interested to see how the scars look.

I'm trying to decide between going to Pittella mid 2024, or waiting until 2025 or later for Zarev. Size of the scars may influence my decision to wait, not sure. Thanks man!

Zarev consultations are in 2025-2026 right now and his surgeries are booked 1-2 years later

I think I need to pop a finasteride pill right now because I have an absolutely massive hair envy erection 

I would love to see a zarev patient sides shaved to a 1/2 or 1 guard to see what the scarring looks like.  

9 hours ago, vanilia said:

but why is Zarev actually so good? has he invented some new technic? whats the catch that he can do such magical things noone did before?

If you watch some of his youtube videos you can see how he can do what he does.  Below are two videos which show his surgical technique and how he can accomplish transpants with such high graft counts.  The main points of his technique are as follows

• At your consultation he develops a long term plan on how many grafts you need to cover your area of balding.  
• So lets say if you are a norwood 6 he will make measurements on your head on where to place your hairline and then develop a calculation of the number of grafts you need for full coverage.  If he determines you need 10000 fue grafts to cover the entire norwood 6 area he will see if your donor zone has this capacity
• so if your donor area has "20000 total remaining folliucar units in the entire donor" he will recommend extracting 50% of the donor in a "homogenous" way which depletes the donor equally allowing him to remove such high graft counts without the donor looking moth eaten or depleted.  It does deplete but its equally across the whole donor.  So to the naked eye the donor looks the same after surgery
• I believe the vacuum assisted FUE machine he uses allows him to use a tiny punch size which minimizes scarring but "sucks up" the fue graft dislodging it (it doesnt suck it into a tube).  This allows him to then easily remove the graft with tweezers and not harm adjacent follicular units allowing him to extract more grafts without damaging neighboring follicles.
• when he places the fue grafts into the recipient area he does so in a homogeneous way and in a way to optimize graft survival.  So because each FUE graft needs blood flow to survive he doesnt "dense pack" but distributes the grafts equally ensuring survival and getting full homogeneous coverage.  Density is then added in subsequent surgeries over time as needed.  This is why his patients he performs surgeries on with high norwoods are booked for a 2 day session then a follow up session 10 months later to add density (like HugoX)
• He does not do 10000 fue grafts in one sitting.  He will do 3-4000 fue grafts in one 11 hour surgical day and then a second surgery the next day for 8000 fue grafts over 2 days.  A final follow up density surgery is booked for 10mo later to finish the case completely.
• He doesn't use microscopes to separate follicular units.  During his micro camera analysis of your donor zone he maps out different parts of your donor.  There are areas in the donor zone that apparently only have singles, other areas doubles, others triple fue units, so when he extracts grafts the separates them based on the location of the donor he got the grafts from.  I assume this just results in less handling of the grafts preventing damage to them and increasing survival rates
• Grafts are implanted with a choi implanter pen.  He does not use lateral slit or scalpels for preparing recipient sites so when he works on a patient it appears there is less trauma to the recipient area which may help with graft survival.  His surgical field is clean.  He is very meticulous 
• Finally every step of the procedure is completed by him.  Apparently no one else touches a patients head other than Zarev.  It allows for consistency in results

Zarev appears to be active on another hair transplant forum He just posted another case there. See the below videos for his technique

https://bellicapelli.forumfree.it/?t=79701174

Absolute fue GOAT

Absolutely amazing.  There is no doubt in my mind zarev is the best in the world.  

Can you take a pic from directly overhead ?

On 4/8/2023 at 7:17 PM, Benz said:

I started doing research in 2017 and looked at many physicians funny thing is that I am a physician myself.
My biggest problem was that I was a diffuse thinner, so I needed an HT specialist to get the maximum out of my donor. 
I considered Couto, Lorenzo and Freitas back then, but my hair loss was progressive, so I was delaying it. Then in early 2021, a friend of mine who is a dentist was also researching and found a doctor called Zarev with phenomenal results on his website. His results blew me away, the best in the world. I never saw that kind of results before. So I immediately contacted him in early 2021 and did my consultation in September 2021. While I was waiting for my consultation, Hugo opened a thread about Zarev with a phenomenal result, this encouraged me much more.
The consultation with Dr Zarev was very detailed. I had my surgery last July in 2 days he was able to extract 7235 grafts.
The best money I ever spend! 

 

Any before and after photos? It would really help the community if you shared your results for all of us.  

Question for anyone who has had a transplant with Zarev or with a clinic overseas.   How is the infection control at his office? Are things like  implanter pens reused on multiple patients ?  What about sterilization techniques? This has always been a worry of mine on getting a hair transplant in an area other than North America.  

How's the donor?

Cant wait for my consultation in 2025.

On 12/20/2022 at 12:10 PM, hairman22 said:

Was messaging Zarev today

Current waiting list for op is 2025

But my case wont be that big he said so he said he will try fit me in before then. 

I will know more after March consult in my case.

So if your a small case i think its very likely you may get a nearer date but you need to get consult

Did you message him directly? Or did you just message their generic Whatsapp number?  

I booked a consult with them in 2025. I paid the $150 euro but have not received a confirmation email or anything (even after asking for one 😂). I called to book the consult and have been chatting through whatsapp with whom I assume is their receptionist. 

There is a post on hairlosstalk forums by a poster named Omega2327 who posted his results as well and the results are good 

Spoke to them on the phone today 

First available date for a consultation is January 2025 and first date for the procedure is 1 year after the consultation 

What meds did you take post op? An antibiotic?

What was your post op like? Did they give you anything like antibiotics to take or did you have to get everything on your own?   Do they have a protocol with washing your head or do they recommend staying for monitoring up to a week after?

How about contact front the clinic weeks or months after to check on your growth??

So you went for a consultation first then booked the procedure. Did you leave a deposit and then pay the day of?  Did you wire him the money?

Can you please let us know who the surgeon was?

Amazing result.   One thing I like about hasson is....they aren't afraid to use grafts.   I mean they just kinda go for it. 

Just now, JoselitoElGallo said:

Personally I have same opinion, with the implanter lion you open the chanel and place the graft in one action unlike open channel and then place the graft. When you see the post op with implanters everything is so clean.

Yes exactly.  I feel that in north America since techs cannot use a scalpel on a patient hair transplant surgeons that use techs here have to create the opening for the hair graft. This causes more pitting and cobblestoning in the recipient sites because it seems to be more traumatic 

On 2/19/2022 at 5:26 AM, Skimzee said:

Hello all.

I was fortunate enough to get an appointment with Dr Couto and I’m now one month post transplant. I know sometimes his Instagram results seem unbelievable however I am more than happy to share mine. I am currently one month in and the shedding phase has well and truly started.

I will continue to add to this post monthly. All photos are taken at weekly intervals. 2700 grafts for frontal/mid scalp. Returning next year for 1500 grafts to cover the crown. Any questions please just let me know. 

 

S 

 

A question I have....implanter pen vs doctor incisions.  Everytime I see a case from couto I feel that because he uses an implanter pen and does not incise the ski. To create slits, the procedure looks less traumatic.  Does anyone else notice this?  There always seems to be less pitting and cobblestoning of the skin. 

Is the reason couto uses implanter pens because he does most of the procedure without techs  vs north America docs who do the incisions and techs then place the grafts in the slits because techs aren't allowed to create incisions due to regulations?

Can you show us pics of your hair? this might put things into perspective for everyone