johnto

What size punch did you use?

Can we see your hair? I'd love to se what 4 transplants looks like

So I don't understand this. Why take fin and min when basically all the hair you have is DHT resistant?

So I don't understand this. Why take fin and min when basically all the hair you have is DHT resistant?

Question for team Rahal. I'm sure this will be a home run result as you guys are very experienced and obviously know what you are doing... My question is....if you look at the post op day 1 photos from the front and back sides, it looks like the grafts are very spread out. Will this be an issue with density for the end result?

Any photos closer up???

Your only hope in my opinion is Tsvetalin Zarev in Bulgaria. https://www.hairrestorationnetwork.com/topic/59913-dr-zarev-7070-3613-grafts/

I have wondered this myself. I believe couto and zarev use implanters and they have some of the cleanest work I have ever seen. I mean wouldn't slits cause more scarring?

Who did your original surgery (the small 2200 graft one?)

I would go to Dr. Zarev in Bulgaria

So for donor scarring. If you compare Zarev post op scarring vs Diep for example.....for Zarev you can't even see the FUE dot scars whereas for other surgeons you can clearly tell they are there. What is it about his extraction technique that allows for this ? One example is if you look at Mr. Rolandas on YouTube he had a video where he shaved his sides and you can see FUE dot scarring everywhere. But I feel like for Zarev this does not happen. Does Zarev use a smaller punch size?

I'll never understand why clinics don't spread out their extraction sites more? I hate when they keep it in a confined area like that and you end up seeing a halo in the area.

Do you have any before and Afters???

Bro.....can you give us a wet hair slicked back photo under harsh lighting? Please bro we all need it lol

I feel the thing is that a clinic can easily restore a norwood 2-3 all day every day and give consistent results. For norwood 6+ its probably hit or miss. Everything has to be in the patients favour (donor, hair thickness, graft survival) that it is too risky to do surgery on them. Also I believe clinics dont want to spend the time/energy training necessary to restore norwood 6s if the results are not predictable. Remember that for this 1 surgery that may look amazing, there may be 2 others that dont come out as good. In that case its the clinics reputation on the line. Its easier to say no at the beginning and take the easy cases than to change someones life for the worse and try to repair it after. Once you have to repair for free you end having both an unhappy patient and you lose money on the case as well. Now surgeons are regular people as well. Some are motivated by money and others are motivated by being world renowned. Ie they wan to be the best in the field worldwide. Zarev may be one who wants above all else to make sure every single patient that walks into his office comes out as "perfect" as possible.

I think this depends on the patient. He has said on his Instagram that it depends on donor capacity, hair thickness etc. Not everyone can have these types of results. Also I think he has said that you can extract 60% of donor area without "visible signs of depletion". Ie. the donor becomes thinner but I believe because it becomes a bit thinner in a homogeneous way its not perceptible. Whereas if you extract in a more defined zone then if it thins you can tell (ie. halo effect). I assume this would depend on type of hair. Thick black slightly wavy hair Is better than thin blonde hair. If you look at his giga sessions all patients seem to have similar type and quality of hair

If you compare Couto and Zarev to Dr. Diep for example you can see the post-op difference. I assume Dr. Diep uses lateral slits and then they implant the FUE grafts with forceps? (ps. Im not bashing Diep I actually really love his results I think he produces world class results. I am just comparing technique thats all).

I was hoping that someone would start a thread about Zarev. I feel these "God" surgeons who treat high norwoods with amazing results usually are every meticulous about every step of the process. when I look at the way grafts are implanted and how the steps to the process are planned Zarev and surgeons like Couto feel like their process and results look similar. One of the things I have noticed is when they remove grafts from the donor zone they seem to spread the extraction sites equally around instead of removing them from a more localized area so if the donor gets thinner it does so equally so it is not as noticeable instead of creating a "halo effect" in the donor. The second thing I notice is when they implant the grafts it looks so minimally invasive. Almost no bleeding or trauma. I guess this would be from the implanter pen they use and by being so meticulous with their pre-surgery consultations and quality control that they achieve the best results. Finally for Couto and Zarev their patient pool is almost always European dark slightly wavy hair which helps make less grafts go a longer way. I mean look at the implantation from Zarev and Couto. Its so clean and minimally invasive. I assume they both use an implanter pen and not lateral slit technique which when I see this technique used always seems more bloody to me.

This has to be the most amazing transplant I have ever seen. Really making me consider him for my transplant when I will need one. I think the unique thing here is because the OP is effectively bald on top and since all of the grafts are essentially evenly distributed, the texture/quality of the hair is all donor hair so it makes it all look homogeneous. Is something like this even possible on diffuse thinners? I guess Zarev would just transplant amongst the native hairs?

How old were you when you got your procedure ?

Why do you day he is gonna retire ?? Also do you have a photo of your results? Im considering him for my fue transplant.

Does Rahal use a motorized punch for fue? Also does anyone know if it's the WAW system or some other system?

Any before photos?

Thanks so much! Please let us know!

Well it gives perspective on how high your hairline is. Im considering using rahal and would like a similar height for my hairline. But without knowing the centimeter height I don't know how much I would have to lower my own hairline and how many grafts I would need to achieve similar results