Payam

Alright i'll bite, i know you don't have the reading comprehension of a middle schooler so the only conclusion i can draw from some of your posts is that you are deliberately misrepresenting what i write for the sake of discrediting me, or maybe you are just trolling for the sake of it, either way i bolded the important part for you; I have never once PM'd anyone saying they shouldn't go to Asmed, i discouraged someone in this thread of going to Asmed a single time and removed my post quickly after, that's it, and even though i sometimes use harsh language (yes i have used the word "butchered"), i am yet to explicitly tell anyone not to go with Asmed save for that one time. You keep diverting attention to the facts that techs do the extrations, but one of my main criticisms of this clinic has been the fact that they do FOUR parallel surgeries a day, this is not something they will tell you anywhere and infact you can check out Stephens video where he also talks about how shocked he was about this, and how rushed the surgery was. https://www.youtube.com/watch?v=433AmFqzG6E And even though Stephen decided to go back, you cannot disregard his first shitty experience. I'm not going to comment on the statistics you keep pulling from thin air, but for anyone that cares Dr Baubac has nearly the same number of clinic posted results as Asmed from 2017-2018, strange that, considering Asmed supposedly churns out 4 times the number of surgeries a day. Maybe Asmed patients don't own cameras to send their updates to the clinic, or maybe the fact of the matter is that a large number of of Asmed results are average AT BEST and the clinic has no intention of posting them online, your guess is as good as mine. And I won't comment on the naturalness of the case above out of respect for the patient but i will say this as i feel it illustrates my point perfectly: who looks at this and says, "yeah you probably need another 1200 grafts in the frontal third" when his mid scalp is obviously thinning, really? This guy needed 1200 grafts for what? You and me both know any other clinic would have AT MOST quoted half of that to soften the hairline and add some density, in fact there is a H&W case on this very forum where exactly that happened. It's cheaper for the clinic in the long run to cram as many grafts in there as possible now so they don't have to deal with this guy in the future, because they know fully well that their yields leave a lot to be desired. A rushed and tech heavy clinic with 4 patients a day will have worse yields than a meticulous one-patient-a-day clinic. Mind-boggling i know. And lastly you keep claiming that my case is a simple fix, but i obviously don't want to blow 90% of my remaining grafts in the frontal third to fix a sub par result, not to mention the scar tissue from the first surgery making my case even more difficult, as well as now having to plan around the multihair-grafts placed in the very front of my hairline. I will have to consult several clinics and then think long and hard about how to approach this problem as any sane person would do in my situation, keeping my future hair loss in mind, this is not at all a quick and easy fix. As for being vindictive, i'm really not, even though i have cause to be based on my experience and the clinics response to it. I recognize that this is largely my own fault for going with this clinic in the first place when their approach was completely wrong for my case. I don't believe anything i have written about the clinic so far to be false in any respect, other than posting one update a week too early which i owned up to. And please stop talking about legal action, legal action over online criticism is something people threaten each other with in the youtube comment section, it's absolutely laughable that any top 50 clinic would attempt anything of the sort as they know fully well they have no recourse.

You have it all backwards, usually adults will respond to an adult tone, when you write like a petulant child it's all the easier to ignore you. I will keep posting my monthly updates obviously, at least until the two year mark, between those i will voice my opinions and concerns with the clinic, also I am of course having talks with several clinics and will start a new thread about my repair in due time so no worries there, that is unrelated to this thread though. My observations have led me to the following conclusion, something I wish I knew before booking my surgery: Asmed regularly quotes guys far more grafts than other clinics, this is a well known fact. Now skim over some of the better results in this forum where an inordinate number of grafts were used (far more than any other clinic would have in the same area), and take note of how many patients speak about needing a touch up due to multigrafts in the hairline or that they have density issues. And if they do return they are once again quoted ludicrous graft counts. So even some of the better Asmed results have issues as stated by the patients themselves, despite the fact that Asmed uses far more grafts than any other surgeon in the world, how exactly does this add up? I know full well you sometimes need a second pass to achieve full coverage, but with these graft numbers? On top of this you have obvious negligence shown in pretty much any given Asmed case with the doubles and triples placed in the first two rows of the hairline which the clinic can't seem to explain, coupled with the ridiculous claim that 2800 grafts wasn't enough for full coverage In my case is just, for lack of better words, shady as fuck. If you have any doubts, look at what guys like lorenzo, de freitas, couto, konoir and even someone as new as Nadimi consistently achieve with FAR less graft numbers. I mean not a single one of the other 3 guys who did surgery the same day as me are happy ranging from density issues to unnatural looking hairlines, this is what happens when you have the FUE factory approach Asmed uses.

It looks like you have some early growth when comparing to the preop pics which is a great sign, looks like it's heading in the right direction

It looks mazing and very dense, what is the density in fu/cm2, do you know? And how do they test for laxity?

That was the original plan, the plan was for 1000 in the crown (reduced from 1400) and 2600 in the front, but apparently they changed it on the second day for whatever reason and added 200 in the front somewhere and 800 in crown (Esen told me a couple months ago). Of course I will correspond with the clinic, I have questions I want them to answer which they are extremely reluctant to, and when they do the answers leave a lot to be desired, like the example above. How can 2800 grafts in that are have been too low, would you accept that explanation? Really think you should keep a better tone man, not at all necessary to write the way you do

Need some opinions here as they are claiming the low density is because I reduced the number of grafts planned from 4000 to 3600, which Is true, I did reduce the number of grafts he planned to use IN MY CROWN from 1400 to 1000, eventually they ended up placing 800 in my crown and 2800 in the front.. But now he means 2800 grafts in the area implanted and with my hair calibre wasn't enough and I would have needed more to get full coverage, whatever that means? I can't believe this as 2800 grafts is a huge amount and should at the very least have given me a decent result, as the density should be over 40fu/cm2 with 2800 grafts, what do you guys think?

Man I didn't know he was in his 60's, this might sound horrible but the thought of this guy retiring before having the chance to get a surgery with him is horrible lol.. how long was the wait time for your surgeries? And why didn't you FUT it? Did you have an in person consult with him before your first surgery to determine If you were a viable patient?

No offense but this thread is pointless without pics man, people have wildly different standards for what is acceptable on this forum(and in real life) so please put up some pics and let people judge for themselves

I don't know man, I don't mind them being blunt with me and not promising the world, they don't really know what my expectations are (pretty damn low at this point), and it is most definitively harder to transplant into compromised scalp rather than virgin scalp. They say that they can't know for sure unless I do an in person consultation and have my recipient examined in detail under magnification and with blood tests, this all makes perfect sense to me and I'm actually very happy with this response. Problem is though they are really far away for just a consultation so I am really looking to have my recipient examined by a EU doc for now, leaning towards Lupanzula, I also have a consultation with Cuoto next year, I need a EU doc who is meticulous and personal, I have heard Lorenzo, De Freitas and Bisanga despite their monster results see several patients a day which is not for me. I will pm you the clinic

He's not even the best in Turkey. I'm sorry to hear about your bad experiences man, do you have a thread detailing your journey? I've never been this angry and disappointed over something in my life, the pictures really don't do it justice. It looks beyond awful in natural light and I really am left with no choice but to conceal my hairline. I have received some response from other clinics at least but the consensus based on the pictures I sent is that due to the scare tissue in my recipient there is a likelihood I will never get good results. I already knew this but hearing a professional say it and calling me a repair job due to the multitude of issues is too depressing, I'm glad they are honest and ethical though. I will have to get my recipient scar tissue examined under magnification, but the clinic is half way around the world so looking at options in the EU for now, at least to examine the scar tissue to see if a second surgery would be inadvisable

But you can see the doubles and triples at the very front of the hairline there or very close to it, why would they place those triples there?

Hey man, best of luck on this one. I have to ask, do you have any pictures of your previous surgery? Did Erdogan investigate your recipient scar tissue before the surgery?

Thank you my friend, unfortunately there are no good clinics in my area. My problems are the density as well which is about half of the implanted density and adds to the unnatural appearance. I received a reply from one of the clinics I sent my pics to and they were very worried about my scar tissue in the recipient might not allow for more growth there, I would have to do a consult in person to determine if a touch up is even a viable, they are on the other side of the world though so I am looking to see of there is anyone in the EU that could examine my scar tissue to see if another transplant would be too risky. I am realizing that maybe it would be safer to let it be and that I will never have good density because of the scar tissue, Asmed has let me down in more ways than one during this process.

I agree about the cosmetic Improvement, however my point was that 3000 grafts over 90cm^2 is 33fu/cm^2 if uniformly Implanted, in this case it was spaced out and his hairline is more densely implanted so probably closer to 40fu/cm^2 if not higher in the hairline, which by all means should give a denser looking result unless I am missing something here, perhaps op has very thin hair

You can see the sparseness in his last picture though which is not under direct light, I would have expected more for 3000 grafts considering how dense his frontal third was implanted at. Op what diameter is your hair?

Thank you guys, I agree with you both, I think some added density and a row of singles would make a world of difference, mostly worried about depleting my donor now but will wait and see what my consults give, perhaps It's possible to put 1000 grafts in the frontal third while maintaining enough donor supply for a future FUT but... Erdogan estimated I had 7600 grafts, we know his estimates are on the higher side compared to other surgeon's so I really fear that the only recommendation by surgeons from this point on would be an FUT, which I had planned for already but not for another 10-15 years. Ideal scenario would of course be if I could get 1000 grafts by FUE now and 4000 or so with FUT later, mixed with body hair I think I would be relatively future proof

My hairline is filled with doubles and triples after my surgery with Asmed, what can I do about this? Would it be better to move them or try to cover them with singles?

No that can't be, my hairline has been very slowly receding since I was 20 and my hair loss effectively stopped almost completely when I started on fin earlier this year which is the one good thing to come out of this

I guess you are right on the altered variables during a real surgery, i will have to see what the surgeons say regarding a test run, perhaps just extracting a couple of grafts could tell them something about my overall situation. I don't know what a test run would give me at this point since i clearly have had growth which is mostly uniform, why is it uniform? How many grafts do you think I need to make it look ok while still allowing me to have a FUT in 10 years if necessary? I am extremely apprehensive about doing an FUT now as I will concede the possibility that this wasn't due to the flu or techs mishandling my grafts but some other physiological issue, even though the clinic has said from the start that my blood circulation was good. Doing a FUT that fails is a nightmare scenario I don't want to imagine. This is also why I'm leaning towards a small FUE, maybe 500 grafts stick and place in the right side and the front to add some density and singles to make it look natural, that way I can slick my hair to cover the bad side. It won't be perfect but I can live with that for now and then do a FUT down the line in several years to fix any remaining issues What do you think?

What do you think about my native hairs looking worse on the left side? Why would my native hair have become transected like this?

Sorry man i meant, at with which clinic did you get the graft test run done? Which surgeons are willing to perform such a test? Perhaps i can contact them.. I don't know how many grafts i realistically have in the bank, i hope i can fix this with a FUE and still have enough grafts left for a FUT in the future =(

Where did you get that if you don't mind me asking?

You can remove progression of hair loss, my hairloss has basically stopped since i started taking fin, just like the last time i started taking fin. It must be transection of native hairs, why did this happen? I have seen cases where Erdogan transplanted into native hairs with good results..

Hey mate, thank you for the well thought out and lengthy post, i really appreciate it. From my understanding singles are more sensitive to mishandling than multigraft follicles though which could explain why more doubles and tripples survived. Im confused by your point on transection though, the techs would not have seen that the grafts were transected or damaged during extraction and would have implanted them anyway to my understanding. I agree i have to be careful, i am not sure what to do though, is there any surgeon that will do a "test" run to see if there is growth?