FarsanUk

Just now, Melvin-Moderator said:

To be honest, at 4.5 months this is really good. The outline of the hairline is strong and in 2-3 months it will be filled in. This has the makings of a homerun.

Thanks. I really hope so. I was a bit down in the dumps with what Dr. C said. What do you think of what was said ?

4.5 month post op update - Asmed- Dr Koray Erdogan 

hey guys it's been a little while this is my 4.5 months Post op update. Bare in mind that I had a lot of native hair as well so might be an idea to check out my pre op photos at the start of the thread.

Hair line is way ahead of the crown at this stage. In fact alot of the hairs in the very extreme of the hairline did not shed. There is np sign at this stage of any multi hair grafts at the very front so happy about that.I'm feeling small sharp or spikey  hairs on the crown although I can't physically see them at this point. I spoke to another doctor last night about this feeling of spikey sharp hairs and he said that's not a good sign (very surprised as I thought that is sprouting) and that I should tweeze transplanted hairs out that are not growing otherwise I'll get pimples. Don't understand that at all.

It's only 4.5 months. In normal room light it looks good but then under light it looks very see through and actually the other doctor said it shouldn't be see through at this many months which again I think is horse shit. By the way this other doctor was not my doctor. Let me know what you guys think particularly Melvin would love to see what he thinks as well as Spex.

Wet:

Scott 

Is there a tax we have to pay in addition to the surgery cost?

Payum.  Are in uk ? Dr lupanzula is visiting London for consultations on 9th march.  You should definetly not miss this opportunity for his assessment of what's happened and what can be done going forward

Just now, Kraistoff said:

 

My coordinator has also left, so now who do I contact with questions?

 

has anybody been to asmed and had them ask you for photos or is it the patient that has to manage the customer / patient aftercare ? 

All they will say is wait till 12 month mark. They simply won't say anything else so you got no choice but to wait.

8 hours ago, Der3k7 said:

I got mine done there 2 months after you I'm 14 weeks post op now but don't have any visible growth like you did.

No reason to be worried . Between 3 and 4 month period this is just when you'll start seeing small sprouting infact on some people it will be barely noticeable I guarantee you at 6 months it will start to look completly different and at 8 months it will be night and day difference.

19 minutes ago, Kraistoff said:

A week before my 5 month mark

 

 

i took someone on here’s comments on board about mine looking thin due to the fact I had let it grow out so went for a haircut today.

really surprised with how my hair looks now ! 

 

Hair dresser said mine is me is better than his friends (who did it in London) and he is at 10 months .

he also said there are a load of hair still sprouting 

 

I hope for more thickness over the coming weeks 

 

The great thing is it will continue to sprout what it looks like now and what it will look like by 8 or 9 months will be night and day! I'm just a month behind you hopefully this will plan out well for both of us

4 minutes ago, rocketmas said:

It seems to me that Dr Erdogan's clinic does a robot or a digital scan of the head post the transplant or after the incisions are made. This scan should be able to spit out the density easily and perhaps thats what it does?  So clearly, we are all getting a pre-determined density on the recipient  area and should be satisfied unless just many of the transplanted hair just do not grow or are at incorrect angles, etc.,  The point I am making is the digital scan of the head should  immediately show the transplanted density and a patient should be able to get a print out of the same ? 

Also how detailed are these scans - if the software is good I am sure it can also calculate the donor extractions and also the number of incisions made, transplanted hair, etc ? 

 

 

Have had ht at asmed and no the robot is part of the pre surgery planning and not done after surgery at any point.

Yes I completely agree with you. That's something he has taken his eye off in the past few years. Also realise that if you do need to go back it won't be as big a session as you had first time. Believe me I know exactly how you feel I'm a month behind you and I do get those negative thoughts in my head too but just remember if it looks this good bow and you're seeing daily improvements just imagine at 8 months !

If you knew it deep down it shouldn't matter that they said you will need it or not. Im sure you would have still gone through with it either way.Even with me they didn't say I need one again but the dr said if you want the temples done you can do it next time and then we will finish of the top too.. step by step they told me. 

You're only 4 and half months so right now don't worry about how it is now. Trust the process and wait.

It's not ideal I know but with those characteristics that should always be the long term plan.

Exactly thsts why I'm saying when you go into surgery you always should be prepared for another surgery down the line especially with those characteristics 

Don't worry so much. The biggest cosmetic change happans between 6 to 8 months. So far it's as expected. But yes I'm in the same boat as you I have pale skin and black hair. You should also realise that even though you had a lot of grafts you should always be prepared for a second surgery at some point to add density although at the moment it's too early to judge exactly how it will end up. Theres no such thing as 1 and done especially in an area where you had so much baldness before.Short hair like the other guy said will look better going forwards but not so short.

21 minutes ago, MHR84 said:

Any new update friend!

Nearly 3 and half months. Feeling alot of stubble on crown front is slowly sprouting. Won't post any photos until something significant 

Looks on course. Don't expect a huge cosmetic difference till at least 6 to 8 months when most of the magic will really kick in. From now till then small sprouting of hairs will occur and different times and in different areas, these will.be very weak at The start but by 6 -8 months it will.be a enough to makes huge difference.

I notice your front didn't shed as much . Same was with me. We are at same stage same surgeon so interesting to see how this develops. This is just the start good times ahead especially around 6 months.

Do you have that stubble sort of feeling on your crown ? In terms of all the transplanted hairs... have they started growing or is all black dots at the moment ?

15 minutes ago, Melvin-Moderator said:

It’s hard to say, we don’t even know what his results look like recently. The last results I saw probably a month ago or so looked decent imo just needed a little more density on one side. 

Dr. Erdogan, has expressed a willingness to do a free touch-up for all of his patients. However, it is clear that Payam is not interested in this at all. 

I don’t know what Payam wants to do, he hasn’t really spoken about what he’s going to do moving forward. 

IMO any surgeon in our list can add density and slightly refine the hairline. It’s not that bad. I’ve asked Payam at least twice to update us on his progress, which for some reason he ignores. 

Melvin I actually think it is a big deal if he has 2 new doctors working there. We have to realise that these new doctors are not assisting in few surgeries going forward but theyre completely assuming the role of Dr erdogan on the few patients they look After. As Dr Erdogan himself said they will draw up the surgical plans etc... Now is that a problem ? Not really however nobody knows anything about these two doctors apart from their names they have no track record. I think it's important for you and other decision makers on this forum to ensure that any future results posted by the clinic must state wheather it was under the control of Dr Erdogan or the other two doctors. And if you remember the screen shot I posted above of 9 surgery rooms, i find it interesting that after this latest Erdogan email that they have deleted this video/picture from their Instagram account.

9 hours ago, Melvin-Moderator said:

Dr. Erdogan's Response:

"In response to your e-mail, I have complied the following details regarding our philosophy and procedures at Asmed in light of our mutual respect and collaboration over the years. Please feel free to share any part of this letter or all of it as you deem appropriate without altering its sense. 

 

As the Medical Director of the Asmed Surgical Medical Center, I am proud to announce the opening of our new clinic in Istanbul, Turkey and am pleased to be able to offer our patients the latest in state-of-the art equipment, facilities and patient services along with an enhanced team of surgeons that are trained in hair restoration surgery as well as the complementary fields of dermatology and surgical anatomy. Our new hair restoration surgeons are professor Alp Bayramoglu, M.D., Phd and Mehmet Goker, M.D. 

 

As the largest hair restoration clinic in the world, our aim has always been to render the maximum in quality, comfort and results to our patients when determining operational procedure and policy-making. In all fields of medicine, there is always a choice to be made that renders the outcome of the procedure or treatment the most positive for the patient, and this is the choice that the physician follows.  It is also the reason that we have decided to enrich the patient outcome and experience with additional expert surgeons and a new facility with advanced precision equipment that gives us with all the tools needed to provide the patient with a positive experience.

 

As Medical Director of the Asmed Surgical Medical Center and operating within the laws and procedural policies outlined by the Turkish Health Ministry for the role of surgical assistants in surgical procedures, I have determined that the team approach is best suited to the field of hair restoration.

 

At Asmed we select specific surgical teams for each patient based on the technical difficulty of the procedure and on the patient’s individual characteristics, thus customizing the surgical experience for each patient with an ideal match. Each surgical team is composed of one of the three expert surgeons on staff, an anesthesiologist and five licensed surgical assistants who have a minimum of 5 years of experience in the hair restoration field for those performing extractions and a minimum of 3 years for those performing placements. Additionally, all surgical assistants are required to perform 10,000 extractions and placements on the KE-Head, a life-like model prior to performing either on a live patient where they begun with 50 grafts and gradually increase according to their performance.

 

Even before surgery begins, the surgeon’s role is extensive and includes the evaluation of the patient’s donor area to establish the miniaturization ratio and DUPA, density, calculated density, the caliber of the hair and donor capacity.  Subsequently, the surgeon determines the number of grafts per square centimeter required for the procedure followed by a graft distribution plan and other recipient area calculations. Finally, Coverage Value calculations are made to ensure the precision of the surgical plan and proper homogenization. The surgeon’s calculations are verified both manually and through the use of the KE-BOT, a robot that scans the entire scalp’s surface in detail for the accuracy of the data.  The surgeon finally establishes the frontline design in conjunction with the patient’s goals and desires.

 

Once surgery has commenced, properly trained and licensed surgical assistants begin extractions according to the surgeon’s extraction plan. The surgical assistants, with the support of a stereoscopic microscope, are also responsible for the quality control of the grafts, the selection of single hair grafts for the frontline and temples and graft cleaning. Additionally, they are responsible for controlling the hair per graft average and documenting the speed of the extractions, both with the use of the Graft Calculator application.

 

In the successive phase of surgery, one of the surgeons performs incisions before placing begins by the surgical assistants who are entrusted with executing the surgeons placing plan, regulating the proper graft depth control and determining the K.E.E.P. (Koray Erdogan Embedding Placer) caliber and type (left or right). Typically, I perform incisions for a maximum of 6 surgeries per day as I have always done, while the other staff surgeons perform incisions for additional surgeries on mostly Turkish patients. 

 

The surgeon oversees the team throughout the procedure and makes adjustments to the surgical plan if required. Post-operatively, the team surgeon is responsible for all monitoring.

 

Hair restoration procedures are long and tedious, and as a result, concentration and accuracy can be affected by fatigue and strain. It is for this reason that I consider a well-selected surgical team to be the perfect model for hair restoration surgical procedures. The results are self-evident both for the patient and for the team. Delegated responsibilities provide optimum surgical outcomes for the patient and relaxed attentive team members whose precision is top notch. I have been using this model without alteration since 2003 and the results have been documented. 

 

The new clinic has not changed us, it has just changed what we can offer the patient...positive results with the utmost care, comfort, precision and artistry.

 

All my best wishes for a successful New Year!

 

Koray Erdogan, MD"

 

Why is nobody commenting on Dr Erdogan's statement ? He's finally reached out ....

3 minutes ago, Melvin-Moderator said:

Guys,

 I will need to clear somethings up with Dr. Erdogan, we need to make sure this is not hearsay. We need to know how many patients he’s performing surgery on a day and how he’s able to supervise those surgeries. To be honest, 7 surgeries seems excessive and I don’t see how one person can supervise all 7.

With that said, we need to allow him to speak on the situation. Ive heard of formal training etc. Dr. Erdogan, has already said everyone of his techs performs surgeries on liifelike dummys for a certain amount of hours before even touching a real life patient. 

Hi Melvin.

When i went there in October my coordinator told me they do 6 patients a day (although on my first day there wasn't more than 3) this is confirmed this is what they do. Now this was before the new larger clinic was opened with more surgery rooms. IF you scroll up and see the screen shot I took of Asmed's instagram video daily video feed you can see the screens of 9 different operating rooms where 7 were in use. This is not hearsay this is fact and you can see that screen shot. Now does that mean he will produce bad results? Not necessarily but it is a high risk strategy going forwards I will be very intrigued how 2019 will go for them and I would say to anyone considering  Asmed to watch this space, bide your time and see how this approach works before pulling the trigger -that is just common sense. 

Very similar stage to mine where everything has shed long ago and nothing much happans now , this is the hardest stage by the start of month 4 you should see alot more sprouting don't worry about the bad reviews it's only a very small amount of people who have complaints on here when you compare to good results.

10 minutes ago, Kraistoff said:

If anybody has any feedback that would be great 

 

could do with a confidence boost after reading some of the posts on here 

He has  good results regardless of how short his consultation is. Don't worry you only 3 months this is just the start of sprouting trust me in a month you will see a big difference in the amount if spouting. Everything will sprout at different times. 

So what does it really look like 

7 minutes ago, PGDMMB said:

Wow asmed is starting to sound like one of them cheap factory clinics but he’s one of the surgeons charging the higher prices in Turkey 

I put a screen shot of the big screen above as you can see. Whether people are comfortable with this or not is up to them but it's important for them to know facts so that they don't complain later. My surgery was before they moved to the new one.

7 minutes ago, PGDMMB said:

Did you just say asmed are now taking 6 paitents per day!??

I'm an asmed patient too. Yes my co ordinator confirmed to me when I was there it's 6 patients per day however my first day it was 3 second was 6. Now they have a new clinic and more surgery rooms. Infact if you go to their intstagram they have a video story where they show the big screen where Dr Erdogan views all surgeries. The big screen had 9 different surgery rooms and 2 of them were not being used meaning at that point there was 7 surgeries you could see going on.