Raker

Another gimmick, spend your time & money elsewhere, life’s too short. 

Also, it’s down to the skill of the surgeon to ensure there are no transactions. 

5 hours ago, purple18 said:

You can try minoxidil for your beard too.  There's lots of examples out there of guys who got results that way.   A few who went from basically nothing to a full beard.  

Really, do you have examples? 

11 minutes ago, gillenator said:

We have to keep in mind that there were virtually no surgeons in the U.S. performing FUE until roughly 2004.  Then, as some of you may remember, FUE hit North America like a tidal wave!

The 1 mm punch is the one that most surgeons favored to learn and refine their technique and skill, for the obvious reasons.  So there was quite a lot of havoc and at times panic in some of the initial results, both in terms of yield and donor scarring. 

Over the years, and as the degree of proficiency and skill advanced, many of them started to use smaller sizes as long as the rate of transection was not compromised.  Many patients have lots of single hair FUs and doubles...theses are not as difficult to extract as compared to multiple hair bearing FUs, all other factors considered equal (proximity of FUs to each other, scalp texture, etc).  So the larger FUs may require a larger punch size for safe extraction.

Unfortunately there are some who continue to use the 1mm and even larger sizes because the manual extraction process goes faster, and time is money.

My issue is there are forum members here that are convinced that no matter the size of punch used that FUSS scarring doesn’t exist. 

I know it’s easy for us to say but way to early to judge, give it time. 

Too young, if you’re not get on the meds and revisit in a couple of years. There is a recent example on this forum of a guy that had fantastic results in months after stating Finasteride, worth a try. Good luck. 

Don’t entirely agree with the before & after images but all in all it looks very good. 

23 hours ago, delancey said:

Perhaps the forum could integrate a system, which would allow each clinic to check a box every time a result is posted. That way, the forum staff could easily keep track of those surgeons who aren't posting results on a regular basis. That way reports could easily be generated without having to go through the hassle of investigating who hasn't posted in a long time.  

I find it surprising that more clinics are not taking advantage of their membership and posting results on a regular basis. It is a wonderful way of showcasing top-notch results to potential clients and allowing forum members to talk about your clinic. 

It would also be beneficial to implement certain presentation standards. We are in 2019 and some clinics showcase results that resemble what one might expect from a polaroid camera.... 

 

There are many before & after images from recommended surgeons that are misleading, that’s a difficult one to overcome. Perhaps the list starts with the surgeon posting the most or regular results at the top working on descending order, something like that. 

On 1/17/2019 at 6:58 PM, Mick50 said:

Hi Bill ,

             I don't think anyone has suggested that Clinics showing recent work is the only criteria for being a member on this site ,but it is one of the site's criteria  for a very good reason, how is a potential patient going to know if  clinic/Doc is performing to the same standards as when they were first recommended ?  I have to say there are Docs on the recommended  list who I never seen post on here any results in the 4 years I have been on this site .

Again this is down to the moderators with the authority to determine. How can this site recommend a surgeon/practice that hasn’t posted results for years? 

On 1/13/2019 at 10:19 AM, shookwon33 said:

A lot of people love to say Dr. Diep destroys donor areas but in reality after say the first few weeks the holes really contract back to normal and there are really no signs of any visible scarring. I recently had a consultation with Dr. Diep on why he uses .9-1.0 mm punch sizes and his thorough explanation makes complete sense and leaves me no doubt in his skills, experience, and knowledge.

In addition, with literally all of his patients videos where he shows the donor area it literally looks untouched....

No visible scarring? All surgery FUE/FUSS has visible scarring, if you know different let us know. 

1 minute ago, TrixGlendevon said:

 

Exactly. I am fine with them charging for continued recommendation status. No problem at all as it means the site stays up and it is one of the reasons I was able to make such an informed decision when I came to do my procedure. However, one also has to maintain the standards implemented by the very recipient of the revenue itself.

Absolutely, couldn’t agree more and it is questionable if these standards are being consistently implemented. The concern is new visitors to the forum are looking at recommended surgeons that haven’t posted in a very long time when perhaps they no longer satisfy the criteria to be recommended. 

10 minutes ago, TrixGlendevon said:

In the site's defence, the requirements for getting a recommendation to begin with are quite stringent. That is not the concern. The concern is then how those same requirements and standards are monitored and maintained afterwards. If there is no policing and moderation, standards can, and probably, will slip.

I get that, without revenue this site doesn’t exist. 

Recently we’ve seen an increase in 1mm punch used to remove grafts in FUE procedures, it would appear that the argument is there’s less chance of transection however, the trade off is there’s more chance of post surgery scarring to the donor area. Is this all marketing nonsense and ultimately do the final results rest with the skill of the surgeon or tech? 

11 hours ago, Mick50 said:

I pointed out this situation  about a year ago that a lot of Docs are not posting monthly examples of their work ,not picking  on anyone Doc 

but I pointed out to the Mods that Dr Bloxham had stopped posting on here which was quite surprising   as he used to be a very active contributor before and  immediately after being recommended on this site .

The fact that these surgeons are fee paying might have an influence on the mod’s decision to monitor their results & submissions. The reality is the website needs revenue to survive. 

Good thread Trix you’ve exposed a weakness in the website, there’s always room for improvement. 

10 minutes ago, TrixGlendevon said:

 

Don't be pushed into taking meds but do be prepared to lower your expectations if you do not take them. There is really no need if you believe it is now stable. I do not take them and was even advised by Dr Feriduni not to. He was telling me there is apparently new evidence coming out of longer term side effects. I'll pass!

FUE also leaves scars, you won't be able to cut your hair really short with either procedure. FUE is still surgery and all surgery leaves scars!

Interesting, are you saying that Dr Feriduni is recommending not to take Finasteride etc? 

9 hours ago, Melvin-Moderator said:

Yes, 

The hairline is designed according to the individuals facial structure. Some men are born with one hairline slightly higher than the other. This is perfectly normal and seen in nature. In fact, you can see Dr. Diep, simply followed the natural pattern of his hair. Below is an example of a non-balding assymetrical hairline. 

Fair point & an interesting hairline. 

Very good, they say it can take up to 12 months to fully benefit so perhaps even more coverage. 

29 minutes ago, Gasthoerer said:

I have been to a F2F consultation with Feriduni (3x times actually including the surgery day) and he always created the same asymmetrical hairline for me following my existing hairline, my facial structure and most important: my hair direction. 

Interesting, I’ve had several consultations (feriduni, Lorenzo & devroye) and all the hairlines drawn were symmetrical to the naked eye. 

Just now, Melvin-Moderator said:

Look at the existing hairline, the same pattern is followed. It’s always best to follow the patients natural hairline.

 

I appreciate your response, I’ve had many online consultations and not one has drawn a hairline that’s not symmetrical. 

6 minutes ago, Melvin-Moderator said:

The last thing you ever want to see is a hairline that is too symmetrical like this

You’re missing my point, look at the angle of the hairline. 

10 minutes ago, Melvin-Moderator said:

No hairline is perfectly symmetrical. In fact a perfectly symmetrical hairline is a dead give away for a hair transplant. The human face and body is assymetrical. That’s why the phrase “take a picture of my good side” exists. 

If you study hairlines and facial symmetry you will notice that facial propertions change from one side to the other. Those with less assymetry are usually perceived as more attractive because of it, but make no mistake there is still asymmetry.

Study the hairline, I understand symmetries but the patient’s right sight side is completely different to the other side. Are you suggesting that surgeons apply asymmetrical approach to a hairline? Just asking. 

You don’t need the surgery but it’s your call, from somebody that’s more than twice your age I would say take your time, it’s a marathon not a sprint. I’m 56 and going for my first HT this month. I know it’s not easy listening to an old man but you’ve plenty of time on your side. Trust me, you’ll appreciate the advice in the long term. 

Have to agree with gas, donor doesn’t look great. On another point the hairline symmetry looks wrong, hopefully that’s just my eyesight. Good luck. 

24 years of age and considering a HT, don’t do it, as Melvin says give it a few years then revisit your situation. Get on the meds.