Dr. Pekiner Hair Clinic

On 2/10/2020 at 11:36 AM, Portugal25 said:

Dr. Pekiner Hair Clinic, first I don`t understand the need for you write in this thread because the terrible ordeal that happened to @Glam Hair has nothing to do with Dr. Pekiner.

Secondly, if @duchainea patient of the clinic you represent says he`s discontent because of the lack of oral tablets of any kind then it`s your job as the rep of a Luxury clinic to have written a very simple reply "We deeply apologize and have implemented internal procedures to assure this will not be happening again".

I do this every time my company fails to comply with a client expectations because as the saying goes "the customer is always right" and if we don`t better ourselves then we go out of business.

I strongly urge you to change your tone towards patients that happen to write any form of critic because every Doctor or clinic can make a mistake (obviously not like the one in this thread) and unfortunately your anwers are giving Dr. Pekiner a undeserved bad reputation.

As I said my need to write here came from patients scared of the fact that that the clinic wasn't provided with the basic pharmaceuticals in case of emergencies (specifically anaphylactic shock). The false conjecture needed a reply. I knew I would be strongly attacked but still I couldn't let this false information stay here and damage clinic reputation. I am sorry for the tablet not being available but still it is not a pharmaceutical needed in case of anaphylactic shock.

--

More in general my only interest is to clarify that the clinic has got all the medicines needed in case of anaphylactic shock and other common complications that can occur during surgery.

This sentence

-- I said "what does it happen if I get an anaphylactic shock?" --

scared more than one patient, coming to me and questioning about the clinic not having pharmaceuticals against anaphylactic shock.

That's why I wrote here.

8 hours ago, LonelyGraft said:

Why are you talking like you were there yourself and witnessed it all? You’re sitting in Italy while the patient was in the chair in Turkey being operated on. He’s just sharing his experience. He didn’t even mention the clinic name yet you come in barging in to defend your clinic. He has no reason to lie imo.

So what, am I not entitled to talk or to explain what happened and why the accusation has no basis? Or do you think I wrote without asking about the issue to dr. Pekiner?

The reference is pretty clear since he only had graft extractions with dr. Pekiner and I was sent here by a patient worried about the clinic not having basic medical supply. So everything is pretty obvious for everyone, still in your opinion I should remain silent and let the wrong speculation being displayed forever without even answering. What's your next step, asking for my ban because I dared to give an explanation?

I never said he lied, he told the truth, still there's no reason for speculating about the clinic not having life saving medicines in case of anaphylactic shock just because he didn't get a antihistaminic tablet that is not a treatment used in case of shock but mainly for pollen allergy.

Egy the clinic has antihistaminic and sedatives that are shot in case of necessity.

I am ending here my participation in this topic unless some new accusations will be posted.

Thank you.

On 1/29/2020 at 12:56 PM, duchaine said:

During my first experience in Turkey, I felt uncomfortable right after the anesthesia. The room was a freezer and my legs started to shake.
I was worried and thought: are my legs shaking because it is cold? Am I getting a panic attack? Or Am I allergic to this specific anesthetic?
I said the doc that I felt seek and asked for an antihistaminic and something to calm down.
The nurse went into another room, came back and said they didn't have anything.
I said "what does it happen if I get an anaphylactic shock?"
You know what happened later...

Anaphylactic shock occurs in seconds, antihistaminic tablets start working in 25-30 minutes, they are not useful in case of anaphylactic shock, they are used for things like pollen allergy, then sneezing, runny nose, watery eyes, itchy throat etc.

In order to better clarify this point:

dr. Pekiner's clinic has got all the needed medicines for emergencies, mostly are injectable. Adrenaline and steroids are injected if there is a real allergic reaction, no tablet is given in these cases.

Not all the kinds oral tablets (which are not life saving) are available at the clinic because it's not a pharmacy. This doesn't mean the clinic doesn't have the basic pharmaceuticals in stock. It is a medical clinic licensed by the health ministry at the end, conjecturing that not even the common medical treatments are available is nonsense.

Here's a picture of part of the clinic supply.

7 hours ago, LonelyGraft said:

It’s word against word with patient and doctor rep claiming radically different things. As far as I’m concerned the patient has provided more proof of his side.

 

youre here to represent the doctor and bring in more business. This is a perfect opportunity to stand behind your doctors decision and claims on a public forum.

Yes, and I already said the patient behaved bizarelly, specifically he didn't follow dr. Pekiner's orders about medications, despite saying he would. He changed version many times and then after some months he started to be interested just in blackening the clinic reputation. Now he is depicting himself in this forum as a poor Oliver Twist that was mistreated by the clinic but the truth is quite the opposite, and I think there is some interest behind this attacks.

In addition his backup against the clinic is a member with only 2 messages written in this forum, all against the clinic. How strange.

Dr. Pekiner didn't provide me with a recording of the conversation between the patient and him.

3 minutes ago, LonelyGraft said:

Where is the proof where this was discussed through messages?

So now this became an online trial where I am asked to bring proofs?

On 12/12/2019 at 4:35 AM, transplantedphil said:

 

This is exactly why Dredd being censored on another forum, (and the other thread that you referred to being locked) is so disappointing because it means as patients we are shielded from understanding the true realities of this industry. 

While I agree we need to be fair, in Dredd's instance we have heard from the clinic rep and I'm still confused; Dredd has always claimed he was never told he had DUPA, yet the clinic rep has argued otherwise, so unless the clinic can provide such evidence of a DUPA diagnosis existing (which should be easy enough given it would have been discussed in the messages) we should all be concerned how they handled Dredd's case publicly.  

Regarding the other thread - a bad result is one thing, but again it was all about how it was handled; the patient came to the forum looking for advice, learnt more and got more support here than from their own doctor, presumably didnt want to share their details so as not to involve Melvin , and ultimately sought help from another clinic. While in that case we never heard the doctor's side, it should be very telling that that patient actively avoided returning to them.  I would also argue that most doctor's dont want to be perceived as being responsible for poor work, so the fact we even saw it on this forum suggests that particular case wasn't handled correctly.

While we can all get upset about a bad result I believe the only things we can focus on is how a patient is treated by a specific clinic, and what can we do to help solve the situation.

And now Melvin has me worried about what he sees daily 😪

The reality of the industry is not represented by the point of view of a patient at war with a clinic for some kind of revenge after an unsuccessful hair transplant, caused mainly by the patient's failure to follow doctor's orders.

DUPA is not a particular illness or something that should be diagnosed with a biopsy, it is just androgenetic miniaturization diffusing into the donor, so that a variable percentage (20, 30, 50%..it depends on the case) of transplanted hair can suffer from miniaturization, just like hair on recipient, if the patients doesn't take Finasteride.

That's why dr. Pekiner always underlined the importance of the therapy in this case: because without an anti DHT therapy, also transplanted hair (not all of them) will suffer from androgenetic driven thinning.

1.5 to 2.

If I am not wrong in the past dr. Hasson was taking himself 2.5 mg per day and his ex advisor, Joe, had some improvements raising the dose.

But please remember Finasteride is a pharmaceutical, a doctor must check the patient and prescribe the right dosage.

Consider that many patients who submit the online consultation form are refused because of suspected DUPA, or are asked to enhance the therapy and then apply for a new evaluation in 6 months. In Lixin case the severity of the miniaturization in donor, back and sides, was unexpected.

There are several studies for everything, some people quote studies showing 0.125 finasteride lower the DHT level in a similar way to 1 mg.

Reality shows that in certain patients when 1 mg finasteride is not enough, raising the finasteride dose or adding Dutasteride 0.5 twice a week (replacing fina in those 2 days) can be effective.

Hello, I spoke with dr. Pekiner about Lixin case.

Unfortunately most of the grafts extracted from his donor showed at least 1 hair in initial miniaturization, if not more than one. There was almost no cluster of hairs in which all of them were healthy. This means androgenetic alopecia is unfortunately diffuse, diffusing and very aggressive in Lixin case. Even the restricted safe zone under the green line showed at least one hair in miniaturization in every extracted cluster. Dr. Pekiner verified that androgenetic driven thinning is ongoing in zones 6, 7, 8 and 9, they were not usable as donor at all (areas above green line). Unfortunately it was diffusing also on the periauricular area and in restricted safe zone (10, the area under green line) in the form of DUPA (diffuse unpatterned alopecia) and retrograde. Doing a hair transplant in this condition means that very likely the result will be spoiled in a few years if AGA progresses, because also transplanted hairs will suffer from miniaturization. Furthermore more areas, now covered with thinning hair, would go bald and shaving the head could be difficult for the patient because of the FUE extractions signs. Shock loss risk is also considerable because unhealthy hairs can fall out easily for shedding because of the trauma to the scalp caused by the surgery.

From the evaluation pictures, that dr. Pekiner checked accurately, the hair roots miniaturization was undetectable, it was noticeable only after extracting and checking the grafts. I know some doctors call this condition Hidden DUPA (or BUPA) when taking finasteride somehow disguise the severity of DUPA without stopping the miniaturization.

As far as I know dr. Pekiner suggested Lixin to try to power up the anti DHT therapy adding Dutasteride or increasing the Finasteride dosage. 1 mg finasteride daily seems not enough in his case to stop the male pattern baldness and a full Norwood 7 destiny is clear. A new check can be done in the future if he somehow manages to stop the thinning by enhancing the therapy.

8 hours ago, lixinfu said:

If there are 6000 hairs that mean 6000 incisions, if I paid the price of 3000 follicular units, but the clinic only transplanted 3000 hairs to me, how do I know how many hair follicles I eventually transplanted?

No, 3000 grafts are 3000 incisions, if you get 3000 grafts transplanted with a hair/graft ratio average of 2.5, you pay 3000 grafts, you get 3000 incisions (not considering some splitting that can occur) and 7500 hairs more or less.

You will get a paper with this calculation.

I agree Lixin maybe it is better if you open your own dicussion, maybe a moderator can take these messages and open your surgery thread.

60 days

On 8/25/2019 at 3:42 AM, dredd77 said:

You need to provide proofs of your words.

I can provide all messaging with Kaan, where I was concerned every month sending photos, asking why bad results, discussing side effects, which I got from the drugs.

Future clients of this clinic be aware in case something goes wrong just wait for long messages of his team how you did not follow surgery instructions, did not care about the op, slept on the wrong side and so on:)

 

Future patients of our clinic know that in case something goes wrong about the regrowth, we offer a free touch up as it was offered to you. You showed concern in all the potential side effects of the medicines you were prescribed. Finasteride (depression after only 2 weeks of usage is inconsistent with the drug mechanism of action).

In addition not only you just lasted 2 weeks taking Finasteride, you also stopped Minoxidil once and for good after you had been taking it for 6 months before surgery, losing all benefits you gained thanks to the medicine. You lamented side effects even from a mild saw palmetto supplement. You behaved so bizarrely that dr. Pekiner started to have strong doubts about you following the other post operative instructions. While we are sure you did not take the prescribed drugs.

Long message of his team only started to appear after you began to shoot bad words at the clinic in public forums trying to blacken dr. Pekiner's reputation and frighten potential patients.

The facts are that the patients treated just before and just after your first and second surgery are all doing or have done perfectly fine.

I just published two of them:

Something went wrong only in your surgeries and we don't know exactly what happened. We are sure you did not take the prescribed drugs to fight androgenetic alopecia (Finasteride and Minoxidil) and dr. Pekiner has heavy suspects you did not follow the post operative instructions either. 

You are sure instead it was all dr. Pekiner's fault, but the 4 patients treated just before and after you, show that the problem is in your case only. Do you have proofs dr. Pekiner performed something wrong? You don't have still you keep on shooting at him. I am repeating myself, a successful surgery requires collaboration and trust between the patient and the doctor, following the post operative instructions is fundamental. It is also possible there is something wrong in your physiology but it is impossible to determine exactly.

On 8/25/2019 at 3:42 AM, Russ said:

What would be considered super dense packing? Anything greater than 50cm2?

There is not an official guidance but it is commonly accepted in the hair restoration world that around 50 grafts per cm2 is the threshold between medium/high density and dense packing, even if that is just a conventional term, because it also depends on graft size.

On 8/25/2019 at 3:48 AM, jj51702 said:

What kind of post op instructions did the patient not follow that could compromise his yield besides the meds? I’ve read grafts are very secure and permanent at roughly 7-10 days post op

Mostly about taking care of the recipient area, taking the prescribed medicines, not doing heavy activities and not wearing a helmet for 1 month etc. Every clinic provides a list of how to behave after surgery, more or less things are the same for all. I cannot list them all and explain why every point is important here it would take hours. Grafts are anchored way before 7 days post op, but this doesn't mean you can treat them like normal hairs, not at all.

On 8/25/2019 at 4:04 AM, Guy73 said:

That doctor is crazy then. I had a better result on 35cm2 on my first pass. If that is 50 then I would say a lot did not grow. I was always told 35-40 per cm2 the most and come back for a second. Anymore then that you can run into blood flow issues and survival of graft. I am sure some people can do it but I would feel better playing it safe. 

Well then you have been badly informed, nowdays most of the top notch clinics implant at 50 grafts per cm2 and more in every case in which a norwood 1 to 4 must rebuild the frontal part, while the existing hair behind is at native density. Same story for crown reconstructions. I have never seen a clinic asking a patient to come twice to implant 30 grafts per cm2 square in the first surgery and then 20 grafts in the second one on the same area. Following this principle, clinics who perform mainly frontal reconstructions at high density (lets say Keser's DermaPlast since we spoke about him before) should simply not exist, since they perform only dense packing (50 to 65 grafts per cm2) on daily basis.

We perform dense packing in around 50% of our cases.

What you say is logical in special cases like transplanting hair on burn scar or damaged tissue, where you have to re-vascularize the area and try to soften the tissue. There is no clinical reason to limit implantations at 35 grafts per cm2 on healthy skin.

On 8/25/2019 at 7:27 AM, Uncle drew said:

That’s a wrong thing to say dredd u can’t talk about future clients of him to be aware...how come? The doctor has amazing results and very natural posted all over the forums and u come and say after a bad result of yours to be aware? People will decide based on results that come out every day not from a bad one or a good one

 

...how come, because this is basically a vindictive topic even if it is disguised as an informative one.

On 8/25/2019 at 2:06 PM, Greg_Swanson said:

If a patient indeed has DUPA - then would finasteride be enough to stop this donor thinning usually?

No one I've spoken to has seemed to know whether meds can be effective in stopping DUPA.

Hope you get everything sorted out, OP. 

Yes, finasteride would help. Dupa and retrograde alopecia are nothing but just having DHT sensitive hair follicles inside the donor area and sparse around the occipital sides (that is why it is called DUPA) and/or above and beneath the donor area and on the periauricular area. You can see patients with initial miniaturization on donor while at norwood 2/3 level, and patients at norwood 5 level with perfect donor. DUPA can begin at a early baldnes stage or not be present at all, there is not a rule. This why Finasteride is ofter considered an assurance for long term maintainance.

Example: This one is a doctor Pekiner's patient, norwood 5 level, donor is perfect

This is a norwood 2 patient, he has diffuse miniaturization on all donor and surgery had to be postponed after deciding to raise finasteride dosage.

Dredd, in your case medicines were mandatory because your androgenetic alopecia was miniaturizing also the donor area (it is a condition called DUPA and is more common than people think) and dr. Pekiner told you that many times. Not only you did not take Finasteride and Minoxidil as prescribed, you even started minoxidil on and off, that is worse than not taking it at all.

You said you got Finasteride driven depression after 2 weeks of usage, which looks rather unlikely. You said you got side effects from Minoxidil and even from Xpecia that is a mild Saw Palmetto supplement.
Dr. Pekiner also suspects you did not follow post surgery instructions, because you always behaved like you did not care, probably you were thinking that you just had to pay the money to the surgeon and get the results without being annoyed by medicines and post operative care. But the first month after the operation is the most important one.

It is like a fat man not following post operative instructions after a liposuction and starting to eat pies and donuts and lift heavy weights the day after. Surgery doesn't work this way, you must follow and trust doctor instruction and advices, it is not like "this is your money doc, now I want the problem solved".

At the end we have some suspects but we don't know exactly what happened, while you look so sure it was all dr. Pekiner's failure and like 2 weeks ago you started to feel the urge to inform the whole world.

9 hours ago, lixinfu said:

I will have a hair transplant with Dr. Kaan in September. I hope that your problem can be solved properly. I think Dr. Kaan should be a responsible doctor and I am looking forward to my success because I have all the savings for this operation.

Please don't worry about this Lixin. I also invite other dr. Pekiner's future patient not to fall prey of a free shooter only interested in destroying the clinic reputation. I will start posting all the clinic good cases in this forum as well, I just need a little time. Please check all the surgeries before and after both of Dredd's operations and you will see 3 perfect frontal dense packs and 1 norwood 6 reconstruction in 2 steps.

8 hours ago, Anthonyd said:

Interesting!! 

I agree to a certain extent, that’s why I was curious to see what the Docs think.

 

As I specified before, this case was not treated at an extreme density of more than 50 grafts per cm2, which is often called super dense pack. It was a "classic" high density of around 50 grafts per cm2.

7 hours ago, Anthonyd said:

That’s why, when you look at the really dense hairlines, a lot of them are done with the DHI method. Is that why we are seeing some sub-par hairline results from some of the big clinics? ( not mentioning any names ) Is it because they are trying to cram in too many grafts using lateral incisions method? 

Sorry this doesn’t help the op, but it’s worth discussing maybe on another thread.

 

DHI method, that is basically a marketing term coined for incisions and implantations via implanter pens, shares the same philosophy of the stick and place technique used by dr. Pekiner, that is placing the graft immediately after opening the channel. Having said that, there are many other clinics, using different techniques, like lateral slit with custom blade made incisions, or placers instead of implanters, that can achieve great density all the same.

3 hours ago, Sky_walker said:

It isnt possible to tell an exact reason.Maybe the grafts were placed too close.The yield is really low according to the total graft number. Are you planning a third session?

It doesn't look probable, this case was treated at a density of 50 grafts per cm2 as average; dense but a not super dense pack like 60 or more needed for Norwood 1 to 3 with high native density and tiny grafts and hair caliber.

On 8/20/2019 at 11:56 AM, jonnyalex said:

When I asked Dr. Keser about that, he seemed quite dismissive of this and said he just watched and was not involved at all. He also seemed a bit shocked that Kaan used his name to promote himself on his website. 

In terms of this result, unfortunately if you don't take any DHT blocker you'll likely either lose all the surrounding native hair or be giving your surgeon the perfect excuse if anything goes wrong. I had sides too. What people don't realise is the sides nearly always go after time. Instead they panic because of all the untrue stories they see online. 

Dr. Pekiner started his career in the hair transplant world at dr. Keser's clinic, that is a fact. Many patients ask where he was formed and where he learned the manual FUE techinque. Stating the truth is not a promotional use of his experience at Keser's clinic, we only wrote this in his private curriclum vitae and it is specified he did not perform surgeries at Keser's, while he did at HLC later.

Dr. Keser is not mentioned everywhere else except in this brief CV of dr. Pekiner, for what reason we should omit where he trained and worked before?

Hello everybody, my name is Alex, I am the Italian advisor of dr. Pekiner Hair Clinic, I also take care of English-speaking patients.

I am in the hair transplant world since 2003, beginning in an old Italian forum, then in 2006 I started to post in an American one (under the name Starscream). I underwent a hairline HT surgery with dr. Keser in 2016; then I got in touch with dr. Pekiner who was opening his new clinic and I became his advisor. I had a final hairline touch up and beard surgery with him in 2018, I will share my experiences in this forum soon.

Coming to the point of this topic, at first I want to say I did not follow this patient, he came through the former Russian advisor, I became aware of his case when he started to post it in internet some days ago.

Dr. Pekiner and clinic staff told me that this patient first and main failure is that he never followed dr. Pekiner's rules, instructions and medical advices.

The second important thing to know is that this is the only case where we met such an extended regrowth deficiency. It can happen that small zones show delayed or less regrowth, but we have never experienced to such an extent.

Another important thing to point out is that each case before and after his first (04 December 2017) and second (21 November 2018) operation, went perfectly fine and are documented in dr. Pekiner's site and other forums. I cannot link them here because they are considered promotional content. Hoping not to break forum rules, I can give datas of them so that you can search in the net if interested:

first case 2305 grafts dense pack

second case 3256 grafts (of which 1121 from beard) second surgery for crown

third case 1501 grafts dense pack (allnakedorafk)

fourth case 1800 grafts dense pack (Max1972)

Same procedures, technique, also same assistants were used in all these consecutive surgeries. They all came out perfectly fine except Russian patient, twice (even if the second time he performed a little better).

The important question is then "why". Dr. Pekiner doesn't think of any skin condition or illness that made the transplanted grafts not grow well. He thinks the patient failed to follow his advices and instructions. After the second operation, free of charge, when he showed again poor regrowth rate, he was invited to come and visit a dermatologist, but he refused. Even if physiological or pathological flaws like poor microcirculation or dermatitis are not probable, they are still plausible and should be investigated.

Leave it alone the fact that this patient seems now engaged in the mission of destroying dr. Pekiner's reputation all around the world, posting in all the forums and media he did not know they existed just 1 month ago.

Thank you for reading.

Hello guys, I am doctor Pekiner Italian advisor. I am also English speaking. I can confirm that doctor Pekiner worked for 1 year in Keser's clinic as assistant doctor and then for 7 years at HLC as surgeon. He always perfomed full manual FUE surgeries in his career. He opened his own clinic in 2017.

For any information please write to me at

About me: I was norwood 2, going to 3. I stopped all with Finasteride, i take it since more than 10 years. I had a dense pack hairline restoration with dr. Keser in 2016 (1400 grafts). Now i am going to do a touch up with dr. Pekiner in june 2018. I am also going to have some minor beard reconstruction with him (sideburn and mustache connections which i genetically miss).

I would also like to thank and congratulate Tokoloshe. We never spoke before since he went to Dr. Pekiner's clinic through the German advisor.