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txtransplant

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Everything posted by txtransplant

  1. Looks perfectly good and on track from what I can see. As other have said....just what happens when your skin is healing and you have light skin. I would not put anything on it like concealer or something that could prevent proper healing. I did have a big formal event about a month after surgery and did try to bled it with concealer for a few hours that evening. But looks right and don't mess with it.
  2. I will add that some surgeons consider it bad practice and an unnecessary risk to split multi hair grafts. Ever patient is unique. But we all agree, the Dr. has an important and pretty straight forward job to create a natural looking hairline. That means the front edge is softer and slightly irregular. Simple thing and often see it overlooked. So much depends on individual doctors ideas of what looks natural. It's important for a patient to advocate for what they want.
  3. Okay, Well I am going completely on faith here. It already looked pretty good in the pic. So I can only image it will be even better if you went to a good Dr. Hard to loose when you already look good. They do this every day and know what they are doing. Hair mills....maybe not so much as that is sometimes quantity over quality, but you didn't go to one of those places.
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764754/ Probably the most directly relatable article to the OP's question and a good read for him. But since you seem curious...here is more reading. To the OP, this will answer most of your questions. Nothing looks out of the ordinary and good choice going conservative. How many grafts did you receive? It looks clean and professional, but like only a few hundred were implanted. If you went too conservative you may not get the density you were expecting. That is not related to graft survival though. But at under 4 months and some wispy growth...you sound right on track. Beehner M (2004) Beehner’s study of Fu vs 1.3mm minigrafts after one to three sessions; graft survival, growth, and healing studies. Hair Transplantation (4thetdn) New York: Marcel Dekker Pp: 268. Limmer R (2004) Hair growth studies in follicular units/micrografts. Hair Transplantation, 4th edn. New York: Marcel Dekker Pp. 268. https://www.oatext.com/How-to-improve-graft-survival-in-hair-transplantation.php Seager DJ (1997) Micrograft size and subsequent survival. Dermatol Surg 23: 757-761. [Crossref] Beehner M (2010) Comparison of survival of FU grafts trimmed chubby, medium, and skeletonized. Hair Transpl Forum Int 20: 1-6. Frechet P, Beehner M (2006) A multi-center study of the effect of 100% transaction on hair graft survival, 14th Annual ISHRS, USA. Beehner UW, Mayer M (2004) Studies comparing hair growth after transaction through the bulge area to produce approximately two equal halves, graft survival, growth, and healing studies. Hair Transplantation, 4th edn. New York, Marcel Dekker. Kim JC, Hwang SJ, Lee JJ, Oh BM, Lee SJ, et al. (2002) The Effects of Dehydration, Preservation Temperature and Time on the Hair Grafts. Ann Dermatol 14: 149-52. Belzer FO, Southard JH (1988) Principles of solid-organ preservation by cold storage. Transplantation 45: 673-676. [Crossref] Raposio E, Cella A, Panarese P, Mantero S, Nordström RE, et al. (1999) Effects of cooling micrografts in hair transplantation surgery. Dermatol Surg 25: 705-707. [Crossref] Adanali G, Senen D, Turegun M, Tuncel A, Erdogan B, et al. (2002) Cryopreservation of hair follicles at 20 degrees 😄 can it work in staged transplantation. Aesthetic Plastic Surg 26: 465-469. [Crossref] Kurata S, Ezaki T, Takayasu S (1997) Long-term in vitro preservation of human follicles. Hair Transpl Forum Int 7: 23. Bernstein RM, Rassman WR (1999) The logic of follicular unit transplantation. Dermatol Clin 17: 277-295, viii. [Crossref] Cooley J (2004) Isehemia-reperfusion injury and graft storage solutions. Hair Transplant Forum 14. Gandelman M, Mota AL, Abrahamsohn PA, De Oliveira SF (2000) Light and electron microscopic analysis of controlled injury to follicular unit grafts. Dermatol Surg 26: 25-30. [Crossref] Jiange Q, Wenzhong L, Guocheng Z, Liangbin Y, Wei S (2005) How long can hair follicle units be preserved at 0 and 4 degrees C for delayed transplant? Dermatol Surg 31:23-26. [Crossref] Krugluger W, Moser K, Moser C, Laciak K, Hugeneck J (2004) Enhancement of in vitro hair shaft elongation in follicles stored in buffers that prevent follicle cell apoptosis. Dermatol Surg 30: 1-5. [Crossref] Limmer B (1994) Elliptical donor stereoscopically assisted micrografting as an approach to further refinement in hair transplantation. J Dermatol Surg Oncol 20: 789-793. [Crossref] Seager D (2002) The ‘One-Pass Hair Transplant’ – A six-year perspective. Hair Transplant Forum 12. Shiell R, Norwood O (1984) Hair transplant surgery. Springfield, IL. Uebel C (2005) A new advance in baldness surgery with the platelet-derived growth factor. Hair Transplant Forum 15: 3.
  5. Check online in the actual medical journals that are published. They state what proficient surgeons have been observing as far as graft survival. The rest comes from observing the hundreds of results found here and other sites.
  6. depends on the patient. I think the first .5 cm is about good. But in some patients with thick, thin or curly hair it could be anything, I had barely any singles when they extracted. So wasn't much choice. But still looks natural as I think my doctor chose thinner hairs for the front to compensate. So much depends on patients. A patient with a very soft gentile hairline looks really odd with a really abrupt line front and center. I think for 2 patient types it really matters. Those with a naturally gentle and soft hairline, and for those guys with unusually thick and dark hair. On a middle aged patient, at hairline that goes from bald head to a will of thick almost black hair looks pretty abrupt and not natural. But they guys who get them usually seem to love their helmet look. Though no as good as singles, even doubles spaced a bit far apart for the first 3-4mm will give a softer and more natural look. Unless they have really thick hair. In that case might be better to have a abrupt hairline.
  7. Dr Nader is is a good guy. He does do conservative work and looking at your post op pics I could see the density was not where many young patents want who pull their hair backwards when they style it ideally would like. That's not a knock on him. It is just his style and just like Rahal IMHO packs hairlines too dense...they both have their style of doing things. But some guys like that and nobody is right or wrong. I think Dr. N does a great job of trying to work within patients budgets and sometimes that means density gets stretched to try and cover an area on a budget. I have never sen Dr, N waste grafts..that's for sure. If you read lots of posts. Many docs are doing way over 2000 grafts on young guys hairlines. Long term I think that's a bad idea. But it is what it is and to get it really dense, I agree, you would need probably need close to 2500 or a bit more on that hairline if was completely bald to look completely full.
  8. Tons of reasons. But as others have said, if you truly went to a very respected and experienced HT surgeon then it is unlikely he/she was at fault. HT's can fail for many reasons. Procedure. This can take any form. Even the best surgeons will transect a few hairs and damage them. But the best practitioners maybe do this to less than 5% of the grafts. They can dry out. I read a study that in well under 10 min of just being in the dry air, grafts die. And even in storage solution they become less viable past 6 hours. The good docs will label the grafts and the first ones out are the first to go back in your head. So really, skill of the surgeon, and any breakdowns in the process can cause poor growth. Fortunately most reputable practices get over 85% regrowth and I believe some are getting well into the 90's of average. So many things can go wrong...only use a well oiled machine when picking a Dr. Patient. Patents are responsible for some failures too. Smoking reduces the success and healing, not following the doctors orders. Stress. My doc says he sees a correlation between major life stresses and less than great results. So try and be in a good place mentally after your procedure. Stress does cause hair loss and effects the body. I also read extreme cold or heat can run grafts in the first few days when they don't have great blood flow yet. Most of all though, everyone is different. Some people heal better and have stronger grafts. Occasionally even the best doctors have a failure. So our body rejecting the grafts even when everything is done right is possible, though unlikely. The reality is we are all different and it is surgery. No 100% guarantees. But in the real world if you do your part and go to a respected surgeon...the typical patient will have between 80 and 97 percent regrowth. Most seem to do around 90 from what I can tell. I see very few failures. But we do see plenty of mediocre results. It is all averages. Most patients are pleased, but not truly blown away by their results. especially in the first procedure. But a few have amazing results and a few have below average results. That's life. Simply put. A healthy patent going to a top doctor can be about 95% sure they will get 80% growth. That same patient probably has a about a 75% chance of getting 90% growth and so on. It is a very safe and effective procedure with rather predictable results. But like all surgery....not completely predictable At 4 months. Assuming you are average. If you were a big shedder then the typical non smoker can expect the resting phase to last 3-4 months. So you could be completely bald of any grafts you received and still be right on track. By 5 months if nothing is even beginning to sprout..then you have some legitimate concerns. On the human side, you can intellectually know all this and still be worried because waiting is hard and some people are way ahead of you. I completely get this...it's just human nature. But just because you don't see much growth at 4 months isn't a sign it failed. I have seem some early growth patients here who then just never really had a great growth stage after and some patients who were looking pretty weak at 4months and then it went great. The real home run cases usually are strong early and finish strong too. But we are all different and too early to tell in your case. But if you used a great doc, I wouldn't be too concerned. You paid a premium not to gamble...enjoy the peace of mind you paid for.
  9. Pretty obvious unless your body strangely rejects your hair, that you will have a great result. Obviously you know the risks of using 3000 grafts in just the very front if you loose more. But it seems you're a good candidate by your age and what we see...so calculated risk I think. Bit not reckless one. For sure this should get you what you want hairline wise.
  10. Philly is a great example! I really doubt he looks much if any better with hair grown out. Very masculine and rugged and normal head shape. Poor Zach....world class looks with hair. Bald Philly would steal bald Zach's girl with only a smile and McDonalds cheeseburger.
  11. Yeah, it's truly a rare case where someone looks better bald than a full head of hair. 1 in 1000 maybe. But when you start going down the path of of balding there is a point you cross where bald looks better. I would say it is extremely rare that someone looks better with a thin horseshoe than buzzed to a zero or 1 guard. That's the other end of the spectrum. I mean a lot of guys would look better buzzed then have a hairline across the middle of their head. We see them every day and they look fine. Though probably not as attractive as when they might have had a full head of hair. We just have to work with the realities of our own situations. And yeah, Statham is a pretty rare bird where to me he looks no better or worse. Agree that maybe 10% of guys can pull of bald and still be as handsome as with a full head of hair. It for sure takes a very strong jawline and masculine bone structure to pull it off. But the OP with a weak donor area and some significant balding might go through all of that to wind up in that grey area where it could go either way. Really depends on his bone structure. Take Zac Efron bald. Does not work on even a handsome guy if he has anything less than very masculine features.
  12. Absolute lesson there. I never thought I could pull off the buzzed look. Clung to some comb over. But a few weeks before my 3500 FUT I buzzed it off. I am lucky that I have a few close and attractive female friends who I could ask honestly. All three said the buzzed was a lot better. In my own brain, my creative combing was better because it was not bald. (NW5) But it looked a bit like a comb over and that screams lack of confidence. And that my friends, is a much less attractive thing to people than balding. Actually most of these woman (late 30's early 40's) said they could care less about a guys hair. But trying to hard was a huge turn off. True, I hated looking at myself and seeing my bald head. But I knew in my heart to everyone else it was probably better and my honest friends confirmed it. I think if I were still married I would have just shaved it off and not thought much more about it. But being single kind of made me have to consider my overall looks. And now that the HT is done, it for sure is an improvement over either the comb over or buzzed. But I think a lot of guys never give it a try to get used to it. And I think happily married guys are easier with it. I think it is no coincidence that it seems the majority of guys here are single or just dating someone. I think when you are worried in your life about attracting mates looks matter more. And there are no shortage of guys here with confidence issues holding them back as well. For some, HT us a lifeline. I think in some careers a youthful hairline is as asset as well. But that's way off topic.
  13. lol.. Yes he does. Poor guy can't do anything else though because I am positive, under that mess if a comb over he has more scars from old transplants and just a mess. One of the cautionary tales of these young guys getting FUT to fill in their frontal 1/3. They may very well reach the point of no return and then have to spend their lives with a goofy head of hair just to hide the scars and spend decades doing that.
  14. LOL. Nobody know where his starts. But just trying to illustrate sometimes best to just shave it off on some faces rather than find some in between spot. But here is a pic similar to what you have as a goal. I would guess this is around the density you would be able to achieve. Granted, he has more hair in his crown. So you would have to accept a bald crown and just focus of face framing. But I think this is a pretty realistic result and expectation if you had your hairline and some midscalp redone. And I advocate for conservative hairlines. However I think you have yours pictured so far back it would make you feel better, but to everyone else, would add zero aesthetic benefit. This is about as high and conservative as you can get and still be an improvement over just buzzing it off.
  15. I disagree with the notion any Dr. can do any nationality well. I think for the most part this is true. But African hair and very curly hair is different. I know of one reasonably well respected surgeon in the USA who has 2 complete failures on a African American patient. Here is the reality. People with really kinky hair, the hair is flat and that is why it grows in tight curls. And because it is curled, even below the surface things are not completely straight. Because of that, in these patients it can often be much easier to transect hairs as they are harvested as they are unpredictable. I didn't read up a ton on it, but I think most experienced HT surgeons use a larger punch to harvest in these patients. In any case, it presents a challenge to the surgeon and of you are a patient with very curly hair then absolutely you have to find a Dr. who has a lot of experience with your type. And very few surgeons are going to turn them away..it's bad PR and most think they can handle it. But I wouldn't want to be someone they practice on. Outside of that, I think it doesn't matter. My guess is any patient with straight hair or relatively straight. any good DR can do any ethnicity. One more thing to note. Dark skinned patients do tend to have pigment issues. So this get's really important if you are getting beard or chest grafts. I think common sense dictates if you have dark skin and want that, go to a Dr. who has had a good deal of experience on people with your skin tone. In other words....if you are Indian and sitting in the middle of the Atlantic thinking about a beard HT. You would for sure probably be wise to fly to India to have that done, rather than Ireland or Japan. For you....I think you would be fine anywhere. But for sure you don't have anywhere near the hair loss right now to bother with a HT. Yea, see some thinning and recession. But at this stage it just looks great and normal. Not even close to something worth having surgery for. Wait a few years. Nobody notices this but you....it's not impacting your looks at all. Trust me!
  16. Look at this. He looks better bald and masculine than trying to hold on to the past. And worst of all...the horseshoe.....it's just an awkward look in every way these days.
  17. If it were me and unrelated to this, I would buzz it shorter and go for a younger clean buzzed look. Statham comes to mind. You seem to have masculine features from what little we can see and the length you have now kind of highlights the balding for no really good reason. You won't ever get a full head of hair. You probably have enough to get just enough to have a thin frame of natural looking hair where you hilighted. In some men that can make a difference. You seem to honestly have a pretty good head shape and I am not sure you will gain much improvement in your overall looks by doing the HT. With a weak donor area there is only so much the can be done. And some fuzz on top often changes the look. But isn't an improvement and not worth the effort. You are younger. But I see lot's of older guys get HT and can only manage some wispy coverage about 1-2" far back on the scalp and while they seem to love it (like they felt naked on top before) the reality is they looked younger and more manly with it just buzzed off. In your case....with thin hair...you will need probably 40-50 grafts per cm2 to have passably thick hair. If you have a weak donor then maybe you have 3000 grafts at most. So maybe you cab cover 68 cm2? If you spread it too thin...you end up with a really un natural look. What looks worse than bald is sick. Ans sparse too far spaced hair looks unnatural and sickly. You don't want that look! As a guy with no horse in this race I think you probably would look better if you buzzed your hair off. But only to really tell is next time you cut your hair...save it and then draw a new 70cm2 hairline and fill it with the clippings. Truly the best way to get a rough idea on what you might look like and then decide for yourself. But yes, you could probably get the red area semi full, but wispy. I just am not sure that would be an improvement. Depends completely on face shape. Strong masculine features looks so much better bald than wispy or horseshoe. But small jaws and narrow features, even some hair keeps you from looking like your ill or an alien. Just depends really.
  18. The guys with some level of dysphoric disorder. They come in two sub-types. The older guy who thinks he needs the hairline of a 16 year old. They end up looking silly even with a rare home run. Usually though they end up looking unnatural and thinned because of the large areas . Large, flat youthful hairlines are not really ever thin as they tend to pull back in the temples and have miniaturization naturally. These poor patients could have had a great looking an age appropriate Norwood 2 look. Instead they look like balding lab rats with awkward heads of semi-hair. The second type are the younger guys who already have good hairlines and then find a surgeon to lower it beyond natural looking. Not only does it take away from the patient's looks, but a nightmare they are setting themselves up for in the future! Any surgeon who does the second type of transplant is greedy in my book and values money far more than patient care. A HT isn't a surgical route to a new hairstyle. It's to take a bald guy and make him have some presentable hair. Reconstructive surgery on someone with zero problems is unethical. But I see a lot of these guys with dysphoric tendencies here. And if you read their threads you will also find that they tend to be disappointed as well as letting it take up too much of their life obsessing over their hairlines. It's the same insanity that drives some women to get way oversized lips. People loose the ability to see what looks normal when they obsess on that one part. '' In simple terms, natural hairlines on men who aren't teenagers are not flat across the front. One semi exception is people of African heritage tend to have straighter hairlines and stronger temple points. Though I would argue that even on them...it looks silly on a 40y old. If I could steal photos online, I would show you HT cases where the guy had a nice mature hairline and femininized his looks with an overly flat hairline and wound up looking worse for it. So two things to remember. If you are over 30 and think a hairline that would look appropriate on a 14y old is your goal you have this issue. The lowering guys.....the distance between the very bottom of the nose to the middle of the eyebrows......that measurement is the distance a hairline should be above the middle of your eyebrows. HINT: unless you have a very weird face shape this is as low as the tip of your hairline should be. If you think it looks better more than a few MM lower than that, you probably have dysphoric disorder on some level.
  19. FUT is mostly outdated and for low budget jobs since it is less expensive. However some very good doctors still do it. Some because they are stuck in their ways and some for other reasons. But who the heck wants a huge scar across their head? Not me...ever. That said FUT (strip) does have a few advantages. In really large transplant cases since they are removing an actual chunk of scalp they can remove every single hair from that removed piece of scalp. If it was still on your head that area could only be harvested to maybe 1/2 or even 1/4 as much to not end up with a bald area. So for all the faults, scars, ;pain and risks, you end up with maybe 600-1000 more grafts overall. Sometimes more than that over a completely FUE hair transplant. To me, large cases are the ONLY time anyone in their right mind would opt for FUT. Sure some great surgeons stick to FUT. But most have moved on. The other advantage of FUT is slightly better graft survival. Maybe 5-10% better for several reasons. In your case...looks like you may need the max one day. But you never know. So I would start with FUE for sure. The reality is you could always get a FUT if things get really desperate at the end and you want the absolute max possible. But I would personally never. I would rather live with a bald spot than look like a scarred freak if my hair ever got really thin in the back or wanted to shave my head. I will do the best I can with FUE and then FUE with beard and chest hair long before I let someone butcher my scalp like a spring calf.
  20. I am right at 5 months too. My thoughts are you look on schedule for where you are. I have never seen an normal HT that didn't improve a decent amount between month 5 and 10. That is just a fact. I have seen some that only got a little thicker. But more have gotten a good amount better. It is not possible for this to be your final result. YOU WILL IMPROVE. The truth is your HT results compared to all of the 5 month results I have seen is on the lower side of average. Usually by the 5 month mark the real amazing HT's are already way ahead of schedule. But average is average and average means most of us are like you. I think you are pretty much on track and have nothing to worry about. Now if this was the one year result I would be kind of disappointed. But you are being unrealistic if you think this is the final result when we know most people get a lot of growth and everyone gets at least some after month 5. So do not stress, you are a typical HT patient having normal results. And the normal expectation is you will see a noticeable improvement over the next few months. .
  21. I think if money were no object there are about 8 doctors in the US I would pick from who are all at the top of the game skill wise. Some variation in their style of work. I used Nader in Mexico. I have never seen a bad result from him, but he does have some results that aren't hoe runs, though most of the ho-hum results are simply not enough grafts being done for the large area that is more a result patients on a budget and a conservative approach.. In short, I think his graft survival rate is good as other good surgeons. Though he has nowhere near the number of reviews and information is power. So when you have a Dr. here that has hundreds of reviews vs one that has about 10..logically you have more assurance of their abilities over a range of patients and time. But with that presence comes a premium price. I think Dr. N is just under $2 a graft. I am only 5 months in and happy so far, but it's early yet. He is worth looking into if you are on a budget. There is another Dr. in Greenville, SC who I think get's around $5 a graft and has respectable results. I think as long as you go to someone who ONLY does HT and does it every day, you are going to get decent results. if they offer anything except HT in their practice...my advice is run away as fast as you can.
  22. Growth peak. Hmm, not sure exactly what you are asking. But they say 18 months is your absolute full result, though you have pretty much maxed out what you will see by months 12 for almost everyone. If what you are asking is when do you see the biggest changes? I would say month 5-8. I think this makes sense as the resting phase is usually about 4 months. So thin hairs start really popping up around month 5 and are almost all doing their thing by month 7. After about month 8 things usually continue to improve, but at a much more modest rate than that. No two patients are the same. A tiny percent (maybe 2%) never shed and have almost full growth almost out of the gate. And a small number of patients don't shed all of it, myself included shed only a portion of the new grafts, and some of the grafts stay from day one and grow. It seems like maybe 25% have a small to medium percent of hairs that grow right from the start. Most people shed every new graft or nearly all. And sadly for a few patients, they have poor regrowth. Sometimes that is Dr. error. But even the best doctors have failures and that is just biology. Sometimes your body just rejects the implants. Everyone is at a different rate. But even the slowest 10% will see most of their result buy month 12. I have never seen someone who looked thin and like a weak hair transplant result at month 12 then have a great result by months 18. I have seen plenty of subtle improvements on patients in that time though. And another thing. All the real home run cases I have seen, they are always looking great by about month 8. I think by about month 8 you have a pretty good idea of where you are headed. Some basic facts or observations. Many doctors claim they get over 95% regrowth on transplanted grafts. The medical journals seem to suggest it is closer to 85% on average. I do think skilled physicians with an ideal patient can do that. But I think most people with a respected doctor and good scalp and hair characteristics should reasonably be expecting around 88-90% to grow. Anything more being a bonus and less being still reasonable. Most of the failures here I see are one of two things. Biggest is patient going to a doctor who doesn't do this as a specialty. Even the more reputable hair mills where technicians and not doctors do the work seem to be better choices than the local plastic surgeon who does the occasional HT. The other failures are varying degree of just an unlucky bit of biology on the patients part. For every patient that has results that far exceed the average there is is one who falls far below the average. It could be stress, bad aftercare, or just unknown biology the same way we all hear and react differently. Set your expectations at average, know the pitfalls and do your math! Understand how many grafts you truly need per cm2 and how important the thickness of each hair is. A patient with 45 grafts per cm2 with very thick hairs and all double and tripple FU's will have like 8x the visual coverage of another patent with 45 grafts per cm2 with thin hair and mostly singles. So in this case one guy with the same number of grafts could look like rock star thick hair while the other guy might look very thin and stringy even if both had 100% regrowth. People don't do their homework and account for this. I think you would have a lot less disappointed patients if they new better what to expect and what they need to achieve the look they want. But here are some guidelines; You need about 1/2 your original hair density to look like you have hair. Now for most people I think this is not really accurate. You will look not THINNING at first glance with this. But in the sun or under bright light, you not going to look like you have the hair of a 11y old. Again, depends how think your hair is. If your hair is super thick then maybe 50% is still enough to look full. If your hairs are straight, thinner and your follicles are not spaced close, then guess what, 50% of your original density is going to look pretty thinned. That's life! Simply put, some people were born for this and some were never meant to do more than warm the bench. People with great hair characteristics, Hairs above 60 microns, density of 100 fu per cm2 and milti hair grafts are the big winners here, Now if they have a bit of a wave or closer match to scalp color....even better. Last statistic I read said mature men average between 60 and 100 follicles per cm2 and average hair thickness was 50 microns. Couple that with the average FU graft being 2.2 hairs per FU. Know your reality here to know where you are going. If your hair is 30 microns v 70. Guess what? You will get closer to 4x the volume of hair on your head with the same number of hairs. So know your math! 2,000 grafts on someone with very thin, straight hair and lot's of single hair grafts is going to have something like 1/12 the coverage that a guy with really really thick wavy hair and lot's of 3 hair grafts. And that is not even getting into scalp contrast to hair. You realize quickly even 100% regrowth by the best surgeon in the world we are already vastly different as patients. If you know what your microns are, density, and such, then you can know what to expect after you see hundreds of results and pick a doctor. You might realize you are a great candidate or that you are in over your head trying to get a great hairline again. I seen way too many guys here making two huge mistakes. Being to aggressive in their hairline for what they have to work with. They always end up looking thin and disappointed when someone looking at it knowing all this could see the mess coming before it started. Unfortunately doctors know that those patients will just go to someone else who tells them what they want to hear and they try and do the best they can to help their patients. But it is cycle I see repeated over and over. Granted, there a few surgeons who flat out refuse to do this. H&W is one that comes to mind where I never see this simple math ignored. Sure, like every practice, they have some home runs and some guys who's bodies just didn't work well with HT. That's just different people's biology...not DR. error there. But I never see them take on a patient and not give them the proper math to meet their goals when they do operate. I am sure they loose some patients because of this. On the other hand, I see lot's of good work in Turkey too. But way too often no real modeling is done and you have a patient with the wrong density over too large and area left disappointed.
  23. I did not have a huge shed. I truly don't know what percent shed. But enough stayed that I could not really tell when sprouts started happening. I am a few days short of 5 months and mixed in with grafts that never shed I can see a number of short thin hairs that are clearly grafts that shed growing a new hairs. They are bout 1cm long. So I guess my best answer is at around month 4 is when grafts that shed and went into the resting phase started to produce new hairs. It is not a ton of them, and some are longer or shorter meaning each shed graft has it's own ideas on when it is show time.
  24. You shed tons of hairs. Looks like nearly all of your transplanted hairs fell out. So kind of shocking to hear you say you didn't shed when it is obvious by the pics you shed most all of it. Normal to have a few thin hangers on that don't shed. You will get some fine fuzz starting to poke through over the next few months and they will become thicker over time. Be patient.
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