Gabreille Nelson Mukhia
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Posts posted by Gabreille Nelson Mukhia
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5 hours ago, Leftwithrope said:
Hey guys,
I started applying 5% minoxidil solution to my scalp recently and would like to know if it is advisable to massage the liquid into my scalp.
I was not able to find any conclusive answers from Google about this and would like to hear from experienced users.
Should I leave the treated area wet or is it best to rub it in vigorously?
Thanks in advance!
Unlike hair oils or serums, it is a medicated liquid. For the application, light application over the scalp is sufficient. Rubbing the liquid onto the scalp vigorously is not required. It will dry up by itself.
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6 hours ago, giegnosiganoe said:
I was wondering if there any concerns or implications regarding transplanting the temple points? Does it look natural and blend in with the rest of the hair on your sides? Is there some length past which your temples would start to look bad? Reasons why this type of work may be useful would be if you're receding at the sides, or have retrograde alopecia which can thin out the sides. Please share your thoughts/experiences, thanks.
Temple points require extremely thin calibre hair. The curvature of the hair after it grows (whether it is convex towards the skin surface or concave towards the skin surface) matters a lot. The design of the temple points itself has to be in sync with the entire aesthetic architecture of the index face. The hair transplanted on the temples might grow longer than the native temple growth. One would require maintainance by styling the hair at regular intervals.
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3 hours ago, Motorleza said:
My question is would my donor area be depleted or “ harvested “ , if they took 1k - 1.2k
I already had one procedure 2.4k grafts
It will become thinner than what it is right now. Also, if you keep your hair very short then it will be visible. Plus this is your second sittng. Your donor will be okay if you keep the hair on the donor longer then it would look fine.
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On 8/25/2020 at 2:38 AM, TorontoMan said:
For those of you who have had a hair transplant, how were you feeling few days afterwards? I ask because I’m travelling to another city soon to get mine done and I’m wondering if I’ll be able to do any small bit of exploring for the 4 days I’ll be there.
could you wear a hat after 2 day’s? Are you able to go for a walk if you wear a hat or even eat a restaurant ?
Any other information you could pass on would be great.
cheers
You might want to be careful for at least a week. You should be very careful not to rub the area or cause any kind of trauma. After your headwash, you can do whatever you like. The little precautionary period adhered to strictly will bear favourable fruits.
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You can use topical Finasteride and see how it fares for you. Maybe it could be helpful for you.
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On 8/24/2020 at 7:52 PM, mnvbrtn said:
I'm a 34 year old. You can see the pics. I think I have a dense donor area on the back and researching about FUE.
How many procedures do you think will it take to cover the whole area.
Why don't you try Finasteride for a year to see how it works on your mid scalp and crown. You would get a better idea of how many grafts would be required after that. In the sense that your pre existing hair would thicken up. Maybe you would be satisfied with the coverage and might want to go for tge frontal zone restoration only.
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10 hours ago, eyesonyouuuu said:
Hello sir
I received a call from the doctor. Unfortunately I could not pick the call as I was asleep and didnt have prior information that I would get the call. The doctor informed Me on whatsapp it would be better if I can visit the clinic in gurgaon so they can check the result. So I will try to plan a visit to the clinic so that hopefully result can be better evaluated. Regards.Okay sir. Please do let me know whenever your schedule permits you to come.
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5 hours ago, Sean said:
Pretty good back and forth in this thread.
Here is something I also found on RS in regards to different growth and sleep cycles on these hairs:
That is true. Infact, sometimes the telogen phase for body hair lasts even longer. Which is why it is the last resort. Even for someone who has an exceptionally dense hair.
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10 hours ago, BeHappy said:
There must be a lot of variation in different people, probably depending a lot on what type of body hair a person has. My beard and chest hair that was transplanted grow faster and longer than my scalp hair. It grows several inches easily.
Exceptional. In majority of the cases the beard hair do not have the same speed of growth or the same lenth capacity. I'm hapoy for you.
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18 hours ago, Curious25 said:
Thankyou very much - this is what I was looking for. Interesting to note you mentioned that the scarred donor area may impact upon growth, as this was a concern I had previously pondered.
It is usually the case with scar tissues. FUE scars prove to be more fertile for growth when compared to FUT scars (burn scars, trauma scars, dermatological scars). Scars replace the lost tissue and hence are usually thicker. Even when grafts are transplanted in the FUT scars, they are planted on the sides in a dense manner and light on the center. The center of the scars are usually thicker than the sides. And then there are scars that might not support any growth at all.
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I am so glad to see your growth coming along so well. I know you've had a tough time recently. But I pray that God gives you his peace and understanding.
On the transplant front, you will see more growth in the coming months.
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13 hours ago, BeHappy said:
Gabreille Nelson Mukhia,
Have you seen many patients 4 or 5 years after having a large amount of body grafts? I'm asking because on myself I had my first body hair transplant about 6 years ago in 2014. The hair does grow in kinky, wiry, coarse, etc. so after the 7 month to one year evaluation it doesn't blend as well like you mention, but I've noticed that after a few growth cycles once you get into year 3, 4, or 5 it really starts to act more like head hair and it grows much softer. I can't tell the difference now between native hair and the body hair that was transplanted several years ago. The latest procedure or two is still a bit coarse and kinky, but I suspect that will soften up just like the rest in time. So since most clinics will be evaluating at the 6 month to one year time frame I wonder if they are really getting a true idea of how body hair will ultimately grow on the patients head.
Yes. I have seen patients with beard and body hair after a long time. Infact I know a patient who is a singer and film personality who has used beard, body (arms and legs). The hair does look good and he has maintained the length with proper styling. The beard and body hair do not have the same length as the scalp hair. He had got his surgery done almost 6 years ago.
The proper way to validate donor candidacy is to opt for test grafting. 100 to 200 grafts can be used from the proposed body donor and their growth evaluated for a year. It would provide a scientific support to the decision whether to use it or not.
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18 hours ago, Curious25 said:
Thankyou for your response. I appreciate that each patient needs to be evaluated on a case by case basis, and there is no 'one shoe fits all' school of thought, however I think this is relevant for all areas involved within hair restoration.
My question was more towards identifying whether Eugenix believe replenishing the scalps donor region with beard grafts, rather than using them as fillers for the recipient zone, is an approved, and good methodology, which would allow for greater use and depletion of native scalp donor for balding recipient sites.
In essence, enabling the patient to optimise their scalp donor to its full capacity and beyond.
Thanks
It is a viable option wherein the scalp donor can be used to its maximum limit possible. And then use the beard to replenish it. But it is not worth the effort. The grafts will not have a 100% survival rate due to the FUE scars. The results will be minimally different as even beard hair when used as fillers, will blend along with the scalp hair eventually. When very fine and sharp punches are used, it is possible to extract a large number of grafts from scalp or beard donor all the while maintaining the donor aesthetics.
The usage of the beard donor to replenish the scalp donor can be done in various scenarios of poor scalp donor cases.
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On 8/20/2020 at 12:35 PM, LonelyGraft said:
If beard hair has so many drawbacks, why does eugenix seem to utilize it in most of their surgeries rather than depleting the traditional donor first?
The above article is not to highlight the drawbacks of the beard donor. It is to state what can be expected and what can't. For people who would not want to use beard, we don't. But for people who want to use beard, we use them intelligently or depending on the case at hand.
Also, people are nitpicky, non satisfied and extremely body dismorphic in which case its best they don't have a transplant at all. It is better for the organisation's piece of mind.
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On 8/20/2020 at 12:18 PM, transplantedphil said:
why not the crown?
Because the whorl in the crown comprises of an array of angles. The hair form a circular ring. If beard hair are transplanted there then because of the haywire and haphazard growth, the correct angulation cannot be achieved.
For people who have ansolutely no donor and are open to using beard grafts in the crown, they must be prepared for a blunt coverage and not an artistic crown. The lucky ones with silky beard hair might see some angulation.
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On 8/20/2020 at 9:26 AM, Sean said:
What percentage of growth yield do you have with body hair? If you take our 500 beard grafts, 500 chest, 500 nape hair grafts. For each category, how much yield does your practice usually attain? Is it 100%, 90%, 80%,70%, or another number?
again, the doctor that used nape, chest, beard hairs advised me not to take finasteride. It’s something I was informed of after my surgery. I was using it prior to this surgery. In any case my scalp looks worse now. Seems like the grafting damaged my previously transplanted hairs as well. It actually looks bad and I am trying to get out of this situation. I have some ridging, cobblestoning now more as well.
thanks for the response.
The hair from the chest has very low survival rate. Its not just about "our clinic". The physiology of the grafts and their strength do not change from clinic to clinic. The survivability of the chest grafts would be less than 50%. Sometimes none at all. The hair from the thighs, arms, etc have impossible chances of survival on the scalp. Pubic hair can survive upto 70%.
But again, all of the above is subjective from person to person. There is the cost criteria for evaluating the candidacy of the donor area for each individual.
The beard survival rate is 70 to 100% depending from person to person.
That is why the patient must make an informed decision before opting for the donor areas proposed. The patient must know the real number and facts.
And thats why its important to be blunt about things rather than ovwrpromise or sugarcoat. Anyway it is an elective procedure.
We prescribe Finasteride to everyone. If they are willing to take it and if they don't feel the side effects.
If they don't then they will require to go for the procedure again.
Like in your case, you seem to have encountered certain issues with the results. But thats what we must understand. Just because it happened to you, does not mean that it will happen to everyone. It cannot be generalised.
Also, I can tell you why we prescribe Finasteride and what kind of experiences we habe had with it's use.
Your doctor's opinion on Finasteride, his experience with the medication, his procedure on your scalp an his decision to uae grafts from different parts of your body, all the while believing that you will not be able to take Finasteride; is for him to answer. I'd be quite interested to know his experience with the medication.
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On 8/19/2020 at 2:12 PM, Curious25 said:
Do Eugenix believe that it will soon be acknowledged that a more optimum utilisation of beard grafts would be using them to replenish a purposely over harvested scalp donor?
No. The beard grafts can be of different calibre in different people. Not everybody has the same coarseness or density or calibre. The doctor has to determine what is the best possible course and donor candidacy in each case.
The problem is that everybody wants a generalised answer that would make it simpler for people to understand and have one measurement on the scale for everyone. Well, unforunately thats not the case.
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On 8/20/2020 at 1:18 PM, Fluffhead said:
Praying these gaps fill in, Nelson. They're unsightly and frustrating, and I've gone back to wearing a hat. Has nothing to do with 40 hairs/sqcm. Will wait patiently, though, for that 1 year mark to fully assess. Was hoping to avoid a second sitting, but I'll do whatever it takes to get the outcome I desire ☺️.
Okay.
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On 8/20/2020 at 4:30 PM, eyesonyouuuu said:
Hello everyone
Here is the 10 month update. Nothing major to report off. I have marked 1 area which is of main concern where transplant was done but growth seems to be sparse if any.
Unfortunately no consultion even till now! With the help of @Gabreille Nelson Mukhia I have again sent the images to doctor last week. They have said that they will evaluate the images and let Me know so I will update the forum.
@Gabreille Nelson Mukhia Can you please check with the doctors if they had the time to evaluate the result? Thanks
Yes sir. Allow me to check. You were supposed to have a Skype call the other day. I'm not sure why it wasn't done. Allow me to check.
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Thank you all for your appreciation.
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10 hours ago, Mike_2020 said:
If someone is a Norwood Va or VI, what would be the maximum percentage they could have input using FUE or DHI using beard and/or chest donor before it would look unusual?
Obviously, the hair would have to be kept relatively short if there's a lot of beard or chest hair donor, but above a certain percentage would it be obvious that it wasn't normal head hair?
Thanks.
The candidacy of the donor hair and their percentage of use depend on so many factors:
Donor availability
Hair calibre
Beard density
And so on. It would be wrong to generalise that "this specific" amount or percentage would be apt for the body or scalp hair donors to be used as a general average for everyone.
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6 hours ago, Sean said:
Dr Sethi,
there are other doctors that mentioned finasteride may cause issues with beard and body hairs. I was told not to take it by Dr Umar.
ISHRS also mentioned something similar-
Source of screenshot: https://ishrs.org/patients/treatments-for-hair-loss/medications/finasteride/
Does it impact slowing down growth cycles? Thanks for your response.
In our experience of about 11 years, we haven't noticed the visual loss of beard hair transplanted on the scalp of those taking Finasteride regularly. Infact, we would highly encourage patients to take Fiansteride to maintain their growth.
For people who feel they have side effects with Finasteride like erectile dysfuntion, decreased libido, decreased sperm count, etc Finasteride is not continued. Like you have chosen not to take it.
Even of there is an adverse effect on body or beard hair, it is insignificant. In our experience we have never seen beard hair or body hair diminish with the use of this medication.
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2 hours ago, soontransplanted said:
Two pics taken before compared with two recent pics. After everything, I'm so happy with the results, hairline and temples work is perfect.
It is indeed looking very nice.
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10 hours ago, mustang said:
Point number 3 is addressing the natural direction of the graft.
Regardless, I have implanted over 2.500 BHT in my scalp and I can't even tell which are which
Please share some pictures also. It would be amazing to see your hair.
FUE + Beard Hair?
in Hair Restoration Questions and Answers
Posted
With the advancement in the instrumentation and beard hair extraction, it is not necessary to go for FUT and FUE consecutively. In the earlier times, it was not possible to extract from the beard or body. We have seen multiple cases where large grades of baldness have been covered wihout resorting to FUT. The transection rate during FUE extraction has also reduced to a minimal level. Plus FUE has no possibility of any prominent scarring. The use of thin and sharp punches lead to the minimal possible scarring.