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Fozzie

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  1. I've looked at Dr Demirsoy's work and think it generally looks clean and seen a quite a few good results. Dr Cinik also seems to be coming up with good work. Not really looked into the others you've mentioned. As you have more extensive balding, I would have suggested ASMED (even though they charge more per graft) but I think they are more than likely to turn you down as there are question marks over your donor area judging by your pictures. Focus should be on the frontal area with a HT but I do believe going by your photos, in your case most reputable surgeons will want you to start taking finasteride first and see if there's any improvement not only on top but also the donor area before performing a procedure. Finally, you are still young at 30 and your hair loss is very likely to continue. Being in your 30's certainly doesn't mean it has stopped. It may slow down but you can never say with any certainty it has actually stopped, even more so considering you are not on meds. Main concern in your case is whether the sides and back drop.
  2. Think it's a good result based on where you were pre HT and made a big cosmetic difference overall. From the pictures, frontal area does show up scalp and maybe lacking some density but some of the pictures do appear be taken under harsh lighting by the looks of it. Regarding the hairline....when you had the HT done was the clinic aware you would be taking finasteride? I maybe wrong but from your write up it appears the decision to take fin was made after the HT and the clinic were under the impression you wouldn't be taking it? If that's the case, I can see why a conservative approach with the hairline was taken because as you are in your 20s, it wouldn't be a great move to go with an aggressive hair line at your age without being on medication imo.
  3. Your donor looks weak from the pictures with what looks like some retrograde alopecia going on in the nape region. Saying that, it maybe better to grow your hair out and then take pictures of the donor area to get a better idea of it's quality but from those pictures, it does appear to be thin and the crown appears to be dipping into the classic Norwood 6-7 pattern. What are your expectancie's from a HT? In your case, your first port of call should be finasteride (if you are not already on it) in all honestly to see if can help improve things.
  4. From your previous photos on a different post, you seemed to still have a lot of native hair. The frontal area was thinning yes but don't believe there was any full on slick bald areas and so any HT would involve a lot of transplanting amongst thinning native hair. Did the Dr who advised that you're not a good candidate suggest you start medication first? I can understand why a surgeon may raise concern because he/she may well be thinking that those native hair's could be shocked out permanently in the worst case scenario and even if they do come back, you will carry on losing if not on medication hence you may not be satisfied with your result further down the line. What I do find strange is when you say the surgeon feels the transplanted hair wont grow. Were any reasons provided?
  5. Fozzie

    How bad is it?

    If looking at surgeons in Europe, may be worth looking at Dr Keser for the kind of procedure you want. Do you have any thinning elsewhere on the scalp and are you on medication?
  6. Think the result could have been better but not totally surprised by the outcome in all honesty. That's a pretty large area to cover for 3125 grafts and so density was always unlikely to be there. Maybe expectations needed to be managed more appropriately but think it was near enough a given a 2nd procedure would be needed for what you want. Not to take away anything from Dr Keller but I agree with JeanLDD you may well have been better served sounding out surgeons who have more experience/frequency of working on more extensive balding
  7. I know techs get bit of a bad rep but to be fair the donor and recipient areas for ASMED patients generally does always seem to look clean and on point in post op pictures, even when they are taken by the patients themselves. It's one reason I am considering them coupled with the fact I'll be requiring a large procedure.
  8. Fozzie

    crown area

    Your crown does look it has already expanded outwards a fair bit to be honest, I suppose the question is whether the sides and back will drop going forward. Not always the most accurate way of gauging future hair loss but how is the hair loss in the other men in your family? Also how old are you?
  9. Fozzie

    crown area

    Agree with this. Wouldn't be looking to lower the hairline as it currently frames your face and as you are not on meds, I'd stay conservative. Not sure I'd reinforce it either judging by the pictures as it looks ok? Would be focusing on the crown now. 2000 odd should give you decent coverage back there although it maybe lacking on the density front but personally that wouldn't bother me too much as you'd overall be in a better place compared to when you started. Leaving you another 1500 or so in the bank if you want to tweak areas in the future.
  10. Obviously the hairline and the area behind seem to be the main concern however there appears to be some thinning in the vertex/crown to in one of the pictures. Saying that, you still have a lot of native hair that you'll most likely continue to lose it if not on medication. If you chose to get a HT for the hairline and area behind it without meds, just be aware that existing hair in the hairline will continue to thin and impact the result of the HT further down the line. You may also suffer loss around the vertex going by one of the pictures and what level of hair loss you suffer in that area is unknown at this stage because a clear pattern hasn't really developed imo. You'll effectively be trying to play catch up with hair loss which is not a situation I'd personally want to get into. Just out of interest. how old are you? Personally, at this stage you are better of on meds but obviously do seek the opinion of a couple of good surgeons but feel they will push for you to jump on meds because you still have a lot of native hair. I read in your other thread you suffered sides on fin which is unfortunate. I'm also unable to take fin due to sides and is one reason why I've held off getting a HT and I'm glad I did hold off to be honest. In my case, i'm now in my late 30's with bald areas. My hairloss has stabilised (don't think anyone can truly say it's halted unless on meds) and feel more comfortable going ahead with a conservative procedure but even then with the understanding I may well be looking at another procedure further down the line and have to set my expectations accordingly with graft management in mind.
  11. Not sure anyone can say with any great conviction they have stopped balding (unless a person has lost all the hair on top), even more so if they are not on medication and in their 20s or 30s. MPB is progressive and can creep up on you at any age even when you feel it has stopped. With regards to finasteride, it's pretty simple .......by taking it you are playing the percentage game and giving yourself a better chance of keeping hold of remaining hair while adding through a HT and thus increasing the chances of holding onto a result. HT's can and are done without finasteride but the emphasis on mapping out a plan with your surgeon for the future is much greater imo and you may find yourself looking at another procedure sooner than you thought if/when you continue to lose your native hair. You would need enough donor supply to cover future loss and it needs to be used wisely with one eye on the future. For that reason, they'd more than likely be a need to be pretty conservative in your expectations without finasteride i.e wouldn't be expecting to lower a hairline too much if you still have a fair amount of native hair or throwing too many grafts at the crown/vertex area. In a way, guys who have more extensive loss probably have a better chance of getting away with a HT without finasteride. Usually a clear pattern has developed and a surgeon can probably better predict where the loss maybe heading in the future and a conservative approach is usually taken. When the donor supply/characteristics have permitted and in the hands of good surgeons, I've seen some good results with these kind of patients but they have generally been conservative and on patients in their late 30s onwards. Think guys who still have a lot of native hair and decide to go for a HT without finasteride (especially younger guys) are playing a guessing game and this is where it gets tricky imo. Think any good surgeon will look to mitigate the uncertainty factor as much as possible and finasteride is an important 'tool' that aid's that.
  12. Fozzie

    Erdogan 3200 2/2017

    When you say fix your hairline, did you have it moved slightly lower or just reinforced the existing pre-op hairline? Maybe a picture straight after the op would be handy to see where the grafts went. Not a botched procedure but struggling too see too much of a cosmetic difference for 3200 grafts compared to pre-op.
  13. Criteria can vary from one person to another and think a lot of it can come down to what your own aims are. What are you looking to achieve from a HT? Are you higher up on the norwood scale and requiring more extensive work across the scalp or is your balding not too bad and you're looking to improve a certain area i.e hairline? You want to look at as many cases as possible that are similar to yours (both in terms of start point and aims) from the various surgeons.
  14. Never heard of this surgeon but you personally I'd only go to a surgeon who only specialises in hair transplants.
  15. I know some patients on here have raised some concerns with their results/progress with ASMED however I do get the feeling for patients higher up the norwood scale and requiring around the 5000 grafts mark, ASMED seem to have more evidence of good results compared to other clinics in Turkey when performing these larger surgeries. Dr Demirsoy does have some good results and have seen some larger cases where the end results have been impressive but haven't come across too many. I don't think he does mega sessions so for 5000 grafts, may well require 2 visits but I may be wrong.
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