My Situation:
35 y/o American with frontal balding and thinning, and moderately receding hairline (see included pics). The loss and thinning began 10 years ago and happened fairly quickly; however, the loss and thinning has slowed significantly in recent years. Hair is thick and coarse throughout (it typically has to be thinned out on the sides when I get a haircut), with the exception of the frontal area.
I have had 3 consults; all confirm eligibility for FUT and/or FUE and recommend placement of 2,500-3,000 grafts. My available donor hair is more than sufficient to cover expected future needs. I have some family history of frontal baldness on maternal side, but no history of complete baldness or other extreme Norwood cases.
Post-procedure, I will do Finasteride + Rogaine. I used Propecia previously with no side effects. Due to an existing scar on the back of my head, I never cut my hair short (so an FUT scar would not be a huge problem for me). No prior hair transplants.
My Goals:
Looking for an aggressive approach to restoring my hairline and adding some density to the front and temple areas in hopes of replacing some of the frontal hair loss I have experienced. Hoping to bring down my existing hairline just a little bit - maybe 1-2 centimeters below the center point of my current hairline. I have a high forehead to begin with, so I should be able to bring down my current hairline a little bit without creating something that looks artificial or age inappropriate.
My Options:
A few doctors seem to be known for this type of aggressive hairline work, and I have narrowed it down to two of them: Erdogan (Turkey) and Rahal (Canada). To that end, here are my 3 options (costs in USD, inclusive of projected travel expenses):
1. Erdogan FUE
2,500-3,000 Grafts; $8,000 - $9,300
2. Rahal FUE
2,500-3,000 Grafts; $11,000 - $14,200
3. Rahal FUT
2,500-3,000 Grafts; $8,200 - $10,600
My Questions:
Which of these 3 options would you all recommend? Specifically, what are your thoughts, re: FUT vs. FUE for my situation? And what are your thoughts, re: Erdogan vs. Rahal for FUE procedure?
Rahal seems to be the undisputed king of FUT, so if I go the FUT route, then I’m definitely going with him. On the FUE side, he also seems to be top tier. Rahal tells me his FUE procedure is giving him substantially the same graft yield and overall result as his FUT procedure. He is saying that the cost savings are really the only advantage of the FUT route at this point. For me, the cost savings are not a material factor, and I wouldn’t go with a more invasive FUT procedure simply to save a few grand. BUT, I would absolutely go the FUT route if I thought it would yield a better result.
As for the Erdogan vs. Rahal debate if I go with FUE, I am leaning towards Rahal, but would love to hear you guys’ opinion of the two. My main concern with Erdogan, which has been voiced several times recently on this forum, is his lack of personal involvement in the procedure. Specifically, the fact that Erdogan may be running 4 surgeries simultaneously each day is a concern for me. I understand the nature of this procedure, and I don’t expect the doctor to plant every hair (I’m sure Rahal doesn’t do that either), but some of what I am hearing on this forum about Erdogan’s operation procedure gives me pause. That said, Erdogan has published some impressive results, and his expertise in the FUE field is obviously beyond question.
What do you guys think? I would appreciate any insights or random thoughts that you may have on any of these issues.