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pre-screened

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  1. Ok no fin and 27 years old...........I'm afraid its very unlikely your hairloss has stopped...........your hair loss journey is only starting................Dr.Bloxham was right to be conservative and see if 2,000 grafts might give you the coverage that might make you happy. It still might I can see the hair are immature and wire-y.......i think leave it as I said till 15 months and revist. If you were on Fin and good responder I would have said go for it in terms of 3-4k grafts (recent Japanese long term studies of Fin have demonstrated good efficacy over the long term in terms of halting hairloss) but at 27 and intermittent use of Minox and No fin...........i think Dr.Bloxham took the approach that I mentioned earlier which was to imagine you as a NW5.......and ask what your doner needs might be if you showed future loss in the mid-scalp and into crown
  2. The reality is Bloxham from what I've seen has a conservative approach..........he is working on the basis that every patient ends up a NW5-6......and then asks what would be required to provide coverage for this. Using this he wont go low or too dense unless he's super confident that furture hairloss is probably unlikely. Its conservative and it does ensure nobody is left in a bad place up the road. There is merit in his approach and its admirable..........but for a certain cohort, based on their high expectations, it practically guarantees your back in the chair 18 months later. Looking at the graft placement post-op its pretty clear the grafts up against your original hairline are spaced pretty far apart. You have good native density...........are you on Fin/minox to halt the loss? Have been on them for a while?.........if not and have no plans to be then Dr.Bloxham was possibly right to go low in the graft count.....thinking you in the future would need another 4000-5000 to cover midscalp & into the crown. HOWEVER - if you are on Fin/Minox and its demonstrably stabilized your hairloss for a period of years then a Dr.Hasson for example, IMO, would have done something more like 3,500 - 4,000 FUT into the hairline attempting to more closely match your native (it never will be he can get damn close look at @Aftermath). If your a committed user and succesful responder to Fin/Mox i think Dr.bloxham could have more ambitious here.......but things might change in the next few months and you could be happy and very happy to have a spare 2,000 grafts in your doner and $ in your back pocket....wait till month 15 then decide
  3. You could argue that two strips of 3000 each would have been possible on this patient........with virgin doner above and below the strip available for FUE after that, who knows possibly another 2000 by FUE..........never would have had to gone to body/beard hair as an option in that scenario.......and then BHT would have been break in case of emergencies type thing. HOWEVER - maybe patient always wants the tight hairstyle look - from photos it doesn’t appear so. Regardless this is a elite elite level result that the doctor and patient should be very happy with.......Uber natural you’d never suspect he was NW6 before this
  4. I dont see anyone within 500 miles of NYC putting out better or more refined FUE work than Dr.Carlos Wesley with plenty of patient case studies over many years on this site and others backing him up.......he seems to offer or be expert in no shave FUE also which is interesting. He's also in the class of HT doctor who genuinely seems to be trying to push the profession forward with his work around scarless surgery where the FU graft is taken from below the skin via one mini-FUT like incision in the scalp. V interesting. After that Dr.True & Dorin..........then Dr.Bloxham who is more of an FUT man. If your getting on plane in N.A. - H&W & Konior Going to Europe - Bisanga, FUE Expert, Bruno Ferrira
  5. (1) Corn row hair placement in recipient = wrong methodology (2) FUE harvesting from a concentrated patch from safe zone = wrong methodology Put another way if you walked into Dr.Konior displaying those two characteristics, corn row placement & concentrated FUE pattern, you would be classed as a repair patient & rightly so. Can Diep supporters explain how I'm wrong to flag two foundational flaws with Diep's work and how he deviates from standards in his profession? Deviating from standards in your medical profession has another name - malpractice.
  6. (1) Corn row hair placement in recipient area > Not a SINGLE other elite clinic take this approach (2) FUE harvesting not dispersed across full safe zone but rather punches crowded into one side of the safe zone > Not a SINGLE other elite clinic take this approach to FUE Either Dr.Diep is a man from the future with a revolutionary approach around the fundamentals of how HT's should be done (that is yet to be adopted by H&W, Couto, Konior for some unknown reason) OR Dr.Diep is doing it wrong. We can argue about why he does it but we should be able to agree he decides, for whatever reason, not to adopt industry best practice in these two regards and patients should know that and weigh up the benefits/risks by going to a doctor that diverges so clearly from his industry colleagues.
  7. Great snap to find and your right the FUT scar placement position + all around 5 star stellar result points to H&W........& more specifically Dr.Hasson of the pair. What blade number is Elon sporting here do you think - he’s obviously gone a little too far and would be advised to leave it slightly longer for perfect coverage. Hard to say also from photo as he might be a little sweaty but is he suffering a little thinning of temporal points or is it retrograde alopecia?
  8. I would go as far to say your a case that Hasson specializes in - mega session FUT. i could easily see you comprosmising for the more conservative Gabel alternative hairline and then being back in the chair 12 months later working towards something similar to what Hasson feels he can accomplish in one session. I would wait if preference is the Hasson solution - you’ve waited long enough already what’s another couple of months. Borders will open post November election I think.
  9. Very hard to say unless you tell us what the proposed/actual lowering of the hairline is/was - an inch, two inches, temple points.......no frame of reference for anyone to comment whether 1,500 would be good..........for example if you told us you lowered your hairline by half a cm.......then I'd say it should be good density with 1,500 600 into the crown area may improve things a little bit - I could imagine another clinic easily placing the whole 2k in there
  10. One day there will be a cure....hair cloning to create infinite donor reserve to be transplanted seems like the best bet...............I, for one, look forward to being a NW0 with 120 FU's per/cm in my hairline as I'm lowered into my grave 😂 God bless the scientists
  11. Be great to get a doctor's answer on this Q. We all know lots of factors (laxity, head size, donor density) play a big role but someone with average donor density, average laxity and average head side what would the average full utilization of FUT technique followed by max FUE get a person to in terms of lifetime maximum donor? From all I've seen on here and around - I'm going to guess: FUT = c.6,500 Follow on FUE = c2,500 Total: c.9,000 max Thoughts?
  12. From everything I’ve seen the two people who consistently get the best scars I’ve seen are Konior and Hasson. Look at the scars Hasson gets from from unbelievably large FUT sessions 6000+..... Both Konior and Hasson are also FUE masters and could provide this solution if they feel it’s best. id suggest at this point that you consistently start doing scalp laxity exercises to set yourself up in the best possible shape for a revision.
  13. As per title I’ve seen it remarked here that hair loss progression tends to happen aggressively for people in their 20’s & 30’s......then leveling off significantly in 40’s,50’s, 60’s. Why is this? The obvious answer I would imagine is that testosterone levels fall and by extension DHT levels. Any other explanation? Plus anybody seen any scientific data on the same to back this up. Finally a thought experiment - could an individual who religiously took finasteride in their 20/30’s to protect their DHT sensitive hair hit their mid-40’s and come off the drug with little to no hair loss progression thereafter because of this phenomenon?
  14. Nonsense - even bro scientist's would be offended by the above Your girlfriend/wife shouldn't take finasteride while your hoping to get pregnant - this is the only way for foetal development problems to arise i.e. the female exposes herself to the drug. Now for the scientific evidence.There is evidence in some edge cases that finasteride can potentially negatively effect sperm movility (its activity level & movement forward reducing its ability to make its way to the egg) & sperm volume (the volume of healthy sperms you produce) in some individuals. This has shown to be very rare. You can give a sperm sample and test for these two factors.
  15. Bloxham a little inexperienced for my liking & a FUT devotee......not a FUE master Diep - great youtube channel.....some quick searching on this forum shows non-conforming approach to FUE donor extraction i.e. over harvesting in small section of donor region as opposed to full donor zone & recipient site pattern placement which would not be considered I think 'industry standard' i.e. straight rows of hair placed like soldiers on patients heads, seems to work out sometimes other times not so much In N.A. - Id' add in Dr.Wesley in NYC
  16. +1 on above H&W, to my knowledge, prescribes a topical finasteride......what is the solution mix they think is most effective........also without clinical data do they think it shows the same efficacy as oral? Opinion on PRP? Finally any opinions on Exosomes at this point?
  17. Your gut is correct - has Bloxham lead 1,000+ procedures total yet?....perhaps barely certainly not a thousand with a 2 in front of it.......do a search on this forum.....go back 5 years, 10 years......Elite Hasson results in multiple decades.......... As mentioned previously Feller-Bloxham are FUT specialists/promoters.....................to every hammer the problem is a nail........H&W are doing both at an elite level and you'll get a patient led solution between these options
  18. Not sure the recent thinking on this - but I've heard it said that when starting either Rogaine or Propecia one should HOPE for a large shed.........this demonstrates that your a responder to the medication and therefore have a higher probability of it providing visible cosmetic improvments once the shedding is over. You've started now - I would suggest you continue for 12 months with regime and asses then.
  19. For anyone who's done their research, no UK clinic ever really makes it on to the "wish list".........closest IMO is Dr.Ball at Maitland Clinic who seems to do good work.........but never seen him on anyones Top 5 in the world list....or the home run threads you see from Hasson, Konior, Couto, Wesley, Bisanga etc. Look at the list of British celebs/sports stars with crappy/weak HT's and you'll see what convenience gets you - they've unlimited resources yet they end up with average / below average results (Wayne Rooney etc.).....look at the spanish/italian footballers playing in England who got their HT done "at home" on the continent - David Silva, Antonio Conte etc......outstanding results no doubt done by Dr.Couto, Bisanga, Lupa etc. Your hairless is minimal..........I would argue that counterintuitively this places you in much higher risk category for a bad HT outcome than say a NW4-5, where any framing/coverage could be deemed an improvement over base case for them. For you - a poor density outcome, bad graft placement, hairline design at such a low point in the hairline and I can guarantee you your mates / girls will spot a mile away that you've had something "done". This is why I consider your choice to be a much more high risk one than someone with more severe loss looking to get back to a modest NW3 let's say. Easyjet/Ryanair will fly you to some of the best surgeons in the world for 50 quid in under 2.5hrs.......you'll also have nice European city break before/after.......you can come back in a year & thank everyone here for saving you time/money and stopping you from taking the lazy/convenient option.......for a lifetime appearance altering elective cosmetic surgery it doesn't make sense to be lazy...................whatever you get done is gonna be on your head for the next 50 years (think about that).
  20. Dr. Carlos K. Wesley - seems to me to be best in NYC based on everything I've seen on forums etc. Dorin, Bloxham, Bernstein have good reputations also but from what I can see Wesley seems to produce the best - he also seems to do a great job in non-shave situations and from the research he seems to be doing in the field of "scarless"* surgery seems to be a guy trying to push things forward in the industry. Regardless of whether this ever bares fruit it certainly shows someone of dedication to his profession eager to make a contribution * his scarless approach is effectively making a small puncture hole in the scalp and using a robotic tool to remove the follicular unit from underneath as opposed to the traditional FUE where you remove the FU from above (hence leaving the tiny circular scar).
  21. My opinion remains the same - no good reason to do this. It exposes the patient to the possibility that an area of donor will look depleted as compared to non-harvested areas.The best way to ensure pristine donor in the future is to be (skillful, slow and precise while using small punches (not 1mm). If a FUE doctor is so concerned about preserving virgin areas for future use it suggests to me that he's achieving none of those in his extraction technique. While were on the topic - from the photos I would also say that Diep has gone way to HIGH also in the area harvested............almost into the crown area and for sure has gone outside the consensus accepted safe zone for extraction.
  22. Cant think of a single good reason why you'd take 1000 FUE's from an area representing maybe only 20% of the available donor zone. Can anybody? I can think of a BAD reason........which is its quicker and more convenient for the doctor. Thoughts?
  23. Very Interesting question and one for some of the doctors on here I would think? It would be very interesting to discover that for example that in a strip that yielded lets say 3,000 FU's that probabilities would say that some 300 FU's in resting phase were unable to be implanted or properly identified by technicians disecting the strip
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