Hair4Days

Do you have any styling product in your hair in these recent photos?

Has anyone ever felt any side effects from the anesthetic given to you during the surgery? Mainly relating to the heart? I’ve read there is correlation between this under specific circumstances. 

We like to highlight results on here but rarely talk about the safety behind this procedure so I’m curious about this topic if anyone has input. 

10 hours ago, Balding Bad said:

At any rate, I think for a hypothetical 2nd procedure 1,500-2,500 additional grafts would probably put me in a place where I would walk away truly satisfied with the results.

 

Another 1500-2500 would put you at 3800-4800 total just in your frontal third. That would be way too much considering your total donor capacity was said to be 5-6k. I was thinking 500 if anything for a slight boost in the hairline, but i think this result is good the way it came out. It looks really natural and undetectable. Once you get too dense in the hairline it starts to look obvious you got a hair transplant and i personally would be thrilled it doesn’t have a fake pluggy look. This will also age well. I would try living with it for a while before adding to it. Good luck!

You’re gonna get a response like this across the board..

”Don’t have surgery if you don’t want any scarring”

That’s true, but i also understand your question. I think the best way is through a homogenous extraction pattern which means your extracting evenly throughout the donor without leaving a boarder. I’ve seen many cases where people have visible white dots, while others don’t have much there. With the same punch size used. Depends on your skin tone and how you heal i guess. With your example i think 5k grafts is 5k grafts. Splitting it into two sessions may not have anything to do with the visual outcome in the end.

Donor looks good to me.. don’t see why you wouldn’t be a candidate. 

Thanks for the great write up! Congratulations on your second procedure.
 

Since you’ve taken 5300 grafts so far, did the team mention how many grafts you have left for future surgeries? 

No need to panic. This stuff is just a math equation. If you decide not to take finasteride you need to figure out what your donor capacity is and then measure your recipient zone including projected future loss as you mentioned. If you have say 6000-7000 that can really get you coverage all the way back to the crown. 
 

do you know these numbers?

The donor hair doesn’t thin out at the same capacity as the recipient. That’s why hair transplants are a thing. Even if you do experience it, it shouldn’t happen until later in life and it would likely be a general diffused thinning throughout. You won’t bald the same pattern the way you did pre transplant like your crown disappearing or the corners of your hairline going. So it should be a natural generalized thinning throughout which in my opinion would look natural as you get up there in age. 
 

As for the finasteride topic. A lot of those surgeons like zarev make perfect sense when they discuss taking fin or not. You look at the persons donor and take measurements of the complete safe donor area, calculate fu per sq cm. Tally the total graft reserve. Then measure the entire recipient as if you’d become a Norwood 6. With both of these measurements you can figure out what can be done whether it’s full coverage or compromising in some areas. So it’s a personal choice to take the medication. But it’s super helpful to know the numbers in the event you chose not to. 

By the look of your fade there It looks like a number 1 would hide the white dots you’re referring to which is still real short. As for the smp there’s a possibility you still see the perimeter of the extraction pattern paired with the pigment 

Very clean looking post op. It looks like you may have some shock loss of the native hair when comparing your 1 month photos to pre op. Did the doctor comment on this at all?

9 hours ago, ghostdog said:

Please don’t misunderstand me. It’s not a USA is number 1 attitude.

its that the USA is a huge country with many people and many doctors. We have some of the best in the world for many areas of medicine but not so for hair transplants. Only a small number of good and very few great.

it’s just startling.

and I’ll be honest the idea of surgery in a country I am not a citizen of is unsettling.

legal recourse is less and some countries are not transparent with their medical standards. So while choosing a surgeon is hard… choosing out of country surgery is very hard.. at least for me.

 

Ideally you’d limit as much travel as possible, but as you noted there’s not a lot of good surgeons in the US, so what are your options? What would you need to see to get surgery done in Europe?

10 hours ago, Chrisno said:

It varies between individuals. The average is just that, an average. Many people are above, especially for those with low Norwoods who does not have much thinning. Myself included. 40-45 in the hairline could look OK if you have the same density behind it. For @Fue3361 and myself such 'low' density would not have been sufficient.

It doesn’t have to be the same density behind it. A 50 fu hairline is def. More than enough. Balding doesn’t become noticeable until thinning reaches 50% of native density

I think donor densities are around 80-100FU, while hairline densities are on average around 50FU. There’s been studies on hairline densities and I’m pretty sure 70 fu was the highest seen meaning @Fue3361results are at the upper limits. I don't think transplanting anymore is necessary. There's a Konior patient on reddit who had a super dense hairline procedure at 90-100fu/sq cm but they  had to remove some of it. I’d personally be ok with 40-45 in the hairline. Would look good today & as you age

Great result! 

I have two questions. This patients frontal tuft looked relatively healthy, although I’m sure there was some miniaturisation going on. Was there any shock loss to his native hair working through it like this? 
Second question - did he use dye his hair darker in the after photos? Pre op he appears to have more salt than pepper. 
 

thanks!

4 hours ago, jwolfe890 said:

Panine is pretty reputable. No doubt Konior is exceptional, but his prices are too high for most people. 

His extractions look really big to me. Could be the reason why that example can’t go below a 3 guard. 

That guy on YouTube you’re referencing is an example of bad case of scarring if you ask me. I think a number 1 is realistic when the extractions are done by good surgeons. I just saw a Konior result where there was just able zero visibility of donor scarring, so it depends 

Usually misangled grafts unless they’re blow drying the hair upwards 

Great result. 
 

Did dr B mention what your future may look like? Looks like you have strong hair remaining. In the event of more loss, does he plan on doing 2 more strips? Curious if fue was an option for a case less than 2000 grafts

I just recently saw a guy on here that had a good amount of native hair get completely shocked out from a clinic in Canada. Looks like it could be hit or miss. It may or may not return depending on the strength of the follicles. I’d recommend waiting til you have 20% or less density remaining before grafting the area. Atleast then if you shock out the existing 20 fu, the 25-40 that you implant will look better then what you currently had 

If your donor has an average of like 75-80 fu/sq cm you should be able to get a lot covered. Start with the hairline and decrease density as you move back. A thinning crown is never a bad thing as it looks natural as we age. 

2500 will get you a frontal third, feathered into the midscalp. 4000 should get you coverage right up to where the crown starts. I think your donor Atleast has that 

Will his next procedure include the mid-scalp & crown, or just the crown? Hard to tell how much surface area was covered in his first one 

Dr Konior doesn’t really dense pack. He’s conservative and likes to avoid shock loss. Although I’ve seen a result of his where he  packed a patient on a second pass up to native density so it varies 

On 5/8/2023 at 10:48 AM, TheDarkHour said:

That sounds worse than what Dr. Bisanga told me.  For the record, here are two photos of my donor area:

 

Yeah your donor actually looks good to be honest. I’m surprised that’s only 50 fu with miniaturization 

10 hours ago, TheDarkHour said:

Just re-checked my report from Bisanga and it states that there's "higher levels of miniaturisation in the donor". More details from the report below:

Hair Character - Slight Wave

Thickness - Medium Fine

Density - 50/50/60 (In 3 different areas)

Miniaturisation in donor - 20% / 10% / 15% (In 3 different areas)

Dermoscopy - AGA and dry scalp

• Low density within the donor - below average 
• Diffuse pattern of loss with a larger surface area of scalp experiencing decline
• Younger patient 
• Higher levels of miniaturisation present in the donor area which presents concern regarding candidacy of surgery and makes any potential surgery hazardous. When miniaturisation (decline in quality of hair in the process of loss) is present, this can have an effect in success of any transplant effecting yield and growth and also the longevity of the result. At most we would prefer this to be in the 10 - 15% range. As levels in some areas reach 20%, this presents concern for candidacy.

This is what i figured. Density is lower than average with miniaturization present. If you take meds to strengthen those hairs in the donor it wouldn’t make sense to then harvest them. You’d be required to take the meds forever essentially. Alternatively he could harvest the non miniaturized hairs but if your density is 50 you’d probably only be able to take like 10 fu per sq cm. Anything below 40 it starts to look thin.