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Hair4Days

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Everything posted by Hair4Days

  1. Fibers look good Melvin. This shows that even with some hair (due to lack of growth from surgery, a lower density from a limited donor, or waiting for hair to grow out) paired with concealer you can really pull off a look that’s superior to being bald.
  2. Great result, great density. Does this gentleman have a projected lifetime graft count of 15k or something? I know he doesn’t have mid scalp or crown loss, but you cannot predict someone’s final balding pattern so I’m curious as to why so many grafts?
  3. It’s good to do the front half first like you said, then down the line schedule another for the remaining mid scalp & crown. Which doctor you going to? 3500-4K grafts is kind of a lot, I’m curious what they said about shock loss of your existing hair. Even though it’s miniaturizing, i know a guy like Dr. Konior wouldn’t graft at high densities for your case. Meaning you’d have to return once your native hairs fall out and do a second pass.. but then there’s other clinics willing to blow through that entire thinning area and dense pack.
  4. Yeah it’s a good idea. It darkens the scalp. Just like toppik does. You’d need at least like 20% density though. Other than that you’d likely see the dots pretty easily
  5. Did the clinic comment on this? It appears to show a more advanced pattern of loss since you shaved it down. I noticed the same thing with myself when i did that. I’m curious if they would of covered more of your frontal third if they knew you had more thinning going on.
  6. Trust me, there’s no desire to shave your head bald once you reach 30. Your 30s are your prime. No debate
  7. I consistently see Dr. Koniors name as one of the best to ever do it. Mainly for his artistry and strategic abilities to get a solid result. I may be wrong, but i don’t usually see his name for megasessions like you do with h&w or other clinics. Would you include him on the list of surgeons you would consider if you needed 5-6K+ grafts? Personally i don’t see why not, but I’m curious as to everyone else’s opinions considering he’s usually mentioned for his strategic, conservative approach. He recommended less grafts than my other consultations for shock loss reasons, while others don’t have an issue working through existing hair. -J
  8. Could probably only get an established hairline with scalp donor. Beard could be sprinkled throughout mid scalp I’d say. For everyone else .. Are there signs of this pattern early on ? If so what should you look for and would there be signs of this at a particularly younger age ?
  9. Yes i remember him crediting fin for his lower crown which wasn’t transplanted. The topic in question is basically how many grafts does it take to restore a nw6 with no meds (on average)
  10. Melvin only had 5400 grafts done i believe. I think 1500-2000 grafts would do wonders in his crown. Which would put him at that 7k mark for total grafts. But when we discuss someone without the option of beard hair, the question is can the average patient get 7k fue grafts from their scalp donor. I’ve heard yes from konior & bisanga As well as others.
  11. I don’t know about another 3000 grafts for a dipping crown. I’d say another 1000 for the lower hemisphere of the crown. Depending on how wide it is. Look at @Zoomsterhe achieved it all. With the use of beard hair as well
  12. Not even back to Norwood 1 though. A nw6 back to a nw2/3 with a conservative age appropriate hairline is usually doable in the average patient with no meds using roughly 5k grafts give or take. Ideally 6k. That crown is going to be light though. But that’s better than shiny bald. But yeah, ultimately comes down to donor characteristics
  13. Take a look at his second photo again. What hair is worth worrying about in regards to shock loss? There’s very few remaining hairs which are clearly on their out. A 2500-3000 session to rebuild his hairline/frontal third is clearly an option for this patient. It would make a massive difference in the hands of the right surgeon. As for the whole medication topic…It’s better to find out what’s possible with surgery alone for your particular case in case you go completely bald. Take a look at some nw5/6 restoration threads. You’ll be surprised what they’ve accomplished with just surgery & 4-5k grafts.
  14. Don’t see why anyone is saying you can’t or shouldn’t get surgery. For starters, your donor is shaved down to a number 1 or 2 in these photos, everyone’s hair looks thinner when it’s shaved that low. Guarantee grown out your donor looks healthier and people have different opinions. And second, instead of being rejected completely what’s wrong with saying you may just be sacrificing any crown coverage. That’s usually the typical response to those battling advance NW levels. 3500-4000 grafts gets you a hairline and midscalp coverage, you look like you’d be able to Atleast do that . Being optimistic here
  15. It’s rare you get a doctor who will personally predict or guarantee someone’s final balding pattern especially at a young age. You just can’t do it. I’ve seen people have the thickest hair with no sign of balding at 25, and lose it all at 40. Every consult I’ve had with these top tier surgeons never want to directly say what can or cannot be done and the reason is always because it’s borderline impossible to predict someone’s final Norwood level. So i don’t necessarily agree with packing a frontal third with 4000 grafts regardless of the situation. That’s more than half of your donor supply. I also thought 40 grafts per sq cm gives the illusion of your native density on average? Why would you need to pack that many grafts in a 80 sq cm zone
  16. I said the same thing about h&w. I’ve seen cases of theirs where they’ll say a frontal third received at outlandish graft count like 4,000. When You usually see 2500 for the same sized recipient zone.
  17. We hear a lot about some people only getting 4k grafts, while some get 7,8k. What specifically defines a great donor area? When calculating how many grafts someone can get from their donor or how much coverage they can expect what are the key variables. Is it more so how thick the hair itself is? Or is it mainly a Donor that doesn’t look transparent or sparse?
  18. That’s incredible. To be able to do a skin fade. Explain to me why someone would go fut nowadays? Lol.. and that’s becoming a serious question.
  19. Seems like very similar boats. I’m in no rush personally since I’m not 30 yet, however I’m prepared to address my hairline fairly soon. As far as the opting for fue topic, it just makes me feel more comfortable. I know people say you lose the opportunity to shave your head regardless of which method you use, but if im god forbid in that situation, i rather have fue scarring. dr konior also explained beard hair is an excellent source, so at this point it seems like a no brainer for fue if you can make up those grafts you leave on the table by not doing strip.. Unless you get that transaction and growth rate argument from people who say the growth survival isn’t as good with fue
  20. For a while now, i was set on getting a strip procedure, setting myself up to utilize my donor to it’s highest potential (according to many Ht surgeons). I’m a diffused nw 5/6 which is not noticeable with hair grown beyond 1 inch. With hair grown longer + toppik in the frontal zone, i look like i have a full head of hair. However, Having shaved my head down to a number 3 during COVID, i saw the diffused pattern throughout my top + my crown dipping downward similarly to @Zoomster .. This confirms i will be a Norwood 6 as my final pattern once developed over time. This is why i was pretty set on starting with FUT. But as of late, I’ve been seeing more and more advanced Nw patients go the FUE route and the results look good. Between having an above average donor + good beard supply, I’m beginning to lean towards fue even as a future nw6. I currently use minoxidil and topical fin As a preventative. I’m considering Dr Konior & Hasson for FUE, but both have way different approaches. dr. koniors strategy consists of a “density boost” in the frontal hairline of 1500-2000 grafts. He explained he doesn’t feel comfortable grafting at a high density To avoid shock loss. He told me I’d need to come back to readdress the same area in the future once the native hairs fall out, or i could wait til I’m much balder and do a larger procedure grafting at higher densities. Dr Hasson on the other hand recommended 3000 grafts in the frontal third and working into the mid scalp. This would provide a new hairline and dense pack the entire front working through the existing thinning zone. This would future-proof the area so i would not need to return for the same area. I’d only need to return for non transplanted zones in the future like the mid scalp and crown. Does anyone have any opinions on each of these approaches? One sounds conservative and one sounds more aggressive. Ideally I’d like to limit how many times i go in for surgery. And for the record, i am willing to compromise a couple thousand grafts that could be used in the crown by going fue, but with a solid beard this could hopefully makeup for those scalp grafts I’d be giving up
  21. I think it depends on how much coverage the patient can realistically get if they opt for 2 fue sessions. Personally, If i was able to frame the face with a dense frontal third, moderate density in the mid scalp and have it flair off into the crown with lighter coverage in the back then I’d without a doubt avoid the strip scar. I think that comes down to the Math though. Measuring the balding pattern and then calculating donor capacity. At that point you can literally map out how many grafts per square cm can go where
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