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Mr Sinister

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  1. my thoughts - don't do you front hairline just yet. my hairline is similar. a little thin. some double grafts. poor angles. but we are in the unfortunate position where we have very limited donor. you want to save as much donor for future years. 500 to the hairline doesn't sound like a lot, but when your mid scalp and crown completely go you will be begging for 500 more grafts on top 🤣 at least for now, you have some sort of hairline which is an improvement on before. don't aim for perfection. think long term. and in the future if you still want to improve the hair line you can look at it then. also, just remember, beard donor success rate is lower than scalp. And chest/belly even lower still. a lot lower. so that 2,700 number could easily look close to 1,500 when transplanted. that's why my advice is to think about preserving as much donor as possible for the future. but with mwamba you're in good hands. good luck
  2. “When grafts are taken from one focused area, overharvesting suggests that also blood vessels have been disrupted, and scarring will have occurred in the skin tissue, even if not visible, meaning the scalp's response will be unique, and there is no guarantee of growth“ Bisanga told me the same and I completely agree. That’s why I only did a small job. It’s a tough decision only you can make. Risk losing donor with no guarantees or save some for the future. We took 800 beard and 200 chest. I think I had approximately 50% success overall. They also had to remove 2 cysts they found in my donor due to the bad work of my first surgery. So they are completely accurate about damage and scarring as a result of poor donor care. I had mostly the right side behind the ear repaired.
  3. hi @VladRojas, responding from the other thread 🙂 so definitely wait at least 12 months before doing anything. i did smp 7 months post surgery to my donor and wish i hadn't because it didn't give the desired outcome. in my experience smp only works well if you keep the hair really short as above or you have enough density in your hair so that the naked eye can't really see the individual dots as it is mostly covered by hair. in my case, i was very thin in the donor and adding smp. you could easily see the dots through the hair when it grew longer. the eye can easily detect a difference between 3D (hair) and 2D (smp). a few of my friends spotted it easily. donor restoration is the only way you'll get some fullness back in the area, but it won't be perfect. then maybe look at smp to add some density if you require. i had a small donor restocking from bisanga. 1,000 grafts. mostly beard and some chest grafts. it's not perfect. go in with low expectations. mustangs result is superb and a rare case. so don't go into it thinking you're going to get 90% success rate from beard into scarred donor. he's a rare case, and one i envy hahah. i think bisanga is maybe saying no to you because he's probably seeing so many cases and would rather focus on new surgeries rather than repairs. just my thoughts. plus, i think mwamba is the better of the 2 with repairs. his strategy to homogenize the area is a good one. it looks like you'll need anything from 1,000 - 2,000 grafts. bare in mind you will still lose hair on top in the future so you want to save some grafts for future surgeries. that's why i went in with a small repair. i've saved some beard, chest and scalp donor for future surgeries on top. i'll still need 3,000+ grafts which i barely have left now in all donor areas. ALSO... are you on any meds? try and exhaust all non surgical avenues to maintain what you have. unfortunately for me fin gives me extreme side effects and i'm still waiting to see results after years of minoxidil with micro needling 😒 i've done prp, used all the shampoos and tried all the herbal supplements. at best i've only ever slowed my hair loss. but everyone is different, so make sure you try all these routes to maintain existing hair. final advice is to give it time. not just for your hair to heal, but for your mind to heal. it's tough to go through, but i am in a much more secure and comfortable place now mentality wise just because I've accepted what i have. i know it's never going to be perfect. good luck x
  4. "So as you know, I was nervous about overharvesting, my donor area was so red, and there were gaps on that area I though I lost my hairs completely. But when I texted the clinic about my complaint, to be honest I was so angry, but I must say they were very into my problem, got a quick text that simply says when can we call you? So I said Yeah you can call me in the afternoon then I am available. Most of the communications went from phonecall, they were helpful. They wanted new pics and videos to evaluate my donor area and try to understand what is wrong and how they can help me. The interest made me feel much comfortable but still I wasn't happy about the result. So even it is rarely they said that healing process of donor area might be so late for some people at first, I thought they were in denial and I think that I might have been a little too rushy. They gave me haircare treatment package for no cost and they wanted to see the process over a year so like they said I send them pics every month as they wish. So eventually the clinic gave me emotional support and was to be honest always there for me. And by the way, I was happy about the hairline. Now donor area is looking so much better, as time passed, my donor area seems to look more healthy, so being patient is very important. The transplanted area is very dense and natural, and overall I am happy with the result now."
  5. @Doron Harati dr acar, cosmedica. @Usef I did a session of smp, but that faded really quickly and didn’t really give the result. I had a repair surgery with bisanga last year. We did 1,000 beard and chest grafts into some of the depleted areas of the donor. It was a very very mild improvement. Again didn’t really give me the result I hope for, but that type of surgery is always a bit experimental. I’ve just come to terms with what it is now 🤷🏾‍♂️
  6. @Doron Harati I don’t know, I think my experience 2 years ago is maybe worse 😝😝 post is below, which includes recent pics of donor. @Usef I know many people will say “it’s hard to tell,” but I’m going to say you have been over harvested. Sorry I know it’s not what you want to hear, it I’m talking from experience. There are a few red flags for me - The extraction pattern. The number of wholes in your pic post surgery (too many). 4,100 grafts. Oh and the fact it was in Istanbul, the over harvesting capital of the world. Not trying to be negative, just speaking from experience as I’ve been through this. Here are some more pics of my donor post op. As you can see, it does get better. All the best
  7. Yes, I posted my update above on the 3rd of December 2021. See pictures and comments above regarding smp and donor repair. So more pics below anyway.
  8. Hello Guys, ive seen plenty of cases where once multiple fut’s have been performed, patients opt for an fue. This seems natural. But are there any cases of fut after fue? Is it advisable after the donor has been depleted? the reason I ask, is because after a poor first fue, I’ve been left with minimal donor, but I’ll still need to restore my mid scalp and crown as I continue to bald. I’m estimating a minimum of 4,000 grafts. There is no way I’ll get that using fue, so I’m wondering if fut might be able to help in this case? I appreciate the strip that is removed will not be as dense due to the over harvesting, but it will surely yield more grafts. I have ok beard donor so I’m sure I can get 1 or 2k grafts out of that and I’ve been using all the non surgical methods to maintain what I have. Ive also had a few SMP sessions to the donor, but they faded quickly so I do think future surgeries will be required. pics of my donor are below thanks
  9. Hello Friend, sorry you find yourself in this situation. It’s not a nice feeling! I can tell by looking you have been over harvested. Some people may say “it’s shock loss so give it a few more months”, but your pattern is very similar to mine. Although I think not as bad as mine. I saw very little change from month 8 onwards so I’d say what you have now is close to the finished product. I have another post which also shows more pics. I since had 2 SMP sessions. This was not great as the pigment faded only after 2 months despite me using a “top” provider of smp. I also had a repair surgery with dr bisanga 5 months ago. He took 900 beard grafts and 100 chest grafts and placed them in the bottom and right side of my donor behind the right ear. There has been minimal improvement so far, but I’ll give it a few more months before judging. The chest grafts weren’t very successful. There are only a few cases I’ve seen where this is successful. @mustang has seen excellent results with this type of procedure. If you do choose this method be realistic with your expectations. Bisanga was clear to tell me this is not ideal or advised. And the result was not guaranteed. I appreciate that honestly , but it was me who pushed as I wanted to test it. Honestly, yours doesn’t look that bad. You still have good donor at the back. Do you have beard donor? You want to ensure you save grafts for future surgeries on top. Maybe try 2 smp sessions and see how that goes. But overall, just get used to having slightly longer hair back and sides. I also sometimes use toppik hair fibres when I go out to improve density. It’s a pain to put in on the back and sides, but does the an ok job. Below are my current pics. My hair is long in these pics. Grade 4. If it gets shorter than you really start to see the over harvesting more. You can see better density on the right side since the donor repair. Left side there was no repair. The bottom above my neck is still thin. Good luck 🤞🏾
  10. Agree with the above. Try and search for the minimum effective dose. 0.25 has been shown to reduce scalp dht. I was using 0.25 every 3 days and still seeing pretty strong sides so just decided to put a nail in the coffin 😒
  11. Hi @Raphael84, I was previously ordering my topical fin from BHR, but since the UK has left the EU, import taxes have gone up significantly making it very expansive to source from Europe so I had do stop. Do you know of a UK supplier? Thanks
  12. Yep, this is my thinking too. To save as much scalp donor as I can for future surgeries. Feriduni does offer bht, but i think he might be looking at it from a final result only angle, rather than thinking about longer term planning. bisanga has seen pics of my beard and chest hair and is happy there is plenty of donor. He’s estimated 750-1000 grafts split 50/50 between chest/beard.
  13. Yep spot on. The spacing between hairs is so big that SMP in this situation doesn’t work, hence why Im looking at adding some density in via grafts, then perhaps more SMP. I would love to have my hair shorter so it blends better with SMP, but my scalp has been left pretty discoloured, even after 1 year, so it looks pretty bad at shorter lengths. Having tested different lengths, my best defence is to have slighter longer hair on the back and sides. Thanks
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