duchaine

do you have a report?

When you lose great amount of hair all at once, it is simply a telogen effluvium. It can be a natural process that simply occurs (life sucks!) or it can be induced from your therapy because, to allow a new growth, you need to remove sleeping hair (hair in castagne and telogen). My suggestion, in any case, it: take your pics with artificial, replicable lightings and use always the same camera and the same angles. From what I see, in the first set of pics, someone took that or you, in the seconds, you took by yourself. To me, the lightings appear different too. Sometimes, just a little difference in lightings, make a huge difference in pic. To show you, I attach 2 pics of mine, taken 2 seconds apart. In one I look bald, in the other, I look "normal". Surprise surprise, the more lightings I had, the less bald I appeared. In fact, in the bald pic, I have pic only from the back, in other I had lights from the back + light from the front.

Because you have more experience than me, can you explain me please how other clinics calculate the number of grafts that need to be used? I suppose that, after the doctor sees me and say "ok, you need hair in this area", he will "analyze" my hair and will say "guy, you have medium caliber hair, to get a good coverage effect you need X amount of FU/cm2". After this, what happens?

@gillenator @Gatsby If agree with you but what you said is not relevant to my topic. I am talking about my case, where I paid for 2050 FU. I have some doubts that I really got 2050 FU. First of all, they said that the recipient area was 41, while il was 36. Second, they said that the recipient area was going to receive 50 FU cm2 but, considering that the area was smaller than they said and part of that area was covered of hair, in the "bold area" I should have get 70+ FU/cm2. I don't think I got so much FU...

Mecroneedeling is a safe and inexpensive procedure DIY. "Dermal papilla (DP) is the site of expression of various hair growth related genes. Various researches have demonstrated the underlying importance of Wnt proteins and wound growth factors in stimulating DP associated stem cells. Microneedling works by stimulation of stem cells and inducing activation of growth factors". While it can be discussed to use MN as a mokotheraphy (but the question is: why should someone use MN only?) there is no doubt about its efficacy, showing a synergistic effect at least in conjunction with minoxidil. I just quote a study "While the current evidence does not allow one to conclude superiority of microneedling over existing standard therapies for hair loss, microneedling shows some promise in improving hair growth, especially in combination with existing techniques". I've read dozen of researches about this topic and all the researches show an improvement. At the moment, is you are looking for safety, the best way is MN 2/week, 0,75 mm. Studies has shown that higher frequency, shorter needles is better than lower frequency/higher needle, while other showed that an higher intensity and lower frequency is better (tI suppose that the efficacy of this kind of therapy is age related, as I discussed with a very smart guy on this board). Look for a derma pen or a dermoroller. You will find a lot on amazon. I see people speak without any cognition of the topic. If you want to do your own researches, these are good starting points: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746236/ https://pubmed.ncbi.nlm.nih.gov/29194786/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746236/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5064188/

masterpiece!

I will tell you my experience about grafts counting and I will share with you my perplexities about the real amount of graft that I got. NOTE: I can't say if all the doctors and all the clinics calculate grafts in the same way. 1) hairline design and area measurement The doc designed the hairline. Then he put a plastic transparent sheet on my head and retraced the hairline on the head. The sheet had squares on it. Every square was 1x1cm, so 1 cm2. In my case, he calculated 41 cm2 (the doc wrote the number on my head) 2) follicular units calculation After the doc calculated the area, he decided the density In my case, he said that I needed 50 FU/cm2, so he concluded that I needed 2050 FH My perplexities 1) wrong measurement of the recipient area. If the design barely touched one square, the doc calculated) 1 cm2.To show you what I mean, I attach a pic. In the pic that I attached, I calculated the area as the doctor calculated the area for me. So, using their method (if the line barely touches the square, is considered 1), the end result is 19 cm2. But, if you see the image, you understand that the area is smaller, because some squares are not completely filled. So, if the squares were not completely filled, the recipient area was obviously smaller than they said. To see if I was right, I tried to calculate the trasnplanted area by myself. It is not an easy operation, because all the surfaces are elliptical. I won't bother you with the calculations I made but my friend (an engineer) said they are ok. The real treated area was 36 cm2 Making the math, 2050:36=56,94 FU/cm2. 2) bogus follicular unit calculation If you see my pic, you will see that most of the recipient area still had hair. I suppose that an area that has hair is not able (and in any case, has no need) to receive 50FU. Usually, from my readings, I see that the area should receive something between 30-40 FU/Cm2. Because I am doing the math in good faith, let say 40. Considering that half of the area was covered by by hair, that means 18X40=720 FU. Ok, we say 750 to be fair. CONCLUSIONS: If the clinic really extracted 2050 FU, according the the previous calculation, we have some really bogus number for hairless area. According to that calculations, the hairless area got 1300 (2050-750=1300) We said that the hairless area was 18 cm2 Now, 1300:18= 72 FU/Cm2. That is not what I got and, for sure, is not the density I have.

Spettacolare!!!! You said that Keser took 4 days for 2400 FU. Can you elaborate? Why did he take so much time? Does he male "mini" HT on several patients for several days?

I am not a big fun of Konior and I don't know very much about his works but a single case can happen to every doc on the planet. Does Konior always try to reach that density? I read a long post from the patient and if I well remember, it was like a "case study".

Talking with you is like talking with a 4 years old baby with the mouth dirty of chocolate. "Did you eat the chocolate?" "mmm...no, I didn't!". The big difference is you are an adult man that should be responsible for his words.. Trying to show that I was was contradicting myself, So sad that my whole statement was: Never saw such stupidity and "intellectual" dishonesty at once. Once in a while, I support you.

You are spending your whole day searching and quoting my post and than you pretend to talk about my "the state of mind". Really? You are such a pathetic character that I would not waste my time with you. But you really crossed the line. Did you really try to cut my statement to say that I'm contradicting myself? What a poor man. Your ethic is second only to your stupidity. "I'm an ex patient of HLC. My experience was good, the end result was very good but I do not hesitate to say that the clinic has some flaws: a) they over use grafts; b) I don't like the attitude that some doctors have with the patient; c) they after care is very poor." Get a life.

I was talking about ketokonzaole...not keto diet!

in 60-70% of cases, rebuilding temples is crucial for creating a natural hairline. Temples are the foundation of the frontal hairline. If you dont't have and you try to lower the hairline, the hairpiece effect is guaranteed.

@jjalay risum abundat in ore stultorum. Get a life.

in my humble opinion, you don't need another HT. If you don't like the HL, you could look for a small procedure with Ferreira, couto or de freitas.

It could be true for oral minoxidil (and it is not) but is almost impossible for topical, because the very low systemic absorption. About your HL: I can see just one double in first line but maybe a couple of new single are implanted in front of it and are still hidden under the skin.

I really like portelli's work. It would be nice to see more of them

IMHO you look great. When you have miniaturization, the crown is 50% a matter of lighting. Fibers can be helpful, giving the "shadows" that you need. I see a great coverage effect from using having a minor micropigmetation and using fibers. A multifactorial approach gives a better result than the "mono therapy" that makes the camouflage more visibile. If I was you, I would continue with fibers (and semi-permanent micropigmentation). I would push hard with therapies (fina, mino, keto, DR, some prp, duta mesotherapy) and wait for a second surgery.

@michael hofmann A botched hair transplant can be psychologically hard. Hope things will turn better for you. I'm an ex patient of HLC. My experience was good, the end result was very good but I do not hesitate to say that the clinic has some flaws: a) they over use grafts; b) I don't like the attitude that some doctors have with the patient; c) they after care is very poor. I saw some excellent cases; hundreds of good cases; just a little bunch of average cases from this clinic. You are the only one that is delusional and has all the right to blame HLC. My fault, I didn't see some of your pics so it is fair I apologize to you and edit my previous post. As another person said, every clinic can have bad cases. The way the clinic handle it makes the difference. I highlighted that HLC after care is very poor but your case is far beyond "poor after care". After the first failed HT, it is totally unethical and unacceptable the way they went for a second op. If the first time they could justify themselves saying that the "end result" in unpredictable, the second time the clinic has nothing to support their actions.

are you the other account of EvansLawrance?

I would love we were talking on Facebook, So I could block you and stop wasting my time. Do I think that HLC uses too much grafts? YES I do think that Couto or De Freitas or Bisanga are better than HLC? YES Do I think they are a different league? NO Because you showed not to understand the easiest concepts, I try to explain you with an example. Do I think that Napoli waste too many goals? YES Do I Think that Real better than Napoli? Yes Are Real Madrid and Napoli in different league? NO

I see that "mediocre thinker" was a compliment to you. You are completely unable to make syntactic connection. I commented his pics before he showed the END RESULT and if I was the guy I was a LITTLE DISAPPOINTED at 6 months considering THE NUMBER OF GRAFTS they used. When He posted the END RESULT, with no deceptive pictures, I can see that is a very good. If someone want to use this case to throw shxx on HLC is stupid, in bath faith or both.

Some of you are criticizing HLC for turning the guy on the left into the guy on the right. From what I see, a surgeon is not the kind of doctor that you really need.

Considering the time that you spend here, I can't consider you an average consumer. But, considering your statement, I feel free to consider you a mediocre thinker.