duchaine

yes!

totally I agree. I take fina, oral minoxidil, topical minoxidil, PRP, data mesotherapy, ketoconozol but...dermarolling is a game changer for me!

The temporal peaks look ok. The (minor) problem in the frontal-temporal angle (FTA) De freitas is used to "flat" frontal hairline that are charmy but can appear unnatural. In fact, when the frontal hairline is flat, the FTA is not correctly placed. FTA should be placed on the lateral epicantal line (LEL) In other words, the frontal hairline should stop at LEL. You could ask to bring forward the upper part of the lateral hairline to re-create the proper Angle. Without full face pics, I can't say if it is possibile in your case, because the lateral hairline has a natural shape that is related to the ear, the eye and the middle point of the frontal hairline.

Just like you, I went very conservative. After for years, I decided to lower my HL (about 1,5 cm). I studied hairline design for about 4 years and spent hours speculating about a conservative approach. From my prospective, a thick conservative HL like we have makes the pace appear older. If you see old people who "don't lose" hair, They have a recession in any case, but they preserve their hair. A conservative approach tends to recreate this situation.

You regreat going low because the hairline is thicker/denser than the middle scalp?

from my experience, yes.

If It was a matter of longevity of the hair follicles of the donor area, after 4 years you should fine the same density reduction in donor area. If not (and I suppose the researchers didn't find a density reduction in donor) it makes sense that is something related to recipient area. By the other, I remember an interview with @Melvin- Admin. I don't remember who was the doctor but he suggested that hair thinning/density reduction can be related to a "partial" damage of hair grafts. Demaged hair grafts can live for some years but after a while they die.

In my case, the clinic barely extracted 5,5% of singles. The singles were really hard to find because I had almost all multiples. In your case they extracted about 8% singles. Why? Who knows! Maybe they extracted 400 singles because the doctor decided that he just needed 400. If the doctor looks for a dense pack, the less single he uses, the denser the HT will appear.

The only research on the topic is from Bernestain, 2006 "The study showed that for the first two days, pulling on a hair always resulted in a lost graft, but the chance of the graft being removed started to decrease by the third day. By the sixth day pulling on a hair would no longer dislodge the graft. Pulling on an adherent scab always resulted in a lost graft through day five, with the incidence decreasing through day eight. However, by nine days post-op, grafts were no longer at risk of being dislodged." After 3 days, excpet you do not try to stretch your hair out, you are perfectly sage. After 5 days, you won't dislodge the graft even if you try to pull out your hair.

Grafts are completely safe after 48-72 post op.

This doctor is quite interesting!

HLC patient and aspiring to be Couto's patient...here!

I would never ask other people to do the due diligence for me. I'm just asking to share the cases, because on both the Spanish forums I can find only one report. Probably I'm a very bad researcher and I'm looking for your help. At the end of the story, this should be the purpose of the community: helping and sharing.

Removed external links This is one case, without any pic Removed external links This the ONLY CASE with pics. For the record, the Spanish user (considering that nobody knew him) considered that 2,25 was a crazy price. _Wonder why what they would say at 3/3,5 and 4 for repair.

Melvin, please, can you share the cases? It can be very helpful for me! As you know, I was going to book with him but without real cases it is a risk. Maybe you are a better "researcher" than me because I researched for days on Spanish forum and there is only ONE case (benign Italian, I understand Spanish and I can swear that 99% of users there don't know how he is).

really??? Lorenzo an hair mill??

Melvin said he did his homework. Wonder how. I paid the visit with him and he was a nice and kind person but..is this enough to be reccomaned here? I've been searching on this guy for days, just a single case on recuperarelpelo (the Spanish forum). A doctor from madrid and just one single case? Many on that forum asked "who is he?" For sure he can ne the best doctor on the planet but there is no proof of that.

I really like @Dr. Espinosa Custodio work and this is why I choose him over others. I think that all his cases are good/excellent. That said, I would like to know what happened with this patient. The density is great (especially considering the number of graft he used). But (hope to be wrong) there are a lot of multi grafts on the first line and the singles are very thick (single, thin hair should be used in the transition zone). Wonder why he thought it is a good Ht and why he thought he was good for "publication". Thanks

I really like his works, but the hairline design is straight, no curvatures. It is an unnatural design. I like it but it is hard to say he is the best for HL.

in same cases, the diagnosis can be easy, and can be made extracting a couple of graft or simply looking at your scalp. In other cases, the doc could need a biopsy.

I read a lot of guys claiming that the growth after a second HT was faster. I asked to doc Custodio in person if it is a myth and he said that in many case is true.

many people won't agree with me, but is always a doc's fault if the HT is not good. a) the doc made a wrong diagnosis (he considered you a good candidate while you are not). b) the doc made something wrong during the execution of the ht. Tertium non datur

very natural. If I was you, I asked for a lower HL. It is just a matter of taste in any case.

Bicer has two prices: if you go for motorized punch, it is 3euro FU If you opt for manual, the price is 4. Custodio uses only motorized and the price is 3 shaved and 3.5 semi-shaved.

My choice was between Bicer and Custodio. I choose Custodio. The good things for Bicer were: a) manual punch b) quickly available c) a lot of works on this forum The good things for Custodio were: a) I really like him b) I love the 90% of his works on instagram My only concern is that I never saw a review/report from customers. As we know, instagram post from the clinics are cherry picking...So often they do not reflect the average work of the doctor. I will be the guinea pig for the community. Crossed fingers!