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tripleg

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  1. Yea, great points about specialized, highly trained, teams that have worked together for a long time saving the surgeon from fatigue and fading.
  2. So sounds like Dr. Hasson plans and makes the incisions and extraction and insertion is done by the techs. Is this a common approach among HT surgeons? I know Dr. Hasson (and Wong and team) is considered world class, so it must not be a red flag when a clinic does this. This is a question for everyone from a relative newb trying to understand the world of hair transplantation.
  3. Bump. Would be curious to hear opinions about the two docs. It seems they're both top docs. But is one better for a certain type patient than another? Or just any differences in approach?
  4. I am currently living in Moscow, Russia where I'm originally from. I split my time between NYC and Moscow, but HTs are more expensive in the U.S. and the surgeons in Europe are just as good IMO, especially for FUE. And here is a pic of the back of my head. This is 6 days of growth after shaving to zero.
  5. I am on finasteride for two months, waiting to see how I respond. I may add topical minoxidil after I've been in on fin for a year, but I worry I will not stick to the routing of applying daily. I'd rather not "get my hair hooked on minoxidil" right now. If I get some sides from fin (highly unlikely) or if I continue to lose hair despite fin, I will postpone surgery and likely not do it all unless I can find a way to stabilize (with something like dutasteride or minoxidil). But statistically speaking I will most likely at least stabilize on fin with no side effects and be able to move forward with surgery.
  6. I haven't had any in person assessments yet, but planning on it. I've had an online assessment by Dr. Muresanu of Hattingen. He had me point a USB microscope at different points on my donor. Based on this he said my donor was okay, but nothing spectacular (paraphrasing). No mathematical calculations were done. Same for hair calibre - exact calibre unknown, but on the thinner side, though not super thin. So basically a lot of grafts required. I also attempted a self-assesment following the instructions you supplied to me in another thread: https://baldingblog.com/how-to-quantify-your-donor-area-hair-supply/ It seemed my donor was slightly below average, but I wasn't always sure if FUs were singles/doubles/triples and I was erring on the lower side. It was tedious to try counting/classifying all the FUs and making sure I don't miss any. I may attempt this process again more carefully. In mean time I'm hoping to receive at least some benefit from finasteride. Perhaps it can strengthen my donor a bit. I did see a couple of miniaturized hairs in donor as well under the microscope.
  7. I'm early in the process of researching clinics. I'm targeting Europe for my HT. Currently on my radar: Hattingen - more so if I end up going the FUT route, but currently leaning FUE. FUE with them would probably be more expensive and while I feel they're a top clinic, I get the sense that there are other European clinics are just as good at FUE. Next on the list are the Belgians in alphabetical order: Bisanga, Devroyem, Feriduni, Lupanzula Also on the list: Bruno Ferreira That's my shortlist at the moment. I've also considered Dr Zarev from Bulgaria. But he seems to be a FUE megasession specialist. I know there are also great options in Spain and in the U.K. and other places in Europe. I plan to travel to Europe and visit the as many clinics as I can in person to get an assessment and meet the docs. For me it's very important to meet the doc beforehand. In the mean time I'm waiting to see how I respond to finasteride, which I've only been on for two months so far. For me, I don't think HT surgery makes sense unless I can stay on finasteride for life.
  8. Hello, I haven't yet had any hair transplants and I started finasteride 2 months ago. My donor is okay, but nothing spectacular and my hair is on the thinner side, but not super-thin. Currently I shave my head very close. It seems I'll need 5000-6000 grafts to get good coverage (see pics below). I am currently leaning toward FUE. I don't think I want to attempt an FUE megasession of 5000 grafts, nor am I sure any surgeon would attempt it in my case. In cases like mine it seems common to cover the frontal 1/3 of the scalp in the first surgery and the rest of the scalp in the second surgery. If I were to do that I think I would not be inclined to grow my hair out until the result of the second surgery would begin to show. This is because the first surgery would still leave my mid-scalp and crown bare and I'm not too keen on trying to comb over that area. I know some people do it successfully, but for some reason it doesn't feel right. I'm open to have my mind changed on this, but I don't know... Walking around with a hair line would be nice, but considering the mid-scalp and crown are still bare, I would feel less exposed and more secure with short hair. Like if a girl were to run her hand through my hair the whole situation would become immediately apparent with a comb-over. Most likely after the first surgery, I would be shaving my head to 3mm-6mm or whatever the minimum length required to cover the scarring from FUE. (It seems FUE scars take some time to "mature" meaning they're not as noticeable at first, which means I may be able to get away with shorter hair in the early months after surgery #1). So here is my question: Would it be possible to take say 2500 grafts in the first surgery and spread them out more or less evenly throughout the scalp instead of concentrating all the grafts in the frontal 1/3? I believe this would offer a better intermediate aesthetic result while I'm keeping my hair short until surgery #2 is completed. Would the resulting density be too thin to make any noticeable improvement even with short hair? Would it somehow complicate surgery #2 because the surgeon will need to insert new grafts in between previously transplanted grafts (Could the scarring in recipient area make it more difficult or less likely to succeed?) Alternatively, if the grafts from surgery #1 are concentrated in the frontal 1/3 and I cut my hair short, maybe it would still look better than spreading the grafts all over the scalp. What do you think?
  9. The redness on the back of my scalp was diagnosed as Nevus Simplex (a type of capillary malformation). It's not a really a problem with respect to HT or otherwise. No biopsy was required. The dermatologist also confirmed my alopecia as androgenic alopecia, not scarring alopecia or anything else. She examined my scalp with a dermascope (she didn't have a trichoscope).
  10. Does a scalp biopsy damage hair follicles? Especially miniaturized hairs?
  11. Hey guys, I'm in the early stages of researching HTs. In one of my online consults I was asked about redness on the back of my scalp (I shave my head close to zero). I think the redness is just because I have sensitive skin and the back of my skull is often in contact with a pillow, but I'm not sure. I am going to see a dermatologist/trichologist to diagnose it. What other things should I get checked out for to ensure that my scalp is ready for an HT? What conditions are particularly bad in terms of leading to failed HTs that I should be on the lookout for? Any other questions I should the doctor? (Note: this doctor is not an HT surgeon, just a dermatologist/trichologist). Thanks.
  12. Are there any concerns with the FUT procedure and scalp tightness long term? I know in the short term there is some tightness for a few months or a little more, but how about longer term? Does anyone end up with permanently tight scalp? I've seen a lot about scars stretching after FUT in a small number of cases (or a large number of cases when the surgeon in incompetent). But how about other long term consequences after FUT? Also it seems one can't really gauge one's own scalp laxity? I can the skin a bit, but I can't tell on this basis how large a strip a surgeon would be able to cut in a single procedure. I'm exploring an option of FUT megasession of 4,500+ grafts. How would I go about determining if that's an option for me? I've calculate my approximate density in the prime donor region based using a USB microscope, but it all depends on the size of a strip that possible to take out in a single session without too much risk of scar stretching. Here's my thread with pics:
  13. Was your sole reason for brining up FUE the fact the scar may be harder to conceal with fine hair? In this video Dr. Lindsey says that patients with thin hair in particular should avoid favor FUT because thinner hair doesn't tolerate avulsion with FUE well. But I have seen finer hair FUE results that seem to be looking good. @Rolandas comes to mind.
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