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Nugget

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Posts posted by Nugget

    Advice Please..

    in Hair Restoration Questions and Answers

    Posted

    I started the medication 3 days ago now. So far so good. Finasteride and Rogaine. 

    I'm waiting on a reply from Dr B Ferreira asking if he thinks I would need some beard graphs. If not I'm leaning more towards Dr Ferreira now. He said  "at age 38 and with your current hair loss pattern, we may be able to do it earlier (please start on it right away though). However, there’s also the issue of us having a waiting list that has also grown because we have been for 2 months with no surgeries and those have all been postponed". Maybe able to fit me in. which is good...

    Also after 4000 graphs the cost is 2euro not 2.5 

    Yeh so I'm leaning towards more him at the moment. I will start wait at least 3-4 months on the meds though.

    Does anyone have any reviews with Ferreira on here? 

    Advice Please..

    in Hair Restoration Questions and Answers

    Posted

    1 minute ago, Portugal25 said:

    @Nugget I expect the diagnosis you got from Dr. Bruno to be the same you would get from most major league Doctor that is not interested in our money and therefore prefers to delay your surgery in order to get a better outcome from Finasteride grafts.

    Doctors recommend Finasteride to stop hairloss and strengthen you donor area so if are willing to take this drug ofcourse they will want to wait 6 months to get stronger grafts and give you a better result.

    If you are like me and had a bad reaction to Finasteride then you should tell Dr. Bruno you refuse to take Finasteride so he can adjust his recommend approach to your specific situation.

    Again a very detailed diagnosis from Dr. Bruno Ferreira as usual.

    If beard grafts were crucial to give you more density in this first surgery then I would advise you to just go with HLC because they seem to have more experience with beard grafts but since you don’t need beard grafts for this first surgery maybe you could ask Dr. Bruno a few more questions before making a decision.

     

    Good point yes. Well I’ve never had any meds before so I don’t know. I will start today though and try it.

     

    i has forgotten about the beard grafts. He didn’t mention anything about that. I will ask him. Yeh I’m still leaning with HLC. Do you think i should wait 6 months then? Or a couple of months with firnistride and get it done end of July at HLC?

    Advice Please..

    in Hair Restoration Questions and Answers

    Posted

    UPDATE.

    i just got an email back from Dr Bruno Ferreira. What do you guys think?

    Initial Impressions

    Your androgenetic alopecia is somewhat advanced. From your photos I can see that you have some frontal-temporal recession and miniaturization over the whole top of your head. You retain some hair in your forelock and midscalp areas, but coverage is poor. The crown area does not go too low or too wide, which is a good thing, but it’s still large. Temporal peaks look ok.
    I’d consider you a Class 5 on the Norwood-Hamilton scale. Your hair itself appears to be of average thickness. Your occipital, parietal and temporal areas look good and there doesn’t seem to be reverse alopecia. So, from a macro aspect it looks like you have a good “donor area”.
    At 38 years old, your alopecia is still active and I expect you to continue to lose hair for the next 10–15 years.  
     

     

    Medical Treatment

    This is one of the first things we need to discuss. Your hair loss is still very unstable and will progress further left untreated. You’re currently not on any medical treatment and I’d recommend starting on 5-alfa reductase inhibitors in order to stabilize your hair loss and not let it progress. Not doing this has a high likelihood of your alopecia progressing, causing your hair to get thinner. By taking the medication you may also get some improvement to your current hair, which I would expect to happen. I need you to be at least 6 months with the medication before we advance for surgery.

     

    Hair Transplant

    A hair transplant is definitely your only option to reach your goals. We do have a rather large recipient area on hand, and I believe we would need two surgeries for a full recovery - one for the crown, one for the frontal third. The exact amount of grafts depends on a few variables: Where we place the hairline, how good your donor area is and how you respond to the medication. I estimate about 4500–5000grafts needed for your case.
    We may feel the need to do a third, very minor procedure, as a touch up or spot improvement.
     

     

     

    Prognosis

    Your prognosis is good. Your alopecia is active, but we can stabilize it with medication. Your donor area seems to be of good quality and you have a circumscribed recipient area.
    I expect a very good result.
     
     

    Plan

    1. Start Medical Treatment: Finasteride (or 1/4 pill Proscar®) p.o. 1mg per day
    2. 1st Surgery: TBA
    3. Donor Area Recovery Period: 5 months
    4. 2nd Surgery: Upon analysis
    5. Result: 10 months
    6. Evaluate the need to further improve the result, do a touch-up, etc.  


    I really don’t want to wait 6 months :(

    HLC replied again and I can do it end of July....

    Dr Lorenzo or Dr Couto?

    in Hair Restoration Questions and Answers

    Posted

    11 hours ago, OliverAtom said:

    It´s a tough choice for sure. Bot are amazing doctors. What I see is that Lorenzo was the man back in the days and now Couto is the "new" Magician.
    From what you see on their YouTube:

    - Lorenzo just posts every single one of his cases, he has more than 800 videos and 13.000 Subscribers and you will see a lot of everything, some are great and some so so...

    - Couto has by far the best cases, he has around 65 videos on YouTube with almost 45.000 Subscribers on his Channel... if he can get 800 videos and they are so great as the first 65, there would never be a discussion anymore that Dr Couto is the best hair transplant surgeon in the world...

    But, it´s not an easy choice between 2 of the best in the world... let see what they tell you about their availability.
     

    Last video by Couto


    Last video by Lorenzo

     

    Thanks mate. Still waiting for a reply. I'm really leaning towards HLC now....

    HLC Doctor

    in Hair Restoration Questions and Answers

    Posted

    17 hours ago, Portugal25 said:

    @Nugget I don’t think you can chose the Doctor at HLC but I can tell that the most sought after Doctors at HLC are Dr. Ozgur (the founder but not sure if he still does surgeries) and Dr. Akin.

    You will be in great hands at HLC.

    Im pretty sure I’m going to go with HLC! 

    • Like 1

    Advice Please..

    in Hair Restoration Questions and Answers

    Posted

    4 hours ago, Portugal25 said:

    @Nugget be careful taking advise of members that just joined the forum and immediately start posting links advertising a clinic! 
    I have been at HRN for 12 years and see this happening all the time! 
    These new members register a username and come here just to promote their clinic as these people are usually paid representatives of that clinic (sometimes there are exceptions). 

    So true. Haha thanks. Hey have you heard of Alviarmani in LA?

    Dr Lorenzo or Dr Couto?

    in Hair Restoration Questions and Answers

    Posted

    35 minutes ago, Rolandas said:

    I don't want to interrupt this conversation, but just my 2 cents on this comment.
    Dr. Ferreira told me during my surgery that while he is working in Dr. Lorenzo's clinic he MUST follow his guidelines, while in Porto he is/might be using different approaches. (don't ask me for specifics, I'm just repeating what Dr. Ferreira told me). I would still say surgery under Lorenzo's supervision in my opinion is better/safer than without as he has much more experience in different situations. Like they say, 2 heads are better than 1. Not to discredit Dr. Ferreira, he is fantastic surgeon and I'm over the moon so far with what I've got, but purely from perspective point of view, if I had this 2 choices, I would go for Dr. Lorenzo's clinic.

    Thanks mate. Waiting for his reply..

    Advice Please..

    in Hair Restoration Questions and Answers

    Posted

    8 minutes ago, Portugal25 said:

    @Nugget you can trust HLC because they are the BEST and only choice in the whole of Turkey (Pekiner might abort your surgery if he finds miniaturized hairs).
    Also great to see they dropped the prices from 2.7€/graft to 2.5€/graft.

    I would also advise you to ask Dr. Bruno Ferreira for a diagnosis (2.5€/graft). You will talk directly with Dr. Bruno instead of representatives and it will probably be the best diagnosis you will receive. For my HT last year I talked with HLC, Pekiner, Bruno Ferreira and Rahal. The best diagnosis and follow-up I got was from Dr. Bruno Ferreira. 

    I chose Pekiner because he’s great at beard mega sessions (much like HLC also is great for BHT because he worked there for years) and was the cheaper of these 4 options otherwise I would have went with Dr. Bruno Ferreira. 

    Thanks mate. Yes just sent Dr Bruno Ferreira a WhatsApp message. Hopefully hear back soon from him...

    Good to know I can trust HLC.....Will update when I hear from Ferreira 

    Advice Please..

    in Hair Restoration Questions and Answers

    Posted

    UPDATE - 

    I got an email from HLC today. 

    "

    We recommend you to let transplant about 3500-3800 Grafts for the hairline. With this amount, we can rebuild the hairline and close the temples. We will also give to the front half area more density. We have to transplant the hairline with a density of approximately 50 Grafts/cm2 to provide a dense and natural look. The exact number of Grafts depends on how the hairline is designed. We can only see this in detail on site.

    We use single hair on the hairline only. We are using 6-8x magnification loupes during the extraction and implantation and also have Microscopes for selecting the single hair. For the temporal points, triangle, we use fine hair behind the ear.

    For the crown area, you will need a second surgery after a minimum of 6-12 months time frame. The plan for the crown area, we can make on-site during your first surgery. Also, you have to be aware that your scalp donor area could be not enough to cover the crown area. We can use body hair from the beard and chest area in this case. 

    On-site, we will analyze your donor area precisely and can tell you how many grafts you have as reserves. We do also recommend to consider Rogaine for the future. 

    The price is 2.5 Euro per Graft for FUE and Bodygrafts with manual extraction. We charge 100 Euro extra for our Surgery- package. In this package is your driver, accommodation, food, medication, and post-op aftercare set included. The flight is not included. "


    It sounds pretty good. I then had a phone call with them. I forget who I was talking to though. I said I rather start with the crown are for the first procedure and come back 6 months time for the front. He is cool with that. HLC seem to have a pretty good reputation. I haven't received any email or such yet from Dr Lorenzeo or Couto. 

    I can trust HLC? 
     

    Dr Lorenzo or Dr Couto?

    in Hair Restoration Questions and Answers

    Posted

    1 hour ago, LonelyGraft said:

    I had a procedure with Lorenzo myself and had a very average/sub par result. He does 3-4 patients a day so it’s a bit rushed. Couto seems to do more with less grafts and with more precision. His recipients look very good post surgery. However, Lorenzo has more cases posted online than any doctor I’ve seen. Couto likely only posts his homeruns on his YouTube.

     

    lorenzo has some of the best crown work but his hairlines are quite generic. Couto has hairline design down to an art imo.

     

    coutos waiting list is insane (5+ years last I heard) and Lorenzo can likely get u in about 6 months.

     

    If I had to do my case over again I’d probably go to Freitas, HLC, or wong/hasson.

    Yeh? Ok mate. I will send an email to Wong / Hasson. See what they say..so many choices...I hate this :(

    Advice Please..

    in Hair Restoration Questions and Answers

    Posted

    4 hours ago, Portugal25 said:

    Dr. Pekiner took 8 hours to extract and implant 1061 grafts on the first day of my 3 day surgery so obviously taking the same time to implant 5000 grafts will never achieve the same dense result as you would get with a more precise extraction and implantation. 

    I know that with motorized FUE a Doctor doing DHI or Stick&place can do 2000 grafts in 1 day but 5000 is just throwing grafts into the trash because there is no way all of them will be growing. 

    Oh sorry. No I meant over 2 or 3 days is fine to do it. But I don’t want to do a small part and then wait like 15 months for the second one. Is that right?

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