Curious25

You appear to already be considerably better off than where you first started (albeit perhaps with more favourable lighting than your pre op pics). From here is when all the fun begins, those black dots will turn into nice and thick hairs gradually over the next 4-8 months, hopefully making you ready for hollywood!

+1. Your hairline design looks pretty good to me, assuming there have been micro irregularities placed in. It's very easy to get caught up into over analysing the work in the days immediately post op, but unfortunately the best, and only advice anyone can give you is to be patient and wait for things to grow in for you to be able to accurately assess the situation. This is concerning. If you were led to believe that it was going to be a doctor led procedure during the consultation, I would suggest taking this up with the clinic. This isn't to say your results wont be as expected, because there are some great teams of technicians performing surgeries across the globe, however if you were misled - this is an issue.

I quite like the way you have put this. If a patient is well versed on all things hair loss, well researched, has the financial capacity, a long term plan, and a good, ethical surgeon - It is hard to argue the point as to why you are essentially advocating someone on losing out on more years of their life until they reach 25/30, especially if they are slowing down progression with medical therapy and/or other treatments.

Looks great - and donor looks healthy enough to provide you with a few more passes should you ever want/need to address any further areas in the future! Congrats

Yes - It does happen, and there has been a few threads over the last couple of years on this very forum which have demonstrated this. It doesn't reflect whether or not the surgery has been hit or miss, I guess ultimately it probably boils down to ones physiology, however I believe some surgeons attribute it to the grafts being exposed to as minimal trauma as possible via very careful handling/time out the body.

Immaculate. I wish I had more hair loss right now so I could book in with this guy - every result I've seen of his this year has been amazing. Happy growing.

Well thats insane, the UK clinics really do take the Michael when it comes to pricing. I'm not overly opposed against clinics charging for a consultation when you are going to have a thorough donor assessment and its with a doctor, because after all, it's time in their day and they are providing a service - often there is a show of good faith to take the cost of the consultation off the final price of surgery if you proceed to go ahead there etc. thats fine. But £50 for a zoom call with someone who's probably not going to be a surgeon, and then a £150 consultation after that is pretty steep IMO. Ultimately it puts patients off from shopping around and consulting with various surgeons, which I think is a very important part of the process.

Unbelievable, it just keeps on getting better! Over the moon for you. Are you dying your hair?

I'm pretty sure Melvin also subscribes to the understanding that final patterns are pretty well determined based on the miniaturisation map of ones hair, which is why and how he justifies his procedures without using medication. I'm not sure if you are getting confused with the points you are trying to make - but the cases you are submitting aren't relating to the points in which you are trying to explain. When you walk down the street later, or jump on the underground etc. - have a look at how many men aged 40+ have thinning in their donor, regardless of their hair loss. It is extremely difficult to come across patients like the one in the aforementioned thread, and it is equally pretty difficult to come across NW7's - it is ultimately classified by many doctors in the industry as being an uncommon hair loss pattern. As for these two pictures, particularly the second one - based on the photo alone, it doesn't look like too bad a position to be in, as his donor appears adequate to provide further coverage up top. With regards to guys such as yourself and @Gatsby giving your own personal experiences to younger patients on here being extremely noble, and valuable - I think it would also be important to mention that your generation unfortunately didn't have access to the doctors or technology that todays patients do. Like someone mentioned earlier, ethics and overall quality were pretty much non existent 25+ years ago - therefore I would confidently argue that any patient in their 20's who goes for consultations with world class surgeons and clinics recommended on here, won't end up in irreversible or helpless situations in their future life, assuming that the clinics agree to perform surgery.

Yep wasn't knocking you for posting it, as I think it is important for potential candidates to take as much information on board as possible. My comments were more directed towards the earlier debate between the other two posters as to whether that was a likely scenario or not.

The reality is . . the large majority of HT patients will end up undergoing multiple procedures 'chasing their hairloss' - regardless of their age, and regardless of whether they take medication. Time frames will vary depending on a whole host of factors. Early onset of hair loss tends to typically point towards the patient being destined to reach a higher level on the NW scale. This of course, should be an issue that is factored in and given a lot of weight to the decision making. To use the thread of the poor patient who has reached a severe level of hairloss by his early 30's despite having undergone procedures, is probably the most extreme example of what could go wrong. I don't think this is a normal case by any means. I would also suggest that looking at @BeHappy's picture in 1989, (which I work out to be aged 22?) is another example of the extremities of hair loss, and again, is not common. My advice would be to create a shortlist of surgeons whose work you like the look of, and consult with as many of them as possible in person. Measure your donor densities, areas to be covered, miniaturisation map, and discuss in depth what you are wishing to achieve both now and in the future.

Looks really good - at first site of your pre op pictures, I admit I wasn't so sure about the hairline design because the temples looked to be almost excessively curved, however with the grafts implanted it looks great. It's not always easy to vision how a hairline will look from the drawn on design alone. Dr Bisanga seems to be creating himself a bit of a niche with frontal restoration work of late, so I am sure you will be thrilled 8-12 months down the line. If you do have donor densities of 100 FU/cm then you will be able to stretch a good few more FUE procedures out down the line should you need to, Wish you good growth!

This was always going to be a fantastic result due to your choice of surgeon and for having what I'd consider to be the ultimate hair characteristics to have for a HT. Amazing at 6 months - the next 6 will leave you looking ready for the red carpet.

We need a Couto patient thread on here!! 😉

Enjoyed reading your account of the day, and I will look forward to following. I have seen some great similar Bisanga cases to this recently, so I'm sure you will experience the same. Enjoy the journey!

I'm sorry to hear your experience with that, but glad all is well now. You make some very valid points regarding your outlook on all things hair loss tbh - and I enjoy conversing with people who are able to change their mind and avoid tunnel vision mentality in regards to anything in life, not just hair restoration. RE. FUT first then FUE later, I myself too, had an FUE procedure, I quite frankly didn't want the risk of a scar gone wrong or the downtime, and I didn't buy into the whole FUT maximises graft numbers long term argument, because no one I spoke to could give me a good enough argument as to why you couldn't have FUT after an FUE procedure. I also liked the idea of eventual homogenous placement of hair across the scalp, as my back and sides have always been a lot denser than up top. Now I'm more read up and wise to hair restoration, I have come round to the idea somewhat of FUT, after seeing and hearing some great testimonials - but I'm finding it difficult to weigh up whether the shift in trend of clinics now favouring FUE is driven by consumer demand, or the additional money they can make . . probably a combination of both, although I do think techniques have come on leaps and bounds now, which under the right hands can provide graft survival rates akin to FUT. RE. Finasteride - the lower dosing to reduce side effects is something I've never understood either - if the studies suggest that lower dosing still more or less reduces DHT levels by the same amount as a daily 1mg dose does, why would this miraculously reduce the chances of side effects, when its the reduction in DHT that causes these very side effects?! lol? Anyway - despite my strong views on it, I will never deliberately try and put people off, what I think is important is to advise every single guy to consult with doctors (and I mean urologists, endocrinologists etc, not HT doctors) read up and study, talk to users, talk to former users, consult with their partners/family, and then make an accurate and informed decision which is personal to you and only you can do that. There's too many idiots who jump on these boards and demand people to start a daily 1mg prescription of it the next morning as though its like sprinkling an extra bit of sugar on your weetabix, as there are too many idiots who will jump on these boards and tell people they'll never have an erection in their life again (which for the vast majority I also don't believe is true). Oh well, hopefully thread hasn't been hijacked too much and OP gets use out of these conversations in some shape or form, i think in particular with your case it will make for a decent case study to learn from and open up a bit of a pathway he could start to look at taking.

Where do you stand on finasteride now? If i remember correctly, you were never keen on jumping on it in the first place, and when you did, took a very low dosage? Do you believe it to have had a cumulative affect on you?

I echo the FUT argument in the sense that it is important to get assessments regarding this from surgeons or clinics who perform both, and tend to be neutral to both. Your donor and hair look decent - I think you could get a really nice result in the right surgeons hands 👍

Thanks for this - great to see the developments with BHT. If its trajectory is anywhere comparable to the trajectory of scalp hair transplants over the last 20 years, then we could be in for a treat 🙌

Theres been 3x exceptional ones on this very forum within the last few months.

Agreed . . the Diego Lopez transformation is brilliant. Just to clarify for any posters who may have mis-read OP's original message - NW IV is Norwood 4. Unless OP meant to say NW VI (norwood 6).

Fantastic result - even more so for such a small number of grafts of used! God blessed all with these types of hair characteristics!

Have a read up on preventative medications such as finasteride - spend a good few days/weeks looking through forums, threads, clinical studies, research papers, youtube videos etc. and decide whether you feel its something you perceive to be worthwhile and you are comfortable with. i It may be able to re thicken some of your thinned out hairs if you are able to catch them quick enough. Minoxidil is another medication that may or may not be of use to you - again, I encourage you to read up and research it for a considerable amount of time before deciding on pursuing it. And like the others have mentioned - concealers such as toppik may be a quick fix option you are comfortable with. Other than that, you look in pretty good shape - your hair calibre appears to be very thick and wavy, which bodes well for coverage.

I just think that if you are going to charge the highest rates in the world . . then your results should at least be the absolute best in the world. This is why I don't mind as much the high pricing of your Koniors, H&W's etc, because their results are consistently amazing - look at the latest Konior update from this evening for instance, its nothing short of unbelievable. Ok London property rates are extortionate, so clinics obviously have to factor that in - but for a travelling consumer, it makes no sense to pay so much more for a lesser quality service, when you are able to travel a few extra hours overseas, and have your pick of some of the FUE greats, at lower rates. RE. Farjo - try and find 5x decent patient posted results from the last 5 years. That shouldn't be hard if he was worth his salt 😉

Thanks for the post - first time I've ever seen a pic of Couto too! Good to see the mythical man behind the magic finally! @Melvin-Moderator- is there a reason none of the top spanish surgeons are recommended on here? How does the process for doctor selection usually work - fo they approach the forum, or does the forum pitch to them?