Curious25

This myth is out of control. Hair loss medication works on responders when there is enough hair left to work with. If someone has been balding for 10 years, starting with frontal loss, and as a result has slick bald temples and a diffusing crown, medication is more likely to regrow the crown (because the hairs here are thinning and not gone) as opposed to regrow temple areas where there is literally no hair present. If someone has miniaturised hair at the front or in the temples, there is just as much chance they get strengthening in this area as it is if they were to have miniaturising at the vertex or crown.

Your passport will be your greatest ally.

I’m glad you’ve reacted in such a manner, I thought twice about posting as I have been warned before for being too honest in the face of BS on here, but fortunately you’re in a good head space. My main outrage is the fact that you’ve had to pay some of the highest prices in the industry to receive such shockingly amateur surgical design and overall execution. I admittedly haven’t read through the whole thread, however I’ve picked up that you had some initial concerns on the day of surgery with Hassons involvement, again, totally unacceptable. Konior would probably be your best bet to consult with in North America to try get you up to speed, his temple point work is the best that I have seen in that region of the world - however it certainly won’t be cheap. Further a field, I would actually consider speaking to Sethi via the help of Melvin, to help ensure some good attention and care goes into your case, his temple point work is solid from what I have seen, and I believe he has claimed to have many repairs under his belt. Bisanga, Mwamba and Feriduni - all worth consulting with. There’s a tv show called the hair loss clinic in the UK, where Dr Ball from the Maitland clinic is shown repairing a hair mill patient with similar-ish issues to yourself, albeit his was hairline not temples, via re-harvesting and reimplanting and it turned out pretty good - if you type in hair loss clinic TLC on YouTube, it’s the episode under ‘man repairs botched hairline’ or something along those lines. It will give you an idea as to one of the methods as to what can be done anyway.

Unfortunately I am. RE. The fix - I agree that electrolysis is likely to be the recommended option from many surgeons, however harvesting the inappropriate grafts and re-implanting them elsewhere would also be a strategy some surgeons could run with.

I will be brutally honest with you, and I really hope it doesn’t come across as offensive or disparage you in any way, because that is not the aim whatsoever, but someone who knows what they’re talking about clearly needs to intervene here. The temple points are completely unacceptable for the amount of money you have no don’t paid. The angle of the temple closure between the hairline and temple is a very unnatural angle, which would never be found in nature , and almost resembles how a barber would try and line up a guy with a receding hairline. Furthermore, the straightness of the connection between the corner point closure and the temple point, is again, very unnatural and would not be found in nature. Lastly, they’re pluggy. I see doubles, and grafts that are far too thick for this area of the scalp. The hairline as it stands looks ok, and hopefully will continue to soften and mature in months to come. Please don’t take my comments as any form of discouragement or negativity, because I know how hard it can be to post a case publicly - but I can assure you this is NOT acceptable work from a recommended surgeon on here, and if you had kept the surgeons names anonymous or inferred that you had gone to a random clinic in Turkey, there’d be a completely different sentiment in the comments from users. All in all, not the hardest fix in the world, and I can assure you, there will be light at the end of the tunnel. But disappointing none the less.

My advice to my young self would be; - Consult with a reputable HT Dr - Take finasteride - Wash 2x a week with Nizoral - Understand that the majority of fear mongers online are hypochondriac, pessimistic radicals OP only if you are looking to regrow, then consider minoxidil (topical or oral).

I could be wrong, but I seem to remember foreign HT patients in Belgium being liable to pay the medical tourism tax, which was +21%. Maybe ask the clinic and see if they can help out, or any of the other non Belgic patients on here who have been recently?

Looks great still! What are you using to maintain?

Your left hand side outdoors looks strong, right hand side indoors a bit weaker - however 12 months on DUT and any miniaturisation whether it is actually present, should be reversed.

Thanks. Interesting read, although as you have mentioned sample size and the one off nature of the study weakens any credibility to make such statements. The issues with topicals is that there is no one size fits all formula to study , whether that be the concentration %, the vehicle, or the application amount/frequency. And if that particular 0.25% formulation from the study dropped serum levels by 80%, well that’s more than what 1mg oral usually drops them by, which defeats the purpose of what I imagine topical users are trying to achieve. Regardless, if it means it’s an entry level gateway medication for people to use before opting for the oral route, it can’t be a bad thing.

Could you provide a link to neutral data that backs this up?

Looks to be around 13% I’d say.

Your donor looks strong, so imagine most docs would be very happy to take your case on. You look to be balding in a NW5 pattern at the moment as your crown doesn’t really dip that low at all, however you have still retained a fair amount of native hair on the top, which in part is most likely to be miniaturising at a slower rate, and will eventually go should you not take any preventative medication. I would recommend tackling your situation with 2x surgeries - hit the front out the park first and then head back to address any weak spots, and bring up the crown and vertex to speed. I would suggest at least two weeks off from your job post surgery. If you are willing to travel, and budget is of concern, there are copious amounts of comparably skilled FUE docs, if not better, in Europe that are far more economically priced than in the US. All the Best,

Good luck! Yes

Ive just seen your pre op pics on the other thread , My two previous remarks from above 100% apply I’m afraid. Hopefully you will get on growth from the grafts that actually were implanted - and then I would recommend consulting with a different clinic to go for a further surgery post 9-12 months to finish off the required density. I would also recommend learning about hair loss medications available, and start to consider the options you feel comfortable with.

It’s hard to make comment from those photos as there aren’t any of what you looked like pre transplant to ascertain what your pre op density was like in that particular Region - however I will say two things; - Assuming the transplanted area was completely bald of any native hairs, the implanted density looks to be nowhere near sufficient to provide you with any form of illusion of fullness similar to your native density. - I don’t believe you to not have suffered hair loss to require a hairline lowering to this extent. Again, hard to comment with 100% accuracy without seeing your pre op photos, but the transplanted area you have shown us alongside where your native hair is, indicates standard MPB hairline recession.

Can you provide pre op and immediately post op photos?

From an appearance stance, I would blanket statement say a (good) hair transplant will most certainly improve your confidence, had there been a lack of it previously, as a result of thinning or receded hair. I have seen it many times act as a catalyst for men to go on and further improve on their self, whether this be getting in better shape, re-educate/qualify in something to further career or financial opportunities, or even just branch out into trying more things that would have traditionally been out of their comfort zones - hardly an extreme feat here by any stretch of the imagination, but as a quick personal example, I took up surfing for a while after many years of being afraid to have wet hair in public, which was a very liberating feeling. Just like they say money can’t buy you happiness, but it can certainly offer you freedom, hair transplants can’t buy you confidence, but successful ones without a doubt help free up your focus and anxieties associated with that element of your life.

Looks fantastic - one of the most impressive results I’ve seen this year. Congrats

This area is classed as the nape of your neck, and nape hair is generally considered outside of a ‘traditional donor zone’ as it can be prone to miniaturisation, particularly in those destined to become higher Norwoods. However, given the usually very fine calibre and single hair graft nature of this type of hair , dr’s such as Mwamba seek to use hair from here when recreating temple points and softening or fine tuning hairlines, so in answer to your question - yes it can be used, and it can be used very successfully . . . But like with everything, it will always be subject to being assessed on a case by case basis. If you want to improve your chances of candidacy for using these hairs for surgery, being on some form of medication will most certainly be a very important factor of consideration.

Wow. Although this is what you would expect once such a meticulous surgeon gains mainstream attention due to producing results, given he maintains his surgical strategy. There’s two ways popular surgeons can handle their increase in demand, 1) recruit a team of alternate dr’s and techs who will perform surgeries under the clinics protocols and name, which is the infamous route ASMED’s Koray Erdogan went down circa 2016/2017 2) Maintain their current operation, but raise prices and inevitably subject prospective patients to longer wait times

Looking good Melvin, this latest surgery has certainly made a huge difference for you. Do you feel like you’re now in a place to forego using hair fibres ?

I mean, it was tongue in cheek, but I would argue it’s a very good example for OP to use as a bench mark, considering that OP has what appears to be less recession and a better hair type than the patient case of his chosen Dr that I provided. The example is a before and after of a hair transplant patient, so I’m not sure what your comment about not being as dense as native hair is in relation to? At the end of the day, all surgery comes with risk - so it is about mitigating said risk. Let’s ignore the rabbit hole of potential medical complications that are VERY unlikely to happen, and focus on the risks with regards to aesthetics; scarring, moth eaten donor, heavily transected donor/recipient, unsatisfactory growth, incorrect angles, incorrect graft selection and utilisation, unaesthetic design - that’s the gist off the top of my head anyway. I think when you are talking about Dr’s in the same tier as this particular Dr, it is safe to assume that the only potential aesthetic risks from the list above is potentially not achieving satisfactory growth, which in itself isn’t always wholly down to surgeon or clinics part - as we know, there are times of underlying conditions or patient X type criteria at play, and sometimes the scarring from FUE extractions may be more obvious on some patients than others - once again, largely down to the patient’s response when in the hands of top tier surgeons. Risk is most certainly something potential candidates need to be aware of, and consider. But horror stories from patients who have regrettably been ‘butchered’ in the 80’s and 90’s or more recently in a low quality hair mill, or just with a poor surgeon in general, are not relevant in the conversation by any means, when discussing surgeries with proven and established clinics such as this one, or the one in the previously mentioned thread. Mike maybe you’re a very risk averse man, I remember roughly off the top of my head you made a good point in that Konior greed thread, that the OP over there would be in a better position had he arrived to where he is today without the use of medication, which I agree is a valid point to input. But the guys hairline is visibly recessed, as is the OP’s in this thread - therefore if it’s a bug bear, and affecting their quality of life to the point at which they have invested the time and substantial money into researching, consulting and booking surgeries with Dr’s such as the two in question, I think it’s fair to empower and encourage such decisions, because they are already vast amounts of steps ahead of the majority of men who undergo hair transplant surgery, and will likely benefit in many ways from what are small and straight forward interventions.

I’d be more nervous about the extra costs of hair product you’re going to have.

Looking great from where you started. Few more months of maturation, getting on some form of medication, and potentially another light pass through the mid scalp and I think you’ll be in a very good position. All the best,