Bill-Dr-Rahal

Kraistoff, congratulations on the results from your first hair transplant and for taking the plunge to undergo a second. It looks like the second is already healing very nicely and I trust you will be happy with the results after they grow in as well. thanks for documenting your procedure and progress and we look forward to seeing the final results 🙂 best wishes, Bill

There are a number of excellent FUE Clinics you can consider. While I don’t recommend choosing a clinic strictly based on price or location, there are a number of outstanding surgeons recommended by this community that are on the less expensive side. In turkey, for example, surgery disturbingly cheaper but be careful, there are a number of less than reputable clinics there which is why I recommend sticking to those recommended by this community if you are going to travel there best wishes, Bill

Theforklift, Your hair really looks great… As others have already stated, it may lack a little density but that’s something that can always be touched up on in another procedure. That said, your hair looks very natural and if I were you, I’d be very pleased with your results. How are you feeling so far? You should see a little more thickening in the next several months to come as well. best wishes, Bill

Seth, Regrettably, we all only have so much donor hair available for transplanting and as a result, it’s very possible that what Dr. Arocha is saying is true. Ultimately, it sounds like you may have to choose between thinner hair on the sides and back of your scalp or on top of your head. For me, this would be a no-brainer… I would much rather have Thinner Hair on the sides and back then on top however, it also depends on how much more density you can ultimately achieve. Best of luck in your decision, Bill

Curious25, yes, a lot of times I use speech to text which is a built-in dictation tool with the iPhone. Unfortunately, I don’t always catch all of my mistakes but I’m gonna make sure I’m more careful in the future. Sorry about that 🙂. Bill

Jfede, I agree that it’s possible that you are experiencing diffuse hair loss. However, you could also be experiencing an initial shed from restarting finasteride which is just a sign of the medication working. As for whether or not you should undergo hair transplant surgery, personally, I think it might be wise to try both Propecia and minoxodil for a solid year before making a decision to undergo surgery. Frankly, You have a lot of natural hair left and medication might help to stabilize your hair loss and even possibly re-grow some hair. If that’s the case, you might not ever need to get a hair transplant or, if you do decide to undergo surgery, the transplanted hair can be used to thicken things up. Best wishes, Bill

Dazed, this is an interesting post. I’ve never heard of such a thing. You’re saying that the potential natural scar from birth mimics the linear scar from your FUSS procedure? Did your hair transplant surgeon say anything about the scar when doing your procedure? Do you have any pictures of your scalp immediately after surgery? I know you said that you didn’t get two strips removed but are you sure? best, Bill

I didn’t shave every week he is an interesting concept and what it does is allows the patient to see what the end result will look like even before it sheds and grows it. That is a nice perk for some however, it doesn’t prevent the postoperative shedding 4 to 6 weeks later and the awkward healing stages to come. Moreover, it makes the procedure more difficult for the doctor and staff which then begs the question… Does this potentially increase the risk of transection during extraction? If so, is it really worth the risk since you have to go through the shedding. anyway? Also, I think the procedure might cost more but I’m not sure at the end of the day, I think it’s an interesting option but I’m not so sure it’s really worth it in the long run. best wishes, Bill

Uk39, sorry for the late congratulations on your procedure but I wanted to chime with the others and say “wow“, your results are looking outstanding so far. I noticed that you seem to be very analytical on growth at this stage and You’re a little happier with one side over the other, at least in one of your posts. Have things started enough for you a bit? Based on the pictures, even the wet ones, your results look outstanding, dense and very natural looking. But at the same time, you still have some maturation to go even though you should be pretty close to your end result now. Based on the pictures, I’d be pretty ecstatic if I were you. If you have any questions or concerns feel free to contact me 🙂. Bill

@servonoparecchicapelli Well you certainly don’t want to go completely broke undergoing hair transplant surgery, keep in mind that this is a lifelong investments and you don’t wanna price to be the ultimate deciding factor. In my opinion, it’s better to wait a couple of years, save up the money and get it done right the first time then take a risk go to somebody that you’re not as impressed with. i’m trying to keep this advice as neutral and unbiased as possible here because obviously I represent Dr. Rahal but as the former man aging publisher of this community, there are some other outstanding doctors who would also do a great job. BUT, it’s obvious you mentioned Dr. Rahal for a reason and is the only doctor you mentioned that is in North America. He is certainly outstanding and his approach Is quite impressive. He’s one of the only doctors I know of that measures transection rates for every procedure and analyzes and further refined graphs on your microscopes as appropriate after extraction. Best of luck, Bill

LonelyGraft, “her transportation” is when you need to get to your hair transplant in a hurry and realize that you just don’t drive fast or crazy enough so you have to ask your wife to drive you 🙂 or it could just be a terrible speech to text translation issue 🤑 Bill

Brizmore, to be honest, I think hair transplantation or scalp micro pigmentation could help you but there are pros and cons to both approaches. For starters, I suggest consulting with a top hair transplant surgeon and discuss whether or not he or she thinks a hair transplant procedure is right for you. In this case, FUE would be the most appropriate procedure especially since you are looking to fill in a star and not achieve another one. But sometimes hair Has a more difficult time growing in scar tissue than normal tissue. So that is one thing to discuss with your doctor. Tatian is a viable technique but would have to be a repeat procedure every couple of years. There is permanent SMP but as far as I know, discoloration is still very possible a couple years down the road. That’s why temporary SMP is typically preferred but over time, the procedure needs to be repeated. Please keep us posted with your decision, Bill

Deitel, I will admit upfront that I have not read everybody’s reply but I just wanted to respond to Your initial question. Ultimately, shock loss or telogen effluvium can occur anytime hair is transplanted in between existing hairs. So if you are a diffuse thinner and you are getting a hair transplant all of the scalp to a density, it’s very possible that you will lose some if not all of the natural hair on top… Especially those that are miniaturizing. your initial question. Ultimately, shock loss or telogen effluvium can occur anytime hair is transplanted in between existing hairs. So if you are a diffuse thinner and you are getting a hair transplant all of the scalp to a density, it’s very possible that you will lose some if not all of the natural hair on top… Especially those that are miniaturizing. While terminal hairs are less likely to be “shocked“, it’s still possible but the good news is, those hairs will grow back starting between 3 to 6 months. Velous or miniaturizing hairs however, may not grow back because they were on their way out anyway. The only chance of saving them would be if you somehow reversed the hair growth cycle so that they would become terminal again… Which is possible by using Propecia or even Rogaine. Whether or not a hair transplant is the right choice for you may depend on how much sitting you have on top versus how much donor hair you have available. Moreover, if you have a lot of natural hair left, I think it’s a good idea to try Propecia or Rogaine for a while first to see if you can stop or even reverse the hair loss process through medication. I hope this helps. Bill

Jc80220, Honestly, the answer to this question varies on both the donor area and the recipient area properties. Allow me to explain. If you are undergoing FUE in the front and then your next hair transplant is in the back, you could technically get them back to back in a two day procedure depending on the available donor hair supply in a single session and how many grafts/hairs are required in each area of the scalp Note that one procedure could take multiple days. However, there’s only so many grafts that can harvested via FUE at one time without overtaxing the donor area. So For example, if your first procedure took two days and covers the entire frontal half and used up all the available donor area in a single session, then you would likely have to wait 9 to 12 months before undergoing a second procedure in a different area or even the same area of the scalp. However, if you only require a small number of grafts in the frontal area and had plenty of available donor hair left via FUE without having to wait for the donor area to heal, you could target another area of the scalp rather quickly after the first procedure. That said, if you’re targeting the same area of the scalp in a second procedure, regardless of the available donor you will want to allow 9 to 12 months for the recipient area to heal and new hair to grow prior to undergoing a second procedure Does that make sense? Best wishes, Bill

Technoir, Quick question, you said that these grafts have grown but that they haven’t grown beyond their current state. Did these grafts ever shed? In other words, between 4 to 8 weeks, when all the transplanted hair grew out, did these hairs fall out and then grow back to their current state or did they stay implanted and just grew a little without shedding and never grew anymore? The reason why I ask is, if they never shed to begin with, it’s possible that the follicle never took a root or the follicles themselves were damaged/transected. However, if they did shed initially and then go back, it’s possible that the follicles took route but there may have been some damage preventing them from growing at normal rates. in my opinion, I would ask your doctor for his assessment and advice on the matter. Why did Dr. Bhatti say? Best wishes, Bill