BoldnotBald

On 9/23/2021 at 10:45 AM, Zoomster said:

from my own back of an envelope calculations back in 2019 I had 160 sq cm of bald scalp ..so using the magic 80 sq cm of original density pre balding that would mean I’d need 12,800 for pretty much optimal coverage ..

Im still 1,200 throughout the scalp shy ...

they are all very approximate numbers 

given the fact that you have a quite prominent occiput my guess is that the size of your previous bald area was much more than 160 sq cm, probably between 240 to 260 sq cm.

as for doing a correct calculation on the total number of grafts needed to get optimal coverage of a bald area your underlying formula (bald area multiplied by 80) is a bit too simplistic, unfortunately.

On 10/8/2021 at 4:24 PM, H3ri said:

Day 3 Post HT – 07 Oct

•  I was able to follow the PPM method (push, pull milk as Dr. Pradeep Sethi mentioned)

 

 

would you be able to further explain this method?

On 10/8/2021 at 4:24 PM, H3ri said:

Day 3 Post HT – 07 Oct

 

• Swelling at the top of the forehead was present. I was able to follow the PPM method (push, pull milk as Dr. Pradeep Sethi mentioned) and did about 20-25 reps of this every hour or two coinciding with the saline spray to the recipient areas. The back of my donor area felt very warm and felt a lot of heat emanating from the back of my head. Recipient sites feel a bit itchy.

does your swelling come from the type of anesthetics that you received? i.e. did eugenix inject anesthetics together with saline (aka tumescent anesthesia) into your forehead?

On 10/8/2021 at 4:24 PM, H3ri said:

Eugenix Journey (HT across 02 – 04 October 2021)

 

Extracted 4K from back scalp, 1.6K from beard, and 0.4K from side burns. Implanted 4K in the front/middle scalp and 2K in the crown.

HT Day 1 - 02 October

• The night ended around 2330 with around 3K slits being made.

HT Day 2 - 03 October

• 03 October the procedure start time was on for 0800.
• Changed into the overalls and began the local anaesthesia. Extraction began and by around 1430 around 2K were implanted.
• ...closing the day with maximising the scalp with 4K grafts (estimates were around 3.3-3.5K available) and implanting 4K and around a total of 5K slits created.

HT Day 3 - 04 October

• 04 October the procedure start time was 1400.
• Dr. Arika came in to create further slits amounting to over 6K and the extraction from side burns began and implantation to the crown area and mid scalp. The day closed out with a total of 6,009 grafts implanted at around 2110 hours.

 

a very detailed report. great, h3ri!

as for your procedure does this mean that

- the first 3k recipient slits were made on ht day 1 and between 8 and 13 hours before the first 2k grafts got extracted and implanted on ht day 2?

- another 2k recipient slits were made on ht day 2 (in the morning or afternoon?) of which 1k got implanted with grafts that had been extracted the same day?

- there was another time gap of the remaining 1k slits of maybe up to 24 hours before they got filled with freshly extracted grafts from ht day 3?

14 hours ago, Eugenix Hair Sciences said:

 

14 hours ago, Eugenix Hair Sciences said:

I AM A FULL TIME EMPLOYEE OF EUGENIX

14 hours ago, Eugenix Hair Sciences said:

I HAVE BEEN WITH EUGENIX AS A FULL TIME MEDICAL CONSULTANT SINCE MORE THAN 1 YEAR.

14 hours ago, Eugenix Hair Sciences said:

I AM A MEDICAL CONSULTANT, I DO GIVE PRELIMINARY DETAILS OF THE PROCEDURE AND FIELD THE SCIENTIFIC QUERIES AND BECOME A BRIDGE BETWEEN THE PATIENTS AND THE DOCTORS

14 hours ago, Eugenix Hair Sciences said:

I AM CLOSELY ASSOCIATED WITH THE PATIENTS' JOURNEY. I DO TAKE THE OPINION OF THE DOCTORS WHENEVER THERE IS A POINT WHERE I FEEL MY KNOWLEDGE IS INADEQAUTE AT THAT POINT.

14 hours ago, Eugenix Hair Sciences said:

I WOULD LOVE TO SHARE SUCH INFORMATION SO THAT EACH AND EVERY GUEST/MEMBER CAN STAY UPDATED CONSISTENTLY WITH RECENT DEVELOPMENT. 

thanks for letting us all know, amandeep,

from what you have revealed about your profile it would be wonderful to see you become a major asset to this forum. in particular this sounds perfect that you act as a full time bridge between patients and eugenix doctors and let us participate in the wisdom and invaluable ht experience of eg. dr. arika and dr. pradeep.

as such we all look forward to learning from your knowledgeable answers - answers that add true value and focus on providing meaningful information that go beyond the typical responses of a pr manager with quite often very little or... actually... no... real... content...

ps.: as a matter of transparency and honesty it would be good if you could

- provide additional public information: add your name above eugenix logo as well a signature at the end of each post (like your colleague abhinay singh does) and that reflects eg. your function etc.

- correct the information that you provided on your profile

thanks

2 hours ago, Eugenix Hair Sciences said:

That is true. Nobody can make out extraction is done in the beard area. 

hello amandeep (?),

i recently asked you to introduce yourself. unfortunately you haven´t responded so far.

may i therefore kindly ask you again to tell us a little bit more about you. eg.:

- whether you are employed by eugenix or doing just freelance work for them

- for how long you´ve been with eugenix

- your function there (eg. pr manager for social media)

- your experience and expertise with ht

- anything else that might be worth knowing for the forum members and guests

many thanks

2 hours ago, londonhairlossvictim said:

Hey there thanks for this, I followed your advice and got these - does it look clearer?
Like I said I don't know if it's me as personally it was always from the start my left side of temple what I was concerned about the most so it does look like - this is now Post 15 days

My clinic said it's healed well and all looks good

Personally just me it looks like one side is more dense then the other, or maybe it's just part of the process?

 

 

 

 

 

hi, unfortunately i don´t see much difference to your previous pics:

i suppose you want to show those red circled areas and they are still out of focus. i recommend you to get the app as previously suggested. it should allow you to get the areas into focus if need be and as explained in the video - after you´ve taken the pic.

14 hours ago, londonhairlossvictim said:

Today is a full 2 weeks since the day of my procedue, this is how I look. I do have a slight concern not major, my left temple - it looks visually to me less "dense" as the other side. Also at night, not always but I feel a sensation there or tingling rather than anywhere else. It's also the main area I was concerned about that made me do the HT in the first place, if you see my pics from before that was where the thinning/receding happened the most.

Does it look fine to you guys? Me just being paranoid - or again just part of the whole process.
Currently I only take Finastride 1MG every day, not using anything else. Been told to wait total 4 weeks before using Minoxidil again.

hi man,

to better evaluate your progress and ht journey in future it would be great to see the most important parts of your pics in focus and not blurred as is currently the case, unfortunately.

of course i understand the general limitations in getting the focus right whilst shooting yourself. but since you are using an iphone it should be quite easy:

since we are here to help and support each other i´ve just checked especially for you (i don´t own an iphone) and found 2 possible solutions:

1. whilst viewing the pic on your iphone that you want to take you just tap on the area that you want to focus and leave the finger there a bit longer which means that the focus will get locked there. or

2. you get a very nifty app for your iphone to solve not just that problem but maybe give you even more powerful options in future. here is the app:

focos

and an introductory youtube review:

hope this helps.

9 hours ago, Zoomster said:

 

 

 

 

with the sometimes brighter spots that seem to lurk through - would you consider your donor areas to be affected by hyperpigmentation?

8 hours ago, Zoomster said:

 

...have a look at that crown with the use of only 400 or so grafts ...I’m having trouble uploading video so this edit is today day 11 ...

 

Z 

 

great to see quite clear pics. thanks a lot for that, z 007 😉

as for your crown i suppose this was filled by 400 beard hair grafts only since they look much thicker compared to the rest. but i suppose they will get thinner over time like the previous ones did - correct?

in terms of the  close up of the transplanted frontal grafts - what camera and settings did you use to get such a crisp image? this one looks great!

22 hours ago, Gokuhairline said:

interesting read on the intermittent fasting i def did it about the wrong way and probably deprived my body of good nutrients and probably affected my hair...I am going to start back again and adding smart foods as well as supplements...happy growing

i suppose the most important thing when doing intermittent fasting without any negative side effects is simply to lead a lifestyle with a balanced diet as already hinted by maz - and which also includes regularly less consumption of (unfortunately quite often hidden) sugar and salt.

22 hours ago, MazAB said:

@RandoBrando517 no, but I chose to have them shave it to keep everything even during and after the procedure. Personally don't mind the buzz cut look.

did / do eugenix take pre-op pics after they´ve shaved the head and in the same way they did your post-op ones?

22 hours ago, MazAB said:

Here is my Day 15 update: 

Seems to be that everything is progressing as normal. Donor looks and feels untouched. I’ve been applying natural aloe from my aloe plant several times a day. I’ve been keeping the grafts very well hydrated with daily washes and saline spray throughout the day. Hopefully that helps the crusting heal a little faster. It’s a slow going process with the healing of the crusts, but I know it’s just par for the course, so I will try not to focus on it and let nature do its thing. Redness is lingering a little, but noticeably getting better by the day. Right temple needed less work than the left, and you can clearly see a very natural look blending into the native hair on that side. I’m hoping that the left one, once fully mature, has the same natural appearance.

In addition I’ve upped my doses of MSM, D3, C, E, and Niacin. In my opinion, Niacin is the perfect post hair transplant supplement. It improves blood circulation in the scalp, decreases inflammation in the scalp, and also rebuilds keratin in the anagen phase (growth phase). As hair is composed almost entirely of keratin, the lack of it will always lead to thinner, weaker hair. Once the grafts shed out, the telogen phase takes over, which as we all know takes about 3 to 4 months for the new hair follicles to come out of that resting phase, and enter back into an anagen growth phase. My goal is to try and take them out of that resting phase a little sooner with higher doses of D3 and MSM. While Niacin helps in the growth phase, D3 will help in the resting phase, both will promote more keratin proteins to form, and a higher dosage of MSM will help to fuel the keratin in every stage.     

I’m still well within the safe limits with my daily intake, but like I've already mentioned, but sure to talk with a doctor or nutritionist before deciding to fast or taking any additional supplements for yourself.

MSM - 2 Grams daily

D3 - 5000 IU daily

Niacin - 200 mg daily

C - 1500 mg daily

 

 

 

 

 

i suppose the current impression that those implanted temple grafts and which don´t look quite right at the moment in terms of their different angle and different direction is just temporarily.

22 hours ago, MazAB said:

@BoldnotBald I’m happy to share more details around those topics for sure. As far as blood testing goes, I personally have it tested by my primary care physician because I’m able to have my insurance cover most of it, and can also have my doctor recommend dosage of some of the key supplements, based on what may be lacking in my diet. The main benefit of having your doctor work with you directly on this is you can track trends year over year and have input on how you can change your diet first and foremost to meet the deficiencies, and if diet alone can’t, then the use of supplements will nicely fill that gap. I use a combination of nutrition testing and vitamin panel testing to evaluate the levels of macronutrients and micronutrients in the blood. Here is the breakdown of what it covers.

 

Nutritional Tests:

• Calcium

• Magnesium

• Iron 

• Sodium

• Zinc

• Phosphorus

• Omega-3 / Omega-6

• Folic Acid

• Beta Carotene

• Electrolytes

Vitamin Panel Tests:

• Vitamin A

• Vitamin C

• Vitamin D

• Vitamin E

• Vitamin K

• Vitamin B1 (thiamine)

• Vitamin B2 (riboflavin)

• Vitamin B3 (niacin)

• Pantothenic acid 

• Biotin 

• Vitamin B6

• Vitamin B12 

• Folate 

These are all good for the body and hair, so you would not want to be deficient in any of them. It's a great start to understanding where your diet needs to change and how to add in supplements to eliminate any deficiencies. My doctor is also a nutritionist so that certainly does help, but I would think that most general doctors can perform nutritional and vitamin panel testing. 

Best advice I can give anyone before doing this is to improve your diet, incorporate HIIT training in your workouts, and find a fasting schedule that fits your lifestyle.  If you give your body positive changes and a more predictable lifestyle that it can adapt to metabolically, then the tests will satisfy a much bigger part of the equation for you. 

 

As it relates to the hair, I can definitely see a difference with some key supplements I’ve taken for years mentioned in my initial post. Intermittent fasting however, while it doesn’t have any proven benefits to promoting hair growth, if the diet is undertaken properly it can over time give you stronger, healthier hair. 

 

It’s important to ease into intermittent fasting. I started with a 12 hour fast and worked my way up. I now do 18 hours daily with a 6 hour eating window. If you don’t ease into it, it could cause  stress as your body undergoes a major dietary transition which could actually lead to additional hair loss, so definitely ramp into it slowly! Month 1 - 12 hour, Month 2 - 14 hour, etc… The reason I do 18 hour is that I want my body to enter into Autophagy which is when all the repair at an intracellular level happens. It takes typically about 14 to 15 hours to burn thru your glucose stores before you enter into it, so the extra few hours in Autophagy daily really helps everything in the body, hair included.

 

Another word of caution would be that when you are first making changes to your diet it can become easy to miss out on key nutrients and minerals your body needs to ensure your hair remains healthy and strong. Often the mistakes made for anyone starting to fast is that caloric restriction many times leads to the lack of key nutrients which many times leads to premature shedding and more hair loss over time. So be sure to eat what your normal calorie intake would be in that shorter window, and be sure to incorporate as many superfoods as possible during that window (lean meats, fish, leafy green vegetables, fruits, nuts, seeds, etc.). 

 

For my research in general health in addition to hair, I tend to lean more towards Cochrane reviews simply because they are the most established and have the most rigorous testing methods, typically perform double blind placebo controlled trials more often and with some of the most respected researchers across the world. They are most definitely at the top of the pyramid for anyone using high-quality information to make health decisions. You can search on their website as well for any trials performed related to hair treatments or drugs. There are countless amounts of them to sort thru. 

https://www.cochrane.org/

 

For my hair research I try to take from multiple sources, but I really like William Slator. He’s probably written a few hundred articles over the last decade or so on hair loss. Although he’s the founder of his own product called Biogaine, which I do not necessarily endorse, I do respect his knowledge and research around the biology of hair. I’ll point you to a must read article of his that discusses how Intermittent Fasting and Autophagy has a direct effect on the hair. 

https://www.hairguard.com/fasting/

...

In addition I’ve upped my doses of MSM, D3, C, E, and Niacin. In my opinion, Niacin is the perfect post hair transplant supplement. It improves blood circulation in the scalp, decreases inflammation in the scalp, and also rebuilds keratin in the anagen phase (growth phase). As hair is composed almost entirely of keratin, the lack of it will always lead to thinner, weaker hair. Once the grafts shed out, the telogen phase takes over, which as we all know takes about 3 to 4 months for the new hair follicles to come out of that resting phase, and enter back into an anagen growth phase. My goal is to try and take them out of that resting phase a little sooner with higher doses of D3 and MSM. While Niacin helps in the growth phase, D3 will help in the resting phase, both will promote more keratin proteins to form, and a higher dosage of MSM will help to fuel the keratin in every stage.     

I’m still well within the safe limits with my daily intake, but like I've already mentioned, but sure to talk with a doctor or nutritionist before deciding to fast or taking any additional supplements for yourself.

MSM - 2 Grams daily

D3 - 5000 IU daily

Niacin - 200 mg daily

C - 1500 mg daily

 

this is quite amazing in every respect, maz:

first of all i am truly impressed by the amount of pre-op research you´ve done. apart from that i am grateful for your invaluable insights that you´ve been sharing in particular when it comes to the factor "nutrition" as well as the various sources that you´ve tapped.

very good stuff!

as for your own dietary journey and what you mentioned about tracking long term trends through regularly analysing macro- and micronutrients in your blood:

with which deficiencies did you start?

how did you change your diet and vitamin supplements as a result?

and finally how much were you able to reduce the deficiencies over which period?

apart from all the measured numbers and figures have you noticed any concrete improvements eg. hair or skin wise, or mentally or in terms of your energy level or...?

On 9/10/2021 at 7:32 AM, Eugenix Hair Sciences said:

 

thanks eugenix hair sciences for sharing your thoughts and examples.

since you seem to have joined quite recently may i kindly ask you to provide your name and function within eugenix before i properly reply. thanks.

some more questions directly related to ht:

- there are quite a few red dots above your ears. does it mean that grafts were also extracted from this region? or did you get grafts implanted there to get a higher density?

- since you had a close encounter with mr. future 007 aka zoomster - how on a scale between 1 and 10 would you rate the naturalness of his transplanted hair? in particular how well, in your view, did his transplanted beard hair blend with his scalp hair? (10 being completely undetectable and 100% natural, 1 being considerably noticeable)

19 hours ago, MazAB said:

Thanks for the support man!

it goes without saying that decent guys like you and who are prepared to give something back to this forum deserve to be further accompanied throughout their ht journey and potential challenges...

having said that it would be great to learn more from your expertise in nutrition and relevant correlation with hair and skin - eg.:

which elements of a blood tests would have to be analysed? which figures to be targeted? and who would be qualified to do a proper evaluation of the blood test also including current nutritional deficiencies and dietary recommendation? which literature would you recommend to dig deeper into this subject?

also, it would be quite interesting if you could share some of your experience gained with intermittent and extended fasting.

@MazAB

as for the wallboard that shows the statistics of your graft count - what do "f", "p1" and "p2" stand for?

On 9/8/2021 at 6:41 AM, MazAB said:

@BoldnotBaldno, they do not incorporate photoshop into the session. But just as easy to just take photos of each version, then decide I suppose. Wouldn't be a bad suggestion for any clinic to have that ability, but thank God we are all good and loving the design instead of being stuck with one that's less appealing to me.

just had a closer look at your revised hairline. and yes, it suits you better since the now more roundish frontal appearance (caused in particular because of the smoother transition from the temples to the hairline) is more in line with the overall roundish shape of your face / chin...

i am not quite sure about your advice on how to best avoid of having to post-op revise a not yet perfect hairline.

from what you wrote i understand that at least 2 pre-op hairline options were drawn onto your head by a very experienced surgeon having probably drawn thousands of hairlines before. plus you showed your own design that you had already done as part of your meticulous preparation.

please correct me if i am wrong - but would you

a. advise to take pictures of the various hairline options and then first of all have a good and long meditation on them (whilst maybe also asking friends and partners and maybe sleep a night) before making a final decision? on the other side did you somehow feel under pressure to make a quick decision once the hairline options had been drawn?

b. maybe do and finish the homework completely at home prior to the visit?

On 9/1/2021 at 10:06 PM, MazAB said:

 My only concern coming out of the procedure is that I had barely any singles. They needed to split doubles to obtain all the singles necessary for the hairline and temples. They did assure me that it was standard practice and that the techs perform graft splitting daily, but it’s just one more moving part in the procedure that gets me very nervous. I’d love for anyone to comment with any experience in graft survivability after splitting.
 

splitting doubles into singles is quite common practice - that´s for sure, in particular in the fut world, as this is eg. done on a daily basis at hasson and wong.

so, generally speaking this graft splitting procedure is not an issue - unless it is done with no magnification at all or with cheap microscopic devices that allow only for low magnification and which means that there might be a real danger of damaging the grafts.

as for eugenix i understand they use high quality stereo microscopes from mantis with a magnification rate of up to x20 for that.

but hey, they´ve got a rep here. and i am sure he knows and hopefully will tell more about the details.

On 9/5/2021 at 11:13 AM, MazAB said:

I would recommended to have several options drawn out with completely different shapes and arcs so you can see what works framed to your face. Trust me, when you see the one that truly works you will definitely know it right away, but without seeing it drawn on your head it could be easy to just move forward the first option and think it’s good enough. So be sure to take more time than I did in the design room.

 

 

 

 

 

 

 

that´s a good point mazab, to evaluate several hairline options before deciding on the final shape.

however, i understand that drawing different shapes of hairlines were / will be done when you have already been shaved. so, how were you able to imagine how you would finally look with the various options? did they at the clinic do eg. various photoshop versions of you with full hair (before you got shaved) including

hairline option 1

hairline option 2

hairline option 3

@Zoomster

also big congrats from my side. your transformation is quite stunning. and following earlier this year´s b&w visual medley i am glad to see you finally becoming the successful successor of, well, daniel craig.

you deserve it, man 😉

in terms of  the massive amount of transplanted beard hair i am still intrigued to learn more of the overall experience:

- did / do you notice any difference when eg. combing or/and striking through your hair?

- when looking at your hair closely: did eugenix or maybe you mazab notice any visual differences between transplanted beard hair and scalp hair?

19 hours ago, Melvin- Moderator said:

Can’t wait to follow your new journey. 11,600 grafts is unheard of with FUE certainly a record on the forum.

11,600 grafts is definitely a very big figure. however, it´s not unheard of in the fue world and for sure not a world record as eg. dr. zarev from bulgaria will tell you (and i believe also dr. umar with his bht sessions).

have a look eg. at dr. zarev´s website who regularly does uber mega sessions above 10000 grafts in total even without using beard hair (of course if the donor allows.):

https://www.hairtransplantation.bg/index.php/en/results

12 hours ago, Zoomster said:

stay tuned for next update in a couple of weeks ..I'll fiddle around with settings ..😊

light seems to be fine with me. And in terms of settings. Well...

Would it be possible if you maybe just upload the original hi-res pics that you took with your camera - that would do. At the moment your images rather look like low res screen shots that were taken out of the original photos 😉

Donor dominance vs. recipient dominance - I am not in the position to approve or disapprove either of the theories. However, I am rather curious to learn more about the truth...