deeznuts

https://www.hairrestorationnetwork.com/forum/15-hair-restoration-results-posted-by-patients/

Hair systems can cause traction alopecia and pull out existing hairs

Dr. Pak is Dr. Rassman's protege right? Dr. Rassman has trained some great doctors like Dr Mohebi and worked with other great ones like Dr. Bernstein. Plus he's super ethical. At the end of the day, you just have to look at the doctors results on patients with similar hair loss patterns as you. Look at the doctors style and whether you think their goals align with yours. For example, I had a local doc recommend my like 1200 grafts just because he's a conservative guy and then Hasson and Wong went and recommended me 3000 grafts the following week. Make sure you don't only look at the doctors cherrypicked results and find ones from real patients.

Nice, you got any pictures of your progress?

Good thing to remember that while people talk about the diameter of the punch being X amount, the area that's actually punched out will actually be a lot larger. So while 0.75mm is 75% of 1mm, the area of 0.75mm diameter punch is something more like 55% of 1mm punch.

Man, your donor is see-through. I would go in with muted expectations. You may not be a good candidate as usually people who are overharvested have that kind of appearance in their donor.

True. It's been really hard to figure out what the unbiased truth is. This whole situation does boil down to a he said/she said scenario. I've read all the threads and personally just feel like it's super hard to discern the whole story without actually reading all the emails and knowing exactly how the conversations went down. It's really hard to make a judgment either way just because the patient seems upset and Dr K really hasn't said all that much. Like I just got the feeling the whole time that I was only hearing part of the story, and then from Dr. K, he didn't really say anything. I don't really feel it's fair for anyone to make a judgment based on what we've read so far. Though my personal opinion is that I really feel like he should have taken Dr. K up on the offer and put things to rest. It's legitimately the best way for both parties to proceed if he hasn't burnt his bridges with Dr. K already... But at the same time, his hair looks great. Some people would kill to get "botched" like that. And have a free session thrown in afterward... I'm still kinda clueless how 70 grafts/cm is such killer density anyway as if it's in the hairline it's probably mostly singles and lots of people have native density that exceeds 70. At worst, he could just use thinning scissors like they use at hair salons to thin out his hair. What an all around weird case lol. I've never heard of too dense before.

Thats gotta be retrograde alopecia right?

According to their reps, they're about equal. According to the forum, probably Dr. Hasson for hairline and Dr. Wong for crown.

Would I? Yes. I'm thinning at the temples and maybe my hairline is a touch higher than it was at 20 (I'm 30 now). I can do the same thing as you where I let my hair cover my temple recession but I wouldn't really enjoy it. I want to expose my hairline, try styles that flatter my face, and have hair that makes me as attractive as possible. So it's something that matters to me. Do you care about going from passable to good? Or is your only priority not appearing bald? It really depends what you're looking for. Frontal recession is difficult to fix with medication as it's rarer for it to regrow in the front. So your choice here is very likely just gonna be to drop the cash and fix the hairline

Money is nothing at the end of the day. Not compared to something lifechanging like a hair transplant. You can earn that back, advance in your career, and spend less on dumb crap. Probably not how I would have put it but yeah, that's kinda what it boils down to at the end of the day. There's no guarantee. You really just need to pull the trigger and put your hair in the hands of the best and understand your alternatives if things go wrong. Most good doctors will fix it for you if things go wrong and some might offer a refund if they're generous. No amount of worrying or anything else will change the performance of the doctor. It's out of your control so all you can really do is get whatever you can under your control. After that, there's nothing to do or worry about. You can research all the stuff you want but it really does just boil down to if you can pull the trigger or not. For what it's worth H&W are among the best in the world

Yeah I'd love to see that too but at the end of the day, a lot of people after they get a transplant, stop visiting transplant forums

That's a crazy good result for NW4.

I like to see a consistent poster as well or at least someone who's been here over a period of months if not years. It just takes a lot of effort to create a persons entire post history and fake an entire person over a period of several months/years only to get one "review" out of it.

I dont think he talked about topical dut and going systemic. I think he just skipped that question

Looks like Dr. Bisanga is big on oral minoxidil lol. I was totally expecting him to talk about topical dutasteride but it's really cool seeing different doctors trying different treatments.

I think they said i had to get a prescription in person but maybe different depending on who you talk to

That and the fact that most women are effectively "low norwoods" in terms of grafts needed. Most women just want to lower their hairline a bit or fix a bit of recession. That's like a 2k graft procedure for the most part whereas some guys are fixing their entire midscalp and hairline which is a whole different procedure. Look at NW2 guys and they'll see fairly similar high quality results to women. Turns out if you have a ton of grafts available in a small area, a lot of donor, and minimal foreseeable loss, you're very likely to have a great result

At 21, I wouldn't bet on anything. Dr Rassman says your balding pattern doesn't usually become apparent until your late 20s

That's actually a totally legit strategy man. I've seen posts where people suggest a hair piece for the crown and then they transplant the front and midscalp. If you try that out, you could definitely get the best of both worlds. I think you'd be able to reasonably achieve what you're looking for. A decent frontal third and a bald crown or even one that you're wearing a hairpiece over

Hmm, I wouldn't compare myself to Musk if I were you. I'm not sure if Musk is balding in his crown which is a big difference. See if you can find other diffuse NW6 guys like I believe @Melvin-Moderator is to get a good idea of what can be done.

Yeah that looks like you've got a diffuse Norwood 6 pattern. The crown dips pretty low back there but the lateral humps look intact which is nice. At 25, that's pretty killer so like Melvin said, that's potentially full on NW6 by 30 if you're not on any drugs. But so long as you got the lateral humps, you're not a NW7 I'm not really balding as aggressively as you so I'm not really so knowledgeable on your case, but from what I've read on these boards and from seeing other cases, you're probably not going to have great density as a diffuse NW6 and will probably be playing the donor management game. At best, the doctor will probably give you reasonable density at the hairline and you'll probably see it drop off once it gets to the mid scalp and crown. So yeah, I would curb your expectations. Did Konior explain what his plan for you was? Was it just 3k grafts in the frontal third at this point? Also, define reasonable density. Is it just not having a see through scalp? Or is it being able to wear toppik and not have see through scalp? Or is it some measure of how it feels and not looking bad under harsh lights or when wet?

I'll probably catch this one on instagram after the fact. If it's anywhere as good as Dr. Wong then I'm sure it'll be great. Would it be possible to ask Dr. Bisanga about his thoughts on topical dut? It's always nice to hear from multiple doctors or even to know that there are multiple doctors advocating its use, formulating it, and making it more accessible to everyone.

I honestly don't think low hairlines are that unnatural. Obviously you shouldn't be shooting for one if you're getting a hair transplant but there are guys out there with low hairlines that are totally natural. Asians are a great example.

Wouldn't stability be something that the doctor looks at through a microscope? I.e. they want to look for miniaturization