MC10298

12 hours ago, Classygentleman said:

Thanks @MC10298

Are you saying that you don’t think enough grafts were packed into the hairline?

Thats the concern. Hopefully I'm wrong.

3 hours ago, Melvin- Moderator said:

Comparisons are never good, to many variables such as head shape/size, etc. No two people are the same.

Sounds defensive ... I think the OP deserves a more considered opinion of his density concerns than this. What is the OP to take away? He's got the wrong shape/size head for density?

Density is a measurement FU/Cm2. The illusion of density is somewhat more nuanced, but whatever way you cut it, if you lack FU/cm2 from the start, you will always struggle.

Comparisons are what we all do all the time on this board. A prospective HT compares the work of different surgeons before making their decision.

You make comparisons when the HT of the week is chosen.

@Classygentleman has expressed concern that at 8 months, he lacks the desired density and asks for feedback. He needs a little more to work with than 'no two people are the same'.

 I've offered my opinion whats yours?

2 hours ago, deeside81 said:

Dr Ferreira said i could start minoxdil but to be very diligent as it could cause more problems if not. This put me off using it tbh.

• I would ask the doc what he means by 'very diligent'. In other words, to the untrained eye, what should you be looking for? We know that minoxdil can accelerate shedding (this can be desirable to allow a new stronger, thicker hair to emerge)
• The day 12 photos show some nice density.
• The donor pixs aren't very clear. Always try to take pixs using the rear camera, on mobiles it's a much better camera than the front facing one.
• Look forward to seeing your before pixs to see your start point.

Good luck & good growth

IMO there was a lack of density from the start. If you compare your ten day photo to a recent example where the stated density was 60g/cm2 reducing to 45 g/cm2 behind the hairline. I have removed the color in both photos to emphasize the contrast.

Many thanks @slfor your reply.

Clinical expertise is tricky to scale.

Do you present work on the forum from doctors other than Dr B and, do you credit the work to those doctors?

During my research, Dr Bisanga name appears alongside the very top surgeons. Looking on the website (https://bhrclinic.com/team/), BHR is in Belgium, UK, Israel and Greece.

• How does that even work?
• Do patients turn expecting surgery by the distinguished Dr Bisanga and get the doctor available at that location?

Perhaps one for the rep(s) but also interested in recent patients experience.

I think the discussion on Finaside is valid. It is one of the reasons many top clinics insist on at least 6 months medication prior to an evaluation.

If we take the presentation on face value (excluding concealers and lighting) and assume the patient is a hyper responder to Fina, then it raises the question 'did he even need a transplant?'. At the very least, after 6 months of hyper-growth, you'd want to give it another 6 months to re-evaluate.

The main takeaway is to get on the meds early, surgery should always be a last resort.

10 minutes ago, Doron Harati said:

 @MC10298 Peaks? You mean the middle scalp area before the crown?

 The area marked in blue.

5 minutes ago, Doron Harati said:

Thanks, last time we did 3.5 years ago. 

I think that is one of the nice things after a successful procedure that patients can just move on with there lives.

10 hours ago, Doron Harati said:

 

For me the only thing missing from this image is improvements to the temporal peaks.

Does Dr Maras work in this area? and if so do you have any examples?

Very nice and natural.

I notice the procedure was carried out in 2015. Has the clinic had any recent contact/photos? 

I don't perceive the OP's observations as negative.

I'm sure that we would all encourage a prospective HT patient to carry out thorough research. It would be strange if that patient then became passive and stopped being inquisitive.

The OP reported new statistical data provided by the clinic that he felt (and I agree) was of concern and raised questions. Can he change anything now? Perhaps not, but it is important to acknowledge these concerns. This journal documents the OP's journey through the highs and lows. It also provides valuable information to the community, which the OP should be commended for.

@urbanite88 have you had satisfactory answers to your questions from the clinic?

Oh and not to forget keep us all updated with your informative progress🙃 - I'm sure everyone is hoping for a great outcome!

36 minutes ago, SD1984 said:

What exactly are your concerns at this point? To me, your donor looks like it’s on the right track. It’s only been a week or so since surgery. Not everyone has that lucky scenario where after 3-4 days it looks like the donor was untouched. You also got quite a lot of grafts which adds to the likelihood of a longer recovery in the donor. 

I'm sure the OP was joking. His concern is less the donor, which had the smallest possible punch, but rather will he get enough density in the recipient area.

To the OP, it's like jumping out of a plane. You do all your checks before the jump to ensure a safe landing. You went with a well-respected surgeon. It's now your job to land it safely ie. minimise stress, maintain the recovery protocol , keep in good health & spirit etc.

2 hours ago, alex84 said:

No. First two photos are taken at the same time, before 3rd HT, showing the how much the perception differs depending on the angle. The third and fourth photos are indeed taken on the same day, 6 months after the first two, before and after a haircut, so not the same length. They show how that bad looking donor from the first photo looks after one more HT (small) and how it recovers with the passage of time. 

What i wanted to say to  Hairloss2021nomore is your donor will recover with time, a good doctor can harvest a lot of HF from your donor without depleting the donor zone by good management and most important don't focus on the negative because if you search for it you will find it.

Thanks for clarifying.

It's an important observation you make, lighting, length of hair and angle make such a difference. 

First and foremost, find a product you like the taste of. Even one you like at the start will get a bit repetitive. Just like training, consistency is key.

Consider an unflavoured powder (a lot cheaper) and make lush smoothies with frozen fruit. Sugar-free syrups can be added to give the shake added sweetness/switch up the taste.
Sugar-free syrup example https://www.monin.com/uk/sugar-free-syrups.html

Many thanks for presenting your case. Dr Bruno's work looks very tidy.

Will follow with interest my friend.

Ps. another vote for the buzz cut look - looks great on you

On 7/3/2021 at 7:46 AM, alex84 said:

It is really hard to tell how your donor looks when you are taking photos from below with your head tilted down. Having such a big number of HF taken from one part of the head is always going to show, and the best thing a doctor can do is to make the donor zone homogeneous. This is my donor before my last op taken from two different angles and 6 months after that (3rd HT) so you see that even do my donor looks bad before the last HT it isnt that bad when taken at a normal angle. i hope your recipient area is growing well and that you will be satisfied with that part.

I'm reading your post that photos taken at the same time but from a slighty different angle can affect the perception of how thick the hair is - correct?

The big difference I notice in photo 3 & 4 is hair length, Are you saying these were taken at the same time?

On 7/2/2021 at 2:57 PM, Hairloss2021nomore said:

I noticed there are a number of white bare patches in this photo. As others have mentioned, better photo(s) of the donor area prior to the procedure at a comparable length is required.

Just an observation - 4800 grafts in a single session is a lot. Time must be a factor, and if time is a factor, does that affect the precision required to spread out the extractions. (?)

Big improvement to your pre-transplant photos. Well managed donor too.

Really pleased for you - Enjoy!

I disagree that the OP has been well served by Eugenix.

As I highlighted in my previous post, they failed to provide adequate density (even by their own standards). The OP was failed from the initial aggressive hairline design. The OP was repeatedly told density would come; just give it time. Of course, it never happened for reasons we are now aware of. 

Regarding 'free touch up' - For me, 1500 isn't a touch up. The hairline appears to have moved down and the first few rows packed with a higher density. The problem with reconstruction is the bulk of the previous hair transplanted remains at a lower density. We can see some intervention working within existing hair, but this is limited and fraught with risk from shock loss and necrosis.

Talk for 'free' is bizarre. What price do we attribute to the emotional impact? In monetary terms, the cost of travel. All avoidable with a hairline that would have allowed sufficient density from the start.

The OP has done a great service to the community by documenting his account. I refrained from commenting after the rep confirmed the low density because I understand it's a stressful time post-surgery. 

It is an honest account by the OP and therefore deserves an honest appraisal of the procedure.

Interesting case thanks for documenting your progress.

You're at the 5 month mark?

The irony is Eugenix produced a very good video explaining required density.

Here's the full video: 

Many thanks OP for the update.

On 6/23/2021 at 1:11 PM, MazAB said:

Damn dude, you are jacked bro! Love the dedication and pursuit to a healthier body, mind and spirit. That goes well beyond just more hair and is a great example of how we need to have a balanced approach to our lifestyles/wellbeing and not just be so hyperfocused on hairloss alone.

Couldn't put it better myself.

On 2/25/2021 at 8:35 AM, Abhinay Singh said:

The density given was 30 to 35 hair per sqcm.

For me, this is the elephant in the room. All the talk about poor growth ignores the simple math. The area was large, and the number of grafts for the 1st surgery was insufficient to provide the desired density. The hairline was lowered and flat (i.e. temples had been heavily restored). There is a cost to this aggressive approach and that is density.

Look again at the numbers 30 to 35 per sqcm. Even with strong growth of 90%, you get a poor density of 27 to 32 per sqcm. When you consider a full head of hair would have a density of between 80 to 100 per sqcm and 45 to 50 per sqcm is required to create the 'illusion' of density, then sadly, the OP was on a loser from the start.

 Temples

What went wrong with the temples?

Why were doubles transplanted on one side and singles on the other side?

The clinic rep (Gabreille Nelson Mukhia) stated in this thread 

Quote

Hairline and temples are done later than the other areas because it requires singles.

Dr Sethi in his video in the art of Temple point restoration stated