Berba11

The difference between 3500 grafts and 4500 isn’t as big as it sounds in all reality. Personally I’d opt for the 3,500 approach and assess from there. It’s the less risky option overall and will get you pretty close to where you want to be. And whilst I don’t advocate picking a clinic for convenience’s sake, it can’t be denied that staying in the UK is quite useful!

DHT levels cause hair loss. Some toppik will not do anything harmful.

You haven’t followed @Bandit90’s journey on here? 👀 One of the most epic transformations on the forum with Dr Pradeep.

Yea I think acceptance is definitely the best option. You can try more regular whitening treatments to get them as nice as possible but most people’s teeth are not glisteningly white like when they come back from Turkey. It usually looks ridiculous in my opinion and obviously not real.

Ah ok - I've misremembered. Do you not say that more than one surgeon wanted to do something with it?

What did Dr Zarev say about the hairline, @GeneralNorwood? I know Bisanga and Sever were keen to make modifications and remove grafts.

That sounds like a great consultation @GeneralNorwoodwith a lot of detail and careful planning but the oracle @jjalayhas spoken I’m afraid so please put these carefully examined fairy tales to one side and get yourself a 2,000 graft FUT surgery. 😉

What problem are you trying to resolve? I'm not an expert on dental work, but my view is that such cosmetic surgeries should be absolutely avoided unless there's a genuine issue with your teeth that needs resolving. The thing about a bad hair transplant is that they're usually reversible. Bad dental work on the other hand... Too much risk involved.

I don't think anyone should be hasty in ruling out the possibility, but as far we know, one surgeon says he has it, and another says he doesn't. Eye test looks like a superb head of hair... I'm also not sure how qualified many of us would be in looking at microscopic images of the OP's hair. If I were him I'd be doing a round of in-person consultations to get multiple views on the matter.

But you're not seeing everything, so your opinion is limited and subject to a wide margin of error. You're just seeing pictures and therefore cannot make this statement with any reliability: You're not in a position to make this claim with this level of certainty. That's a fact. Try showing a little humility. Who is trusting anyone "blindly"? @GeneralNorwoodhad in-person consultations with reputable surgeons, whose position on the matter is obviously superior to whoever jjalay is on a forum. Are you suggesting GN should have just saved himself the hassle of multiple in-person consultations and private messaged you instead? Which fairy tales? You haven't established your claim as being true and cannot do so. Believing a lay person on a forum who is not in a position to make an accurate judgement is more in line with a fairy tale than the in-person assessment of multiple experts in their field. This is an odd hill you've chosen to die on.

Quite apart from not looking remotely like you have DUPA, the crown and midscalp that we're able to see in these pictures looks flawless - the envy of anyone. You may well experience a little thinning all over in time, but possibly not enough to actually need surgery (or multiple surgeries) and certainly not enough to be alarmed by DUPA. Of course, we're limited by photos alone, but a recommended surgeon that you saw in person twice also confirmed you don't have DUPA...

What exactly are you trying to argue here? That you know more than the multi surgeons the OP has seen in person? That the OP should take your advice over those multi experts he's consulted with on this very issue? Maybe you'd like to consider that you're likely very wrong given that you haven't examined the OP in person, and are not qualified to do so with a high degree of certainty anyway.

The man has had multi in-person consultations with some of the very best in the business, which suggests the number 5K hasn't just been plucked out of thin air, don't ya think?

His results are part of the wait time. The other factor - likely much bigger factor - is that he does pretty much everything by himself and is often doing huge surgeries. Plus his consultations are 2-3 hours long and you must have an in-person with him. Naturally that means his waiting times will be much longer. Adopting your logic here, how would you explain Dr Feriduni's two & half year waiting time for an in-person consultation? He has a bigger team helping him do surgeries, and is doing smaller surgeries than Zarev. His consultations are about 1 hour. So surely his wait time is more strictly attributed to his results rather than due to the other factors that apply more so to Dr Zarev, right? Has the market not spoken here, too?

I can't say for sure and I don't think anyone else can, but there may be a conflict between your newly transplanted hairs trying to grow and strengthen and the common side effect of a shedding phase with minoxidil. As others have suggested, I'd stop the minoxidil for now and stick to finasteride. Maybe look to switch to oral minoxidil moving forward. You've got a lot of stuff going on all at the same time (newly transplanted hairs coming through, them trying to mature, plus finasteride and topical minoxidil). Scaling back and simplifying your regimen for the time being might help figure out what's going on.

Honestly, this hurts my head a bit. This isn't planning. Planning would be to carefully inspect the scalp and pattern of hair loss. It would be to measure the entire scalp so that everyone knew an approximate number of lifetime grafts required to cover your scalp should you reach NW6 or 7 (given the diffuse hair loss in your 20's). It would be to measure you donor capacity to a reasonable degree of accuracy and it would be to proceed with surgery on the basis of a longer-term "worse case" view of your hair loss progression. The good news here is that most of the fun stuff tends to happen between month 6 and month 10, so I'd expect to see some improvement over the coming months. Whether that improvement is sufficient enough to get @shadow_godto where he wants to be is another matter. Regardless of the outcome, it's disappointing to read another case where the planning session was just a hairline drawn on and off we go...

Wear a hat as much as possible and cream up whenever it's not. Your grafts will be fine, but your scalp is still healing and will be vulnerable to sun exposure.

Any good surgeon will be able to do this. I really like Dr Mani's hairline work - he understands naturalness and you'll get the proper care and attention you deserve. Travel from Ireland to London should be cheap and obviously only a very quick flight over. Might be a good option to consider.

Welcome to the club 😅

I'd have to the say that the seemingly 'on the rise' prevalence of otherwise very good surgeons "doing their bit" and then sodding off for most or all of the surgery is a massive bugbear of mine and it's not really acceptable. Aside from potential risks of surgery already outlined here, a patient's results are likely to be worse rather than better with less doctor involvement/oversight, and if you're paying top dollar you should get a top dollar level of service and time with the surgeon at all stages of the process.

This.

I've seen his channel before. I have to say that looking at his new hairline results from his 12 month update, I actually preferred the height and design of his initial HT (albeit it lacked a bit of refinement as we often see from such clinics in Turkey). I find the Mwamba results lacks irregularities as well to be honest.

Personally I think they look really good and I'd be very happy. Just some extra density and a bit of refinement to the hairline to improve the poorer elements of Elithair's work and you'd be absolutely set. You could also have a few more soft singles grafts added along the entirety of your hairline without changing the shape too much, but rather just bringing things down towards the corners a smidge and creating some extra break-up and naturalness. Someone like Dr Mani or Dr Sever who have a very keen eye for subtle aesthetics might be options to consult with. Eugenix are proposing more of a U-shape (albeit, I get that it's just a line for illustration's sake), which to me seems too much of a sea-change from the current shape. Ultimately it's your head, but maybe a more subtle approach is worth considering.

How is everything @abrorkhasanov? Would be great to hear from you mate.

Personally I don't think you should fill in the temples, lower the hairline or touch the temple points. You have a nice, strong looking widows peak-esque hairline that will stand you in good stead into older age. Your face is framed quite perfectly and doesn't require any modifications to the hairline height or shape. What I maybe would do instead in your shoes is add a bit more density to the forelock, and have a few of those double grafts in the hairline punched out to soften and refine things a little further. Basically smaller, more subtle moves that will make a positive improvement without using many grafts or radically altering what you currently have (as there's no need). That should also help you stay closer to your budgetary considerations.