Berba11

43 minutes ago, Tommy1991 said:

Thanks man. Appreciate it. Already judging the level of work and care, I think this will be a real success for me. 
 

Feriduni expects just one more session to reach my expectation which I am delighted to hear.

 

Amazing if this can be turned around in two hits. You must feel relieved to be on the road to putting all of this behind you now! Work looks very precise and all of the extraction sites look nice and distinct from one another which should aid healing without visible scarring or blemishing.

What has Dr Feriduni recommended for the post-op care for the extraction sites? Anti-scarring cream maybe?

This is an interesting case for me. I met Dr Sever in London on Friday and he wants to do something very similar to my hairline. I don't have pluggy grafts like you did, but my hairline is a little too linear for Dr Sever's liking and he wants to do some strategic punchouts to create more irregularity and soft breakup, as well as 1,500-ish grafts into the midscalp and old forelock area to bolster and connect everything from front to back.

Would be great to see some more close ups of the hairline when you can!

Hey Keith,

You need to tread very carefully and slowly here and not rush into surgery. Your donor does look compromised, so needs to be handled with care. But the key thing here is the approach to the repair of the front. You could simple add a load more grafts to cover up the pluggy hairline and try to mask the sticky-up angles, whilst also improving density. Problem here is, you're going to be using more grafts than you might ideally want to.

You haven't provided any pre-op photos or immediate post-op photos so it's hard to know for sure, but did they lower the hairline? It looks as though they did, and maybe a bit too low. Another repair option you have is to have the hairline removed via FUE over two sessions, and then rebuilt more naturally, softly and more appropriately on a third session. This way the previously implanted 'bad' grafts can be reused further back. This obviously comes with the hassle of a multi-step approach, and tends to cost more, but it may help preserve the donor and will improve the hairline without having to throw too many more grafts into the mix.

As others have pointed out, something is amiss here. You had what looked like a pretty good result after 8 months from your surgery with Medispa, then it seemed to regress rapidly, which is quite curious. You've now had another surgery from a different clinic and with similar outcomes to what happened with your first surgery.

A scalp biopsy to try and determine whether there's a previously undetected underlying issue would be a worthwhile investment before any further surgeries.

12 minutes ago, Tommy1991 said:

Next round of extraction will be 10-Oct-2024. Purely based on feedback by Dr Feriduni, as he advised there is no need to wait longer than this. 
 

Ok cool. Good luck today mate!

You can already get a feel and sense of the difference this will make with the parts you want removed shaved down. Really pleased to hear you had such a thorough planning session - this is the level of attention and detail you deserved last time around. 
 

How long will you have to wait between this and the next round of extractions?

18 minutes ago, Stanley N. said:

@Berba11 May 1st will be 3 months from my surgery. How much longer should I wait to know the full results? 
 

The attached picture was 7 days after the surgery 

Ideally need immediate post op pictures, where we can actually see the extraction/punch sites. Did Asli Tarcan not take high resolution pictures?

Shock loss can take up to around 6 months to rebound in some cases, so I'd hope to see improvements over the next three months. You'll know a lot more by month 6 if this is shock loss or overharvesting.

35 minutes ago, GymStefani said:

Maybe I have an estimation and waiting on final price so I can the remaining price to the surgeon and was wanting a second opinion  

 

I just want opinions on how it looks without naming the clinic or who done it…yet! If I paid loads I don’t want that messing with opinions saying it’s great!

if I paid not much I also don’t want people beating on good work! 
 

All I will say is I got this done in England 

UK would have been my second guess. Lots of clinics in Turkey & the UK run an "all in" pricing model.

In terms of how it looks... It's usually very difficult to say with absolute certainty at this stage when everything is a bit bloody and scabs are forming. My own initial impression (for what it's worth) is that the density looks ok - maybe on the slightly less dense side, but within reasonable density boundaries - and that the hairline graft placement looks a little bit linear and lacking irregularities for a softer, more broken up hairline. However, I again have to caveat and say that it's hard to make those kind of technical assessments at this stage with real conviction. It's also virtually impossible to know if they've used nice, soft single graft hairs in the hairline and if the angles and directions of the grafts are optimal.

I do like that they've gone a little more conservative and not lowered your hairline, and it's almost always a nice touch to leave a few finer native hairs at the centre point of the hairline in front of the newly transplanted hairs to aid the naturalness (which it looks like they've done).

Lastly, the donor extractions are decently spread out though it looks like they didn't utilise the side of your head very much (but maybe that's the single upside down picture not telling the full story!). I'd have maybe liked to see the full donor used if that is indeed the case, but it doesn't look like you'll have any donor issues as far as I can tell.

Thanks for sharing. 🙂
 

I’m guessing this is around 2,000-2,500 grafts. I’m also guessing that you not knowing how many grafts this is means you didn’t pay per graft, which probably means you went to Turkey?

Who was your surgeon/which clinic?

Do you have any pictures of the extractions immediately post-op?

Shockloss - if that's all it is - can take a while to recover. However, Asli Tarcan's reputation is such that it's not unreasonable for you to be concerned. They have a history of butchering people I'm afraid to say.

Just some semantic hygiene... Any hair that was extracted will not "grow back". The hair didn't "grow back" after your first surgery either, it just sounds like they did a decent enough job with the extractions such that it didn't leave your beard looking patchy. If on this occasion they have indeed overharvested the area underneath your chin, then the only way to resolve this would be to have hairs transplanted back into that area.

For now all you can do is give things more time and hope the situation improves. You'll know more definitively where you stand in two or three months time, as frustrating as that is.

There's still loads of terrible practitioners in the UK I'm afraid, but running concurrent to that is some newer options that are exciting.

I don't know why Dr Ball isn't more widely discussed on here or reviewed though. He's been around for ages - all the way through the barren years - and is an excellent surgeon.

5 hours ago, Jack97 said:

It was UK Wimpole Clinic London Harley Street. The consultancy I had was in Brighton.

Avoid Wimpole.

In the UK we have Dr Ball, Dr Ted and Dr Mani who are all very, very good options. There's also Dr Reddy, Dr Farjo and Dr Arshad. Whilst I'm sure there's a few hidden gems on the brink of emerging in the UK that aren't yet known, these six are by far your best & safest bets in the UK. Personally I really like the former three (hence mentioning them first), but other posters may take a different view.

I would guess you need around 1500 grafts, give or take. Make sure you opt for a conservative approach to preserve your donor to meet the future needs of your hair loss.

6 hours ago, manjodabanjo said:

Couple questions for you all:
1. Opinion on the hairline design
2. Does it actually look like 2,800 grafts?
3. Does donor extraction look generally symmetrical? Any additional thoughts on donor management 

 

1. Design looks nice and appropriate. Not seeing any issues there.

2. Always very, very difficult to tell to be honest unless there's something obviously amiss, which there doesn't seem to be in your case. If it's not 2,800 grafts, then it can't be too far off.

3. Too soon to say but everything looks nicely spaced from the pictures you've provided here.

19 hours ago, Mitu Allogenic said:

Why should not be for real? My case was presented in a medical magazine. Just google Allogenic hair transplant. Surgery was in Romania.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521806/

I will come with photos if there is any interes. But I am not agree with ethical issue. I have a disease and this was an option. I consider sharing my case could really help some other ppl.

 

It's an ethical issue in the vast majority of cases because it risks serious harm to the recipient patient. Your case is very unique (and fascinating!) as you were already taking immunosuppressants prior to the HT, mitigating that same risk that others would be subject to. That's the critical difference in your case it would seem.

Would be great if you could share more photos and details with us.

1 hour ago, Apk0214 said:

still have some of the grafts intact at around 6-7 weeks and I guess the thought is that the new hairs growing below would cause inflammation by pushing on the transplanted hairs, but I would think they would just push them out naturally?

Still not sure I follow. Some of the grafts never shed, which is normal and a nice little bonus. The ones that did shed will start to emerge in due course. Those that will start to grow out will not impact upon the ones that didn’t shed, and I’ve never heard it be suggested that this could cause inflammation. 
 

That said, it’s not uncommon for newly transplanted hairs to irritate the scalp to some degree given that ultimately they are a foreign body. But that’s a bridge you cross if & when you come to it. 

I’m not sure I fully understand what your doctor is recommending you do, but as far as I’m aware it’s just a waiting game. The hair will shed in the first 4-6 weeks post op and then start to grow back in from 3 months onwards. There’s nothing you can do to alter the speed of that process and I personally wouldn’t be messing around trying. 
 

Who is your surgeon?

3 minutes ago, aforali98 said:

Man i really wouldn’t want to mess with anything related to my sexual life as im preparing my self to get married 🥲 and i wouldn’t know if its affecting it or not till i consume the marriage (im muslim and virgin), thats scares me the most…

the side effects are same even if you take the topical route?

 

man i really don’t want to get used to this look, i miss my hair and i wouldn’t want to look like this from so young age

You can always just put the finasteride on hold for now. 
 

As for buzz cut versus your current hairloss - a buzzcut will obviously look better than visibly balding, so if you’ve buzzed down two days ago you’re in a better place than you were there days ago just by cutting your hair differently. 
 

Once you’ve done whatever you need to do marriage-wise, you can then try the medical intervention. The other option is to not take medication at all and still get a HT, but you’ll likely be look at two or three transplants needed and you’ll really want to make sure you’re going to a top doctor who can plan for the long term with you. This won’t come cheap or quickly. 

1 hour ago, aforali98 said:

i just buzzed my head 2 days ago.
What are the common side effects of these medicines to know if i can tolerate them or not?
While using these, should i have my hair buzzed or its more or less efective while having some hair on my head applying those?

 

Thanks in advance to everyone.

Side effects aren’t common, but the ones to watch out for would be any kind of sexual side effect or general low mood with finasteride. 
 

It doesn’t really make a difference whether you keep your hair short or not as far as the medication goes. Buzzing your hair and keeping it that way for a while is really so you can get used to that look and routine. If you like it, great - you’ve saved yourself a lot of money and a lifetime of medication. 

7 hours ago, Gatsby said:

There are though some multi grafts in the temples and hairline however.

I was about to post the same. The hairline design and irregularities are really, really nice, so it's a bit of a shame to see so many multigraft hairs where they shouldn't be as this would be a 10/10 result otherwise. The soft native hairs being left at the front is a nice touch indeed.

14 hours ago, aforali98 said:

What are my best options if anyone could take some time to help, im already lost.

I know my donor area aint the best, if i need to take on medication to imporve it or get PRP done?

finasteride or minoxidil, if any of those, which one?

As i live in spain, doctors visits may take some time (i will still take the route)

just in case, what are the steps i can take right now to get going till that, take pills vitamin c or any of the options mentioned above?

 

thanks

Forget PRP - won’t do anything. A multi vitamin won’t hurt you but it’s not going to save your hair either. 
 

Finasteride over minoxidil if you only want to take one medication, but both is always better in combination. You’ve got oral & topical options for each, with oral being more effective. The key is to see if you can tolerate the meds without any side effects and, if so, stick to them long term. 
 

The other thing if you haven’t already is to just buzz that hair off and rock it. It’ll look far better than the balding look, and you may like it enough to move on without having take medication and put yourself through more than one expensive surgery. It’s risk free, cheap and convenient (and universally looks good), so should be done first as part of the process. 

Sweating won't be an issue two months after the transplant. As far as swimming goes, you'll be fine if you a) keep sun exposure to a minimum, b) use factor 50 suncream as a precaution on your head for those times when your hat will be off. So don't spent a long amount of time in the pool or sea and you'll be fine. Basically just simple common sense stuff.

Love the hairline design and can’t wait to see the results. Happy growing. 

16 minutes ago, skyler said:

Like you just said PRP isn't for permanent hair loss I agree. It's for exactly what you're describing is it not?

I don’t see why PRP would necessarily work for temporary hair loss either. Like I said, if the cause of temporary loss is known (stress, for eg), then reducing or eliminating that stress will be key to hair recovery. 
 

If you have robust evidence that PRP is a reliable and testable remedy to stress induced or “vax-induced rapid aging” hair loss, I’d be keen to read it. If not, then I don’t see the basis for parting with a decent sum of money for it. 

This isn’t even a comparison in terms of quality of result: Smile will leave you with a pluggy hairline as they always do, whereas Eugenix produce overwhelmingly great work. Eugenix isn’t without its issues, and the clinic has been extensively reviewed on here over the last few years so they are very easy to research - worts and all - but if it’s Eugenix or 99% of what you’ll find in Turkey then it’s no contest. 
 

But why only those two clinics? What criteria narrowed it down to just those?

Can you share some high resolution close ups of the hairline so we can see the level of detail and refinement? The growth looks very good, which isn’t uncommon for lower cost Turkish clinics. Where most of them fall down however is by putting multiple graft hairs in the hairline. The only close-ish hairline pic you shared looks like it has multis, however that may just be the lighting.