Berba11

The NW scale isn’t too important and in many cases it’s hard to give a specific point on the scale. Based on your temples most would put you around a NW2, give or take. Whether that reflects your final pattern of hair loss requires a bit of guesswork really. As long as any first HT you undergo is conservative and leaves as many grafts in the donor bank as possible, you’ll likely be absolutely fine long term. Having not lost much hair by age 30, it seems unlikely you’d end up as a full blown NW6 or 7.

Nobody needs a HT. The benefit from a hairline restoration is that the hairline helps to “frame” the face, often giving a younger look. However it’s a misconception that a strong or low hairline is needed to achieve this. In most cases, you only need enough of a hairline to give the aesthetic benefits. In your case, you have a strong forelock, with good density and minimal recession. You have enough hair at the front to frame your face and be able to have some fun with different styling options. Point being that a HT would only offer you a marginal & subtle enhancement from your current position (unless you did something radical and lowered your hairline unnecessarily) because your starting point is very good. As I see it - and this is just my opinion - you have two options: 1. Do nothing (but consider medication to slow additional loss). 2. Have a very small & conservative HT with a top surgeon who does really refined hairline work, who can fill in the corners without lowering the hairline.

I’m just a regular guy! And last I checked I’m a bloke… 😃 I’ll take the compliment though, thanks!

Other than looking weird as hell if lowered much, lowering a hairline requires more grafts to be extracted, therefore reducing the number of available grafts to meet the needs of future hair loss.

I don’t really understand your strategy to be honest. You have minor hairloss - a bit of recession in the temple corners. To restore them (without lowering the hairline) to a nice, conservative and long lasting result would require very few grafts. So why are you fishing around in the budget end of the HT market? If I were you and only needed one small session I’d be targeting some of the best guys around. It will cost more per graft, but you’d be getting closer to a guaranteed result. If you had a lot of scalp to cover I could better understand the budget considerations but you’ve little hair loss and seem well placed to get a nice, smaller surgery from a top surgeon.

The best placed person to answer that would be a surgeon, but my best guess is that any lumps, cobblestoning etc could be improved or even eradicated by punching out the grafts that are causing the issue. Try reaching out to some surgeons that do a lot of repairs, such as Dr Bisanga, Feriduni & Sever.

Sorry you're going through this. If the grafts are causing irritation to your scalp in some way, then theoretically punching them back out should resolve or improve this. However, you'll likely be looking at two and more probably three trips to a top clinic in Europe who specialise in punch-out repair work and much bigger costs. In the short term, steriod solution like Betacap might help the scalp irritation and redness.

Whoooa - stop a second! You're visiting Turkey (I assume for other reasons than a HT) and thought you'd just get a HT whilst there? Does this sound like the start of a story with a happy ending? Does this sound like a thoroughly researched and intelligently thought out approach to getting a permanent surgery on your head? None of the better clinics in Turkey will be available at short notice to book you in, so if you're going soon your only options will be some pretty bad clinics. The good news is you have a lot of hair and only need a small-ish surgery on the crown. Your hairline looks good (I see no reason to lower it personally). When are you flying to Turkey?

Let's learn to crawl first before we attempt to sprint with a somersault at the end.

Forget about putting your hairline where that green line is. That’s off the spectrum aggressive and will look weird as hell tomorrow, let alone in another 30 years time. Everything else you’ve posted sounds fine: take your time, try to improve/slow hair loss and address the biggest problem area (crown) further down the line. A small, conservative enhancement to the hairline would be fine I’m sure - your donor looks good.

I'm not sure putting Dr Hakan's name forward after one single 4 month post-op update is particularly wise. We've never seen a finished result from this Dr as far as I'm aware.

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?