Rickard_c

Hello everybody! Long time lurker, occasional poster, with no more than basic knowledge about HT/hair loss etc, here. Would be very grateful for this eminent forum’s opinion on my thought. So I did not only 1, but 2, bad HTs with ”no-name” surgeons (Life time clinic and Nordic hair clinic, 2017 and 2018) at young age. I moved my natural high hair line about 1 cm lower. The result doesnt look terrible but by no means good either. I’m planing to do at repair surgery. My donor area is partly over harvested and I’m pretty young, 38. I have decided what surgeon I’m going with and hoping to fill in cancelation on short notice since I’m flexible. I have limited grafts and the clinic I’m in contact with suspect that I have some thinning in donor area, even though its hard to tell because of earlier surgeries (I havent seen them IRL, they have just seen photos). I have been eating finasteride since 2018 and have been using topical minoxidil from time to time. After not been using minoxidil for about 2-3 years, I started using it again for about 1,5 months ago. My question: Should I wait with surgery for minoxidil to start work? Is it better to do surgery before it starts working? Or doesnt make much of a difference? As I understand, the up side to not let it work is that the surgeon can spot the hairs that is most resistent, which potentialy could be good for the longevity of the overall result. However, I suppose letting minoxidil work could potentialy give me more graft in donor area to work with, which especially is good in my case with limited grafts? Or does minoxidil not work on donor area? I have been reading as much as I can about this, but cant find any good information about it. The clinic I’m in contact with says it should be fine to undergo surgery with out waiting for minoxidil to work (even though they usually think my age is quite young for surgery in generall). What do you guys think. Wait a couple of months, or go before minoxidil start working?

How nice to hear! Congratoluations to you! I agree regarding posting his number here. I would be very grateful if you could PM me his number.

Thanks for the reply guys. Lucky you Otis james! Are you happy with your experience? I'm flexible, I will be able to fill cancelations. Do you have the number to his patiens coordinator? Is it one of the number I posted above? (+351 938 891 378 // +351 220 739 495)

Allright, thank you for the information! Gotta be why he's so over booked - very cheap considering what he accomplish!

Thank you for the information! I'll send them an message tomorrow! Thats a very long wait! Do you know apprimately how much Dr Pinto charges / graft?

Ah, didnt think of that! Than you! Do you know which number it is? Is it one of these? Consultation in september is a long time... Do you have a clue how long the waiting time for surgery is?

Hello everybody! I've been trying to get in touch with Clinica O'Porto (Dr Bruno Pinto) for some time now with out any luck. I have filled out the online consultation form and also emailed them directly a couple of months later. I havent got any confimrmation that they got my email or online consultation. Could it have gotten in their trash folder by misstake? Have anyone had email correspondence with the clinic recently? Did you recieve confirmation email when emailing them? Can it be Dr Pinto is not accepting more patients at the moment? Does anybody know? Thank you very much in advance!

Sorry man, didnt notice your were the same guy whose thread I commented a couple of weeks ago! I've been searching, and I totaly agree with you. However, in that price range, I cant find any other good temple point surgeons in Europe. I'm considering going outside Europe, maybe Dr Sethi in India. Or maybe take the chance with Ferreira. Gonna do some thinking... Good luck to you!

I'm looking for a not to pricey good temple points surgeon, preferably in Europe, as well. I'm curious if you find any other candidates? I'm considering Bruno Ferrieria, did you check him out?

I see! Thank you for your reply. Did you find any other interestning surgeons?

Hello Calihome1! I'm curious if you made a choice yet? I'm in a similiar situation and would love to hear your thoughts!

Thanks alot guys for your replies. I have been in contact with a couple of surgeons - Dr Ferreira, Bisanga, Ferudini, Mwamba, Keser, Lapanzula, HLC and HDC (see my second post what they said). As mentioned in earlier post Dr Bisanga needed to see me in person before making a statement. I sended one more email, asking if it could be done online again, but got rejected. I will consider going to Belgium. I sended my consultation request to Dr Ferudini about 10 months ago. Have had some contact with them after that, in februari, asking how things were going. Havent heard anything from them since then, untill today. I emailed them earlier and got a reply only a couple of hours later. Was promised a Skype-konsultation, they were going to get back to me next week. Really hope so, I really like Ferudini's work. Furthermore, I did ask Dr Ferreira what he would have done to make my hair look more natural/better, with out taking my kinda distinct requirement in mind - if he still would go with removing some grafts, rebuilding temple peaks etc. @Min12 I sended my consultation request to Dr Ferreira in beginning of october 2020. I contacted him again in end of februari 2021 after still not hearing anything. I then got an answer from his patient manager saying he was very busy. She recommended the "fast lane", meaning you pay 50 euro to get an reply within a week (I think it was). So I did that, and about 2 days later I got a very thoroughly reply.

@Egy, thank you for your concerne as well as the uplifting words, and thank you everybody for taking time to response, I really appreciate it. The first clinic I went to was called Nordic Hair Clinic. Took like 3 minutes for the consulant to "construct" the hair line (he was not even a surgeon or technician, he was just a guy who spoke swedish and the same language as the the ones who made the transplant (think it was Turkish)). Suppose that should've scared me, but oh well... The second one I did in Turkey, via a company in my country (Sweden). Kinda shady... So stupid of me again... The name of the Swedish company is Lifetime clinic. This (beauty surgeries vs the customer's right and the surgeons permissions etc) has been a very big thing in Sweden last year, new legislations has entered into force, and more is most likely to come. Hopefully bad clinics like this will be closed down, sparing people from the hassle. However, Im not feeling particaly unwell because of my earlier operations, I kinda made my peace with it. After all its not that terrible (even though its not good at all) and it actually looks better than it did before the hair transplants. On top of that I havent spended alot of money on it so far, and as I understand its totaly managable to make it look more natural. In the end I just want to make the hair look more "as me" again (if you know what I mean). Today my hair also requires alot of maintance since I need to keep it very short in neck, else it looks very weird since its very uneaven because of the partly overharvesting. Thats something I also would like to be "free" from. Regarding the possition of the hairline, mine has always been high, today its about 2-2,5 cm lower than it originaly was. I thought mine now was considered low? My forehead now isnt 1/3 of my face's lenght for example, its a couple of centimeters less. I suppose thats not the only meassurement you usually use though, but do you really think it's still high? However, nowadays I trim and pluck almost 1 cm in middle of hariline everyday. I think it looks better when doing it. I know I'll get scars if I remove grats, but my plan is to use laser after. The scars wont dissapear entireley, but I prefer having scars if I can get a natural looking hairline. I had more or less already decieded to go with Ferreira, with the procedure described in my first post. Im kinda getting second thoughts though (which is good, I really dont want to do anything to hastly again). I will email Ferriera asking if he could provide me with some photos etc on repair works he have done (cant find any here). I will also ask De Freitas for queue lenghts for consultation and operation as well as price (doesnt say much on his homepage). I would love to hear more people's thoughts though. Do you think I should skip removing grafts and going for refine existing hairline instead? Whats your thought on temple points? I'll attach pictures taken today. The left one is approximately how Im imagining the finished result (as stated above about 1 cm of the hairline is plucked/trimmed in middle, and the temple points and corners are filled with a brown pencil). The middle picture the actual hairline is marked with black. The right picture is with out temple points and corner, with actualy hairline marked with black. I'll also attach pictures on how Im imagining temple points will look like in profile.

Thanks for your respons guys. I'll attach a picture on my donor area. As you can see its partly over harvested, whereas the lower part isn't even touched. Dr Ferreira seems like a very good and careful surgeon. However I was also thinking that 3000 grafts sounded pretty much. I wanted to confirm that it wasnt only me who made that conclusion. I did mentioned in my consultation request though that if there was any grafts left in my donor area, I'd be happy to also make the crown more dense (as you can see on picture below its thinning on crown as well). I now noticed that Bruno actually wrote this in his very long and thoroughly consultation response: "We could, for example, remove the worse grafts from the hairline and implant them in the midscalp or frontal third, extract from the donor in the areas that have the most density to help even it out and consider using beard hair to further improve the density in the midscalp. We will also need to rebuild those temple peaks." I suppose maybe the extra grafts Bruno thinks will be needed is because he's the only one of the surgeons Ive spoken to who considering filling the crown? Anyhow, I'll ask Dr Ferreira about where he thinks the grats will go. I consulted with the Bisanga-team who said that they needed to see me in person before making any statement, but that they problably would be able to make it look much better. HLC stated that they didnt recommend to remove already transplanted hair. Then they concluded that they could get about 1000-1400 from my donor area. They recommended to use those grafts to make the hair line more dense. I also spoke to Dr. Lupanzula who said about 1000 grafts, with out temple points, by lowering the hair line a couple of m.m. or removing and re-transplanting grafts (would result in about the same amount of grafts), plus around 300 for temple points (not sure if its 300 per side, or 300 in total, but I think 600 in total). Mwamba said that about 1300-1900 grafts would be needed. His plan was to lowering the hair line on both sides, make the middle more dense and rebuild temple points. I didnt get any answer from Dr Feriduni-team even though I emailed them a couple of times. Just got the answer "we're working on it". Sended in my consultation request about 10 months ago now. HDC-clinic didnt think it was worth the risk of making it look worse, they therefore adviced me not to do anything at all. Dr Keser didnt want to do anything either. Didnt speak to De Freitas, but he is abit pricier as I understand? I heard waiting time for surgery is very long too? Might be wrong though? Does anybody know? Regarding lowering the hair line, I would very much like to avoid that. In fact, I think the hair line is to low as it is now already, way lower than what it was before I started to lose hair, I hardly recognise myself... In fact, my plan is rather to raise the hair line a little, by removing a couple hundred grafts (I know it will leave smal scars, but I'm ok with that). Regarding the temple points I would like to rebuild those mainly because the outer layer consists of very light blonde baby hair. My hair line used to consist of the same type of blonde baby hair which made the face look very natural and balanced. Now, whith the transplanted darker hair and prominent har line mixed with the not so prominent temple points, it looks kinda strange, specially from in front, my forehead looks much wider than before (se picture below). I will however take your advice into consideration, thank you. I could just do the temple point in the future, after all. On the other hand, I would really much like if this could be my last hair transplant. The reason for doing 2 procedures is for trying to avoid not being overly aggressive which would only cause more scarring. The first one will consist of remove the worse grafts from the hairline and implant them in the midscalp or frontal third. Then the skin needs to heal whereas the second procedure will be the construction of hairline etc. The 3rd one might not be neccecary. Its just a "back up" to do eventual smal adjustment/fill-ins.

Hi everyone! Been reading on this great forum for about a year now, thank you for everything guys. I never commented anything though, mainly since I dont consider myself enough educated on the subject. However, I'm now planning to do my own repair hair transplant. I will probably go with Dr Bruno Ferreira, and I'm planning to post my journey here. Figured it might be desirable since there aren't that many Ferreira-journeys on the forum. Anyhow, really quick backstory: I've had two generally bad hair transplant (2016 and 2018), made by no-name cheap clinics (very stupid of me, but what's done is done...). It doesn't look terrible, but definitely not good either. My biggest problem is my hairline which looks unnatural, mainly because of the see through, angulation, hair follicle type and the lack of temple points (not much is actually good about it..). I'm aware that my situation is quite complexed, but I've spoken to several of the best clinics in Europe (via email, whats app and phone) about my situation (I'm living in Europe and planning to do the procedure in Europe). A few stated that they dont want to take on the challenge, a few needed to see me in person before making a statement regarding if anything can be done and a few said something most likely can be done but exactly what can only be determined after seeing me in person. I also got a few in depth answers though, and Bruno Ferreira was one of them. Bruno was also one of the surgeons I was hoping for most beforehand. I there for have decided I most likely will to go with him. The plan is to partly remake the hairline, by removing some hair (a couple of hundreds grafts) and transplant new hair in the area where they've been removed. I will also like to make the hairline more dense and rebuild the temple peaks. Bruno says it will be done with at least 2 procedures, maybe 3, and we will be using a couple of hundred beard grafts (Bruno was the only one suggesting also using beard grafts). He also says that the procedure will be a bit of improvisation and that it’s hard to give an estimate on how many grafts who will be needed, but he says he like to get close to 3000 or more (between, re-implanted grafts, beard and scalp hair). My initial thought was that 3000 grafts sounded abit much. The other surgeons stated that around 1000-2000 probably would be enough, for example. I guess its not a bad thing that Bruno thinks 3000 is needed though, it just shows that he is very thorough. There is a pretty big price difference though, so I'm just wondering what you guys think? Do you think 3000 grafts sounds resonable? /Rickard