BurnieBurns

Nerve damage is very much a legitimate risk in hair transplants and should be discussed more. It can exist as numbness and/or pain. I admit I haven't heard of a case of symptoms coming and going for a few weeks at a time. Try addressing it with your general physician if no luck best bet is a neurologist or a dermatologist with experience removing skincancers. Have some hope the sensory nerves can heal well beyond 6 months even years after the damage so it's unlikely to stay as it is now.

Beautiful amount of early growth. Going to be an ace hairline!

Who did you consult with? Most docs are not comfortable operating on diffuse until it's very sparse but there are also a good handful of elite ones who are confident inmaking incisions between existing hair. Some have also developed techniques to mitigate shockloss. Your case looks similar to my did and I had a great result with Dr Jerry Wong

Could be worth just contacting the clinic to follow up

Farmacia Parati if you can get a prescription

Objectively, yes he could have had a great result with a lot less grafts. It’s safe to say that expectations of density are extremely variable for different patients and this has to be balanced with the quality of his donor and future loss. In this case his goals were possible.

I think it frames you perfectly. Please let us know the surgeon

I’m sorry for what you’re going through but it doesn’t sound like you were a suitable candidate for surgery in the first place. While your account suggests the clinic misled you, 3-4mm is nowhere near what truly bad scars are out there. While 1-2mm scars happen most of the time in expert hands its not always the case . It’s widely known not to rely on cutting your hair super short after a strip procedure in these communities. Scars are by their nature, not totally predictable. Thousands of FUT patients have scars exactly like yours that aren’t bothered due to their hair length. I too had some stretch back on one side, probably close to yours. It’s never seen with regular hair styling and I’ll likely get FUE into it once I’m certain I won’t have another strip. Sorry to hear they don’t have reference pics but surely there’s some examples posted here. I’ve seen some in the past. Generally speaking it works exactly like you’d think. Once sprouted hair will grow from the scar. It won’t hide it 100% due to differences in skin pigmentation but it will be significantly more undetectable. These are your options: - FUE - Scar revision (still a gamble and only if a good surgeon feels it worth trying) - Trichopigmentation or SMP Whichever option make sure you go to someone too if their game. Also (and might not like hearing this), I highly recommend doing your best to get to a place of sounds mind, and get at piece with what’s happened before making another big decision. Your case could and still does have the potential to be a lot worse than it is now.

Based on pictures you've posted recently, I'd call your scar average but no means 'bad'. Your hair is very short atm and it will be hidden if you let it grow more As OP mentioned, FUE into the scar is definitely an option. Why don't you ask H&W for some reference pics of successful cases?

Many doctors recommend dutasteride once or twice a week on top of daily finasteride when they require a boost

I'd say agree if you're NW5 + and destined for further hair loss, you should heavily consider FUT unless you just cannot forsee living with a scar. While known a lot for big FUT sessions, Hattingen have been doing FUE for a long time and take the craft as seriously. If you decide to remain with with FUE, noth have great track records so it will come down to a degree of personal preference and feel the most comfortable with. Then you can start considering elements like cost / travel.

Surgery is never guaranteed and in this case was never promised. I do not know any elite ethical surgeon who ‘guarantees’ their result. Please let me know is if there is. Most would not offer any refunds even if the result was utterly botched.

At the end of the day, hair transplants are an extreme specialisation. Follicles are tiny, delicate, micro-organs which only have a limited supply of. It’s good you’ll explore more options and here are some pieces worth noting. - An eyebrow transplant may seem novel and newsworthy in our country, but on the global stage it’s very commonplace. - it’s extremely rare if ever for someone to master all forms of cosmetic surgery. Hair transplants are also the least regulated. - it’s entirely possible you may have a good result from Dr Yaprak and by all means consult with him. Just remember that most hair transplant patients range from dissatisfied to disfigured, especially over the long term. Even the top 5 in the world have patients who claim they ruined their life. Point is, by going to an ‘exceptional’ surgeon rather than a ‘good’ surgeon means you mitigate this risk substantially. - you’re only 30 with potential for future loss, even on finasteride. True specialists can account for this. Also as you have advanced balding, this will very likely affect parts of your donor region. Many FUE surgeons harvest non DHT resistant hairs which leads to non lasting results. - Most great surgeons will have information on where they originally trained, often under the wing of another surgeon. In my opinion it would be shortsighted to believe having cosmetic surgery experience automatically qualifies them. Good luck!

I am a NZer too and have been to a very poor one here (not Bulent). It needed major fixing and also resulted in nerve damage. I don’t know Bulent thoroughly but hair transplants look like a very minor part of his practice. He also has only one picture of his work public and it’s very blurry. What does that tell you in 2023? FOR THE LOVE OF EVERYTHING do not go to anyone here or in Australia. DHT Clinic and Dr Path are leagues above them for similar price. But why only Thailand? Do not let location be the main factor. Consult with multiple accredited surgeons on this site and go from there

I strongly urge you to cancel it. It sounds like you fell (like many) for the marketing/coms of these places. Go back to square one, investigate the surgeons on this forum and visit their sites and view their educational material. No ethical surgeon will be 'hiding' the Hair Transplant process or use marketing gimmicks e.g. Sapphire DHI. In years to come you'll be so thankful you played the long game.

If you had no sides on fin I can't conceive how you would again. Fin doesn't 'lose efficay' the hair loss can just eventually catch up due to increasing severity in age despite lowering DHT. In many people, finasteride only noticeably slows down hair loss. you're better off stacking it with oral minoxidil. If you want to live dangerously you could also look into adding pyrilutamide. There's always new treatments in the pipeline but waiting on those is a fools game many have become bald during over the past decades.

I've never heard of it. Turkey has MASSES of clinics. There's a few quality outliers but the vast majority range from subpar to utter butcher shops. What led you to choose them?

While the concerns people have of mental health do come from a place of good intentions, I understand the frustration that hair loss very much is the sole driver of it all. It makes sense you want to be proactive as possible. Sorry if this was already stated but you you be open to FUT?

Looks like good clean work. I'd imagine he prioritised density in the front where is matters most since you couldn't get over 5k.

The real question comes back to the notion of the recipient scalp increasing the DHT sensitivity of the transplanted follicles. General age thinning is less of an enigma It would be interesting to hear from Surgeons who have patients not on finasteride have noticed over the years

Sorry to give a cop out answer but for me it depends hugely with on how good are the technitions we’re talking about here. E.g a contractor who travel job to job not just for hair transplants vs one who might have worked closely with the surgeon for 10+ years I say with with personal experience from both a very incompetent surgeon, and expert level technitions. ( not the same place)

No disrespect to dermatologists but the vast majority of them so next to NOTHING about what makes a good hair transplant. They could refer someone to them after randomly meeting them at a conference for all you know. Mohebi and Carman have a great track record and you should consult with both of them. However I wouldn't limit yourself to one location As a general rule, I believe you should consult with at least 5 top surgeons before making a decision. This is not just about options, but it also informs you of a range of perspectives that you may not have considered when moving forward.

Even if verteporfin shows success in his trial you’re looking at a long wait before it’ll be offered in standard practice. A scar revision from a top surgeon will likely make it look better than that. US based ones that offer FUT include Shapiro, Gabel, Konior, Wesley, Cooley, and there’s Hasson and Wong nearby in Vancouver.

The most common cause of bad growth is poor grafts handling during the procedure itself. Is the doctor you mentioned a Hair transplant Surgeon?

The fact DHT prevents scalp hair while increasing body hair is known as the 'Androgenic Paradox' . We don't know the exact mechanism yet. Potentially something to do with the WNT pathway which studies have show reduces the effect of DHT. A doctor who's name rhymes with 'Pole" used to sell a topical spray that targeted this. Point is there are downstream effects of DHT that need to be discovered.