ScottishGuy21

UK prices also now stack up competitively too. It’s still a mine field though so research is vital. Daily I see targeted adverts from pop up UK clinics in my feeds.

The lists above are all solid choices 👍🏻

€900 for a 3 hour in person consultation using world leading tech I don’t think is unreasonable. Some clinics charge €100 just for the Dr to look at your file.

He’s one if not the world’s best for higher Norwoods. I’ve no issue with him charging some cases at a higher premium to queue jump. Given he’s booked up until 2027 (and in a world of large inflation ups and downs) those bookings / prices are locked in for 3 years now, so it also makes business sense. 
 

That being said at €9 a graft any large Norwood case is going to need close to €100k. Elite surgeon but yes gradually becoming one only exclusively for the wealthy.  I wonder what he’ll do when his book re opens ? 

I’ve noticed over the last 6-9 months Rooney has almost religiously wore a hat. At Birmingham he wore it 24/7. 
 

Last few months he’s relaxed that a little. Today he’s on Sky with a thin but more reformed hairline than previously. No doubt he has fibres but I wonder if he’s opted for additional SMP or some Beard/body grafts to boost what he has left?

Interesting discussion 

So what by rule of thumb is the no go level for surgeons ? I assume age also plays a factor in that too?
 

For example if someone has say a density in the donor of a lowish figure like 50-60 in their 30s that’s massively different to that of someone in their 50s when planning a surgery.

You were slick bald as you say so 3000 grafts was never going to be enough. But if you discussed this with your surgeon and the plan was to simply add some hair then fair enough.

 If I’m honest though I’m not sure why your surgeon has opted for a scatter gun approach if your wish was to get frontal coverage to frame your face. With 3000 grafts you could have solely focused on the frontal third and achieved a dense result.

How is your donor holding up now? As previously suggested another small tester procedure may be a good idea to gauge if your scalp is ok.

I’d also consult with a few other surgeons to see what they think / suggest too. Although there’s some very knowledgable people on here and it’s great you are using this as a tool you can’t beat the input of a few surgeons with 1000s of cases behind them. Theyll be able to advise better what could have happened in the first procedure.

Research the Dr not the clinic you wish to go with.

Every clinic is different, go with your surgeons advice 

I had a gentle wash / clean on day 1. First wash was day 3 but very gently just pouring water. No rubbing or rough contact during a wash until 1 week.

I wasn’t advised to keep my scalp inbetween (Not that unusual, think Pittella is the same with his advice) 

As Melvin alluded to earlier I think it’s a case of him being  a bad candidate rather than the clinics fault. 

4 hours ago, asterix0 said:

I haven't really seen too many cases of slow growers to be honest. 

The texture of the hair can change between months 9-12 too which alters the result. Mine was quite frizzy until around month 9, growth was good but it did stand out a little. Between 9-12 months it reverted to my natural hair characteristics and blended in much better.

May also be worth changing shampoos even if it’s just for a day or two a week. Hair can become accustomed to the same shampoo over time.

And yes definitely ease off the Nizoral, personally wouldn’t use it more than twice weekly max as it’s quite harsh on the hair.

Great listen

Ted touches on an important point. We often obsess about the punch and sizes Dr’s use but ultimately the tool is only as good as the skill of the hands using it.

I like the way he’s also interested in pushing boundaries. If rules are set in stone with no deviation the industry doesn’t progress. 

17 minutes ago, Bucky O Hair said:

Yea, my hair is fine and I just had a procedure with Dr. Munib three weeks ago. 

However, my procedure was for the crown (not the hairline), and surprisingly he only used 1750 grafts for a pretty sizeable area (whereas all quotes from other docs I consulted with were in the 2400-4500 range as I am a NW5).  It looks great so far in terms of coverage.  The guy has great artist skills.

I wish I had my procedure with Munib for my hairline though.  It's not that my first HT with Rahal was bad.  It looks fine, but I think it could have been better.  

In terms of who I think the best HT docs are...I would say Munib and Zarev are a step above the rest.

 

 

 

 

I’d wish you good luck but with this Dr you know for certain it’s going to be a home run 🤣.

He’s a master of his trade you’ve made the best choice you could have.

Both are world class but for raw talent Munib wins. His planning is obviously in depth but nowhere near the level of Zarev’s (Because his talent means it doesn’t need to be), there isn’t an over reliance on technological tracking of grafts. It’s more natural if that makes sense. As you’ve pointed out he can use 50% or more less grafts than most surgeons but achieve a result twice as good.

In terms of using grafts economically I think Couto is up there too.

Dr Munib edges it for me though as he regularly takes on patients with finer hair that produce equally good results. 

Great result and in only one sitting too. 🙌🏻

18 minutes ago, mr_peanutbutter said:

looks you will end up norwood 6/7 and will lose the hairs on top eventually with relatively high sides but a crown that dips deep

 

so you should pick a surgeon which is specialised on high norwoods such as pittella or eugenix

Agree with this

it will be an expensive road so be mindful of that. It’s also a risky process where expectations should be managed. As above it’s important to go with a Dr who is well versed in higher Norwood cases

You’ll need to protect every hair you have left in order for the procedure/procedures to be successful long term.Donor hair isn’t bullet proof, even from the sweet spot. Hair naturally thins with age so any help to preserve it you can do is important. Given you are only 37 in my view it’s important to jump on some sort of DHT blocker.
 

But like anything on forums this is just advice based on our own experiences and knowledge. It’s always better to consult with a Dr for final assessment. 

How old are you and are you on medication if you don’t mind me asking? Long term planning key as with any transplant.

2500 seems on the high side to fill in the corners. Are you looking to lower the hairline also? If so I’d be very cautious about doing this too aggressively.

53 minutes ago, Gatsby said:

If you go to an elite surgeon who knows what he/she is doing and you’re on medication to stabilize your MPB you should be fine. Genetics though also plays a key part. 

Absolutely correct 

There is no cast iron guarantee transplanted hair won’t eventually fall. Mother Nature in the end rules but there are steps like Gatsby says you can take to slow down or stabilise things. Some respond better than others.

Age is also a big factor. There’s far more chance of losing considerable ground if you are 25 rather than say 45-50.

7 minutes ago, Portugal said:

Im at Week 6 and have shed quite a lot. I can see quite a few new hairs coming through but Im slightly concerned at the amount of completely bald spots with no sign of any follicles. Is this normal at this stage and nothing to worry about or should I be worried? You can by comparing week 2 picture to todays picture how many follicles there were before I started shedding. 

Perfectly normal , this was mine at exactly the same stage. For reference I had an island at the front so the hair you see there is native  

Thanks for the updates 

Couto consistently makes so few grafts go so far. Is there a more economical surgeon in the world? Only other one that I can think of that rivals him in this area is Dr Ahmad.

23 hours ago, mr_peanutbutter said:

sometimes i wished i had hairloss in 2015 already so i could have booked with dr zarev before the waiting list was 4 years and the price 9 eur per graft

Just goes to show that sometimes random posts that appear to be promotional ones about unknown Dr’s are in-fact legit.

I know if I seen a post like this pop up now I’d be dubious. But thinking about it , every Dr has to have a break out case or a break out period. It takes one or two people to take that leap of faith and then they begin to pick up traction.

I hope the opening poster went with him! Hindsight is a wonderful thing 🤣

Not so much growth but final changes. Noticed the texture of the hair changed from a slightly more frizzy feel to my natural hair

1 hour ago, mr_peanutbutter said:

 

zarev donor, 12h after extracting 2k grafts

 

 

Wow. Thats incredible 

The best person to consult with is your Dr. 

It’s no secret the chance of sides are greater but that doesn’t necessarily mean you’ll get them.

Measure your blood pressure and heart rate prior to embarking on it then get regular quarterly reviews. That way you’ll be able to keep track of the impact on your body, even if you don’t feel sides. There isn’t much long term research in relation to hair but that’s largely due to it only rising in popularity over the last few years. 
 

That being said plenty of people on here have had great gains on it with no sides, it’s also as you say much easier to keep up with a set regime.

I remember a few months back someone posted about this Dr and it was the first I’d heard. Interested to see how this pans out. The work looks clean, glad you had a nice experience there.