ScottishGuy21

Huge improvement , congratulations Given what you needed - 4500 grafts in one sitting for that amount of coverage is a stellar result. Who was your Dr?

Yes my thread can be found below. I’m 6 1/2 months in now and so far everything is going well. Like you I need a second procedure, this time for my midscalp and crown. I’ve been on Fin for a few years along with biotin / zinc supplements. Unfortunately tried but had sides on Oral Minox / Topical.

You’re in safe hands. I had the same number done by Dr Bicer back in October and my donor is back at the point which you’d never know I’d had a transplant.

Agree that’s tricky, judging end results are a good indicator. The more consistent results displayed by a clinics patients the better. Decent clinics will have the same staff day in day out so a strong working relationship is built up. Hair mills on the other hand have techs on hire which can spell disaster. Good Drs won’t risk reputational damage by letting poor techs carry out any work. That being said you still want the Dr to be heavily involved for the majority of the procedure and to carry out the important parts such as incisions. So it’s a balancing act.

For bigger sessions especially it can impact on the end result if a Dr does everything themselves. The longer grafts are outside the body the less chance of survival they have Also worth pointing out that some techs are incredibly well trained and their skill level can be as high as most Dr’s. This is why research into the clinic itself and their reputation (and not just the dr) is important.

At 4 months you’re lucky to have any real noticeable growth so take that as a bonus 🙂. The crown is always later to bloom than frontal regions so hang on in there. All looks to be moving along very nicely!

Given there’s probably only 10% of clinics producing acceptable results it’s potentially a correct statement. Poor guidance coupled with unrealistic expectations from hair mills will leave many unhappy The % of people happy on an informed platform like this however will be far higher. By taking the time to research and ready yourself for the process you’re minimising the potential for it to go wrong.

Absolutely . Likewise if a tech is vastly experienced and been under the tutorage of an excellent Dr they could place grafts better than most Dr’s elsewhere. Even the best Dr’s have some reliance on techs.

Ok great, thanks everyone for the replies. Much appreciated 🙂

I’m 6 months post transplant and wanting to start using some product in my hair to keep it in place. What is everyone post op using? Naturally I’m a little apprehensive. Before my transplant I would use extra hold hair spray but not sure this is a good idea with developing hair? Thanks I’m advance for any pointers

Keto shampoos are great but not recommended for daily use. Once every few days max. I use this in between keto wash days and it certainly does give my hair a little kick. But it’s more a kick in terms of aesthetics than any regrowth. Most clinics advise to start off washing with low ph shampoos post transplant - usually

Sure , here you go

Uneven growth is pretty common. 4 months is still early. Personally I’ve just passed the 6 months mark and it was only within the last 4 weeks have I noticed a considerable change. Try not to worry too much. The less stress the better for them developing follicles!

Great topic. Lighting can be your best friend or worst enemy! I can see why clinics do it and unless you have a reasonable understanding of hair loss / transplantation it can quite easily deceive. I’m not saying that’s right but the industry is cut throat and unfortunately it’s the nature of the beast. As for us patients, personally I’m always open and honest. I’ve posted direct photos in very harsh sunlight as well as indoors on my own thread.

As with any ‘bad’ case I’d have to see several more similar ones before passing judgement. I’d never change perception of a clinic on a single result good or bad. H&W have been in the game a very long time and produced 1000s of decent results. Let’s not forget that before we all pile on. I do agree in this day and age every clinic should be producing high quality before and after photos. Those that don’t need to move with the times before they get left behind (Unless of course they’re hiding sketchy work).

Insane result. Congratulations, you look so much younger. Without doubt one of the best I’ve seen. That crown work is staggeringly good

The younger you are the bigger the risk. If you only have mild hairloss and are north of 45 chances are things will remain pretty stable and it’s a calculated risk you could argue worth taking. Below that I’d be dead against it. Aggressive recession could still hit and/or meds may start to weaken in effectiveness. You want to keep grafts in reserve for this scenario. I doubt many of us want mature hairlines after a transplant but it’s the compromise we have to make in order to make it seem like we have a full head of hair!

He’s a plastic surgeon and not exclusively a hair transplant surgeon. That alone would leave me uncomfortable. I’d much prefer someone who only focuses on hair day in day out. I’ve not seen too many results however so don’t want to be too critical. He seems a very ethical Dr and his videos are highly educational, especially for those starting out with their research.

Research, research and research. Look at surgeons tackling similar cases to yours that you’d be happy with and make a note. Contact them and see what plans they come back with. Every clinic will have different methods so once you’ve had feedback pool the best handful (more often than not you’ll have a good gut feeling about a few) . Review again and factor in your variables. Surgeon skill level , Reputation, Distance, travel logistics , amount of cases online for said surgeon, cost (This should never be the deciding factor though, it’s worth saving up for a high class Dr and delaying surgery rather than just going with the cheapest option available). I was in your position a few years ago and know how much stress the process can be. But you’ve found an invaluable resource here with years of cases and feedback on which will make things a little less daunting! Good Luck

Still plenty of time for those hairs to thicken up. Like you’ve touched on we all grow at different stages and big changes in hair texture / appearance can be observed even beyond the 12 month mark.

Thanks . It’s a daunting process when you first start researching but thank god I found this forum 🙂

Can you update the title Melvin to reflect this thread now being a post surgery progression review? Tried to do it myself but it won’t allow.

Bicer is heavily involved from start to finish. She designed my hairline after an indepth pre op consolation on the day (we’d previously discussed it during initial consultation too). Harvesting collecting is done by her a 2 techs, Incisions exclusively by her. Putting the grafts into the holes is done by techs but she’s close by. Unsure on Yaman but he’s got plenty of threads on here so im sure someone who has had work done by him will be able to advise?

Ok well if you’ve exhausted other possible reasons then yes of course repair work is the next step. You’ve still got some growth so it isn’t a complete failure and one I am sure a decent Dr can work with. The more Dr involvement the better but they don’t have to carry out every part of the process if the techs are skilled enough. Certain stages however such as incisions id expect and want the Dr to do this. I’m 6 months on from surgery for the same area with Bicer, my journey so far is in another topic on here if you want to take a look for reference. I’d recommend her without doubt but mine was a first transplant so not sure what she’s like for repairs Given your case I’d search for repair jobs on the forum and see if any are close to your own situation. Have you reached out to many clinics?

You’d be best visiting a dermatologist and having some blood work done first to try and figure out why the first HT wasn’t a success. Only once you’ve eliminated all possible other reasons and you’re certain it’s the surgeons fault should you book another transplant.