ScottishGuy21

That’s fair enough, can only apologise if that’s the case. 3 is still a lot given Yaman tends to do very large sessions 4,5 even 6000 sessions . I’d hope for the days which see large sessions the number of people is lowered.

Yaman is a good surgeon but I fear he’s treading close to the Asmed / Koray route of expanding too quickly. The stories above of 6-8 surgery’s a day are alarming. I’m not sure what his packages are and the breakdown of Dr / Tech involvement but with so many surgeries a day Yaman’s role must be minimal now. There’s nothing wrong with tech involvement but the larger operation you have the harder it is to remain consistent.

Both elite level surgeons. I’ve never seen an Ahmad botch, it’s basically a guaranteed success. You can’t put a price on that. If you’re able to drop 30-40k on a new car then why not your hair? For a lot of us it’s economically it’s out of reach but taking a step back and assessing…we’re talking about someone at the very top of the game, the price reflects that.

With the right supplements you can absolutely improve your hair health. If you are lacking in something and can address it then naturally the hair will get stronger and potentially thicker. Long term however you need to go beyond natural supplements if you want to halt or significantly slow down the progression of losses

It’s been quite a journey, after coming so far it’s only right to finish the job 😀. It’s crazy to look back now, especially when you see compare. Best decision I’ve ever made. Thanks 😁

He’s got a ton of cases on his Instagram page, granted they aren’t independent but they are presented clearly and documented excellently. It’s a yes from me. You only have to look at the respect he’s built up around the world from other Dr’s to realise this guy is the real deal. Unless he dramatically changes his approach I don’t see his work falling off . It’s done very methodically, there’s less variables due to the level of planning involved.

Thanks for your reply and kind words, that’s reassuring. I’ve weighed up not having a second surgery but due to the thinning midscalp / crown I’m limited to a longer hair style. A second surgery will enable me to have more freedom. I’ll also finally be able to go out on windy days without that lingering worry at the back of my mind 🤣

Now that my scalp issues seem to be over Ive begun the process of planning my second surgery. Interested to hear how many grafts people think I’ve got left? Unfortunately my right side is maxed out I think, I’ve enclosed photos from April 2023 and now of the area. As you can see compared to the left it’s not as strong but it has bounced back a little . Given my age I’m also worried about future recession too and maxing out completely now.

Goes without saying 🤣

Watching the FA Cup coverage, Martin Keowns looks even worse

Just seen his new clinic taking shape on his socials. Looks like it will be fantastic. I get the impression from the teases it’s going to be much different from the usual standard clinics. (And no I’m not on any commission from the Dr 🤣, It’s just refreshing to see another UK based Dr coming through who clearly knows his stuff)

Yes definitely a NW7 crown but high humps The Nw scale as discussed in another thread is outdated these days. Pittella has has come up with his own more complex scale which obviously works well for his planning and ultimately his patients. Pic below is what is the standard NW 6/7 difference but as your pic proves things can vary greatly.

Lateral hump loss and a lower crown dip I think are the main difference between 6/7. Without being well versed in hair loss that difference to the eye is minimal. But in hair restoration terms it can be significant as you’re already working with a high NW so every graft is important.

Surely this would be better with a short buzz cut now 🙈 What’s the back story to this?

You’re only mid 20s and unfortunately your hairloss is still progressing despite medicinal intervention. Try dutasterdie. Your main priority right now needs to stabilise your losses. This is the nuclear option but in your case I think may be necessary. I wouldn’t be looking for a second op right now. You would be creating additional scar tissue to areas which will shortly become exposed (if your hairloss remains aggressive). Without stabilisation you’ll be in exactly the same position again in 12-18 months, and eventually you’ll run out of grafts. You need to think long term on this. Good Luck, hopefully further medicinal interaction can help.

He’s a very good surgeon who has quietly been making a name for himself within the UK. Like with any Dr on the cusp of ‘breaking out’ it takes a few people to make a leap of faith so to speak. The manner in which he presents his cases on his own social media is very good. The comb throughs are done properly, no fancy lighting , no carefully chosen angles. One continuous 360 degree video as it should be. It would be great to see more independent real times cases which in time I’m sure will surface I suspect we’ll be seeing an awful lot more of him within the next few years.

Sorry I was talking about FUE procedures. Naturally with a FUT mega session so long as the scar is is done right it will be less visible. I’ve seen some sketchy scars from H&W too though so it isn’t a home run every time. But along with Hattingen they are the best around for FUT

Being able to get a yield of 12/13’000 grafts and turning NW7s consistently into full coverage is breaking new boundaries. The donors still look ok considering the small area that amount of grafts are plucked from H&W have been very good for a long time now however for Nw 6/7s they don’t have the consistency or volume these two have.

It’s no coincidence both him and Zarev appear to use their own versions of super high tech software during the planning stage Both obviously elite surgeons but it also highlights just how important this stage is to the end result. With these two you feel every single strand of hair on the scalp is accounted for. Like with any improvements in the field evolution is key, his new scale is a product of that. Would be interesting to see a more in depth reasoning and how he categorises.

Should also mention at the reported €9 a graft you’d probably also be looking at €80-€100 k with Zarev . So you’d also need very deep pockets.

My thinking too. I had 4000 in one sitting which didn’t look too dissimilar and mines fine now. It depends how strong the donor was to begin with but that extraction pattern isn’t too bad in terms of the spacing. They’re far enough apart that it shouldn’t look over harvested. Naturally with 4700 grafts it will look thinner

If you look at the patients shaven photos he has a relatively small scalp but longer face. This is the perfect hairline when factoring this in. It is also a demonstration of why tailor made surgical planning rather than a one size fits all approach is needed from Dr’s. Congratulations , this is a fantastic result

Only a very small handful of surgeons in the world could deliver a result from your starting point. You need to ask yourself are you mentally prepared for what could be a long and very expensive road ahead. Then weigh up your expectations from potential surgery / surgeries.

As you say they’ll tell you to wait for the 12-18 month mark. Which is understandable as there are cases of late growth (although fairly rare). It’s a good idea to keep the clinic in the loop as you are doing so they have an idea of your progress. What I will say is that you’ve chosen a stand up , well respected surgeon who I’m sure will look to rectify any issue should it come to that. Good Luck for the next few months.

Your hair still seems to be evolving and filling out, I would not go ahead with any planned surgery in January. Personally I’d give it another 6 months then reassess. 6000 grafts is also very excessive. I’m not sure your donor will cope but nor do I think judging from your photos you need anywhere near that amount. I’d urge you to consult other Dr’s to get a better idea of your situation.