ScottishGuy21

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Yes definitely a NW7 crown but high humps The Nw scale as discussed in another thread is outdated these days.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.

Dr Edward Ball, Dr Mani Mittal, Dr Ted Miln are all solid options.

Fantastic result, the scar repair is as good as I’ve seen.

Man that’s brutal. Credit to Dr Bisanga for taking on an almost impossible task. I hope he can help the man achieve a result that betters his current situation.

Other factors beyond a surgeons control 1) Infection picked up away from the clinic. Whilst a patient is most at risk of infection during the procedure, in the days that follow it is still possible to pick one up. For those that fly home long distance the day after procedure the risk is obviously higher. But generally the chances of this still happening remain low. 2) Exposure to the elements. Sun and Wind exposure early on can impact on the skin and your outcome. Again the first few days are most crucial and trickiest to negotiate given you can’t wait a hat.

Whilst your hairloss is still progressing it’s not wise to have a transplant. That being said you are probably nearing your final pattern now. You’ll need a minimum of 6000 -7000 grafts if your donor is strong enough . Unless you went to a small handful of giga session specialists it’s probably wise to split that over 2 surgeries. One focusing on the frontal third to shape your face and the other on midscalp and crown . But be prepared for a long and expensive process and please do your research. You’ll get one shot at this given your losses. Choosing the right surgeon is crucial

7 weeks on from the original issue and I’ve bounced back fairly well. Thickness and density have improved no end (Thankfully 🙏🏼) Things are still ongoing with a hair specific dermatologist to try and pin point the exact cause but my hair is in a much better place now

For your age and from the 1 with hair pic I can see it’s perfect. You don’t want anything too aggressive because it doesn’t look natural. Also with only 1400 grafts used too you’ve got a lot still in the tank (should you have further recession of you native hair). Im a casual observer on here, you’ve been in with one of if not the very best in the world. I’m sure he’s nailed it 😊

Ive said this in another Dr Munib thread but I’ll echo it again . No surgery can ever be an absolute guaranteed success..but with this Dr I think that’s the case. I’m yet to see a bad or for that matter even an average result. He may be expensive but if you can afford it you are giving yourself the best possible chance. Each result I’ve seen is consistently great and what’s more they are presented with no hiding place. Every angle covered in HD camera and video footage. You can come on here with a result and request a certain angle from the Dr and he’ll post it.