ScottishGuy21

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 

1 hour ago, fsu2012 said:

Yes that was my thinking as well -- spent many hours looking at other reviews and couldn't find any other Dr willing to blast everything in HD like Dr. Munib... I think it says a lot about his confidence!

You seem pretty knowledgeable @ScottishGuy21, what are your thoughts on the hairline design here?

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. 

Can only echo what the above say. Pittella in your case would be my number 1 choice. (Zarev too but his waiting times are insane now). FUE is obviously far less invasive and your hair loss pattern now seems close to what the base will be. The yields that guy is getting from mega sessions is phenomenal and pushing the boundaries of what can be done in one sitting

I’d row back against the ‘I’d never consider FUT’ comments too though. If done right FUT is still a viable method. Hattingen as a previous post points out are one of the masters. There’s only a handful of FUT surgeons I’d consider but they’d be one. They have a ton of experience and cases online similar to your own for review.

Good Luck 

I flew to Istanbul rather than SAW, it’s a little further but it’s no big issue. I got met at the airport for transfer which was ideal,  the choice of airport is nothing to worry about except an extra 20-30 mins transit.

I paid by cash and again had no issues, the apartment had a safe in it from memory too. It’s really handy staying there. It’s literally a 30 second lift ride from her clinic. Post surgery I wasn’t in the mood to go out for food but you can also get a delivery too (Surgery didn’t finish for me till 7-8ish so it was a long day). There’s leaflets in Turkish in the apartment but if you run it by Dr Bicers assistant she can arrange it. Really nice food!

You’ve chosen a great surgeon who cares deeply about her patients. 

It looks good, very clean and natural shaped hairline. You’re also just beyond the half way stage of the process too so your hair is still developing.

As you’ve said it’s really hard to get a full perspective so short. In a couple more months I’d strongly recommend growing it out. This will give you a much better perspective and help highlight areas which during your second transplant may need a small touch up. It will also help understand how noticeable the patchy area you point to is. Monitor that area over the next few months for any further changes. Before any second procedure try to pin down what it is.

The benefit of a two staged approach for larger sessions is being able to tweak things. I remember Rolandas did and in the recent Zarev thread likewise. But that being said yours looks very good and I doubt once grown out and matured you’ll need much doing (if anything at all). It’s a nice option to have tho!
 

1 hour ago, nanek said:

The doctor didn't have a major involvement in the procedure, expect that we talket about expactations and the doctor came once in a while and made sure everything was in order. The following day i also talked to the doctor and everything seemed to be correct. The clinic was afterwards very helpfull also. 

The clinic had several patients, so for sure it is a hair mill, however based on a friend getting excelent results i felt safe in my choice.

What about PRP sessions? Would that do any good?

first eliminate any potential scalp issues. I’d also give it another few months before making a final judgment call too. 
 

If then after ruling out medical issues and passing the 12 month you are still at the same growth point, there’s a strong chance it may have failed due to the procedure itself. How’s your donor doing ? 

Different techs is a possible cause (Not definite but it has to be taken into consideration).

What was the Dr’s involvement? Did they perform any part of the procedure? How many patients do you estimate the clinic sees a day? 

Try not to compare and look at other results. Focus on getting to the root cause of your issue. Only then can you look to take the best course of action knowing you’re doing the right thing.

A derm who specialises in hair is important too. It’s such a specific niche area post transplant that you want someone who deals day in day out with scalp issues. 

Was it the same specific Dr and techs as your friend? Clinics can have several different Dr’s and techs depending on the size and this is where differing results can emerge 

I agree with ITA in regards to the redness. It may be something you want to get checked out just in case there’s something undiagnosed going on. 
 

Everything is process of elimination. I’m going through something similar at the moment after a heavy shed so I know how tedious it can be. Long term however it’s worth it so you can pin down what’s causing the issue and take the right steps.  

You’ve had some growth which looks to have helped shaped your face better and you aren’t at the end yet but at 10 months I can understand your concerns. The frontal 3rd for the amount of grafts should be a little fuller. Were you planning a second procedure ? 4200 is most cases won’t cover a full scalp for the desired density.
 

You mention the same place as a friend. Was it a certain Dr who performed both yours and your friends procedure? Or did you have different techs perform the procedure? This can impact on results. Likewise have you any known medical issues? 
 

Sorry for all the questions. Just trying to eliminate a few things for you
 

Interesting thread. Never heard of this Dr before but his works looks very good from what I can find. His old Instagram account suggests he had some involvement in a clinic in Barcelona too.

Would be great to see more real time threads on here.

Put together a long list of surgeons work you like. Research cases they’ve done similar to yours. Then factor in cost. Not every good clinic costs the earth, likewise some expensive clinics can be pants. It should never be the deciding factor 

If you feel a clinic is a little out of reach but you really like them it’s worth waiting a year or two and saving extra. This is a lifelong procedure remember and if you get it wrong it may cost your double to repair (or you may not even be lucky enough to have that option)

Sorry to scare you 🤣. But I’ve seen countless people opt for the cheapest deal then regret it 12 months later! Good Luck

1 hour ago, RobsHair16 said:

I've just been to Dr Yaman for my transplant a few weeks ago so feel free to take a look at my experience, overall good experience but still early days to see anything close to a result. 

It's very much tech driven but the hairline design, consult and incisions are done by Dr Yaman. Similar to you looked at Dr Bicer and Fue Capilar as highly rated, only managed to get a quote back Dr Yaman and Dr Bicer but the cost difference was huge and both seemed to have the same level of clinical intervention. The only difference I could argue is it appears Dr Bicer only has one patient per day while I observed 3 while I was having my surgery so imagine Dr Bicer has greater clinical oversight.   

 

The use of techs alongside a Dr isn’t an issue if you are sure of the tech skill level. 

I can only speak for Dr Bicer as a patient but I know the ones she works with are the same ones day in day out (And have been for a number of years). This is very important , you know you are going to get a level of consistency. 

Important thread for anyone having a transplant.
 

No result is guaranteed to last forever and you should  as others have pointed out factor in that some loss later in life will occur. The younger you are the more likely it is you’ll need a top up at some point.

Through medical therapy and sensible donor hair selection we  / Dr’s can try as best as they can to stave off recession but with a small few Mother Nature unfortunately will have others plans. 

Scarring from your first surgery looks undetectable, wow .
 

Thanks for sharing your journey it’s been a great insight into how one of the true masters of the industry operates 

Congratulations , great result . Keep us updated with any future progress too!

Followed this Dr for a while now and I like him.  There’s an undercurrent of really good UK based surgeons starting to come to the fore, Dr Mani has broke out in terms of internationally recognition and I think Dr Ted won’t be far behind. 

Like with any emerging talent it needs a few people to take the leap of faith and post independently. I’m sure that will happen soon enough. 

8 hours ago, BeHappy said:

Since it seems you have to wait a few weeks to see someone, you can try using a medicated shampoo that you can get over the counter. One like this:

Cool thanks. I’m currently using the standard Nizoral . I didn’t realise there was other versions. I’ll take a look at this 👍🏻

Further update - sorry in advance for the long post again!

I am still waiting for a biopsy. The NHS wait time in the UK is over 6 months!! . With that in mind I am going private but even then the wait for a Hair Specialist Consultant Dermatologist is 4 weeks. I could see a standard Derm again much quicker but given the potential complexity of the issue (And I’ve already had a trichoscopy) don’t think that would move my case any further.  

A few ago I was prescribed anti biotics. This saw the shedding and redness subside dramatically, I am seeing thickening / regrowth. So there’s a good chance I did have some sort of infection given my positive response to them. There’s thankfully a noticeable difference in my hair health (pic enclosed).  I am however still getting occasional tingling and itching which indicates there’s possibly still more going on than just a covid shed / infection. (Hence why I want to see a hair specific derm this time to be thorough). Blood work has come back normal.

It’s a waiting game now for a) A biopsy 2) How much the hair regrows.
 

Both are very good safe bets and among the best in Europe. I don’t think you can go wrong with either.

Surgeons can never have a 100% success rate. There’s so many variables and unknowns including undiagnosed patient related health issues. What’s important is if it does go wrong how do they react. Both above have acted admirably and offered repairs.