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Yep, agreed with OP. A "mature hairline" is just a slow progression of male pattern baldness as opposed to a quick one. The term really shouldn't be used at all. Also agreed that Norwood 1 hairlines don't look inappropriate on older men. There are legitimate arguments against transplanting a Norwood 1 hairline, but that isn't one of them.

If you guys are suggesting it is implausible to have this kind of result outside of a transplant, there are tons of cases on r/tressless that show otherwise. Although they tend to include microneedling as well. But there are definitely some incredible responders to medication-only regimens. Anyways, in the after picture the guy's hair is much longer and with a combover style, which makes a true comparison harder.

Unpopular opinion I guess but IMO as long as a patient is on a DHT inhibitor they should be considered appropriate for surgery, even if they are as young as late teens. On finasteride something like 90+% of men don't lose further hair, and one year is enough time to verify you're not in that unlucky 10%. On dutasteride you're essentially 100% guaranteed not to lose any more hair. So basically once you get on a DHT inhibitor you can consider your hair loss stabilized, which is the primary precondition for 'ethical' surgery. I don't see what waiting until you're older gets you in this case. Refusing to get on a DHT inhibitor is a completely different story though. A patient should be at least age 30+ in that case, and surgery approached conservatively.

Hair transplant surgeons seem to be generally terrified of temple points, even on patients with mild Norwoods. They love constructing hairlines without temple points, leading to a very characteristic hairstyle. This is what I identify as the "Mark Zuckerberg hairstyle," that is, a low hairline leading to a vertical forehead length that is normal size, but still-recessed temple points which leads to a horizontal forehead length that is not proportional to the vertical forehead width. So your hair ends up looking like... It means if you want to return to a true Norwood 1, temple points and all, you've got your work cut out for you. For me it will require a second transplant, travelling halfway around the world to a clinic not actually afraid of temple points (Eugenix), and more than doubling my total cost. Annoying.

Uh, for those bashing this guy, six months for a refund is absolutely, absolutely outrageous and completely unacceptable. There is no good reason why a refund should take anywhere near that long. Moreover, if you paid by credit card, you won't be able to chargeback after a specified amount of time. For Visa, it is four months.

Well, you should keep in mind that the reputation of Dr. Diep is not the only thing on the line here. The reputation of HRN, or at least the reputation of its list of approved surgeons, is on the line as well. After all, if Diep remains on the list when he doesn't deserve to belong there, then the list loses all meaning. Essentially: are you willing to risk sacrificing the reputation of HRN to save the reputation of Diep?

That FUT scar is atrocious. Even if it was acceptable, FUT in this case was completely unnecessary.

Doubtful. DHT-inhibitors and minoxidil have completely different mechanisms of action. In my experience (with topical, not oral), the two have no synergy whatsoever. If you stop minoxidil you will lose all gains in a timeframe of weeks. Moreover, you will actually shed beyond your baseline level of hairloss, though the shed will regrow and within a few weeks you will return to baseline.

20 hours including 1 stop will be exhausting. You should plan it so that on the day you land, and also on the entire day after, you have nothing planned. That allows for you to be fully rested and have your wits about you on the day you have surgery. It also gives you some leeway in case there are any flight delays. I have a 15-hour no-stop flight to India for Eugenix and that is my planned schedule. I think at least two full days rest post-op is enough to be rested for the fly back. Also, the best way IMO to get through a long flight is sleeping pills. Watching movies or reading just makes time drag.

All those factors probably had little or nothing to do with your poor result. Banging your head didn't do anything unless it caused grafts to dislodge, and you would know if that happened because there would be a lot of blood. The main factor influencing the graft survival rate is not tangential factors like diet but the general surgical technique used (e.g. were the grafts extracted properly and without needless trauma, were they kept out-of-tissue for only a minimal time, etc.). Your best shot at getting a better result next time is to go to a different surgeon. Make sure it is one who has a good reputation on this forum.

The visa process is absolutely, absolutely atrocious. OP, at least you have access to the eVisa. India rescinded the eVisa last year for Canada and the UK for reasons of political retaliation. In Canada you have to submit everything by physical copy via mail, which includes sending the physical copy of your passport. You can only pay by bank draft or equivalent. The listed processing time is 30-45 days, although I am skeptical of this timeframe because the backlog appears to be so bad that a whole news article was published about it a few days ago (https://www.cbc.ca/news/canada/british-columbia/indian-visa-processing-delays-1.6657540). Made any mistakes on your application? They will mail it all back to you and tell you to resubmit it, at the cost of another ~$200 and 1-2 months waiting time. I have my date at Eugenix booked in 9 weeks and have already spent $2.6k on plane tickets. I am very worried that my visa won't be approved in time, or that it will be rejected for some minor error in the application, and I won't be able to go. The only other country I have visited, Turkey, had an online visa process that took 5 minutes to fill out and was approved instantly. I had no idea India's would be like this, and if I had known otherwise I would have never chosen to go to Eugenix.

Don't pay any attention to Bicer rejecting you lol, she is overly conservative - even relative to the fact that hair transplant surgeons as a whole tend to be conservative in general. I had similar hair loss as you and she also rejected me. Every other elite clinic I contacted accepted me.

One definite issue I see is, as the OP pointed out, there is a very clear gap consisting of poor density hair which is immediately behind the transplanted hair, on each side of the head. That part definitely needed to be filled in, and the fact that it wasn't looks to be a big error on the part of Eugenix. Anyone want to defend Eugenix on this?

Eugenix seems to be the one of the only clinics in the entire world that actually recognizes the importance of temple points and makes an attempt to generally construct them on patients. Even on a Norwood 6! This in my opinion puts Eugenix qualitatively a step above every other elite clinic.

Well, I have never seen a transplant where donor hair was taken from, say, the very center of the crown, to implant into the hairline. I am asking whether a surgeon would do this on request.