LatinBald

1 hour ago, RMancini said:

 

Your message makes sense, especially to keep Couto away from the minds of forum readers.

If you met Couto, ha ha ha, he looks younger than all the other doctors, not only physically, but because of the energy that he has. I don't know if he is 45 or 60, if it is true that he is the doctor with the most years of experience in Spain and the one who knows the most about this, according to the other doctors I met. In addition to the fact that he is in all the details and is a working machine, and he looks to be about 45 years old. Who have operated with him or have seen him in consultation will agree with me.

Couto does sessions of between 1000 and 1500 grafts per patient per day, it is his work philosophy to perfectly control the times and details of the procedure. His work is very meticulous, craftsman and perfectionist, he classifies the units even by thickness, and he takes his time when he does the hairline and temples more than anyone else. As Dr Couto says, HT is a procedure to enjoy it, not to suffer it, and very long sessions are very traumatic according to those who have had them.

I had a procedure of 2000 and it was performed in two afternoons, in the morning they did another patient balder than me and of course with more grafts, so it depends a lot on how they combine the interventions. Generally, the biggest ones do it in the morning when everyone is more rested. Then another team enters in the afternoon, rested for the second intervention but the doctors are the same.

According to Couto, when a person performs the extraction is exhausted to implant after, regardless of age, fatigue and tiredness after 2, 3 or 4 hours of extraction is a human thing. He usually plans and starts the extraction to recognize possible difficulties and then continues the other, who has been rigorously trained by him and has been working in the clinic for more than 6 years. While the grafts are harvested, Couto makes revisions and assessments, to later implant once the extraction is finished, everything is very well coordinated.

By the way, I think Couto is currently the most requested doctor in the world, despite not performing the extractions.

I invite you to give me examples of cases of those doctors that you say extract and implant all the grafts, that improve or equal the results i have seen from Juan Couto.

All that you have written wasn't necessary. Couto is and has always been my first choice, and I know his work for almost a decade when he performed 1 patient a day. His results speak for themselves. I don't think it's necessary to argue about that.

On 6/15/2022 at 12:40 PM, Alex94gasp said:

They are friends? Didn't know.

But makes sense, they are both in Porto!

Well with the life we have in Portugal with the salary, it's not applicable the 3,5€/graft. The minimum is 740€/month

But well, I will call later to confime with Dr.Pinto and make sure they make an appointment for me. 

In my town, don't need to travel, I think is a safe bet.

 

"Bruno" es el nombre de ambos cirujanos (Bruno Pinto y Bruno Ferreira).

Y sí, son amigos y trabajaron juntos en una clínica en España antes de montar su propia clínica.

Aquí tenéis fotos recientes publicadas en el Foro Español relacionadas con un congreso celebrado en Oporto el pasado mes de julio:

htpps://i.imgur.com/tFykDbv.jpg

https://i.imgur.com/fLJPRa7.jpg

On 7/4/2022 at 8:57 PM, wprevil said:

Hi all,

Recently visited Dr. pinto's website. While I was surfing around it I couldnt find any b4 and after pics. Maybe I'm not looking right, I dont know. Does anyone know why?

https://clinicaoporto.com

Here you have his cases in the Spanish Forum:  https://recuperartupelo.com/viewforum.php?f=8

You can watch them as well through the App called Injerto Capilar

On 7/11/2022 at 7:08 PM, Buck Naked said:

2-3 days for 2,500 grafts sounds like a lot of time. Why would it take to long?

He's more than 60 years old, and now he performs 2 patients a day with the help of his team.

That's the reason why doctors who operate only 1 patient a day and are involved in the entire surgery, are so valued and desired.

On 10/17/2022 at 5:52 AM, mister_25 said:

Some of the best names in Europe are Freitas, Couto, Pinto, Ferreira, Mwamba, Bisanga. Just a small pool of names that I've been impressed by.

I'd add Lorenzo, Lupanzula, and Feriduni.

On 10/17/2022 at 6:54 AM, mister_25 said:

In Europe the one that has impressed me the most is Freitas for diffused hair loss, other names are Couto, Pinto and Bisanga

In North America Konior and Hasson are the ones that have strong track records of diffused loss. Konior in my opinion is probably the best in the world if you can afford him

I couldn't agree more en NA.

In Europe maybe Couto, Pinto, Lorenzo, Freitas, Feriduni, Bisanga, Lupanzula. The most affordable of them are Pinto and Freitas (around 3 euros or less).

On 9/20/2022 at 1:43 PM, Harry Bosch said:

A few more pics of dry hair in outdoor light.

Really hoping that weaker side begins to improve — that was the primary goal of the surgery, to be able to move away from the combover look.  Looking underneath the hood, it’s still awfully concave with some thin wispy hairs existing non-homogeneously.

My expectation was that those front line singles would grow in first and approximate the aesthetic hairline that the surgeon designed.  And then they’d thicken over time as the doubles behind it all grew in.  Was this a wrong assumption ?  Is it feasible I’ll experience new hairs growing into those corners to create the temple closure we wanted?

@therambler @rambo man@Falconary @JDEE0

It look perfect in only 4-5 months (really 1.5 month of evolution).

The best is yet to come in the next 6-8 months.

I envy you.

16 hours ago, xabi86 said:

Which are those forums please apart from https://www.recuperartupelo.com/ ?

There are 2 main forums: recuperarelpelo.com y recuperartupelo.com

And a fantastic free App called Injerto Capilar, available on Google Play and App Store.

On 8/31/2022 at 5:06 PM, Bonek said:

Sorry guys, I was super busy lately. 
I looked the worst at about 2-3 months post op. After about 3 months I started to notice new hairs sprouting, but it was still very thin and weak. Each week I'm seeing some improvement - it is a slow process for me. Feel free to ask any questions!

 

Edit: my donor is pretty short right now. I just came back from hairdresser. My left side is filling much faster than the right side.

Hi Bonek, any update?

Simply amazing. 

And I undertand you perfectly when you have written: "Luckily for me, I dared to undertake this hair transplant ADVENTURE, and ... it has been the BEST decision in my life EVER".

Congrats!

On 10/18/2022 at 11:03 AM, xabi86 said:

Thank you for your response.

is he recommended on any other forums?

or are there other forums similar to this one which are more focused on European surgeons? Europe is much closer to home  

In the Spanish ones, he is highly recommended, together with Dr Juan Couto, Dr José Lorenzo, and Dr Rafael De Freitas, but he is more affordable (maybe because his clinic is in Portugal) and his overall results are simply amazing, and he is the only one who performs the whole surgery (drawing, shaving, anesthesia, extracting, and grafting).
I love the work of those 4 doctors, and they are all considered among the best surgeons in the world.

On 10/15/2022 at 4:23 AM, uu777 said:

Thanks for the information @therambler, How does the payment work? You mentioned 2.95 per graft and  you had the graft total of 3252. Correct me if Im wrong but they wont know until they see you and perform the surgery on you on how many grafts they will totally get from your donor site right? So you really dont have any idea how much you will be paying until the procedure is done it that how it works? 

What other patients say in other forums is that Dr. Pinto makes a surgical planning for you with an estimated figure of grafts. If once in the clinic he needs less grafts for instance because the patient has improved with medication, he will return the money that is left over, and if he thinks he needs a slightly higher number, it is free (on his own).

52 minutes ago, 5BetaReductase said:

Wow, great progress. Imo pinto is probably the top doctor in Europe. You had two legends work on your head starting off with konior 

I couldn't agree more. 

And it seems this case is going to be another success.
Fantastic and fast evolution at the moment.

On 7/21/2022 at 12:32 PM, therambler said:

Hey, looks great for the ugly duckling stage to be honest, not too bad at all! Also does it look like the roots of that patch of white hairs are actually growing back with with some colour? 

I woul pay for having that "ugly duckling stage" for me. I wouldn't need more. 😅

21 hours ago, thebro23 said:

any update on your results?

+10

On 8/31/2022 at 5:06 PM, Bonek said:

Sorry guys, I was super busy lately. 
I looked the worst at about 2-3 months post op. After about 3 months I started to notice new hairs sprouting, but it was still very thin and weak. Each week I'm seeing some improvement - it is a slow process for me. Feel free to ask any questions!

 

Edit: my donor is pretty short right now. I just came back from hairdresser. My left side is filling much faster than the right side.

Your donor area looks amazing despite being so short. Now you'll see the improvement month by month.

You definitely look 10 years younger. Congrats.

Oh my goodness, what an amazing result 😲 I definitely envy you.

On 8/20/2022 at 10:30 PM, 1978matt said:

I think Pinto has the numbers about right.

I would factor having to go back in a couple of years and address the midscalp area, just in case that gets shocked out for any reason.

Totally agree.

Dr Pinto's planning is the right one, and try to cover the crown and hairline in 1 surgery.

I wouldn't want Dr Freitas' planning for me. Jenova's crown is too big to wait to be covered more than 2 years. 

On 7/27/2022 at 6:56 PM, Fue3361 said:

I'd usually agree with you here Melvin, but looking at this here:



I'm not an expert by any means and accept than I could be wrong, but does the density not strike you as very low post in this post op picture for an area that has zero natural hairs growing there?  There's no tape measurer to judge exact grafts/cm2, but that looks like 20 to my naked eye (area right above new hairline).

As to OP's concern, I'd say still wait the 12 months, and if you need the touchup/revision surgery, go back with Couto.  He's still world class, and you can't find much better hands than his.

 

I totally agree. I can't see a good work of high density at all, and I don't know why. 

I also see a lack of naturalness and grafts implanted in lines. It's not a disaster at all, but sadly, I can't see a good work.

Did Dr Couto perform the implantation?

On 7/26/2022 at 12:45 PM, therambler said:

2 Month update: 

I need a trim now

 

The good news is that you are in the worst post-operative period (2 months), and therefore, from now on you will no longer look worse than now, and you will evolve little by little in the next months.
Cheer up and good luck!

On 8/25/2022 at 9:49 AM, Falconary said:

Thanks! I will have a haircut in the coming days, mostly to see how it looks with shorter hair now, and how the donor looks with a low fade. I can take a few pictures on the hairline and also upload them here 👍

Your look now si SIMPLY AMAZING. If I had your image, I would not wear short hair EVER AGAIN!! 😅

On 8/25/2022 at 9:58 AM, Falconary said:

He highly advised me to start taking finasteride so I started taking it (1 mg/day) on October 2021. I stopped in the end of May 2022 because me and wifey want to have a kid and I don't want to risk anything (even though there are no evidence that finasteride would be a risk at all). I have to say that finasteride helped my crown and a part of midscalp a lot. I am planning on starting with topical finasteride because I'm noticing more shedding now. 

I think that he doesn't recommend topical finasteride due to its low effect. In fact in Spain lmost no doctor recommends it.
The most recommended medication and the one that is having the best effect is Oral Minoxidil.

On 6/27/2022 at 5:09 PM, therambler said:

1 month update: I've entered full-shed mode! 😀

 

I had not seen this case.
How super clean are Dr Bruno Pinto's operations, he is certainly one of a kind. It is understandable that he is the surgeon of the moment.
Your recovery is incredible. It hardly looks like you've had surgery.
Congratulations and good luck with your evolution.

Koray has completely disappeared from the Spanish forums, and practically nobody considers operating with him.
On the other hand, he continues to graft 5,000 grafts to almost all patients, when the rest of the doctors have reached the consensus that surgeries of more than 3,000-3,500 grafts should not be performed.
In my opinion it doesn't make sense and results like this one are proof that the quality has dropped and why it has disappeared in Spanish forums for years.