George Clooney

If you speak Spanish you get a much faster response, I had a similar delay. I think they have fewer multilingual people available for English requests.

Totally fair points. Sharp temples look great initially if there's hair behind them but odd over time as the native hairs fall out because of the front-rear asymmetry. If you're going to be on dutasteride for the rest of your life or feel confident that your hair loss won't progress based on your family history than it's totally reasonable to go with that approach. Everyone has to find the path that works for them. For some that means medical management and no surgery, for others it's a more conservative surgeon like Lorenzo or Feriduni, and for others still it's with someone more aggressive that's willing to give you a 25 year old hairline regardless of your age. Only time will tell who's right in the long run, which sucks for us.

I heard recently that a lot of clinics don't use or have stopped using these to dissect down grafts. Intuitively this seems like a bad idea to me. Does anyone know which clinics still use them and which definitely don't?

It's not always intuitive if you're new to the forum but you can't call a case "questionable" at 7 months, follicle caliber is still bulking up. 🤗 This patient was evolving nicely with really solid growth for this time frame, would need to wait till 12-18 months to see where things ended up.

This is literally all of their cases, it's a generalization but a fairly accurate one. A straight and angulated hairline in someone over 50 with a wasteland behind it might be fine for instagram but it is not a good look for real life. Almost everyone will lose their native hairs with age. Temples are probably the hardest part of hairline reconstruction. Eugenix hasn't figured them out yet. Their yields are great but their hairlines are bizarre and unnatural, similar to a lot of the Turkish clinics. That's my opinion, I'm allowed to have it as you are allowed to have yours. This isn't an advertising forum it's a discussion forum. De Freitas, Bisanga, Feriduni, Couto, Rahal, Konior, Hasson and Ferreira are great options for natural age appropriate hairlines.

I really don't want to post pictures of hairlines from another forum. He's really good, amongst the best, but sometimes his lines can be a little pluggy. The majority of his cases on the Spanish forums are broken links these days so maybe you saw real time something that's since been taken down, but I'm just basing this on the handful of patient submitted cases that are available over there. But really that's the reason threads like this, while they can be fun, are ultimately pointless. What's pluggy to me could be just fine to another person or could be related to the quality of the picture itself. Especially if you're limiting yourself to patient submitted photos there's no standardization it's just whatever the guy did with his smart phone. Everyone mentioned in this thread would do a stellar job in their own style, including Eugenix. They may actually be the best in the world as far as yield. Just see what fits for you.

If you're really worried, people with sleep behavior disorders (where they act out their dreams) use mittens and zip themselves up in sleeping bags so they don't punch objects or the wall while they sleep. May be overkill for hair surgery, but if you're worried you're going to claw out the staples or start ripping out follicles in your sleep then this may be for you.

This is so helpful thank you.

Having an active autoimmune process is not a good environment for surgery. Did the scabies spread to your scalp? Call your clinic and ask. Don't hide anything from your doc.

It's what you'd expect for 1000 grafts unfortunately. Give it till 12-18 months and then see someone with more experience to get it filled in with FUE. Including the name of your surgeon here would be helpful so others can avoid the pain you've been through but if you're not comfortable that's completely understandable. Good luck and keep us updated.

I would suggest carefully looking at patient submitted cases rather than Youtube videos posted by the clinics themselves. The best is patient submitted videos which are starting to become the new standard. Otherwise it sounds like you have your head on straight. As far as technical expertise Eugenix is amongst the best in the world in my opinion. Artistry/style, as you've pointed out, is a result of a dialogue between the patient and surgeon. I am sure they'll work with you to make sure it's what you want.

Ferreira, Konior and Pinto are the top hairline guys I've seen here. Hattingen is also excellent though most of his patient submitted cases are on the German forums, same goes for Pinto with the Spanish forums. Rahal and Couto are strong as well though their densities can be inconsistent.

Thank you for the tips. One small thing -- I've been told not to use Neosporin (as opposed to something inert like Vaseline or petroleum jelly) because the polymyxin has a tendency to cause allergic reactions (contact dermatitis) which would impair wound healing. Dryness is the follicle's enemy.

Eugenix creates very angular and sharp temple points that look like triangles, they look extremely unnatural to me. Almost like Reggie's hair from the old Archie comics, literally drawn on. Can see their transplants from a mile away. Edit to add: I reviewed a lot of Eugenix's cases since posting this and I probably was basing this more on their pre-surgical diagrams than their post op results. They manage to feather the angulation heavily to make the actual outcome less pronounced than one might predict based on their diagrams.

Maybe give it a few years on meds to see how you evolve, you have some recession at a young age. If it progresses despite medication you might end up with a complicated patch work of transplants with underlying recession.

Wow. That is an absolutely unbelievable result.

Thank you for that insight. One question about SMP in general and perhaps for this fellow in particular. If he were to get scalp SMP and then grew his hair out, would the two blend together or would it look odd? How good does the tattooing blend with native hair?

I have heard some people here recommend vitamin E and aloe vera and it seems each surgeon has their own specific recommendations. My dermatologist told me for wound healing (ie. FUT) that the specific ointment didn't matter as much as making sure to keep the area moist at all times with something inert and viscous like vaseline and and a colloid type dressing like duoderm. For the insertion sites I hear you guys saying you're spraying every 4 hours with saline? What did you guys do post operatively to promote/speed up wound healing, both for the harvesting and insertion sites?

How many days till you were "back to baseline" (like maybe 95%)? I have heard some people here say 2 weeks I think for strip? Sutures come out at 4 days and staples at 2 weeks? I know this varies from doc to doc but was just wondering what people's experiences were.

For those of you that have had strip surgery and had to fly to your surgeon, how many days after the procedure did you wait till you flew back home? Any tips for post-operative recovery?

This is the right answer. The issues you have, at least from your pics, don't really stand out to me and are not worth another roll of the dice. Wait till you need another surgery and just put up with cutting that part of your hair shorter or styling it until then. We can be our own worst critics, don't beat yourself up needlessly.

Thank you so much for updating us. Great yield! Would love to see any shots of the hairline with your hair pulled back if you have them

I might consider a second procedure down the line to shore up the hairline.

What do you mean by this?

Keep in mind hairline design varies significantly between surgeons Everyone has their personal favorites but you need to spend time on the forums comparing designs, particularly for cases that seem similar to where you're at currently and where you want to end up.