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.

20 minutes ago, NARMAK said:

It's funny. 

After your comments, i was walking around the supermarket and looking at temple points and noticed how many naturally had Dorito shaped points lol. 

So, maybe Eugenix might not be doing it to the same artistic design you generally like, but it does seem natural enough lol. 

That said, i think most might be going on a standard design recommend by the doctor as they feel they know best for the Aesthetic side whereas people like perhaps me and you would present an alternative design we feel is better. 

Well, that's what i plan to do anyways. If i couldn't enjoy them in my late teens and 20s, i'm damn sure gonna make the most of them if i get em recreated lol

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?

On 4/18/2021 at 11:21 AM, Huncholini said:

I'd be really interested in an update too, I've been torn between Hattingen and Bisanga, but after seeing this and a couple of other questionable results, I'm edging towards Hattingen.

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.

On 1/24/2022 at 12:10 AM, Drish said:

I would chose the style that Eugenix have on their temple work any day. I have seen a lot of people well into their 50s with mild recession in their fronto-temporal angles, who have never had any transplant and they naturally have that sharp angular look to it. It looks completely natural and youthful for their age as well. I'm not a fan of rounded off corners tbh. To say that Eugenix don't have a natural hairline and temple design is a bit of generalization tbh. To each their own. I'd prefer their design over someone who rounds up the closure from the hairline to the temporal peak into the temple. And it becomes increasingly difficult to give a proper blend to the transition if the corner is too rounded off as there are more chances of the hair sticking out, even with a good transplant. One can definitely adjust according to their own preference after consulting with the doctor.

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.

2 hours ago, RMancini said:

What is your basis for saying this about Couto? In Spain we have known his work very well for many years and we have never seen inconsistencies in his results, not even a complaint from a client.
And about the topic discussed in this thread (temple points), if you find a surgeon who perfectly reconstructs the temples like Couto does, please upload case examples here and let's start comparing. Couto has many published temple point cases with amazing result, he almost always restores them when they are receded.

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.

On 1/21/2022 at 4:48 PM, NARMAK said:

Thanks a lot for sharing Melvin. Caught it on the YouTube link while browsing. 

I have a really strong sneaking suspicion that i have a tendency to turn on my sides and probably touch my head and whatnot whilst sleeping. 

Is it better to sleep in an upright position and tie my wrists to around the feet/ankle to limit range of motion? 

I know it sounds super weird and whatnot, but i am literally terrified of the idea of screwing myself over by losing grafts to stupid things that i can't usually control. 

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.

On 1/23/2022 at 3:18 PM, NARMAK said:

I would say another example that convinced me was a video of a model guy on their YouTube with a well constructed temple point and how good that looked imo years later. 

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. 

On 1/21/2022 at 5:01 PM, BDK081522 said:

Triple antibiotic ointment such as Neosporin to the donor area generously. First 5-7 days saline spray to the recepient as often as you please. It helped soothe the itching for a short period until it dried. After 10 days Aloe vera to the recipient to help with itching and redness. 

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.

On 1/17/2022 at 9:40 AM, Rahal Hair Transplant said:

Saying that there is “no hope” seems a little drastic and harsh. However, I would agree based on the photos that your donor area is likely too thin for hair transplant surgery.  And let’s say we decided to do a small FUE procedure on you in order to minimize the appearance of scarring in the donor area, there wouldn’t be enough impact in the recipient area to be cosmetically pleasing and/or to make any real aesthetic difference.  That said, there are potentially other methods that might be appropriate for you depending on your goals. For example, scalp micropigmentation could give you a thicker appearance all over the scalp including the donor area but would likely limit you to keeping your hair cropped short. It would just make it look like you had a natural buzz cut by choice without any signs of thinning.  You could also consider nonsurgical hair replacement but hair replacement methods involve ongoing maintenance and can be both costly and time-consuming. 

So even though hair transplant surgery may not be the best option for you, there are other options to consider.

best wishes,

Rahal Hair Transplant 

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?

1 hour ago, Melvin- Moderator said:

I didn’t get a strip surgery, but I flew halfway around the world. My suggestion is to give yourself at least 4-5 days. You can use a surgical cap in the airplane and airport. 

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?

17 hours ago, hairlossPA said:

it might not be the answer you wanna hear, but I think your hair looks relatively normal and the points you made, like you said wouldnt be picked up by anyone in day to day activities. maybeeeee that one temple where the hairs are a bit mis-directed, but when its laying natural, I would just think you have messy hair for the day or something. it doesnt look unnatural.

I'd probably wait until I truly needed another HT because I was losing more hair and fix these small things, rather than go back around and try to fix this as a stand alone procedure.

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.

On 1/12/2022 at 8:06 AM, LaserCaps said:

It is a prescription strength laser 

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.