GeneralNorwood

One recommended surgeon is repairing after another recommended surgeon's failed HT. Very interesting. Anyway, it seems that you are on a good route now, the plan makes sense. I'm looking forward to the end of this journey

From my conversation with Dr. Zarev, it seems that prices will not decrease, quite the opposite. He has no competition in what he does, only the appearance of more surgeons with this method would lower the prices.

Yeah, i found out today, that you were in London too. Great city for meetups, it has 4 big airports and shocking number of pubs. If there will be an idea for a forum meeting, I think London is a great place for it. Although it must be said that it is not cheap

I think you have higher native density in donor area and that's why you are better candidate for FUT then me. My native denisity in donor (untouched by 1st HT) is ~75 grafts/cm2. And my density in area where extractions were made, is between 45-60 grafts/cm2. However my hair are thick, not fine. Fun fact. The thickest hair that was found by Dr Zarev during consultation was implanted in... temple points. PS. I was in London from Friday to Sunday 🤣Touring holiday.

I doubt it. Konior needed 7000 grafts for this patient : ttps://www.hairrestorationnetwork.com/topic/71395-3x-konior-fut-fue-nw6-12-year-update/ And it was obviously lower stage then mtb. I found another patient from Konior with 6700 grafts : https://www.hairrestorationnetwork.com/topic/56905-raymond-j-konior-md-chicago-hair-institute-evolution-of-a-6710-graft-multi-stage-repair It is far from full head of hair He is doing slickback, because he had no-shaving FUE and hair from 1st HT are a lot longer then hair from 2nd HT. Let me remind you how his midscalp looked before 2nd HT when hair were combed forward : And we can expect that in next months midscalp will improve as well.

Yeah, but did you see Konior taking case like mtb and using just 6000 grafts to achieve result like this? 😉 Zarev is using smaller punches on average, but it's not like he is using 0,5-0,6 mm all the time. It depends on characteristics of the hair. You can see here that he extracted 3270 grafts with only 0,7-0,75 pmm punches : https://youtu.be/XASvPhbsRO4?t=378

We didn't go into that too much. I remember that Bisanga said that my beard has different texture. And i can add that beard has different color too.

This clinic really needs to stop calling such cases "Norwood 2". It is unethical.

3 years, It's same for everyone who just had consultation. Surgeries are done in 3 days per week.

The other one who wanted to do something with it was Bruno Ferreira. He wanted to extract some grafts and add some grafts as well.

But Zarev is not extracting from the classical safezone, he is extracting from all of the donor, right up to the border of balding pattern. He said the design was too aggressive for my level of hairloss, but he didnt see the point in extracting hair from the hairline. Bisanga never said anything about modification of the hairline.

Dr Sever Muresanu said that FUT is not good idea for me, because i don't have virgin scalp and it is not worth the effort. He recommended FUE.

Bisanga said that we can extract 3200 grafts and then we will see. Bruno Ferreira said we can extract between 5000-6000 grafts below depletion. Dr. Zarev says that we can extract 6500 grafts below depletion. In Dr. Zarev's opinion my beard has different characteristics compared to hair. Bisanga thinks the same.

Ok, guys, It's time to put cards on the table. A week ago I was in Bulgaria and did some sightseeing in beautiful Sofia. However, this was obviously not the main purpose of my visit. I saw Dr. Zarev. Two weeks ago i received message from Zarev's clinic that somebody cancelled consultation and they offered me this spot. I didn't think twice before buying a flight ticket. Yes, it was off-schedule consultation. The consultation exceeded my expectations. It lasted for 2 hours and 30 minutes, longer then my consultations with other surgeons combined. Firstly,we talked about my hairloss history. I was showing to him pictures on my phone that i prepeared, he asked me about medications and about family history of balding. I showed him pictures of my dad and uncle, but anyway he said that in my case balding pattern (Norwood 7) is so obvious, that we really don't need to look at family pictures (but we did anyway). Then he asked me about my expectations. I said that i want to bring back the naturalness and i think repairing the disconnection is first step to do that. But the most important thing is that I want his opinion on what can be achieved. He invited me to sit on photosession chair and he started to make pictures from all angles. The most interesting part for me was the measurments. He divided my scalp into more than 80 areas. He said that usually he creates ~60 areas but for my case he must create more, because i had HT already. Yes, guys, 80 areas. It happened. Then he used micro camera on this areas, measured them with tape. We could see photos from micro camera on the big screen and he started to calculate grafts/cm2. Some areas had only ~45 grafts/cm2 but others like area above extraction zone had 70+ grafts/cm2. Dr. Zarev made some further calculations on the paper for a longer period of time and when he finished said to me that : 1. Currently my recipient area needs 5200 grafts. 2. We can extract maximum 6500 from the donor without depletion. So with current needs we are below depletion level. 3. 8500 grafts can be extracted maximally, but this would require shorter hairstyle on the sides and the back. 4. I will lose more hair in the future, even with medications. And because of that i will need more HT's. I got surgery date in 3 years. However i am on the off-schedule cancellation list.

My donor in some areas is close to depletion and has ~45 grafts/cm2. But in another areas it has 50-60 grafts/cm2. Well there are even areas with 70+ graft/cm2. It was checked by micro cameras, it's not fairy tale. I wouldn't call Priya best in the business.

There is no surgeon who thinks that using beard grafts is good idea for me. The beard characteristics in my case is just too different compared do hair. Even Eugenix didn't suggest beard transplantation for me. Priyadarshini suggested ~3000 scalp grafts for the next HT.

I leave it to surgeon. But i can say that there are areas with native density that weren't use during my first surgery. For sure bringing back naturalness and repairing this "disconnection" is my top priority. There will be more focus on midscalp then on the crown i think. I use finasteride 6 times per week and dutasteride once a week. Yeah, this is number that actually was suggested by 2 surgeons and both said that this is under depletion level. So after i use 5k graft, i could still wear longer hair in the donor.

Yeah, that is true. Our final patterns are the same, we are both Norwood 7 with blonde hair. However 3 years ago i decided to start medical therapy and therefore i am keeping alive "leftovers" that survived DHT massacre. This is the photo that i took 3 years ago, when i decided to shave it off and start medical therapy. The norwood 7 pattern is obvious. Anyway for now the plan is to take ~5 k scalp grafts from the donor. Three surgeons told me that my beard characteristics are different compared to hair and it is not good idea to use them. I think that 5k hair transplant combined with vellus hair that i still have, will do the job. But when i lose my vellus hair, even with medication that i am taking, then it will be problematic.

I think that scars are pretty visible at pictures from the recent update. I can post some more, but currently i don't have photos with short hair from the back. For me the scars are to big in terms of what can be achieved nowadays.

Is doing FUE before FUT would yield same number of grafts than FUT before FUE? Does it matter which procedure we do first? (besides money) So for example : 1. We are doing FUE from 50cm2 area and we reduce density of this area from 90 grafts/cm2 to 70 grafts/cm2. Then we take a strip from same area, so we take strip from 50cm2 area with 70 grafts/cm2. 2. We are just doing strip from virgin 50cm2 area with 90 grafts/cm2

Nearly 2 months passed since last update and i see some benefit of using minoxidil twice a day and weekly microneedling on the bald scalp. However nothing magical happened of course, miniaturised hair are miniaturised hair, they have their limits. I didn't shave top since 3 months, so you can get the idea how weak miniaturised hair are. I was only shaving sides and back of the head and transplanted hair, so generally i was shaving stronger hair which are growing so much faster then miniaturised hair. However i didn't shave "stronger hair" since few weeks. The disconnection is the worst, that's my priority to fix : Here disconnection maybe looks smaller, but it is still there : And super bend backwards: I didn't shave donor recently, because i am preapering for the next consultation. I hope it will be the last one!

If you're sticking with Eugenix, maybe at least write them to have Sethi in the planning of the procedure. After all, you are a regular customer.

Nah, it doesn't make sense to me. He uses punch size from 0,5 mm - 0,8mm. So if there is 3 hair folicle, he propably uses 0,8 mm punch like other surgeons However when he uses very small punch for the single hair, the problem can occur when there is second hair hidden under the skin(just starts growing). But how often this kind of situation occurs?

If this is what you really wanted, then that's it, this is the final result. And yes, it looks better then SMP on bald scalp. But in this case, i don't see point in doing next HT, it will only cause more scarring in the donor.

Yeah, but Eugenix had so many bad results. It got to the point that even Melvin emphasized "We don't recommend clinics, we recommend surgeons" It is really misleading for people that owners of the clinic are recommended, but the rest of the clinic is not. It's as if the boss isn't responsible for the performance of his employees. No guys, in real world the boss takes the blame for this employees, because he is running the show.