GeneralNorwood

9 hours ago, Z-- said:

How did the call go? Would be interesting to get your perspective.

 

Well, that was group video meeting with Hariom, Amandeep, Dr Das and Dr Arika. 

Firstly i had some quick chat with Hariom and he tried to explain why Eugenix graded me 3V. He said that norwood scale doesn't take into account diffuse thining and because of that i have a lot of native hair, they graded me 3V. But i saw many doctors grading cases like mine NW5a or higher. I don't know what is scientific consensus here, but IMO grading case like mine so low, can be misleading. He had some remark that my lateral hump area had become worse since procedure, but i replied that this is not true and one have to look at pictures in same lighting condition to see that this area is stable

Amandeep and Dr Das joined video meeting. Dr Das presented some hopes with further use of dutasteride, which i do not share, because i am already 2 years on DHT blockers. She said that if she did the operation again, she would do everything the same. According to her, not having the hair implanted on lateral humps area was a conscious choice. She agrees with my idea to wait for 18 months mark before jumping into next procedure. 

Then Dr Arika Bansal joined us. We talked about height of the hairline, she thinks that higher forehead would look worse for me. We talked about how many grafts were used for the temples and that a lot of them were doubles splitted into singles, so it wasn't like we used 700 grafts on the temples, but around 400 grafts. She mentioned that it would be better to not use all the donor in next procedure, but use part of it and mix it with beard grafts. I told her that i ordered oral minoxidil 5mg and she said that although she isn't big fan of prescribing it, she saw some good effects from it, so i can hope that in 5-6 months of usage i can see some benefits and limit demand for the grafts. She suggested  that till next procedure i can comb back my hair, so it will look better. 

To sum up, They supported my idea to not rush into next procedure and assured me that they would not leave me and would be in touch with me. Hariom will be in touch with me and the doctors as well if needed. The transplant plan will need to be reevaluate prior to the procedure

22 minutes ago, Rafael Manelli said:

This makes little sense to me. Does she think you ought to have thin lateral humps because you are young?

 

I don't know 

5 minutes ago, Rafael Manelli said:

Did you ask her why she'd do such a low hairline again for such an advanced balding level? 

No, however after a while Dr Arika joined video meeting and i was talking with her about height of the hairline. She said that this is popular subject after procedure, that some people complain that it is too high too. In her opinion if i had made higher hairline, my forehead would look to big and now it looks fine. 

11 minutes ago, Melvin- Moderator said:

 

I believe this is a good learning experience for everyone. For the clinic, pleasing the patient at the time may not please them afterward. For the patient, being in denial doesn’t help anyone. Medication does not change your level of baldness. 

Yes, this is good case study. 

Medication did really good job. It did some part of me thinking that i am Norwood 3V. 

13 minutes ago, Rafael Manelli said:

I don't think it's likely that Dr Das simply extracted as much as she could without making the donor thin and depleted. More likely she extracted only as much as she needed to to fill the desired area with the desired density, which is the right thing to do. 

I think you are right, because today Dr Das told me that she wasn't implanting on lateral humps on purpose, because of my young age. She said that if she had to do the operation again, she would do everything the same

2 minutes ago, Melvin- Moderator said:

The only reason a clinic would stretch out a procedure two days is to extract the maximum number of grafts your donor could withstand. 

The other reason is that we started on 11:10 am and finished on 8pm. People want to go home 😅

5 minutes ago, Melvin- Moderator said:

He went to one of the top 3 clinics in the world that can extract maximum grafts. 3,500 grafts all scalp in one session is a big number. Not many can withstand much more without depletion. We can all point to outliers where 7,000 grafts are taken at once, but he clearly isn’t an outlier.

Just tu clarify, there were 2 sessions. During first day i had implanted 2160 grafts and on the second day 1354 grafts. 

15 minutes ago, Melvin- Moderator said:

I don’t believe anyone is being defensive, everyone here is sharing their thoughts and opinions. You can agree or disagree. Just because someone doesn’t have the same view as you, doesn’t mean they’re being defensive. 

Well i have different opinion and i wasn't talking about you in particular, because you provided some valid critique against clinic, so i can't say that you are onesided. 

15 minutes ago, Melvin- Moderator said:

You have every right to express your dissatisfaction, but others are allowed to share their input as well. You can’t post something publicly and ask those who disagree with you to be silent. I don’t think that’s a good approach either.

That's not what i meant. I am all for free speech. If somebody wants to write onesided opinions in favor of clinic, feel free to so, but it just doesn't look serious to me and that's my opinion. My post was only meant to make forum users reconsider their objectivity. 

48 minutes ago, Bandit90 said:

Me personally think another pass at Eugenix you would have looked great. But I look forward in seeing how Dr Bisanga takes this case forward. Docs might have a good professional relationship, but Hair Restoration is a business, and you saying that one clinic was filming vids (whether for educational purposes not) about another clinic with strong criticisms is never going to down well on both sides. I can't imagine Dr Pradeep will be best pleased about it nor will Dr Bisanga be pleased your outing his criticisms on a public domain viewed by other docs, which where likely said in confidence between you both during a private consult. I'm not having a dig at you here btw, I know you are genuinely seeking a good looking natural end result. 

Maybe don't worry so much about clinics, they will be fine, trust me 😂

Hair Restoration Social Network is forum "Created by and for patients". Maybe it's a slogan, but i like to belive in it. I know that some of you had great experience with particular clinics, everything was friendly, results are astonishing etc. But it doesn't mean that you have to defend clinics, they are not your friends, be sure of that. 

If you don't want to critique particular clinic's other patient case, because you personally had great experience, perhaps a better choice is diplomatic silence instead of being overdefensive. That doesn't mean that nobody can provide argument in favor of clinic, feel free to do so if you have solid point 

But some posts in my topic, like yours, seem to me overdefensive in favor of clinic and this posts are going in wrong direction. Because why do you care so much if Dr Pradeep, Dr Bisanga or any other doctor will be pleased? I personally can better identify with other patients then clinics, because i know what fighting with hairloss looks like. 

Yes, i am genuinely seeking a good looking natural end result. I started my story here on hairrastoration and on polish forum too. I have to be transparent with other patients, so they can benefit from my experience and i can benefit too, upon reading advices from other members.

Care more about the patients, less about the clinics. 

3 hours ago, DHT said:

Dr. Bisanga is a good doc, but he has not seen you a year prior, may be according to him it was aggressive but to me it looks perfect. around 6-6.5cm from glabella may be?
 

Yes, it is 6 cm from glabella to MFP. 

3 hours ago, DHT said:

 your thread is a good example of diffuse thinning and further progression of baldness and Eugenix did a great job. Good luck @GeneralNorwood, keep us posted on your progress. 

There is not further progression of baldness, just to be clear. You have to compare pictures in the same lighting condition. This is January 2022 vs January 2023 : 

3 hours ago, Bandit90 said:

Looking back at your thread, I do feel at your first sitting there was possibly a bit of hope that the meds would rescue the tonne of miniaturised hair you have. I can see the doctors logic by not wanting to implant in area where there is lots of miniaturised hair and risk permanent shock loss. I don't think it looks as bad as you think. Now that you have given yourself a year on dut and there has been no improvement to the miniaturised hair, I think now you can now formulate a solid plan and work on the basis it wont recover. 

 

This is true that Dr Das said that she has hope of further improving with finasteride, but i was already more then 1 year on finasteride and i was like "this is as good as it gets. So there was no such hope in me, personally. 

I am on dut 0.5 mg daily since september 2022, so half year. 

During today's videoconference, Dr Das emphasized some hopes for further use of dutasteride. And again, i can't connect with this hopes, because i am already 2 years on DHT blockers and it is what it is. There are some studies that show that dutasteride has better effect on hair then finasteride, but it is only around 10% more effective. We can't expect that this miniaturised, thin, light colored hair will become terminal hair. 

3 hours ago, Bandit90 said:

Though I have a huge respect for Dr Bisanga, I personally don't agree with some his sentiments i.e about your temple looking unnatural (I think it looks really natural). Also him wanting to do a video on you titled "how not to make  HT in Caucasian male".  To me there feels an air of trying to do one over a competitor clinic here, a very extreme/unnecessary tactic, when in reality your result is only at pass one out of two passes . 

To give you full perspective, when i came to conference room in Hotel Marriott, Dr Bisanga was sitting in front of the computer. I shook hands with him and started filling some form from BHR. Then Dr Bisanga asked me "what is my goal here today?". Keep in mind that i was facing him, so he saw only front of the hair, so at that time maybe my goal wasn't obvious. 

I told that i want him to evaluate my HT. He was like "Our job is not to evaluate other's clinic work, son". But then he stood up and started to look at my scalp. He noticed what's going on and asked if i give the permission to record, because he is teaching young doctors about HT and he wants to show this case to them. 

That was free consultation and it lasted around 30 minutes, we had to finish because other people were waiting. Later i was waiting for friend from polish forum, who also had consultation with Dr Bisanga. His consultation lasted only 5 minutes. His case was kind of botched job from turkish clinic with depleted donor and wrong shape of harline. But apparently,  Dr Bisanga didn't think it is worth recording. 

I don't think it's "tactic" to compete with Eugenix. You know only about this consultation because of me. Even if Dr Bisanga decides to publish this video online, i am sure he won't be disclosing clinic's name. Dr Sethi also publishes videos when he points out mistakes in hairtransplant. Furthermore, Dr Bisanga, Dr Sethi and Dr Arika, they know each other and from what i know, they are in good relationship. 

3 hours ago, Bandit90 said:

Looking at your hair characteristics they are close to mine, beard included. I honest think that adding your remaining scalp grafts with 2500 beard you will honestly look great. I know you didn't factor in a two stage plan (or was led to believe you would need one), but I think you goals will be met. 

 

 

Yeah, the thing is that i like wearing my beard, so first of all i don't want to overharvest it. 2500 is much and i think your beard is more dense. 

2 hours ago, Melvin- Moderator said:

It’s hard to imagine you didn’t think you would need more than one surgery, given your hair loss pattern. I am sorry to be blunt, but I think it’s necessary. 

 

I didn't think i will need second one right after first one. I know it's necessary, now it's obvious. 

2 hours ago, Melvin- Moderator said:

I don’t know what your goals or objectives were in the beginning. I would’ve preferred a more conservative approach, but that’s my personal preference. Now, I don’t agree that you would’ve somehow avoided needing another surgery. Regardless, believe me you would need a second surgery right away. 

If we did hairline on the level of native hair, and treated lateral humps and midscalp, result would be more blend, so there wouldn't be such pressure for 2nd pass IMO. 

2 hours ago, Melvin- Moderator said:

 

Anyway I look at it, you would’ve needed a second surgery, even if you avoided the temples, brought up the hairline. There is no scenario where you don’t need a second surgery right away. Again, sorry to be so blunt. 

No temples, hairline on the level of native har, doing midscalp, humps and crown. How about this scenario? 

2 hours ago, Melvin- Moderator said:

 

You are 1000% a Norwood 6/7. I would say you’re headed towards a Norwood 7 pattern.

 

True. On video call Hariom told me that Eugenix graded me 3V because i had a lot of hair on scalp and Norwood scale doesn't take into account diffusse thinning. 

I must say that i don't agree with this argument. You can't grade someone Nw1 because he has 100 hair all over around the scalp. If hair are miniaturised and with low density they shouldn't lower your NW grade. 

Just look at this example. THs patient has hair all over the scalp, but Dr Pinto graded him Norwood 5a : 

The pont is. If i knew that im NW6, i would think twice before going with such aggressive hairline. 

2 hours ago, Melvin- Moderator said:

 

Now that I agree, the clinic probably tried to please you too much. At no time should a patient dictate what to do or how to execute the plan. The patient should come with objectives and goals, but that’s where it ends. They shouldn’t be telling surgeons what to do. That’s a mistake accepting that.

 

True. Even during today's group video conference, when Amandeep told me that if i want to improve lateral humps, they can do that, i explained to him that Eugenix can't listen so much what i want, because i can be wrong about the approach and all i want is natural look, which i clearly i don't have now.  

4 hours ago, Berba11 said:

The height of the hairline wouldn’t alter the disconnection. If you’d had a more conservative hair transplant but didn’t address the weaker areas behind, you’d still have a disconnection. 

Berba, that's what i meant. Instead of lowering hairline,

4 hours ago, Berba11 said:

If this wasn’t explained to you then that’s certainly unfortunate, but the situation hasn’t really changed. Either you needed to have a much bigger first op, or do it over two steps. You’ve been around long enough to know that HT’s are rarely and a ‘one and done’ process. 

Of course situation changed, because half of the donor was used on the front. 

4 hours ago, Berba11 said:

You seemed very happy with things until you met Dr Bisanga. 

It wasn't like that. For sure, i didn't like the disconnected look between front and back. Reinforced by forum members, i had hopes that it will be repaired during 2nd pass. Consultation with Dr Bisanga gave me new perspective and emphasized how diffucult my case has become. 

24 minutes ago, Rafael Manelli said:

Beard is never anyone's first choice but desperate times call for desperate measures. It can be used in a pinch. Might be worth looking into. 

It was used in a pinch during my first procedure. The one thing i didn't mention in this topic yet, is that i had transplanted 32 beard grafts on my scar at the back. Just take a look at this pictures : 

5 hours ago, Gatsby said:

I always recommend that young guys err on the side of caution and 'expect' to end up a Norwood 6/7 in mind and plan accordingly from the start. That way you will always have some grafts in the bank because over the lifespan MPB is progressive and will continue so you can plan accordingly. This should be where you first start your plan. The myth that people won't care about their hair at 40, 50 is exactly that. A myth.

Exactly. But now it is too late for such smart and responsible approach 😥

5 hours ago, Gatsby said:

 I could have left off after my first surgery and been very happy just by the mere fact that I have coverage but no one and done surgery is perfect. Dr Sethi has made an excellent video that no hair transplant is perfect on YouTube

My HT was far from perfect 😆

6 hours ago, Gatsby said:

I spent two years in weekly discussion with Dr Sethi before I pulled the first pin. But even then I was aware that things could easily have gone pear shaped but I had accepted that. Communication is key and if you and your surgeon are on the same page with goals, potential risks and barriers then going forward will leave you in a better place in the long run. All the best!

That is good thought. Now i have to take my time with planning and make sure that communication with a surgeon is great and we are on the same page. 

6 hours ago, MazAB said:

@GeneralNorwood, how did the conversation go with Dr Das? Knowing that you would've needed at least a couple of procedures anyway, do you think you'll give them a 2nd shot at it? My feeling here is that if your survival rate was good, but the plan wasn't, then formulating a clear and decisive plan before you even travel out to India, would put you in the best position to succeed overall.

We didn't talk yet, I have scheduled converstation talk with Eugenix for today.

Would it be smart to go for a 2nd shot with Dr Das looking at the final result? I don't think so 😂

Clearly, now i have to make solid HT plan before traveling to any clinic for HT. 

6 hours ago, MazAB said:

I don't believe I've ever seen a patient that has been to Eugenix at least twice, come out incomplete in anyway.

I never saw a patient like me too, who had so big dissconection( whith white patches)between front and back after one procedure. 

6 hours ago, MazAB said:

 

You need to make the best decision for yourself, but it wouldn't surprise me at all if Dr Das and Eugenix doesn't give you the utmost of attention to every last detail for planning and executing your 2nd procedure. 

 

It wouldn't surprise you? Is that correct? 😆

10 hours ago, Melvin- Moderator said:

As a Norwood 6/7 with diffuse hair loss. I’ll be straight up, you’re gonna need more than just one surgery over your lifetime. In the short term, id say 2 surgeries to address the crown, midscalp, and lateral humps.

It is little to late to being this "straight up". Now i know that i will need multiple surgeries and i need them sooner then later. 

The thing is, if we didn't push so hard in the front and focused more on the midscalp and crown like u suggested in earlier posts, i would have natural result and wouldn't be forced to do next surgeries and use all of my donor so soon. 

If i knew that this "plan" requires 2 more surgeries so soon, i could decline it and either abandon HT at all or do conservative approach. 

But now i am dragged in this multiple surgeries world. 

10 hours ago, Melvin- Moderator said:

I don’t necessarily agree with the old school mentality of giving a Norwood 6/7 a huge forehead. My first surgery was exactly this, the surgeon gave me a transplant behind my existing hairline. It looked awful. At the time, I thought it was a good approach, but leaving a thin patch of hairs in front of the transplant looked trash.

 

Dr Bisanga said that best approach was to do  the hairline exactly at the level of existing one, and reinforce existing one. So it wouldn't look awful. And anyway, my favourite hairstyle was always combing it forward, so bigger forehead wouldn't be problem anyway. 

BTW, do you think i am Norwood 6/7 level? 

10 hours ago, Melvin- Moderator said:

 

Unfortunately, as a patient you have to pick and choose. Do the hairline first, but the crown and midscalp will still be bald. Do the crown and midscalp, the hairline will be bald. Regardless of the situation, there’s no scenario where you don’t have a patch of baldness. It’s impossible to transplant everything all at once. I’m 4 surgeries deep and I could still use more hair.

We could do front(2 cm higher), lateral humps, midscalp and crown and maybe there would be still some patches, but not so obvious one like now. Now i have huge disconnection between front and back. 

10 hours ago, Melvin- Moderator said:

Unfortunately, it looks like you were a bit in denial with the reality of your situation. Now, you could say the clinic should have told you, but it looks like they initially did but you retorted that you had hair there and sent a picture in favorable lighting. I think they shouldn’t have tried to please you so much. Regardless of where you go, it will be 2 surgeries minimum. 

Exactly this. I was in denial and my knowledge about my state of baldness was so poor. Clinic shouldn't listen so much to the client, because clients usually are not properly educated in the subject of HTs. And in Eugenix videos they tell too that if patient wants for example flared frontotemporal angle, they have to educate patient that this is not right approach. As a patient you put your trust in doctor, and you assume that doctor knows what he is doing. 

10 hours ago, Melvin- Moderator said:

 

It will be a difficult case, but I can’t imagine it will be more difficult than @Gatsby I don’t think you’re donor is exhausted, your beard looks good as well.

Thank you Melvin for your answer. I know that now it is difficult case and that's why i am worried. I can comfort myself, that things could've been worse. For example i could have depleted donor with 0 grafts in the bank. Fortunately, it is not the issue and i have some grafts to work with. About beard, i like growing beard and for sure i dont want to deplete it. Dr Bisanga also mentioned that structure of my beard is not so good for HT, but i don't know exactly what he meant. 

3 minutes ago, Rafael Manelli said:

Maybe Sethi will use a different math and discover 5000 extra grafts somehow!

Somebody at the beginning of this topic said that it is ballsy restoration for someone with my level of hairloss. Maybe it was prophecy 😆

10 minutes ago, Rafael Manelli said:

Bisanga is right I’m afraid. I think Berber was just trying to encourage you to look on the bright side. But you must stick up for your interests.

I tried to look at the bright side, you know. Many users supported me here that after 2HT it will be home run etc. 

But consultation with Dr Bisanga opened my eyes for some things. He said that because of poor planning this became very hard case. Now we have huge area to cover and limited donor. He was very convincing, because he used some device too look closely for grafts/cm2 in few areas in donor and told that it's 65 graft/cm2, then he did the measurements of the safe zone and told that i have around 3200 grafts left. So his opinion wasn't based on empty words, but on simple math. 

1 minute ago, Rafael Manelli said:

 

I agree with @Berba11's other positive comments though. The growth from the first session was good. 

So what if the growh was good, when  there was no solid plan - Dr Bisanga

23 minutes ago, Berba11 said:

 Is there a contrast between the newly transplanted area and the weaker areas behind it? Yes. 

"Contrast", it is very gentle word for this situation. Don't you see that it looks terrible and very unnatural?  Dr Sethi could easily make video about this case, to present mistakes in HT, only if this surgery wasn't made by Eugenix. 

23 minutes ago, Berba11 said:

But your level of loss would require multiple passes anyway. Your frontal third, though aggressive, looks excellent and the growth and density are really good. Your scalp & beard donor seem in good health and you’re on finasteride. 

At the day of procedure i didn't imagine that final result will look so bad that i will be forced to do next surgery ASAP, believe me. 

My scalp donor is limited to around 3000 and according to dr Bisanga it is not enough to cover huge thinning area on midscalp/crown and lateral humps. He said that my beard is not so good for HT. Just read this post : https://www.hairrestorationnetwork.com/topic/66820-eugenix-3514-grafts-720-on-the-temples-may-2022-dr-priyadarshini-das/page/3/#comment-707399

23 minutes ago, Berba11 said:

 

What you need now is to find a surgeon that feels more confidence about getting into the areas where you have native hair than Dr Das does. 
 

If she didn’t feel confident going in there then in the long run it’s good that she didn’t attempt it, even if in the short term you have to manage the contrast (shorter hair cut plus a light sprinkling of fibres will more than do it). 
 

Do you really think it is about confidence, if she proposed recently to implant 1500 on the crown and 1000 on the midscalp? 

23 minutes ago, Berba11 said:

 

Your situation isn’t a million miles from @Bandit90‘s in that a two step approach (at least) is required, though you have the benefit of having some native hair to cling onto whereas John didn’t. 

Good, that you bring out Bandit90, because Eugenix planned 2 surgeries for him  from the start and i didn't have such plan. We talked only about 1 surgery. 

7 minutes ago, Rafael Manelli said:

At your age, this was obviously a nw6/7 in the making. 

True. Not nw3V for sure. 

8 minutes ago, Rafael Manelli said:

The native hairs are still worth saving

Yes, regardless of different color and limited lenght and calibre, they give some density. 

12 minutes ago, Rafael Manelli said:

I still don't see why they did new temple points but didn't fill in the whole temple area behind them. Just an unusual choice. 

Maybe that was the goal :

5 hours ago, hairman22 said:

How did Eugenix not think you were a potential NW7?

It was obvious.

Did they examine your native hair closely before the surgery?

You have to plan for the worst case scenario.

 

3 hours ago, Rafael Manelli said:

Indeed the Norwood 7 potential was obvious, in my opinion. He presented with a large area of diffuse thinning. 

I can give you my perspective back then. I came to India one week before HT, on 27th april 2022. I visited Eugenix 5 days before operation and talked briefly with Dr Das. She had first opportunity to examine my scalp. She said that we will only implant hair on the front and the temples, because on the top(crown) there are a lot of miniaturised hair and there is risk of harming them. At this moment i thought this is very responsible approach. Then we did first photosession, i never published this photos in this topic, but here they are : 

So although i was balding, it looked natural and pretty decent, because i was keeping my sides and back rather short. I didn't fully understand level of my miniaturisation and my diffuse thinning. I had 5 days to look at the photos and the weakest area that i noticed was the crown and i wrote about this to Dr Das. Based on my remark, she said that we can implant around 300 grafts on the crown (it ended up 351 grafts). 

I didn't think for a second that if we implant hair on the front, there will be huge contrast between the front and this hair on lateral humps. But for a skilled person, it should be obvious, because my donor is a lot darker then this miniaturised, light hair on the lateral humps. 

Then at the day of operation, we made photos like in the first post of this topic: 

On this photo it is even more obvious that strong HT on the front will look unnatural compared to weak side/lateral humps area. But to give you perspective, i didn't look for long at this photos with drawed black line. There was this guy who connected camera to tv through cable and was holding it in hands. He was switching photos using buttons in camera. So it's weird, but you feel kind of pressure to not watch this photos for long, because you feel like this guy won't be standing in front of tv with camera in his hands for 30 minutes and changing every other photo every 3-4 minutes. 

Anyway, propably even if i was holding this camera in my hands and looking on this photos for 10-15 minutes instead of 2 minutes, i wouldn't come up with better plan, because i didn't understand my state of baldness back then. 

To elaborate how unawared i was, imagine that this was one of the first photos that i send to Eugenix for evaluation of HT possibility : 

They quoated 1500-1700 on the crown, on which i replied surprised something like this : "why so much grafts? ,  my crown improved a lot since i am taking finasteride". 

And then i send them picture from daylight to prove my theory 😂

And i was like "You see, i have a lot of hair on the crown". And Eugenix replied (both Dr Arika and Dr Das) that this is true and i don't need grafts on the crown at all. So the plan changed from 1500-1700 grafts to 0. 

So basically, they adapt to the thinking of the customer, regardless how stupid it is 😄

5 minutes ago, Eugenix Hair Sciences said:

Dear @GeneralNorwood, 

We completely understand your perspective and would like to clarify that we are not shifting blame to you as a patient. We want to make that clear. 

We would like to schedule a call with you tomorrow afternoon to discuss the issues or concerns you may have regarding your surgery. We want to make sure that all of your questions are addressed.

Please let us know a convenient time for you, and we will make the necessary arrangements. We appreciate your cooperation and look forward to speaking with you soon.

Regards, 
Eugenix Hair Sciences

Of course, We can talk, i will message Rajat. 

1 hour ago, Eugenix Hair Sciences said:

Dear @GeneralNorwood,

Thank you for bringing your concerns to our attention. As you may recall, we discussed the thinning and progression of your baldness.

I don't recall. I recall that Eugenix graded me 3V, which was clearly wrong. 1 year ago i really belived that i am 3V, which was clearly wrong. Eugenix classicication reinforced my false belief. 

1 hour ago, Eugenix Hair Sciences said:

 We recommended a conservative approach that would focus on transplanting upon the thinned-out areas, such as the front and temples and a small number of grafts in the crown. However, you wanted a more aggressive approach and wanted your temples to be restored like some of our other patients.

Well, that is true that I said that i want the temples to be made and  i showed some other patients work as examples and based on this dr Das drew the hairline. At first i was surprised that Dr Das drew hairline even lower then i imagined (it was just above level of muscles, Dr Bisanga even said "look, your hairline is so low  that if you raise your eyebrows, your hairline is moving"), but unaware of further consequences, i agreed to this harline, because it looked good. Btw, Eugenix first reccomendation was to don't implant any hair on the crown> It was only implanted in small number (351 grafts) because i insisted on implanting  hair on the crown.

I wasn't properly educated about my situation (see wrong norwood classification). I wasn't informed that 2nd procedure will be necessary and which areas should be covered in next steps. 

It is a job of ethical doctor to present solid HT plan, that will look natural. Doctors from all around theworld decline stupid ideas from the patients. For sure i didn't want white holes in lateral humps. Lateral hump area which is going to NW6/7 according to Dr Bisanga, was area that was never talked about and look how it looks now. Terrible. 

But as expected, now Eugenix tries to shift blame on the patient. Yes, it is my fault that i didn't see thousands of patients, didn't perform thousands of operations, didn't know sh*t about my state of baldness and didn't come with solid plan with proper donor managment. For sure. 

1 hour ago, Eugenix Hair Sciences said:

The thinning areas were not transplanted consciously, and you were satisfied with the results at 9 months. 

 

Based on what you claim that i was satisfied with the results at 9 months? Many times i did send the photos and reported that i am not happy about this white holes in lateral humps.

So why exactly there was not transplantation on lateral humps thinned area if it was concious decision? 

1 hour ago, Eugenix Hair Sciences said:

As you discussed with Dr Das on February 27th and agreed to wait for 18 months, get your mid-scalp and crown re-evaluation, and opt for 2nd sitting, we should wait for that. You can send us your pictures for an evaluation after 6 months from now. Our advice for you is to continue with medications like finasteride/dutasteride. 

Well, i didn't agree to anything. Dr Das invited me that i can come for second HT right now. I wrote that i want to wait more (18 months is my idea). And the reason i am not in a hurry is that i want to make now solid plan.  

Thank you for great advice with taking finasteride/dutasteride 🤣

Importance of taking medications was talked through with Dr Das. I can't deny that. Taking fin/dut is my long-term commitment. I will be changing liquid minoxidil to oral minoxidil 5mg, upon the advice of Dr Bisanga. 

1 hour ago, Eugenix Hair Sciences said:

If you want to speak in detail on a video consultation with Dr Das, please let us know, and we can find a good time to schedule a video consultation for you.

Please do not hesitate to contact us with any further concerns or questions. We are with you in this & will continue to ensure your satisfaction.

 

I will make professional photosession soon and then send pictures to Eugenix. Unfortunately, i don't think that you would want to present this pictures on your instagram. 

However, if somebody is less than 35 years of age and they have good donor at that particular age we should not be very happy and optimistic because there is a chance  that in coming decade or two decades of life , those donor area may undergo miniaturization. 

Your hairline is straight as f*ck. You can grow longer hair and it will look even straighter. Making another HT to lower hairline would be huge mistake.