GeneralNorwood

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.

It's always pleasure to be mentioned 😂 My case is mostly reckless/weird planning. Many people won't consider it as botchery, but many surgeons are. Planning is one of the most important aspects of HT and can be botched. However i saw worse cases from Eugenix then mine or Tommy1991's on this forum. He propably meant dr. Vinita.

To be honest, i don't like this idea. I am not a fan of beard grafts at all, but i have to admit that sometimes with right proportions like 80% scalp grafts and 20% beard grafts it can work out. However when you transplant 50% and more beard grafts it starts to look unnatural and one of the goals of HT is naturalness. So 100% beard grafts, it is pretty much bird nest on the head and everybody can clap hands and say "wow, it grew so well, bravo!!", but i would rather embrace the baldness and shave completely bald then do such kitschy procedure.

so don't reconstruct temple peaks, that's my advice.

"Just comb it back" Eugenix theory

Temple points - Couto, Sethi and maybe Zarev (but this is a stretch, because i saw only 1 example, however very good : https://youtu.be/7xaWGosbBlg?t=1030)

I see some progress...

Yes, i agree. Lights between 1000-2000 Kelvins are brutal and should be banned by law 😂

Yeah, that's right. Team Z for the win 😆

Are you talking about this yellow warm light that looks like first from the left on this picture ? :

Hi, congratulations on your third HT. Can you show pictures with hair from the sides, so we can see how temple points looked before procedure?

If i could turn back time, i would make my hairline 1 -1.5 cm higher and save at least 1000 grafts, because i need so much grafts on the top for my Norwood 6 pattern. . About taking it back up. It is not only costly and require multiple surgeries, but when you relocate the grafts the survival rate is only 40-60 %. (see Melvin's podcast with Dr. Bruno Pinto) Yes, that is the goal. Because if you go more aggressive with the hairline you will be stuck with one hairstyle - slickback. Your forehead is not so wide like on this pictures. It is a selfie, it makes forehead wider then in reality. You can consider SMP after all HTs. I had this discussion with my dermatologist. Maybe you won't need SMP. And SMP has some downsides, so it's better to refrain from it, if you want to do next HT.

I think it is a bad idea. You have to plan for the next 10-20 years. And besides, your hairline looks fine, i don't see this recession that you are talking about. On this pictures when you drew possible changes, your face is leaned forward, it makes hairline more recessed then in reality. Furthermore, even with face leaned forward, it doesn't look like the hairline needs surgery. Let me remind you how they drew the hairline, it was pretty flat : If you made it going downwards like this triangle that your drew, fronto temporal angle would be maybe even lower then mid frontal point and that is a big no-no Well you can always make photo from the front, so we can see what is exact relation between MFP and FTA. But it has to be made from at least 2m and with straight face to see it exactly how it looks in reality.

Speaking about this 1000 grafts at the initial consultation. I don't think it was Bisanga that estimated this number. I had live consultation with Bisanga and i must say it was most detailed live consultation that i had (from total 4). So i doubt that Bisanga would tell 1000 grafts and then change his mind to 50 grafts few months later. I agree that patient concerns about the result are out of place, it is not time yet to write such statements. Bisanga knew what he was doing when he took thinner hair for the hairline. It is "Hair transplants 101". i think the whole problem in this situation is that patient regrets that he did this procedure and he feels like he wasted money. And based on this feeling, he has reservations about everything - some of them seem reasonable, others are far-fetched And why he regrets the procedure? It is a problem of managing the expectations. On the first live consultation somebody in BHR told him that he needs 1000 grafts. Then few months later another person told him online that he needs 300-Then finally at the day of procedure Bisanga told him about low survival rate and that he wants to implant in the hairline only 50 grafts. Patient felt that 50 grafts procedure is a waste of money, so he negotiated and they agreed on 150 grafts in the hairline and 150 extra in the donor. I guess, that at the day of operation, it was the first time that Bisanga saw him live. I don't think it is good to make decisions regarding changing plan of the procedure in the heat of the moment and under pressure. So to answer your question "what could have been done to make this patient happy?" Managing the patient expectations could be better and plan could be more constant. To provide this the first live consultation should be at least after 12 months mark and should be with the same doctor that is going to lead the surgery. I could be wrong about this that first live consultation wasn't with Bisanga(it isn't mentioned in this topic), but it seems really weird to me that Bisanga would say 1000 grafts and then few months later would say "let's do 50 grafts for the test".

I think that we can seperate 2 things : 1) complaining about the result of the surgery. And as i wrote in this topic, it is way too early to talk about the result. Obvious. 2) planning the surgery and clinic-patient relationship Well, here is where the things become weird. At initial consultation they talked about around 1000 grafts in the hairline. Patronovski says that BHR didn't inform him about low survival rate (50%). He wrote that this first consultation took place in the clinic. But he didn't mention who examined him. Then few months later he send to BHR more photos and they said that he will need only 300-400 grafts. Then at the day of the surgery they inform him about 50% survival rate and change the plan to 50 test grafts and want to cash him 2000 euro? And then what after this test? He can come later and get rest of the grafts free of charge or have to pay another 2000 euro? Yeah, to be honest, i don't like this "pay us 2000 euro for the test". Clinic is unsure and wants to do the tests, do it for free or whatever. But he was already there, paid for hotel, traveled, wasted his time. So he started bargaining in the heat of the moment. And it ended on 150 grafts in the hairline and "promotional" 150 beard grafts in the donor. I must say that i get why he didn't mention this 150 beard grafts in the donor in his initial post. Because he didn't need it and propably doesn't care about it. Look at his donor before the procedure. It looked fine, this beard transplant in his donor seems useless. So to be honest. If at the day of procedure clinic would told me "let's do 50 test grafts for 2000 euro", i think best idea is to walk away.

Wasn't it 3500 grafts? You wrote something like this in one of first posts. It would make more sense because recipient area was pretty big. Anyway, the outcome is really good, congratulations 🔥

@m123456 is posting on polish forum since august 2023, he is real human being in my opinion 😅