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Everything posted by GeneralNorwood
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Donor Hair NW 7
GeneralNorwood replied to Approach's topic in Hair Restoration Questions and Answers
Yeah, that's right. Team Z for the win 😆 -
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.
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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.
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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".
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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.
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AestepoolClinic Dr. Ahmed Altan 4500 grafts 3.10.2023
GeneralNorwood replied to m123456's topic in Hair Transplant Reviews
I know this pictures. Hello -
What Gym Protein do you guys use?
GeneralNorwood replied to Rose17's topic in Hair Restoration Questions and Answers
I can tell for sure, that hairloss studies have low budget. There is so much to find out Hypothesis that creatine + gym increases testosterone and it leads to increased level of DHT seems logical. Taking creatine without training, i don't think it would change hormones level so much. But all of this should be studied. -
I think i could be a good choice for such counseling. Decisions like banning a member, closing or removing a topic can cause unecessary drama and hurt community. But sometimes such decisions has to be made. It is a question of appropriate measures for a particular case. Therefore i like the idea of creating this panel. I am not really interested with privileges or special rank, but if you would like my opinion in some burning cases, you can add me to this group.
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Podcast with LifeasZeph
GeneralNorwood replied to Melvin- Admin's topic in Hair Restoration Questions and Answers
He said that he is thinking about a surgery. Although he had improvement with drugs, he is diffuse thinner and needs a lot of grafts. Could you invite Zeph to this forum, so he can create his own topic? -
People from real life often commented about this hairstyle "why front is so dense and the rest is so flat". In 3D it really looks weird. Now when i buzzed everything,i think it looks more neat. But neither of this hairstyles is perfect. Since i'm back to dermapen and topical minoxidil 5%, i am going to monitor growth on this lateral humps. If something improves, maybe i will grow longer hairstyle.
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Nah,i tried all the hairstyles. Lateral humps lack density and this kind of hairstyle looks weird from the side. And i don't like using fibers all the time. So for now, i'm good with current "hairstyle" It is really comfortable when i don't have to use any product. I just use hair trimmer every few days and that's it. This is the same hairstyle that you posted but from the side:
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You are quoting yourself, did you watch too much Fight Club or something? 🤣 Anyway, i cut the sides regulary. This is how it looks on daily basis : My procedure is not scheduled yet. I had 3 in-person consultations, I would like to have 1 more. I will provide a list of doctors I have consulted in the future
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Yeah, the clinic had the upper-hand but they are now ruining it with "legal team" messages. Also this topic on reddit was posted by user "Lopsided_Pair5727" who has account there since 3 years. I don't think it's same person as @patronovski So i suggest both sides to take a big breath, stop the drama and just wait for photos in next months. The results will speak for themselves
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Do you mean first consultation that was online? Actually first proposition had more sense, because, they proposed 1500-1700 grafts for the crown and 2500 for the front. But i did send them more pictures and asked if really crown needs so much grafts. Then i had video talk with dr Arika and she told me that actually previous evaluation was wrong and i don't need grafts at the crown at all. So basically they were changing their mind just to please my ideas and to keep me as a client. And then when i was already in India and they made photos before surgery, i asked them to send them to me. I was looking at this photos, low density at the crown concerned me and i had serious doubts that in 1st plan they proposed 1500-1700 grafts and now it is suddenly 0 gratfs "to not harm native hair". And again to please me dr. Priyadarshini offered that she can implant "carefully" at the crown around 300 grafts. Now i have this funny little island of transplanted hair at the crown 🙃