THE TRUTH

Thank you. I received it. 

First of all, I am really sorry for this experience....

Man it's really hard to comment on this....

Considering Dr. Couto's aura and the fact that many  including myself would put him in "the discussion for GOAT status", I must say this result is indeed very disapointing even for only 2000 grafts....

The density is just not there....and like other members said it was obvious straight after surgery. 

I wouldn't call it a "botched job" though.

But I think the appropriate and fair term would definitely to subpar/mediocre/disappointing. 

Again this is a cautionnary tale that every clinic in the world even the very best ones have subpar results... This is something that I keep  repeating on this forum all time.  No surgery is guaranteed unfortunately and every surgery is a gamble per definition no matter who you go to. 

This is the sad reality of this industry. 

This is maybe the 3rd subpar result from Dr. Couto I see in many years...

I am glad that Dr.Couto stands by his work by immediately offering a free repair. That is a positive news and shows that he is ethical. 

I am generally not the kind of the guy to say "oh don't worry just wait till 12 months this is only 50% bla bla bla....". 

From my experience, the 6-months result is generally a lot more than just 50% and very indicative of the final results HOWEVER there is still a chance that it will improve at least marginally until 8-9 months so yes I would give it a bit more time before making a final conclusion. 

But yeah doesn't look great overall...

And  if it remains the same then obviously a 2nd procedure is going to be required... 

I generally NEVER advise people to go back to the same place which didn't deliver for their 1st surgery. 

However I do believe Couto has some of the best and most natural results I've ever seen so far thus he has a reputation to defend. I mean he isn't considered one of the best in the world for no reason, right ? 

I remember one case from the spanish hairloss forum who had a density issue from Couto and he fixed it for free and then everything looked fine. 

Did Couto mess up here ? He clearly did... No doubt about that. 

Can Couto makes this right ? I believe he can. 

Is it a good idea to go back to him ? Well....this time around I really don't know...  Every other clinic has had subpar cases so again doesn't mean that they'll necessarily do a better job than Couto. 

It's your personnal decision but there is an element of faith that you will have to put into this if you decide to go for a repair with the same doctor. 

Couto was able to repair several botched jobs from Erdogan. 

But here's what I'll tell ya if you have the slightest doubt about the outcome of a 2nd repair surgery  with the same doctor then it's  better not to go...

6 minutes ago, Rossybop said:

Yeah Killian is a sales rep for him, marketing and sales is a big part of the HT industry as you know yourself.

Yeah, he seemed good to me, and to be fair when I had my transplant it seemed like he did a careful meticulous job along with his technicians. The whole procedure took about 10 hours.

I had 2,040 FUE grafts transplanted to the hairline, temporal points, temporal peaks and mid-scalp. I'm on fin and Regaine.

The transplant actually looked amazing after 6-12 months.

However in the last 2-3 months it looks and feels as if it has thinned and also as if a lot of hairs have fallen out.

Maybe I have lost some native hair, but I personally feel like I've lost a lot of transplanted hair tbh.

I documented my HT journey here, you'll find it if you look.

As it stands I've not lost all my transplanted hair (yet). When my hair is styled a certain way it still looks like I have a fairly full head of hair. But I'm now extremely limited with styles and if you whip my hair this way or that way you can see very obvious signs of balding and a weak transplant. Saifi said I have just lost some native hair, but I feel like the transplant has fallen apart. He said he could bring it up to good density with 800 grafts, but I'm worried that if the first transplant has lost strength, then the next one will also fall apart.

Gotcha. 

Well yeah it may be DUPA-caused thinning or some unusual telogen effluvium, or delayed shockloss. Really hard to say what it could be exactly... 

Are on Finasteride/Dutasteride ? 

8 minutes ago, stockholmare said:

Hello and thanks for the replies so far.

I do not have pics from the clinic but can potentially post the invoice I got from the clinic, if that helps building trust.

I chose Couto because I wanted a "great" job but apparently this is not even going to be an "average" job - I am pretty sad about that.

The doctor said he is also disappointed and that will be providing a repair for free (and surely I will need that), but I am afraid of getting another poor result and further depleting my donor.

 

Bro I'm sorry for your experience. If this is really Couto then I would be CRAZY disappointed too. 

Yes Upload the invoice please and ask the clinic to send you pics. Thanks

Just now, Rossybop said:

Dr Saifi in Poland, December 2020.

Oh yeah I know Saifi. 

He was hyped on youtube by Killian Lawlor his consultant. 

I think Saifi is not a bad surgeon but he's been overhyped on Youtube in my honest. 

I've seen some good results but also some pretty mediocre ones...

Did you have poor growth ? What was the issue specifically ? 

Where did you get your 1st transplant ? 

Ferreira is 3.5 

Pinto is around 3. 

4 minutes ago, jose07 said:

I’m not trolling at all. Your a a big troll everyone on his forum knows that.

You keep changing your name every couple of days with trolling names and trying to sabotage clinics that you have in your agenda. 
 

So I say again and everyone can go to michaels thread to see that You made conclusions without firstly needing Michael to put before after pictures from the clinic. But now on this Thread you need the before after pictures before you judge.

So that’s too ironic from you and means you are big trol. 
 

Anyway let’s see what OP has to answer here and what proofs he has. 

Hahahahahhahahahahahahah 

I certainly don't sabotage good clinics.  And everyone on this forum who follows my posts knows it very well ! And yes I do  target hairmills and other crappy clinics. 

But yeah ultimately I agree ! Let's wait for the pictures from OP and then will comment on all this. 👍

3 minutes ago, jose07 said:

You made conclusions to Michaels case without letting Michael upload before-after pictures from clinic firstly. But now you need them to be uploaded firstly before u make conclusions. That’s too funny and ironic from you. 
 

Here also there is a sequence so everyone can understand and see that this is a botched result from dr Couto with low yield and multiples in the hairline.

While in Michael’s case he did not put before-after photos from clinic and all of his photos were randomly posted without context and sequence.

I do also want to see the before after pictures from clinic. 

Hahahhahahahaha you like trolling bro right That was a good one ! 

Michael showed very clearly that he was in the clinic's apartement and it was confirmed by members who were there.  He also had the exact same tee-shirt with the clinic's logo. 

Anyways, I do agree we need to see the official pictures tha the clinic should send. (Which I doubt considering the poor ethics...) 

But bro "let's not derail this thread". 

OP please upload a few pics showing you were at Couto's clinic and then we will start commenting seriously. Thanks ! 

Just now, jose07 said:

You didn’t need any before after pictures from michaels case to make your conditions but now you need.  This is too ironic. That in other case you did not need any before after picture but now you need. Lmao. 

This guy here posted normal pictures in a sequence, so we can make a judge about this botched job of dr couto, while Michael did not do that. So that’s the difference. 

LMFAO ! You're funny 

I did ask and I asked twice. Go back to the original  post.  

Sequence is irrelevant. What we need is an evidenxe to support that you were in a specific clinic. In this case, there is a sequence but nothing showing he was at Couto's so far. 

That said, I agree with you that it looks BAD. 

13 minutes ago, jose07 said:

Thanks for sharing your result with Dr Couto. This is definitely a botched job of dr couto. I would be very disappointed with this result. 

Your graft(s) yield is low with lots of multiples in the front hairline. 

What did couto say about that bad job? Is he offering a refund for this botched job he is responsible of? 

LMFAO 

I think you should hold off before jumping to conclusions José. 

Yesterday, you were highly suspcious of Michael Hofmann's botch job who has provided more than sufficient evidence to prove he was at HLC. 

And now you call this "clearly a botched job" before we have even seen any pictures showing he was actually at the FUEXPERT clinic....

I agree that this looks very subpar and I would certainly be very disappointed...

If it turns out that this is Couto then yeah I'd be asking for free repair or refund. 

BUT please wait before making such  judgement. 

20 minutes ago, Golu said:

I am from nepal and i wanted to do HT so i contacted REGROW CLINIC . I know EUGENIX is best in india but i wanted to know about REGROW CLINIC . Are the results produced by this clinic is authentic , how are doctors here ? Can anyone please tell me about this clinic and should i go for hair transplant here or not ?

Never heard of that clinic bro. 

Better not risk it

Hello, 

First of all thank you very much for sharing your experience. 

Before we all start commenting on this, could you please post some before and after pictures from the FUEXPERT clinic ? 

Thank you very much 

3 minutes ago, NickJ said:

I think any sound Dr. will reject the idea of giving Finasteride to a 15 year old.

I know a lot of doctors even refuse to give it at 18-19 and would rather wait until 21-22

Some doctors do prescribe it to guys under 18. I've seen it.

That said, I agree that there are decent topicals  alternative to oral Finasteride Nick that can be used to buy some time until the you're 18-19

24 minutes ago, SimpleLife said:

 Mr. IMMEDIATELY, I literally quoted you🤡

You are conflicting yourself

And on top of that ur randomly throwing out dosages (talking about being pointless, the irony lol) without factoring in anything else other than he is balding. For example, the kid has acne, so a doctor needs to check if its wise to take hairloss medication (IF his diagnoses is MPB) alongside things like accutane (or something similar, if the is taking it) at his age. The risk/reward here is completely different than someone that is fully mature

Dont think these forums should be for 15 year olds after reading all of this. Atleast he asks some questions, but another desperate teenager might read all of this and jump onto anything just to get his hair back, ignoring all warnings..

''Of course''? This is just an assumption.. From what I've read so far he has no intention to see someone specialized in hair. He is just going to ask his dermatologist about it, thats it

24 minutes ago, SimpleLife said:

 Mr. IMMEDIATELY, I literally quoted you🤡

You are conflicting yourself

And on top of that ur randomly throwing out dosages (talking about being pointless, the irony lol) without factoring in anything else other than he is balding. For example, the kid has acne, so a doctor needs to check if its wise to take hairloss medication (IF his diagnoses is MPB) alongside things like accutane (or something similar, if the is taking it) at his age. The risk/reward here is completely different than someone that is fully mature

Dont think these forums should be for 15 year olds after reading all of this. Atleast he asks some questions, but another desperate teenager might read all of this and jump onto anything just to get his hair back, ignoring all warnings..

''Of course''? This is just an assumption.. From what I've read so far he has no intention to see someone specialized in hair. He is just going to ask his dermatologist about it, thats it

I feel like you are either trolling or arguing purely for the sake of arguing. 

I am not conflicting myself at all. Again, read my posts. Everything makes sense and my reasonning is logical. 

Anyways, the point is. 

Kid, 

A. Get a proper diagnosis first from a legit medical professionnal. Ideally a good hair transplant surgeon or a specialized  trichologist. Not a general practicioner. Also consult an endocrinologist. 

B.  Follow his advive and start treating your hairloss as soon as possible with legit treatments (if any) 

Your doctor will determine which specific treatment is best adapted for your particular case and severity of androgeni  alopecia (if any) 

Period 

Good luck ! 

1 hour ago, John1991 said:

Can this guy be banned for suggesting this to a 15 year old?  The dude says it every time and its reckless to jump on Dut generally, even more so for a 15 year old 

You are not a medical professionnal and obviously you don't what you are talking about.

It is not "reckless" to jump on Dutasteride like you say. Again, your statement is pure lack of knowledge  based on hearsay and  basic cheap fear mongering around something you have no clue about. 

Dutasteride is still one if the most effective treatments and is very commonly prescribed off-label to treat Androgenic Alopecia.  The scientifical evidence suggest it is better than Finasteride.  I suggest you ask any good hair specialist  doctors like Pinto, Freitas, Mwamba etc...They are all big advocates of Dutasteride. 

6 minutes ago, Gramatik said:

I would not suggest someone to go to a not safe option. I just said that not all people have the money to go the most expensive doctors, so they try to find decent options with less money. Not hair mills.

I saw you are doing a lot of promotion to Dr Fere*ra, so someone would think that you did not pay anything for your hair transpants to him (because of your promotion to him) or you get paid from him for promotion on your videos. I know you will not admit that, but anyone can think that. So it is easy for you to sugget the most expensive options to people when you don't pay for them. 

Bro I think you're missing the point here. 

You are basically analysing everything through the prism of money/budget. 

Forget about money.

You should always be looking for what you think is the best in terms of QUALITY and consistency of producing great results regardless of the price. And by great and I mean specifically "consistently above average" which is my opinion isn't the case with Cinik, HLC, Yaman etc...

Also in my opinion 90% of US hair restoration  surgeons are average at best even many who are recommended on this forum and I would NEVER risk paying 20 000$ to someone like Diep to get a botch. So being expensive doesn't always equals quality. That's for sure. 

On the other hand, Konior's prices are astronomical but he does produce consistently outstanding results on a regular basis therefore if I could afford him I would go to him because I do believe he's worth the money. 

You have only one donor area and a limited number of grafts to use on the recipient area. No surgety is guaranteed even with the best but you have to try to get this shi* right as much as possible from the first time ! 

I honestly think the risk vs reward ratio of Cinik REGARDLESS OF THE PRICE is not good. 

You can never undo a bad hair transplant even with all the money in the world. 

2 minutes ago, Gramatik said:

Thnik that when someone is searching for Cinik, he might have specific budget and not unlimited, so its a little funny to suggest him to go the most expensive clinics Couto etc... He would go there if he had the budget and was able to pay. Unless you will give him the money 😆 Bicer is not 2, it is 2.5€. And it might be budget for you, compared to the most expensive options. But for many people might not be, thats why they select less expensive clinics. They try to find some decent options with the least money. Think that they also need to pay transfer hotel's airport tickets, food etc. 

 

Of course. We are all looking for budget options. That's completely fair and normal. Myself included. 

But the golden rule is never limit your research to a specific budget. 

I always tell people go with what you think is the best based your own in-depth and extensive research. 

If you cannot afford what your gut tells you is the best and most consistent (regardless of the price, whether it's Cinik, Konior or Bicer...) then simply don't go to a cheaper option. 

If you have the slightest doubt about your surgery then don't go. 

If you concluded based on your own homework and due diligence that Cinik's package with him doing the incisions is the best price/quality/consistency ratio then go for it. 

10 minutes ago, SimpleLife said:

You literally changed your advice from ''OP I think you shouldn't wait and get on oral Finasteride/Dutasteride IMMEDIATELY.'' 

to ''IF the presence of miniaturization is confirmed''

Which one is it? There is a big difference

Ofcourse he is going to have doubts, the kid is 15. He should talk to a specialist first regardless of what he thinks is best based on our advice 

If he starts to use minoxidil for example and stops with it 6 months later, his hair will be much worse than what he has now. In order for him to be consistent he needs to know what he is doing, which is impossible as a young guy reading a zillion conflicting things online. Someone talking with him in real life hits different than reading a bunch of things here and there. 

I never changed my advice. You didn't take enough time to read my first post carefully and you are making assumptions. 

Everything you said until now is absolutely pointless and irrelevant. 

What is your point ? What are you trying to say specifically ? What are you trying to demonstrate ? 

I feel like you are just trying to argue with me without bringing any construstive argument at this point. 

Let me tell you. 

This forum has been created precisely and exactly for guys to share their experience and share advice. 

Of course he is going to visit a legit medical professionnal regardless of your advice, or my advice or any information he may have come across online. 

The point is any honest, competent and experienced  medical hair specialist will give him the exact same advice. 

It is important for him to understand that early action is key and long term commitment to medication is going to be necessary because this is the only viable option to avoid going bald (which he is obviously concerned about). 

That's it. Period. Say something constructive if you have or let's just leave it there. 

1 minute ago, Gramatik said:

I would no tell someone to go to Cinik, but if he doesn't have enough budget, and he wanted to go there then i think it would a bit better to select Dr Cinik doing the incisions. I know its a hair milll, better than other hair mills though. The options you said are not so budget, and many people dont have thousands of money or they cant find more money to get a hair transplant in an expensive clinic. Unsless you will give them money to go in more expensive clinics. In addition there are more budget clinics in turkey with dr involcement like Bicer, HLC, Turan, Gur, Yaman, Demirsoy etc..

The options I suggested are certainly much better in terms of quality and a lot less expensive than some expensive US surgeons like Diep, Behnam, Harris etc who often produce crap results... For me 2€ per graft is still budget. 

I agree with you about Cinik though. If you decide to risk it then yeah getting Cinik to do the "opening of the channels" (😂) as he likes to say is probably somewhat better than letting his nurses do everything... 

1 minute ago, capitalhaircenter said:

We have some standards in our services. We are a royal hair transplantation clinic. We can not say about the number of grafts without looking for it:) If you want a free consultation that is given by our expert medical team, we will make a proper comment on it. 

I'm basically just looking for a dose of SHILLING MILLING at this point 

46 minutes ago, Gramatik said:

I dont know if what you are saying its true. Some of his result differ from others. Some of them have better angles than others. I think the ones, in which the incisions are done by Dr cinik have better ones.

Cinik is a mill. 

I've seen dozens of his results over the years.  Both with  Dr. Cinik "opening the channels" or results just from his nurses...

Some are fantastic, some are average, some are crappy botch jobs  and some are disasters with overharvested donor and poor growth...

The "average" typical result from Cinik is somewhere in the middle. 

Decent growth and naturalness in the recipient with a slightly damaged donor. 

He's  not the worst hairmill. There are much worse hairmills obviously but the truth is Emrah is a big gamble.

I personally wouldn't risk Cinik especially if I had advanced hairloss to begin with. 

If I  was on a budget I would avoid Turkey altogether at this point and rather go with a decent budget options like Felicidad Espinosa MEDECAP in Malaga, HDC Cyprus, Daniela Cotelessa, BHR Malaga ans maybe Dr. Bicer. 

Just now, capitalhaircenter said:

It depends on to what extent you have an open area. If you want to get a free consultation, pls send us messages.

We will wait for your messages:) 

I have a pretty large open area.

I would like you to teach me your shilling skills please ! 

25 minutes ago, SimpleLife said:

Go see a doctor my bro, its impossible for us to tell whether youre balding or not based on some pictures. Any other advice than this is just folk here making assumptions and thinking what is best based on their biases & experiences

This is reckless advice at this stage. Dont even think about taking any medication / OTC drug without talking to a doctor (preferably more than 1 in case one is clueless). Even vitamins that may seem unharmfull can permanently damage your body with the wrong dose.

But I do agree with @THE TRUTH that you need to take action now, make an appointment asap, in the meantime try not to worry about it by looking in the mirror 100x every hour, giving yourself even more stress (which is definitely a cause for hairloss)

Nah that is not the worst case with these drugs, there are literally communities of people suffering from post finasteride / minoxidil syndrome. 

That is simply not true. Please stop spreading unecessary fear mongering. 

We all agree that OP should consult an experienced hair transplant surgeon or trichologist and check under microscope whether there is ongoing miniaturization. 

He should take action NOW otherwise he will certainly regret it in a few years. 

IF the presence of miniaturization is confirmed, then ideally he should start  lowdose of finasteride to minimize any potential sides. 

Or if he doesn't want to use it then topical finasteride & topical minoxidil + tretinoin or a topical AA. 

That's it. 

5 hours ago, Melvin- Moderator said:

I doubt you are balding at 15. Even if you bald young, it shows around 20. 

I disagree with your statement Melvin and also with OP's parents statement that it is impossible to bald before 18. 

This is just not true. 

In this particular case it is debatable whether OP is balding. 

But generally speaking there are MANY cases of young guys starting to bald as early as 15-16 in high school. 

I had a friend of mine back in the day with extremely agressive Male Pattern Baldnedd who started going bald at 15.

He is now a full Norwood 6-7 at 30 with a shaved horseshoe. And he is extremely depressed because of this situation. 

OP I think you shouldn't wait and get on oral Finasteride/Dutasteride IMMEDIATELY. 

Remember, time is off the essence when it comes to fighting the evolutionnary curse of Permanent Male Pattern Baldness. 

Worst case scenario with these drugs is they will slow down your potential hairloss VERY significantly to the point that it doesn't affect your life. 

Trust me that will save you tens of thousans of dollars further down the road. 

Once you lose your hairline completely or get a slick bald spot in the crown then none of these drugs (not even some extremely hardcore stuff like castration, lupron with estrogen)  can regrow it and you will have to get several hair transplant surgeries...And as you know now by researching on this forum transplants are very expensive and   uncertain. The truth is they can never recreate native hair density and you'll have to deal with combover and Toppik, SMP for the rest of your life. 

Drugs like Fina/Duta are fantastic or  preventing things from getting worse and in SOME rare cases regrowing existing miniaturized hairs but they absolutely do not regrow hairlines or bald patches and often do not even reverse diffuse thinning.

Keeping what you have by getting on medication early is a billion times easier than trying to play catch-up with transplants once you are far gone....

I would suggest OP gets on oral Dutasteride 0.5mg daily and oral minoxidil because I suspect an agressive version of Male Pattern Baldness. This is what I would do personnaly if you could go back in time. (I wish I could haha....) 

Now some of you may think "Bro this is too extreme you're crazy !!!" 

Well okay but I think the very minimum he should consider doing is 0.25mg finasteride daily or 1mg 3 times a week + topical minoxidil mixed with tretinoin. 

It is safe to use finasteride and dutasteride once puberty is over. If you have doubts then I would consult a very experienced endocrinologist + a hair transplant surgeon. 

However in case you do not want to use oral Finasteride (which I totally understand bro 👍) then I would get on minoxidil & topical finasteride to "buy you some time" until you are 18. 

But definitely take SOME action. Don't wait.  

12 minutes ago, ITA said:

I wouldn't call HLC a hair mill, just an unethical clinic.  Towards @michael hofmannbut they had the same attitude as the hair mills, and that is, they were only interested in his money.  Between the first and the second transplant, they should have asked themselves some questions, “why did it go like this?”, Instead they performed a second procedure, ruining the donor area.  On another forum, I read about a patient, who had gone to the H&W clinic (I don't remember which of the two surgeons had the first procedure) to undergo a second surgery, since the first one did not produce the desired results. , well Hasson or Wong, he noticed that the patient's scalp was a little red and told the patient that it would be better not to proceed, and he just did a revision of the scar, he could have done the second procedure, pocketing the patient's money, but he didn't.  These are ethical surgeons.

Amen to that 🙏

35 minutes ago, capitalhaircenter said:

Hi @lunch_owl,

You have an open area in your frontal area. For your frontal area, it can be transplanted.  However, we cannot say exactly your frontal area will be fully covered. After the first operation, your donor area will be healed, and you wait for the donor area’s hair grows back after six months. According to the photos after 6 months, if your donor area is suitable, the second operation is performed. For more information, you can send dm. We will give you a free consultation.

How many grafts does a shill usually require to cover the front with a conservative hairline ?