shiba1985

1 hour ago, Berba11 said:

Thanks for sharing. 🙂
 

I’m guessing this is around 2,000-2,500 grafts. I’m also guessing that you not knowing how many grafts this is means you didn’t pay per graft, which probably means you went to Turkey?

Who was your surgeon/which clinic?

to me this looks closer to 1800 grafts.  The work looks ok. Nothing spectacular but definitely not a botch job regardless of what you have paid. just my opinion

1 hour ago, BlackAmish111 said:

this post is ridiculous level cop-out. Did you even take the time to read it properly? First off -its was his Asst. NOT the "expert in Surgical Treatment" who saw me. And as you can see but the other poster here -they also had a very poor experience with the Asst who steered them down the wrong path.

 

B. My 1st Surgeon was also of the same level board certified and clout (if that matters) as Rahal -and she had a far more thorough vetting method told me many options and gave me time to think about taking calls for more questions if needed. Part of running a great business is your ability to properly communicate with your clientele. If option A doesnt look great, have the wherewithall to talk them thru whatever options may still be available. This guy did the opposite -i got the impression he thought id yet again ask for a smaller job and they werent that interested. To clinch my claim -when i contacted him again, after i told him his meeting was pretty depressing he apologized and said 'sorry, i was just getting over a cold". And then offered for me to speak to Rahal himself for a "$75 fee". Does that sound expert level to you? Or more of a money machine.

I am personally not a fan of rahal. I am not a fan of any clinic that outsources patient evaluation to “assistants” cause a lot of them are incentivized based on commission. Even if they are not I think it is the duty of the surgeon to guide the patient. 
 

1 minute ago, BlackAmish111 said:

Im actually taking the Duta topically and i guess saying No sides" might be a slight exaggeration. Im not sure if the bedroom is 100% as im 53 and on TRT i do have cialis -like a very small nibble sixed dose if i think i need. But none of the foggy head/zero libido. It is much pricier tho -i may look into making my own topical

you went to a surgeon who is an expert in surgical treatment of hair loss. He told you you are NOT a surgical candidate. Maybe in a bit blunt fashion. 

I dont understand. you are complaining he is too callous? do you know how many patients he probably sees in your situation in a day or a month. does he have to sit and hold everyone's hand?   

Would you rather blow smoke up your ass and take your money and give you surgery. 

If you want medical management see someone that specializes in medical management of hair loss. most surgeons are sub par at this. 

37 minutes ago, GeneralNorwood said:

 

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

 

No I have not but the amount of coverage I have seen konior provide with relatively lesser grafts I can extrapolate from that, that If the patient went back for seconds and thirds he would have relatively full coverage.

even mtb doesn’t have full coverage it’s relatively full but you can tell behind the hairline in mid scalp there are gaps that are covered by hair sleeking back but that’s just the limitation of hair transplant. 
 

1 hour ago, SY7 said:

Ah you mean during the consultation planning, but minoxidil? Don’t they all prescribe it? Btw do you know what the difference in way of doing the procedure is between for ezample Zarev and Pitella and Eugenix? All specialists in High Norwoods?

sepculating

zarev uses smaller punches and tries to use all scalp hair and is more detailed in planning

pitella uses bigger punch, and uses a lot of beard and body hair

eugenix uses scalp and body hair, planning is not as detailed as zarev and it is similar to pitella but less personal care as multiple patients a day. 

placement wise

zarev uses sharp implanters with no pre made incisions

pitella i know uses implanters but not sure if pre made incisions

eugenix has pre made incisions and then implanters. 

1 hour ago, BackFromTheBrink said:

I'm curious about that. 

Say I want 4000 hairs to be transplanted. Would Zarev potentially use more grafts (because he'd use partial grafts for a more homogenised donor) than a more traditional surgeon?

So, it may take Zarev 3000 grafts opposed to 2000 grafts for another Dr?

Would the cost per hair therefore be higher with Zarev (all other things being equal)?

I dont think you can worry about that stuff. every doctor has his own technique. someone like konior can put 2000ish.  grafts and make it look full and someone like zarev does it with 4000 and make it look full. They are both putting out good results. dont worry about "per graft" cost. go with who you like and who you can afford. 

29 minutes ago, SY7 said:

Awesome result! How do some doctors be able to get so many grafts while others can take a maximum of 4/5000 ? An average donor has about 5/6000 available or something? Does this doctor has a totally different way of extracting or something? Really nice result.

good planning, partial (Zarev) vs full follicular units (“average doc”), and minoxidil. 
 

my educated guess. 

Unless you are some genetic abnormality, most likely your T is more than normal. Check it again exactly at 7 am after a good nights sleep. It will be higher. Chances are you have boy image issues, or anxiety around erection such as size of your penis, lasting longer etc. All that has killed your boner. Unless you have taken some medications or done anything major with your hormone system you need to get over your mental stuff. 

I read somewhere that even castrated eunuchs can have erections. there is no reason that you cant have erections at those level. Also TRT is not a cure to libido and erection issues. Since 99% of this is mental TRT will not solve it. You will just be a little muscular and hornier without being able to get it up. 

20 hours ago, Al - Moderator said:

 

You had 4000 grafts, so there probably wasn't any way to add more density to the crown without taking away density from the front. Most people would rather have a nice frontal 3rd and a thin crown rather than be thin all over because they tried to get more into the crown. Don't let it bother you too much. As long as it all grows then you'll be in good shape. You can always go back to add more into the crown, but at least you will have a nice improvement even without doing that. If you added more to the crown on the first procedure then you'd probably be going back again anyway to add more to the front.

 

  

Prior to surgery his crown looks more attention drawing (negatively) than his hairline. If you are going to go through the whole process you want to address and prioritize what bothers the patient first. 
 

his crown is still gonna look bald given the density distribution and he is going to have to go through the whole process again, not to mention the juicier follicles are used up for the hairline.

but I guess that’s the trade off or sacrifices you make when prioritizing cost.

they should honor the may 2024 if they are the ones dropping the ball. you cant magically know what their price will be. 

17 minutes ago, Sparky said:

I shave my beard hair off all the time and it means nothing to me, but it I had the option to put it all onto my head, I would say yes as it would make a huge difference to me as I don't care about it being on my face. I actually have a friend who has f-all on his face but has an amazing NW0 head of hair at 49 years of age. I would prefer his head hair to my quite thick beard hair 100%

the fallacy in your argument is that beard hair on scalp will become and look as natural as scalp hair. IT DOESNT . if it did the solution for advanced baldness in all cases would be very easy. It is only an option for people that are willing to accept that beard hair on scalp will never look completely natural, but it will look good enough or better than baldness. All of those are very subjective opinions

10 minutes ago, Approach said:

Via video consultation, Dr. Pittella said he can restore my NW 7 head.  He seemed confident.  There is a caveat though.  He said, although my donor area is poor, he estimates he can remove up to a few thousand grafts from the back of head.  As well, he will need to remove nearly every beard hair on my face & neck.  (He can leave enough hair to grow a goatee.)  Specifically, my question is:  If "you" were in a situation like mine, would "you" proceed or not? and *Why?   Thank you!  

 

 

ask him to see example of a patient he has done this for. if that look is acceptable for you compared to balding then go for it

that picture with the "titans" in hair restoration screams so much irony. 

You can’t transplant a Swedish blonde fine hair and Mediterranean patient  with thick jet black hair with same amount of follicles and expect exact same coverage. 

55 minutes ago, mr_peanutbutter said:

i see so many thread with „how many grafts do i need“ or „surgeon y suggested xxx grafts while surgeon z suggested xyx grafts, who is right?“

so in that regard it would be definitely helpful

how bald the area need to be covered is only one part of the puzzle. 
 

A lot more complex and nuanced and hence often ignored part is how thick the individuals hair is, and what are his follicular groupings. A small increase in the cross sectional diameter of hair has a 4 time impact in the coverage it provides. 
 

Measuring the bald area, or recepient area is relatively the easy part 

15 minutes ago, Berba11 said:

I’m just a regular guy! And last I checked I’m a bloke… 😃

I’ll take the compliment though, thanks!

Haha for some reason I thought you were a female who went to eugenix for a repair. Which surprised me even more cause this (hairloss) is usually a predominantly male problem. 

3 minutes ago, Berba11 said:

I don’t really understand your strategy to be honest. 
 

You have minor hairloss - a bit of recession in the temple corners. To restore them (without lowering the hairline) to a nice, conservative and long lasting result would require very few grafts. So why are you fishing around in the budget end of the HT market?

If I were you and only needed one small session I’d be targeting some of the best guys around. It will cost more per graft, but you’d be getting closer to a guaranteed result. If you had a lot of scalp to cover I could better understand the budget considerations but you’ve little hair loss and seem well placed to get a nice, smaller surgery from a top surgeon. 

I don’t know who you are? Male or female ? But you consistently post some of the best advice I have seen on this forum.

you will get destroyed. i would stay away if someone quoted me that many grafts at your level of hair loss. (minimal)

at 3 months you are 80% out of the wood, at 6 months you are 90% safe at 12 months you are 99% safe.

22 hours ago, jjalay said:

For this number of grafts the result is rather dissapointing. I"m really not impressed.

lol. 

this is a spectacular result. 

WOW

40 minutes ago, Buffaloboy said:

Update: I would like to update this thread to say that Eugenix called me after my last few posts and apologized for the issues i’ve had. They explained they are fixing processes to make sure it doesn’t happen further and encouraged a positive and happy experience. They also said they know I will have a good experience because they go to lengths to make it so.

I responded by telling them that I hope I have a great experience and if I do, I will tell the entire world. I will be their #1 advocate if I have a good experience. I will also edit/delete this thread.

how kind of you. Eye roll.. 

Bizarre thread. Hair loss/ hair transplant attracts some weird ass personalities. 
 

looks ok. 

I agree with the dermatologist above. You don’t seem to have DUPA. Trying to categorize a miniaturized follicle can be tricky and depends on ethnicity. A strong hair in Caucasian may be the same size as a miniaturized hair in a Hispanic. It is not an EXACT science as some people may think of it. 
 

if you stayed on the stabilization regiment, phenotypically you seem to be an excellent candidate for hair transplant. 
 

But you seem to be an obsessive type personality and a worrier. Partial knowledge sometimes is worst than no knowledge: 

Better to leave good enough alone instead of aiming for perfection.