shiba1985

No not a gimmick. minoxidil working as a vasodilator, is an old school thinking. Its mechanism of action is more complicated and involves molecular signaling at the cGMP level. Some studies, albeit poor quality, show that 5mg oral minoxidil has similar effectiveness as 1 mg finasteride. A 3 month supply of minoxidil would probably cost $10. Gimmicks are usually created to make money. I do not see how anyone would profit from a cheap medication like oral minoxidil. With prp, whether you agree or not, atleast the doctor can charge hundreds of dollar and make money. oral minoxidil will be more effective than the topical as it can reach certain molecular targets that a topical source cant.

i agree with refusing cases on travel patients, but if that is something that you are going to do, you should make it clear to your patients, that if that happens money will not be refunded. thats bogus to keep the money without providing services, andnot forewarning. i guess it all depends on how clear it was in the contract. I think the clinic should be named so future travel patients to that clinic are not blind sided like this.

How much were you warned before you paid in full that this was a possibility. I mean if they made you feel like all is ok just fly in, and were blind sided by this, I do feel like clinic is to blame for this. If it was more like, hey ur donor area seems questionable, you are welcome to book and come in, but if u are not a candidate you will lose your money, then thats fair game. I mean a lot of contracts have concerning language. if you sit and analyze everything you will never move forward with surgery.

That is unfortunate. Can you post a picture of your donor area for us to see. ? I dont understand the NDA. If the clinic think they are doing what is right, even if they dont give you money back or give everything back why have a patient sign a NDA. weird.

Ok I see what you are saying. Maybe a tad bit lower density, but still with your Afro hair that density would give good results. I doubt any clinic transplant 40-45 fu grafts Afro hair per cm2. It’s not needed. Isn’t the native Afro density something like 60 fu grafts cm2 ? So theoretically u should be able to get away with 30 / cm2

To be honest the density looks good to me. Don’t get fixated on the numbers. 40-45 fu grafts/ cm2 doesn’t mean anything. You could have 12 one hair fu grafts and 15 - 2 hair fu grafts, the hair count would be same. You could have 42 1 hair fu grafts. Density numbers to some extent are marketing gimmicks. the poor growth either is due to inexperienced staff which is why I am asking where you had surgery? , you have some scalp condition which requires biopsy, or you are just a late grower.

The surgery looks clean. The growth does look off at 8 months but still have time. Where did you have the surgery at his Belgium clinic or one of his “USA” clinics. It doesn’t seem like Dr Mwamba has a medical license to practice in Georgia or USA. If you look up board of medicine he is not a license physician, so who does the surgeries? Or is he using some other physician as a front? poor growth can occur with the best of surgeons and Dr Mwamba is a really good surgeon, but the poor communication cause being “busy” is not something patient should have to experience.sorry for that.

Man you need to chill. Not saying you will have a great result or a bad result but it seems like you need to sort out your emotions cause they are all over the place. How can you tell that something is improved cause of meds and not surgery. You definitely look better then pre surgery and looks like the fuzzy appearance before the growth explodes.

your donor area looks pretty badly harvested in the pictures you posted. It may recover some with time but how much only time can tell. If you have good beard and chest hair, yes fixing it is an option. However this is not a magical solution. It will be at best acceptable, and probably not "awesome hair". On top of it , it will be VERY expensive and will require multiple sessions. I am stereotyping a bit, but given that you went to a no name clinic in turkey, I am assuming you are somehwat on a budget. (nothing wrong with that, we all are so please dont take it negatively). If you are not, and money is not an issue then sure it is salvageable to some degree but dont expect stellar results. I mean yeh people that have 4 or 5 hair transplants only look good if they plan it properly from the 1st transplant. Most people dont recover from 3 bad hair transplants completely.

DHI is not a harvest technique. The clinic is jacking you around and gaslighting you at the same time. Which is not surprising given the quality of work. There is no easy way out of this, if a way at all. If you are not happy with the way its looking right now, probably best bet is to shave it all off, and try SMP look. Sorry you had to be subjected to this.

Growth happened from recent FUE surgery or a surgery 3 years ago? Any pics?

no doubt when it works it looks amazing.

When I first started reading your thread, I was like wow 5000+ in one sitting. This guy will have great coverage all in one surgery. As I see your recent photos, it reiterates to me why time and time again, most top level clinics will want you to divide large coverage areas into multiple procedure. If some thing fails, you are not out by 5000 grafts and you can go back to the drawing board. having said that, you are still early and according to Melvin there are late bloomers so you may be one of them. Unfortunately besides trying to focus on something else (work gym etc) there is not much you can do right now.

Two surgeries. Ok go for it, ask doctors all kinds of questions. Ask them how much sleep they had the night before? When was the last time they drank alcohol? What they have for breakfast? you get the point. Where does it stop? the assumption to asking asinine question is that you will get a honest answer. And the reality is an unscrupulous physician will give you a dishonest answer, and convince you regardless. While an honest physician will possibly be turned off by irrelevant questions like this. listen I get it, you have to do your research and it is difficult to do that in this field, but Dr Mwamba is not some fly by doctor that has popped up his shop over night. He is a well regarded veteran in the field. You have done your research and selected him for a reason, to analyze what day and time of surgery etc. is neurotic. Just being blunt with you. .

100% not a red flag. You sound like you would be an annoying patient overanalyzing every small shit. You have selected Dr Mwamba have some faith. I hope you didnt ask.

There is nothing wrong with that hairline shape. Do not overthink it. You should never be afraid to speak up as a patient, but there is a fine line between advocating for yourself and being an annoying patient that continues to split hair losing sight of the long term results due to some neurotic OCD type of behaviours most of us hair patients seem to have. 😝 How many grafts is that?

It is a SERM. Selective Estrogen Receptor Modulator. It is used off label for TRT as it increases your testosterone. Benefit of using clomid would be it keeps your Pituitary active, and its your "own" testosterone. Fertility is maintained.

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video works for me. i would be very curious to know how this turns out. keep us posted. I am sure it will grow. It seems to be "tough" hair.

Can someone summarize this. Unable to view video? has anyone tried it and if so how were the results. I believe the sebaceous gland doesn’t grow back once transplanted so sweating shouldn’t be an issue.

OMG man. this is horrible. I am glad you are ok in the end.

Maybe they will say it is "4000 hairs" not 4000 FU grafts.

Lets assume even if the grafts are not visible, the cuts surely are.

how doctors like this still practice is beyond me. This is in USA? this is just highway robbery/ malpractice. Please give us the name of the clinic, if not at least by PM. How the hell did u find them? There is no way this clinic does more than a handful of a hair transplants/ year. They would not be in business. What is their main surgery?

yes offer another procedure? but the patient stated he is looking forward to a call with Dr Sethi, as if he has something else in mind. Does he want a refund, a partial refund? something else?