shiba1985

52 minutes ago, Hashi said:

They actually didn't specify how long I'd need to take it for. But definitely at least 3 months, since I got a prescription for 90 tablets. I've been on Finasteride since October 2021 and absolutely nothing else. My initial plan was to simply resume Finasteride 10 days post-op and not take anything new, but now with all this Minoxidil and Dutasteride talk.. I don't know. Would it hurt to take Fin/Min/Dut for 3 months until the 3 month checkup, and then stop everything except Finasteride? I get what you said about noticing a difference once I stop taking Minoxidil, but stopping won't make it worse than before I start Minoxidil.. right?

 

Thing is, I absolutely don't want to do anything to make the transplant in any way not go as smoothly as possible. So if Minoxidil and Dutasteride are a must, then I'll definitely take them. But honestly if they have NOTHING to do with the transplant or the survival of the transplanted hairs, then what's the point? I'm perfectly fine on my Finasteride treatment..

in your case, i would just stay on finasteride and that is it. not sure why you stopped it for surgery. that is not needed. 

Dont over think this. the only way i would consider starting minoxidil is if you plan to use it life long like u use finasteride. otherwise it wont make any difference if you hair transplant succeeds or fail.

This question is difficult to answer but i will try. 

Oral minoxidil is not necessary for surgery itself to be successful. a good surgery should stand alone by itself without minoxidil. 

If you take minoxidil your results will look more "wow" since it will beef up your hair both the transplanted and existing i.e. Each strand will be thicker. so for eg. let us say your average hair shaft is 65 um, with minoxidil it maybe 75 um. this small difference can result in a big visual difference cosmetically. Also more % of follicles will be in Anagen phase. 

However when you stop taking the minoxidil, it will go back to the way it was going to be without minoxidil. Meaning if you dont want to take it forever, no point in taking it and stopping. 

5 mg is a hefty dose. I would not take it forever. but that is just my personal opinion. 

Medications are more a strategy to combat further hair loss. That is the main use for them, not so much for the success of surgery. 

Last login 4 hours ago. Last update 4 weeks ago.. hmmm

Are you willing to shave the area you want density in to get a dense transplant. I always feel that it is hard to get great results with non shave cause your vision is impaired and you maybe causing collateral damage while transplanting. To get great cosmetic results, sacrifice of shaving the recipient area should strong be considered. 
 

I didn’t read,  but have you had a biopsy? You are in the age group where it is not uncommon for hair loss diseases such as frontal fibrosing alopecia to show up. If your cause is not androgenetic alopecia, the transplant can fail.  
 

How are your eyebrows? 

Dr Hasson is going to pack the s%#* out of your area. Will it look great. sure for a few years. But hair transplant is not a 3-4 year game it is a lifelong game. results should not be measure in one two or three years but over 10-20 years. 

It is better to use a conservative number of grafts and get a good result, that still allows flexibility for long term hair loss  then using an excessive # of grafts get a fabulous result for few years but less flexibility for future hair loss as it leaves you with less donor in bank for future. 

This is just my opinion, based on what I have seen over a long term and knowing what i know about the disease. 

Close to 85% . I am pulling the number out of my behind… but it’s up there 

17 minutes ago, mavigo said:

Is there a reason why you had Konior do 2 FUTs only for him to later to a beard graft concealment of the scars? Why wasn't FUE done in the first place? 

please read the thread before asking redundant questions.

No. I have yet to see a single botched donor from kesser. Very unlikely. Looks to me more like bruising cause you bled more that day. Will go away. 
 

12 minutes ago, stephcurry30 said:

Care to mention who was the doctor you went to originally in the 90's?

I also don't think that accessing his hair transplants in the 90's is an issue of his scalp. It could also be the issue of the lack of technology and how awful hair transplants were back then. Whenever I see someone saying that got a transplant in the 90's I always see how bad the results were regardless of the surgeon/person. 

Transplants back then were NOT what they are now. I would be interested to know why his beard grafts didn't grow as they should of. 

Tony best wishes to you, happy new year, and I hope you get this closed out quickly with a refund or a full repair and meet your hair goals eventually. But as mentioned by Melvin and others do not going for another surgery until you figure out what the issue is. 

probably Robert True of True and Dorin. 

Man. With all due respect you sound like a pain in the ass patient. Yes you are paying the doctors for a service and yes they should give you the best quality ethical surgery they can deliver. But they are not your servants. you are treating the consultant with zero respect.

plus all the antagonizing.
 

If I was the doctor I would throw you out of the practice in a heart beat. 

no wonder they decided to cancel your surgery.  
 

also from the conversation it does seem like there must be some real issues with refunds taking long and they are not doing it out of spite. Cause rishab said the same thing when he said “if your visa was not granted” refund will take 5 months. 

I hope you do better for ur next hair transplant doctor search. Remember respect is a 2 way street. u should treat everyone decently from doctor to staff .

also find out the hotel and taxi prices urself. 
 

4 minutes ago, DrMunibAhmad said:

So you start with saying that you don’t trust that i use the punchsize i say i use and ask for proof. And when the proof is in front of your eyes you hide behind a fallacy. It would be to your credit if you had responded substantively .

 

In this field where doctors make all

kinds of claim, asking for proof is the Norm. Not long ago a doctor from your country was claiming to extract hair and regenerating it in the donor area. 
 

Photos look good. I confirm the punch size, if these are immediate post op photos, are indeed small. 
 

good results. arrogant and condescending doctor. 

you have fantastic hair. choose wisely for 2nd op. and you will be fine.

On 1/4/2023 at 3:20 PM, DrMunibAhmad said:

Depends on thr thickness if the hair and grafts diameter. Usually 0,7 or 0,8. For singles always 0,6.

I don’t believe this. Show us the extraction site. Lot of people claim 0.7-  0.8 mm but u see the extraction holes right after and it looks more like 0.9, 0.95 or 1.0 …

to me it seems like your crown is too far gone to come back. i could bewrong. if u r not having any side effects though you still have great hair in front. so keep taking it to preserve. if you preserve the front, your crown can be transplanted a bit aggressively and then you will not have any signs of balding for the average eye. 

4 hours ago, Mirko nooh said:

Is there any "documentation" for the numbers/rate of necrosis in different clinics? 

Don't you think (on a wider scope) that this information should be collected for all patients (and potential patients) to be used? This way we could choose more wisely. 

It seems like at the moment, if one clinic produces too many necrosis - there's no 'mechanism' to stop this from happening.

no this would be impossible to know. U would have to know how many patients from the clinic got necrosis and how many patients got surgery at the clinic. 

the best thing is for patients like yourself to make their complications known publically (but anonymously). If you see a pattern then people can start avoiding the clinic. 

Unlikely. 

Yes

6 minutes ago, Mirko nooh said:

what do you think should the ethical patient do? should he post about his necrosis?

There is nothing unethical with posting about your result. Your doctor is not your family or your friend. It is a business after all and if a patient has an unfrotunate incident he should post. Some post op pics can give possible clues as to what may have happened. 

2 minutes ago, BaldV said:

You are comparing a 200x1500 mm strip removal with an 1x1 mm slit? scalp necrosis happens because of the doctor 100% of the times

no i am not comapring the procedures. I am pointing out the genetic difference between individual patients. Necrosis happens cause the blood supply to the scalp is interrupted to that area for a prolonged period of time. Some people have blood vessels that are more vasospastic. They shut down (constrict) with a little bit of epinephrine. Other people have poor circulation due to diabetes, high cholestrol smoking.  There is genetic differences to everything. Saying that it is 100% surgeons fault, is misleading. Every surgeon on the planet if they have done surgery for long enough will have a case of necrosis. 

32 minutes ago, BaldV said:

100% fault of the surgeon

its like saying every bad scar from FUT is the surgeons fault. We know now, that no matter how perfect some techniques will be, some people just scar poorly or form keloids or what not. At the same time there are a lot of surgeons that use poor closing techniqure and cause bad scars. 

28 minutes ago, BaldV said:

100% fault of the surgeon

completely disagree. In 80% of the cases it can be the surgeons (or surgical technique flaw). In some cases you can do everything by the book and still have a case of necrosis. It is just the risks of being operated on. 

10 minutes ago, Mirko nooh said:

Hello everyone. What is your stance about the above statement? 

what is considered a 'legitimate' necrosis complications by a surgeon? is is ~20%? 5%?

and if there is such - does it almost certainly reflect an error by the surgeon?

 

 

I think in a good surgeons hand the necrosis rate is probably 0.5%. 
 

sometimes it can happen even if you do everything right. 
 

some clinics have Terrible techniques and in that case it is the clinics fault. 
 

there is not one single answer. It would depend on the case and the technique used, solutions used. You woild have to know and observe the whole procedure to troubleshoot why it happened. E.g dense packing, too much epinephrine, too big recepient sites, smoker/ diabetic patient etc. 

check out dr alba reyes in dominical republic. she has a lot of afro hair cases published

On 1/1/2023 at 11:47 PM, WhereIsMyMind said:

Im curious, in 2022/3 where most surgeons don't transect grafts, whats the benefit of doing FUT over FUE for such small amount of grafts? I'm still surprised some patients go that route. Is a slightly higher survivality really worth it in exchange for strip scar?

You take ur doctors word that no grafts are being transected? lol
 

Trust me even best docs are transecting , and also a lot more partial transections.