Harry2

11 hours ago, Mr. least-hair said:

My natural disaster hair before

Seems pretty good in my opion, not a disaster anyway.

I am way worse than you and Dr. Maras recommendation was about 4K grafts.

Intersting to know why 3984 were taken in your case, which 3984 is 4k actually

@Mr. least-hair, hey

Can you share pictures before the procedure but with your natural haircut and not a shaved head?

HDC was one of my main clinics I thought to work with and even I went for a n-person meeting with Mr Pantelis. 

Nice work

15 hours ago, HappyMan2021 said:

was it Konior or Eugenix? 🤣

12 hours ago, shiba1985 said:

Konior doesn't use a rep and does all his own consults that easily last an hour. doubt it was him

Neither of them.

The clinic is a eurpean one, and I don't mentioned which because I don't want to "talk bad" about specific place but to share my doubts and thoughts

19 hours ago, Melvin- Moderator said:

Not all doctors have microscopic tools before the consultation. It's always a good idea to ask what the consultation will entail. If your donor will be checked microscopically, etc. If you don't feel confident with this doctor don't go. That's my advice. 

During the evaulation I asked the manager (again, manager, not a doctor or another person who involved in the medical procedure) if he has microscopic tool and he show me some tool on his desk but said that no need to use it (he considered a person with more than 20 years of experience in thar field. He own the clinic).

17 hours ago, NARMAK said:

I'm going to approach this another way. I personally feel in this day and age, EVERY reputable clinic should be doing an in depth clinical assessment using microscopic tools to evaluate the hair density of an individual as well as where there's areas of actual miniaturisation etc. that could be helped and give a prospective patient a proper evaluation in black and white with images. 

It doesn't matter if the consultation is done by a trained technician VS a Doctor in terms of the raw numbers etc. if its done properly but then a doctor can review the data more accurately to come up with a proper plan at the end. 

Dr Bisanga is probably one of the few people/clinics via BHR that goes as in depth as they can and i actually really am always impressed by that attention to detail. For as much of an artistic field that hair transplants are, they're also highly steeped in technical and science based practice. So it doesn't make sense to leave that out as such imo crucial part og hair management. Not to mention hair transplants aren't exactly cheap either from almost any reputable clinic. 

I understand if it had to become a slightly paid for service for people who want to know their hair loss situation and are considering a hair transplant which is why you could try to price it reasonably and i do genuinely think people would come. 

Maybe i'm being naive and the money for the equipments super pricey and they can't do it cheap enough, so that's why they do it visually and for less money, but it's not a great way either. 

Sounds correct since the evaulation was pro bono. Even though the price per graft is not cheap and the clinic consider recommended by the forum.

11 minutes ago, civic said:

Not realy, the most important was to check if there is no dupa, retro, etc. Any reputable doc shlould be able to notice that from lense.  The doc from out of state did see my online photos, & quoted # of grafts.  i just wanted to be 100% certain that my donor is good to go before traveling far .

So I didn't do that but go to traveling far especially for evaulation in addition the online.

I think the meeting should check all these things you mentioned you did at the local clinic. Like I wrote in the beginning, it wasn't like that. No lense, no microscopic tool, only two eyes, few fingers to touch my hair.. and a hair brush. 🤷‍♂️

6 minutes ago, civic said:

Before booking a flight, did you confirm who will do consult?  It's always good idea to have an in depth evaluation in local reputable clinic, they usualy chrage fee,  $75-200 is worth it to know if you are a good ht candidate . (ask them over phone: will they do proper exam? ) . I did that in my city, and only after that ,  traveled out of state for ht surgen of my choice.

I did. The clinic told me the manager will do the consult and the doctor will join in the middle, but it was really at the end and the feeling they gave me is all the questions should be point to the manager who is the authority, and the doctor will just.. I don't know, something else.

About your idea, sorry, but what is the point of meeting another doctor? Don't you think different doctors different evaulations?

My post here is not about a specific question but to share my experience with one of the most recommended clinics here on this forum.

After an online consultation which led me to understand the result of HT for me will be medium since I'm 5NW (on my way to 6NW) and the donor area is weak, I booked a flight for in-person consultation.

The consultation performed by the manager of the clinic (not the doctor himself), same as the online consultation was.  The reason is "the doctor is busy with surgeries and don't do consultations". However, the clinic said is good that I came for a face-to-face consultation because my donor is good and not weak like they thought according to photos and a video call, and bottom line the result will be good. I still need two sessions like they said during the first online consultation but the density will be better, the area they can cover will be larger etc

Is the first consultation I had and I have no experience with that so I don't know if the meeting was ok.

Like I wrote, the consultation was with the clinic manager and not the doctor (the doctor came for 5 minutes in the end), no microscop whatsoever was used for examination my hair/grafts and it was only by his eyes (without any tool) of the manager.

The most significant thing I afraid of is lateral humps drop (now this part is pretty high) and wider crown than today. When I share my thoughts about that the answer was the clinic knows how to manage the donor area carefully and leave grafts for a rainy day (3rd session somewhere in future). I don't know why they didn't examined these grafts (it looks miniatuirzed already so I pretty sure this hair [class 6 area, and lateral humps] will be gone). When the doctor met me he said I'm still young (33 y/o) but his answer for my question "so maybe is better to wait?" was no need.

I came especially for a meeting but in the end met not the doctor but another person, and feel like this meeting was only "consultation" and not "examination". Only two eyes and a hair brush (to see donor density) and a lot of "don't worry, we know our work/know how to manage your donor".

This is how in-person consultation is? 

It is not important what is the clinic is, but is realy recommended one here in the platform, so I asked myself what do I missing...? What those recommendations based on?

On 9/11/2020 at 5:53 PM, Melvin- Moderator said:

No one ever discusses the importance of the lateral hump, but they are the bridge that keep the donor from the transplanted area intact, without them you’ll be left with an island of hair. It’s important Norwood 6s maintain some donor supply, in case the lateral hump ever degrades. Also, you should have a surgeon check your lateral humps for miniaturization. 
 

It’s sort of like the temporal peaks that meet the hairline.

heres an example of how it looks when

it deteriorated with a transplant 

 

@Melvin- Moderator, do you know how long it has been between the HT to this kind of result (without those lateral humps)?

21 minutes ago, Z-- said:

Bit of both. Mostly scissors but it's hard to delineate exactly where the recipient and donor is, so a bit of my recipient had machine. I panicked and checked with my doctor, who confirmed that low guard wouldn't pose any issues.

And the next haircut was the same (machine + scissors)? 

When you did take your second haircut? 

11 hours ago, Z-- said:

Around month 2. Scissors used for recipient (although my doctor confirmed its fine to shave using a low guard). Donor I shaved around 1 month.

After 2 months you got a regular haircut (i.e with a machine on your recipient) or with a scissors only?

Hi

When did you get your first haircut after a surgery (medical-wise)?

On 9/23/2022 at 11:19 PM, HugoX said:

Instagram is https://instagram.com/drzarev?igshid=YmMyMTA2M2Y=

Dr Zarev charges 4euro per graft as is also stated on his website. 

On his website it's 5€ per graft.

On 9/23/2022 at 11:29 PM, HugoX said:

Business (surgery) wise he's booked up to 2024 and I think we are talking mid 2024 and consultation time mid 2023. 

Right now unfortunately the normal channels of contacts is the only way, website or calling office directly, all info on website. 

I was hoping he would have hired an English speaking patient coordinator to go through his backlog by now but that's delayed. 

 

I contacted his clinic yesterday via Whatsapp.

First available date for *consultation* 9th August 2024, not 2023. This the info I got.

Hi

For example, if my crown/front (doesn't really matter) is very thin with only miniaturized hair, which probably will fall in the near future, clinics consider them as part of the final fu/cm2 result? Or they will ignore them and consider the recipient area without these grafts?

Or it is actually depeneds on the individual clinic and the way they works?

Thanks

I am 33 year old, on my way to NW6. My father is NW6, 65 years old.

but today I saw a picture of him when he was 40 years old (seven years older than me) and his hair was MUCH better than I have today. When he was 33 y/o, like I am, he had fully hair.

@Giuseppe-HDC, what is the patient's age?

15 hours ago, BeHappy said:

I'm a NW 7 and have about 400cm2 to cover. If I were to average 40 FUs per cm2 of coverage with 50 in the front and 30 in the back I would need 16000 grafts. This is why even though I've done about 6000 body hair grafts I still look extremely thin. That equates to an average of only 15 FU per cm2. Rather depressing 😔

 

@BeHappywhat do you consider as "extermely thin"? Can you PM me your before-after photos?

How many grafts per square cm do you guys consider as a good result for NW6?

8 minutes ago, BeHappy said:

 

Technically you can always extract more until you've gotten every single follicle out of your donor area. Different Drs stop at different points. Some will say they can't get any more because you will look too thin in the donor. Others may still try to get a few more out. So there is no certain number. It's just what a particular Dr thinks is best.

 

But both Drs want to avoid overharvesting.

So you tell me it just one Dr who push it to the edge while other will want to be safer?

4 hours ago, Melvin- Moderator said:

Ultimately, it depends on the clinic. There are very few clinics that have the staffing to be able to perform giga sessions. The top choices are the obvious Hasson and Wong, Eugenix, and Dr. Felipe Pittella in Brazil. These three have consistently put out quality work and prove they can consistently get good results performing giga sessions. 

Intersting.

Do you think, if one of those clincs can extract 9000 grafts (for examle) in one single giga session, another conservative clinic will extract those same 9000 grafts with multiple sessions? (For example, 3*3000 or 2*4500) or they will give up on 7500 grafts (again-example) and say it impossible to extract more

What do you think about that?

A lot of clinics try to avoid this amount of grafts because they say

1. It can cause a trauma to donor area

2. Reduce the chance for high percentage of success per graft

Also says not more than 3500-4500. But another clinics do a procedure with 7000-10000 grafts in once with good results.

So where is the magic here?

1 minute ago, asterix0 said:

For easier cases this is usually adequate, for instance just hairline reconstruction with a Norwood 3 with good donor.

I myself was a Norwood 6 diffuse myself, and I had to pay plane tickets for my consultations to see the doctors in person. 

So you recommend to take a flight to HDC (for example)?

Where did you do your HT?

27 minutes ago, asterix0 said:

To me I would be cautious with their analysis. I did not know this is how they run their clinic.

They should first analyze your donor with microscopic cameras and give you an accurate overall donor assessment with anticipated future Norwood progression.

 

But most of us did a remote/online analysis first, which can't be done with microscopic cameras. (My HDC consultation was remote if I didn't explain myself well).

I believe when you come for operation they analyze you "by the book".

46 minutes ago, asterix0 said:

It is not necessarily a lie, it depends what your expectations are.

That sentence can mean: "You are a good candidate if you wish to have some more hair and a modest density improvement."

It does not mean: "You are a good candidate to look like you have a full head of hair and a full hairline."

 

To be honest, you make me think twice about all that.

HDC doesn't ask me what my expectations are, and the video call with them started, litteraly, with "you are a good candidate". And then they show me some result pictures of other canddidates with a great density. "This is how you will be".

This is completly opposite from what you are talking about..

1 hour ago, asterix0 said:

I would personally consult with at least 5 surgeons before proceeding forward

For choosing the better option or for waiting someone will turn me down which should raise a red alrert on all other clinics?

I'm waiting for reply from Hattigen (which for 6000 grafts FUE will cost 27K€ an not 18K€) and Ferriduni. Will see.

Btw, HDC Cyprus said and I quote their words: "You are a good candidate". So it's a lie?