Berik

2 of those concerns, the minimal doctor involvement in the surgery, are major issues that people often cite as the main reason to avoid a hair mill. H&W and Eugenix have gravitated towards the high volume, tech driven strategy and as a result patients have been suffering as they try to get even more money. Apparently $40,000 per day minimum isn't enough for these guys to actually stay during the surgery and do more than create incisions quickly and leave.

I repeat. What does that have to do with the malpractice allegations of a technician not legally able to surgically operate on a patient doing so? I repeat. You lack critical thinking and general reading comprehension.

What does that have to do with the sh*t result and serious malpractice allegations from H&W? I'm convinced you don't have an ounce of critical thinking in your entire body.

The photos speak for themselves. The story about medical malpractice is a serious one, and one that would mean slander and a lawsuit given H&W know who the patient is. I question the ethics of such a comment. The community should know about all experiences, good and bad. Perhaps you are a paid H&W representative?

What an absurd estimate/piece of advice. He doesn't need anywhere near that number.

Quick! Lock a thread about potential malpractice because some meanie said some mean things! Lmfao.

Fair warning though - Pekiner is pretty strict about the patients that he operates on. He generally doesn't accept patients with higher levels of hair loss, with poor donor quality, and he won't hesitate to stop the surgery if he finds additional issues with your scalp/hair. It's definitely worth sending a consultation, but if I were in your position traveling internationally to Turkey wouldn't be on the top of my list. A good budget option around the same budget is Nader, in Mexico just over the border in Texas. He's around $4 per graft for the first 1,000 grafts and $3 per after that. His results and hairline macro is very very good for the price.

I've heard Pekiner is hard to get ahold of these days. Massive increase in demand recently. You're probably looking at around 3 euros per graft for shaven and 3.3 for unshaven. Waitlist of minimum 6 months, probably around a year.

Some of the victim blaming in this thread is hilarious. If this had been about Asli Tarcan or Cosmedica or Smile Hair Clinic etc. everyone would be screaming bloody murder. But anytime someone has a laughably poor result from one of the popular clinics recommended here (i.e. Eugenix, Hasson and Wong, Diep historically, etc) people question the ethics and integrity of that person. The result from the FUT scar is terrible and the claim that a technician was making incisions is certainly not preposterous and somewhat in line with another case we saw from this clinic where Dr. Hasson left before the operation was finished and failed to even pretend to care about the patient's experience.

Keser's results are much worse than Pekiner IMO.. Pekiner's advisor is the one who has a poor reputation online, not his results. Keser doesn't even use microscopes for graft extraction and dissection, just loupes for implanting as far as I know, so you're bound to get a bunch of multis in the hairline.

There's multiple instances of neglect by the clinic, that patient that posted here about how he went home before the operation was finished, only saw him for 15 minutes, etc. etc.. it's safe to say you're insane to go somewhere and pay exorbitant prices for row implantations and to be treated as if you're a hair mill patient..

This is a very contentious topic with vastly different opinions from doctors on both sides of the argument. Some surgeons are very conservative and will almost never lower the central hairline once it has recessed and will only fill in the corners unless the hair loss is very stabilized and the patient is older. Even then, sometimes they will say that a "mature" hairline that is deeply recessed is more age appropriate and "natural." Other surgeons seem to have no hesitation lowering the central hairline to its original, natural juvenile point, often creating a hairline that recedes into the corners more so the hairline resembles a norwood 2. Obviously, the approach to each case is unique and dependent on the patient's hair loss history, progression, and ultimate projection of where their hair loss will stabilize. Personally, I think that creating a central hairline far above the original point looks very bad for anyone under the age of ~50 and almost more unnatural some of the time. I'd love to hear others opinions on this.

Hairline has that classic "Turkey" hair mill unnatural wavy look to it.

Dr. Das has had some really poor cases in the past year. Do some deep dives into a few of the cases from Eugenix and that should be all you need to stay away from them unless you get in writing that Sethi or Arika will be doing the extracting/implanting. Not sure why someone here is recommending Ahmad. His prices are absolutely asinine. Quoting for $15/graft these days. With those prices, you might as well just go to Konior. You should look into De Freitas implantation pattern a little more. He likes to plant in rows - some people don't mind it, but it is a strong consensus that this is a poor implantation technique. I would choose for Nader personally out of the above. But you should spend a bunch of time looking through all the results, and post op work. Then, you should be able to decide for yourself.

Not yet - the initial consult is with his patient advisor over zoom. That part is free - you can find it on the Maitland Clinic website.Then, its a $100 face to face consult that is required with Dr. Ball. But as I am in the US, I am waiting for my full results from finasteride to show before proceeding any further with surgeons.

I would trust just two of these doctors with my head.

When people are talking about wasting grafts, it's not about the money, it's more so about placing grafts in places where you don't need them - like on the crown instead of using those in the future for a hairline reconstruction or in the midscalp for added destiny.. a month out should be enough time to get back your deposit at most clinics, depending on their policy.

Fully agree with @Gatsby. You want to preserve all the grafts you have with your Norwood 6/7 future... if you end up getting surgery before all grafts have been "resurrected" it will be a loss of who knows how many. Also, you got more results in 1 month than I have in 5 so far - I'm jealous. You definitely are a hyper responder. Add in dermarolling/tretinoin potentially, wait 2 years to observe Finasteride/Minoxidil full effects and you honestly might get to a point where instead of needing 5-6k grafts for coverage you only need 3k..

Second on Dr. Ball from the UK. I'm currently seriously considering him as my #1 option after reviewing a ton of his results in the past couple weeks. He has a good amount of results and experience with repairs from what I've seen. Furthermore, it seems that he is very straightforward with telling you what is realistic/possible. The only negative that I have heard of so far is that he is conservative. Which in your case, (which I have been following closely), I think those are all essential qualities in a surgeon.

Right, but it's a study based on a ton of different doctors results. It is not a randomized clinical trial, and there are a lot of different variables to account for when it is done this way. It wasn't actually data that was gathered by him, rather an analysis of a large amount of doctors and their patient's data through their prescription of oral minoxidil by retrospective design There's a big difference between double-blind studies and that. Essentially, when will further clinical studies with better evidence take place if at all to test both the efficacy and safety profile?

Additionally, why it is prescribed orally apart from convenicence as there is no clnical data that tests its efficacy over topical, as far as I am aware of.

I'd like to know why so many doctors are sure that the same serious side effects that are observed at the higher dosages prescribed for blood pressure are not possible with low dosage.

Have you tried dutasteride, minoxidil, tretinoin, microneedling etc? What's your current regiment?

Anyone else find it strange/unprofessional for Pekiner to have no functional website, and no before/after gallery of patients? That is like the bare minimum for any surgeon to have.

Hair transplants come with a risk of something going terribly wrong. I would never guess you were losing your hair from your pictures. Your hair is incredibly thick and there's a possibility of damaging your native hairs and the density not matching in your hairline. Or the yield is poor and you create a problem that you don't really have and are now forced to go down a path of more and more surgeries. Unless your crown is visibly thinning I strongly urge you to delay getting a transplant until it worsens. I believe most (ethical) doctors would agree with not doing a transplant.