BackFromTheBrink

They even mention it in Jackie Brown.

Google it, he was very open about getting a hair transplant.

This case is troubling. 
 

There are multiple concerns here, raised by the OP. However, there are 2 that seem to be the most important, and that the surgeon appears to be in a position to help address.

1) the surgeon has already stated that 2700 grafts were extracted in an earlier post. I believe the OP wants to know how many incisions were made to accommodate those grafts, and confirmation that all 2700 were implanted.

2) The OP believes another doctor was involved in his procedure. The surgeon could help clarify how many people were in the room and what part they played in the surgery to set his mind at rest.

moderators: Do you not see it that way? Do you agree the surgeon should help to answer the questions since it’s what is troubling their patient?

56 minutes ago, Woody1000 said:

This seems to actually be a good explanation, don’t you think he would have a high chance of damaging the graft this way? I just believe he must be a master of using his own punch and whatever type it may be to reduce dilution and minimal scarring 

Why risk damaging the donor by splitting the follicle rather than just extracting it (and if necessary splitting later)? 

I can see why that may be beneficial in that it may result in follicles being closer together in the donor and allowing a greater extraction percentage but I would be concerned it'd result in more damage and therefore lower survival rates in the donor and recipient areas.

1 hour ago, Kamran10 said:

Has this dr performed a lot of surgery on high Norwood cases 6 and 7 ? 

I'm not sure, you could ask him? He uses a manual punch and doesn't shave the recipient area, so his maximum number of grafts per day is about 2000.

33 minutes ago, Hairwolf said:

Looking good here. Natural and dense and seems to have shaved a few years off!

Thank you 😌. The second surgery has been the icing on the cake really and has increased density and make it look more natural in more situations/lighting.

I've heard others say you really need to style your hair to get the illusion of density, and that's been minimised. Heres after a bad night's sleep and (obviously no styling whatsoever)

That said, I think the first one was what really took the years off 🙂

On 11/8/2023 at 5:55 PM, BackFromTheBrink said:

I don’t. I keep promising I’ll post one, but my case is relatively unspectacular as it’s basically a procedure for density so it wouldn’t be the most exciting! Even the placement pictures are uninspiring since my existing hair largely covers them up.

I posted this on another thread but I do think it’s made a good early difference. I’m happy with the hairline, and am now waiting on my crown to grow in.

 

before 2nd surgery 

 

3 months after:

7 and a half months post. 

I didn't say that, I said it wasn't approved but can be used off label.

I would personally start with finasteride which is approved and has been used for hair loss for longer so is better studied and understood. 

All drugs have a risk profile, it's a personal decision as to whether to take that risk based on the benefit it'll bring.

18 hours ago, HappyMan2021 said:

All these comments including the original post have been incorrect thus far

Dutasteride is simply a much stronger version of Finasteride

If you have zero sides on meds, there is no reason to not be on Dutasteride.

The thinking of "i am only a low norwood therefore I dont warrant dutasteride" is an illogical way of thinking

There is no mystery or secret weapon behind Dut. It is just a stronger version of Fin...

I don't agree. It's not a stronger version of finasteride, it's a different drug.

It's also not FDA approved for hairloss (because it's a different drug).

4 hours ago, baddecisions said:

100% beard grafts for this one

uffff, hoping for the best

Let's hope his beard looks like uncle albert's from only fools and horses 😀. It is a case that just wouldn't have been attempted a few years ago. I'm curious on the hairline design and density he attempts. 

The way I see them being used, finasteride is used initially and dutasteride to complement or replace when finasteride becomes less effective on it's own. The more sensitive you are to DHT, the more likely dutasteride would need to be used.

Surely it's only a good price if relative to the outcome?

Hopefully you'll get a good yield and can use the next 12months to research your next surgeon.

2 hours ago, Tamersam. said:

Hello everyone,

I have been researching hair transplant clinics for a while and decided to go to Turkey. I see many alternatives from 1500USD to 15000USD. Frankly, I see very good results for 3000-3500 USD, but doctors with a price of 10000-12000 dollars are generally recommended in the forum. As far as I can see, not all of these doctors' results and comments are actually good. On what basis are recommendations made? What are the points to consider when making a choice? What are these doctors good for doing differently? What are others missing? While Turkey is so famous for hair transplantation, are all clinics really working poorly except for 3-4 doctors? I found a few good alternatives around 3000 Euros, but I'm confused by people's prejudices against other clinics here and on the forum. What are you thinking ?

 

 

Tamer Sam

Best Regards

Do you know how many grafts you'll need? Have you consulted with any surgeons yet? Are you on medication (or do you plan to be)?

Did they definitely quote grafts rather than hairs (because the latter is probably more accurate).

1 hour ago, Fox243 said:

I think it's because the other options require potentially nasty tradeoffs (side effects of lifelong meds) i.e. people are always like you risk your dick with fin for a cosmetic issue.

Wow! You really do seem to have an issue with people who choose to take meds.

I'm wager the average person who suggests shaving your head knows nothing about medication or the potential side effects. They're more likely to consider alternatives such as hair styling, powder, hair systems etc.

I agree with the comments above and that it's brave since it's taking control,  knowledging the situation and accepting it.

It's more than just the website. The domain itself has expired, so no email to that domain will be received and anybody is able to register it as their own.

Have you considered changing to dutasteride? It may be more effective and help with the longevity of a transplant.

As others have said, it is done to aid naturalness. 

I had the same question when my hairline was drawn. I'm probably 15 years older than you, but still think building around the fine hairs that have stubbornly refused to die is a sensible idea.

Here's mine:

Yours is a very difficult case. Looking at your donor,no suspect both doctors will have to make extensive use of body/beard hair.

The question for me is what percentage of scalp hair will be used by both surgeons? That then leads on to looking at how close your beard/body hair is in comparison to your scalp hair - in texture and colour.

Did you get opinions from any other surgeons? I would have considered Dr Sethi too. Looking at people like Gatsby, he achieved a fantastic look and used lots of body hair. 

Thank you 🙏

Hopefully it'll continue to  thicken up - I do have 5 more months until the year is up.

I wish I was 35 - I'm much closer to 50 than 40!

Interesting stuff. I've never seen surgery without shaving the donor. Looks to have really hidden the surgery well in your case. 

8 minutes ago, dba said:

@StewieYeah very true,  to be fair though the less crap in our system the better, FIN lowers test, what makes a man , I put on muscle very easy , I don't want to lose that by taking it

Hows your recovery going bro ?

Finasteride lowers free testosterone? Are you sure? I thought it actually marginally increased it since less is converted to DHT?

I doubt it. It's probably just because your scalp is tight as the skin heals.

I'm 7 months in and still have itches and aches from time to time. I think we all become more conscious of it since we know about the surgery whereas usually we'd just rub our heads / turnover and think nothing of it.

I would only become concerned if there were signs of infection (don't confuse that with minor irritation with hairs popping through the scalp) or where I had constant pain that required medication to keep it manageable. 

Outside of that, it's just appreciating that you've had several thousand cuts to your head and that will take time to fully get back to normal.

3 hours ago, Ajamilo said:

Back from the death. Congratz with your result

Thanks man. Back from the brink of NW 6 🙂

6 hours ago, Shadman said:

This is actually looking pretty good from where you started

Thanks, I think 🤔 😂

59 minutes ago, Broni said:

I was told a similar thing (the recipient is worked up, survival rate will be limited) when considering a 3rd procedure in hairline (densifying) by the surgeon that did the first two that had not been entirely satisfying. It didn't sound good and I after a while I inquired the same with another surgeon and he told me it was an excuse for the less skilled doctors and that he guaranteed me no less than 85% survival rate (95% if it had been a virgin area). Finally it went very well with an excellent result. It's hard to believe that Bissanga mentions 50% survival rates for areas that have already been worked on, I am sure he has tons of patients like you.

The survival rate will be dependant on the quality of the first surgery. The amount of scar tissue will vary between individuals and influence the potential survival rate of further implantation into the area. 

It may be that upon examining the area under magnification 50 is a realistic estimate - no two cases are the same and the only person who has examined the OP is Bisanga.