NikosHair

So you haven't even read the studies🙄 You don't need access behind a paywall to provide the title of the studies, dates and authors. Where did you get your summaries? To support your argument you need to cite your source, pretty basic stuff.

You present a bunch of studies on scars. The characteristics of scars isn't being questioned. It's the extrapolation to a lower yield, that's the problem. You provided two relevant studies: Can you provide links to the studies?

This video may give some inspiration for your case. He had a transplant but continued to lose hair. His transplanted hairline along with smp looked decent.

I haven't expressed a view either way. It isn't about like or dislike. The problem with extrapolation as evidence is seen in the definition.

That's the problem.

Anyone interested in learning more can have a look at a post I made in @RTC transplant journey.

The bro science is taking a piece of information and making an assumption( lower yield). It fine to have an hypothesis but you need to back it up with evidence. The article you linked was about a paper on: “Periadventitial atRA citrate-based polyester membranes reduce neointimal hyperplasia and restenosis after carotid injury in rats,” More to the point in the other article you linked to says (nothing about lower yield).

You got your photos back nice and quick. Well done to the BF Team. Donor post first transplant looks ace (both grown and shaved)

You never go too wrong listening to Dr B. Straight talking, No BS type of guy. All done with humility and humour. A credit to the HT community.

I agree that is a consideration. I also subscribe to the view that HT's are part medicine, part artistry. Now I know that doesn't sound very scientific 😊 but some surgeons either through education, experience or natural talent can create stunning results. So my point is, we have no problem with a portrait artist making multiple passes to create their masterpiece, why should a HT surgeon be expected to get it done in one hit? (especially with a repair).

How do you know what I know? That isn't about transplanting into scar tissue, it about a Surgical membrane. I'm not busting-your-balls but all this bro-science on HRN is fine if that what you're into but it becomes chinese whispers. No one know where the info came from. It gets repeated with all the conviction of fact. The OP asked for a 'scientific' debate, I think we should respect their request.

That's not scientific evidence. It's a article by an organisation that represents & promotes doctors.

Don't get derailed by suggestions of scar tissue being the cause. Couple of example. FUT scars will be much deeper, yet there are plenty of examples of good growth. Even beard hair which has a lower survival rate than scalp hair can still grow in a FUT scar. There have been studies into hair transplants into scar tissue. Now we are talking significant disfiguring scars from burn, trauma and surgery. Upto 95% growth was observed. 100% of the sample got growth. The patient with lowest growth getting 64% of transplanted hair. https://www.pulsus.com/scholarly-articles/follicular-unit-transplantation-for-the-treatment-of-secondary-cicatricial-alopecia.pdf

That's not very scientific. Where's the evidence?

Whether it's a virgin scalp or a repair, multiple HT's often comes down to expectation . It's about managing that expectation. Doctors really need to understand the repair patients expectation and be realistic with them. Tell them honestly that it may take 2 or 3 passes. The problem is patients dont want to hear that An ethical doctor loses the work to someone who says 'no prob, one and done' (knowing they will most likely get the repeat business). Never forget it's a business.

Guys, I think we should respect the OP's wishes, It's all good stuff but perhaps it needs its own thread.

Thanks for the link. Interesting🧐

Perfectly normal at this stage. All good stuff is happening below the surface. If the hair hasnt grown then it is most likely dead. Note I said hair is dead not the FU. The new hairs will just push through. Under magnification you will see early growth sooner but around 3 months you could see visible growth with naked eye. It may take a bit longer so dont panic. Hair growth plays by its own rules😊

Where does it say in the T&C's you own the rights to our image(s)? It says: You will not provide a User Submission that: contains the image of any person, without that person’s express permission.

As the self-anointed custodian of the truth. You are saying Dr Mwamba pull 19.5hr+ days, daily? Lets see the evidence. The OP said:

There is a reason working hours are restricted in jobs that require high levels of concentration. Working 19.5 hours after leaving the practice at 12.30am is neither desirable or optimal. It just isn't healthy. I'm quite sure the Doc didn't plan it this way and just made the best of a difficult situation. I feel sorry for new patient arriving the same morning for their 1st day of surgery😁

Spikey hairs tend to be the grafts that havent grown and havent shed yet. As @Rahal Hair Transplant says the new hairs will be fine and wispy. You don't get that stubble effect as they are soft. Try to get some magnification of the recipient area and see what you have.

This might be counterintuitive but the older you are the less you scar. Optimal healing does not mean less scarring. In fact, a wound that heals quicker is more likely to scar. The slow, sub optimal healing in an old person actually benefits them in that respect (not so great for protecting the wound from infection). You may have come across silicone gel for scars. The idea behind the gel is it slows the healing process down. This is definitely a factor. You want a skilled doctor on the tools. Additionally, we are all only human. The mega sessions require intense concentration for an extended period of time - standards may slip.

The problem with that statement is how can he know. Every patient scar formation is unique to them. If you take 2 patients: Patient A has 2 X 2500 session Patient B has 1 X 5000 session. A year later you examine them: Patient A has less scarring that Patient B so multi sessions do cause less scarring - Not quite - Perhaps Patient A if they had a 5000 mega session would have had the same level of scarring. They just scar less due to their genetics.

You really need official guidance from @Melvin- Moderator But here's my take on it: No No, it's against the T&C's. If anyone uses your material on this forum without your consent, flag it up with the mods. The issue you have with anything you post on the net is you lose control of who sees the material and what they do with it. You can add watermarks which can be tracked but then you have the issue of enforcement. Basically, as an individual you should anonymize the material and not publish anything you don't want the whole world (internet) to see/use.