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NikosHair

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Posts posted by NikosHair

  1. 13 minutes ago, Gatsby said:

    I never said we all scar ‘to the same degree.’ I don’t believe it’s irrelevant either.

    Which is why I said at the start:

    12 hours ago, NikosHair said:

    I agree,  but the staged approach also ties in with scarring. From the 1st surgery you get to see if you are genetically predisposed to scarring. For patients that want to have short hair/tight fade, the prospect of more scarring in the 2nd procedure maybe a deal-breaker.

    Something must have got lost in translation along the way🙏

  2. 3 hours ago, RTC said:

    However, that is when the work done on my temple points was done too and those grew in perfectly,

    It's an interesting observation. For example, we often see patients that develop good growth on one side and less stellar results on the other.

    There are so many variables outside of our control. It's really a quality control issue for the clinic. Six hours for extraction is a long time. A FU that got extracted in the first hour may have been out of the body for 8, 10 hours or longer. What if a large number of those old grafts ended up in your hairline?

    Lets see what the clinic have to say. The 19.5hours is the main irregular factor that's indisputable. 

  3. 3 hours ago, Gatsby said:

    Have a look at @DrTBarghouthi’s thread on vertoporfin.

    Looks promising.

    I think we risk losing track about what we disagree on🙂

    To summarise:

    1. We agree that a staged approach is better. It allows us to evaluate the first procedure before proceeding.
    2. We agree everyone scars.
    3. You believe that we all scar to the same degree. I believe it varies from person to person based on genetics including ethnicity and age. I believe it would be a factor in the decision to proceed to a further procedure. You believe it's irrelevant.
  4. 13 minutes ago, Gatsby said:

    Ok. But why risk thousands of scars compared to risking only one? 

    Risk/reward. For example the allure of a full looking front third maybe worth the risk of scarring. Take another 3000 graft and the cumulative effect may become disfiguring and not worth the risk. The staged approach allows them the option to take stock.

    Re. Biopsy: If it's small enough to replicate an fu extraction then you have a tiny single scar in isolation. You spend a year looking at it but no real way of knowing how good/bad it will look with 3000. 

     

    • Confused 1
  5. 44 minutes ago, Gatsby said:

    The issue isn't scarring at all. The issue is that if you split the procedure into two surgeries, one year apart, you can see how well the first surgery goes. If it goes pear shaped then you haven't blown all of your grafts in one hit. All the best!

    I agree,  but the staged approach also ties in with scarring. From the 1st surgery you get to see if you are genetically predisposed to scarring. For patients that want to have short hair/tight fade, the prospect of more scarring in the 2nd procedure maybe a deal-breaker.

  6. On 7/1/2022 at 8:47 PM, RTC said:
    We finished very late that day - would you believe that I went in at 11am and walked out at 6.30am? No joke. Luckily, I was only staying 5 minutes walk around the corner. 
     
    This was a very draining day and I couldn't wait for it to be over. The clinic was short-staffed the day before due to airline problems, so this had an impact into the next day. 

    19.5 Hours in surgery! and that's already following a day of surgery. Even the amount of anaesthetic needed to keep you pain free for that long. We know how crucial the early stages are for graft survival, you were already physically drained.

    I'm less amazed your hairline is disappointing (given the circumstances) and more amazed the rest looks so good.

    Were you given any explanation why it took so long? It's sub-optimal for you and the medical staff.

  7. 44 minutes ago, TheSoc2671 said:

    I can have a honest en open consultation tomorrow with them and demand the best doctor

    You may demand the best doctor and they will say sure Dr XYZ will perform your surgery.

    At best it will give you a name to research. You will be under intense pressure to proceed, it's there best Dr - right? or in reality the one they had already assigned to you.

    Know your doctor in advance, check their body of work, communicate with them and ensure they understand your requirements. HT's are worrying, even when you have done a tonne of research and picked the best doc for your budget. Doubt at the start will be torture as you spend months waiting for growth.

    You created an artificial deadline between xmas and new year.  Do yourself a favour get on a plane back to NL.

  8. The key thing is you're not 'plucking' these dead hairs they will just slide out without resistance. If you feel any resistance just leave it.

    You'll probably notice they are short and stubby with flat cut top. New hairs grow much thinner and resemble a pencil, thicker at the base converging to a thin wispy end.

    Removing the dead hair minimises the chances of infection/pimples. Anecdotally it may also free up space for the new hair to push through, triggering growth.

  9. 18 minutes ago, Sitries1 said:

    I'm also toying with the idea of starting meds

    Definitely.

    You have invested heavily in the front third (Not so much from the money side but more in terms of grafts). The meds would be a preventative measure for the mid scalp and crown. Only you know if there are any examples of thinning/balding in the immediate family.

    Play it smart and you may have a full head of hair for the rest of your life.👍

    • Like 2
  10. I echo the others that say more grafts.

    Assuming the procedure is a success you will look at your now partially receded hairline and wish it was less receded and start thinking of a new HT. On the plus side if it is a poor result then you have not wasted too many grafts.

    You need to see multiple organic independent patient results by the doctor that mirrors the outcome you desire. Anything less is a lottery.

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