Golfnut66

On 1/16/2023 at 11:23 AM, Raphael84 said:

Congratulations for completing your surgery @Hah6788887

I know that any two days of surgery can be tiring and take a lot and I know that there was anxiety coming into the surgery which is common, especially with patients who present a repair status and have had negative experiences previously.

We encourage all patients to share their cases and experience and this is the very value of the community and this presents a platform to then be able to discuss and allow users to educate and understand the challenges and realities that various case types may present.

As has been requested throughout the thread, to present any real context to your case and some of your concerns, I feel that photos really would be a valuable addition whilst explaining some further background in terms of limitations and challenges that were in place as your surgery was not a typical or straightforward repair surgery as such based on specific objectives, donor limitations and donor sources.

The great thing with the HTN community is that it is active and you will no doubt receive the support that was the motivation for your post, but to allow more specific and honest support, then I believe that your photos will answer many of the above questions and present some clarity and context.

I will avoid sharing any specifics because naturally that is between yourself and the clinic, but would encourage you to share as much as possible and the clinic can then add comment that can help to potentially better understand some concerns or further detail.

As detailed in my correspondence to you -

As we have discussed, a surgery of such complexity isnt as straight forward as one may imagine, and as specific graft numbers were not known at the time of pre operative consultation as the doctor was not aware of the integrity or quality of grafts from other requested sources, then as there was a flexibility with graft numbers, that then extends into surgical approach as different options and understanding of graft and hair numbers become known as surgery proceeds.

Day 2 presented a review and further discussion prior to surgery between yourself and the doctor as was requested to better understand the days approach.

In terms of temple placing, I was personally hesitant regarding this as you will recall and explained that oftentimes it isnt as simple as stating that you would only like to place 50 grafts into the temple. Graft requirements are often higher and when miniaturisation is present, then to reinforce further behind is often necessary to avoid native hair becoming disconnected from transplanted hair with progressive loss, especially considering your pattern of loss and undoubted progressive loss.

I recall our conversations explaining that I would not recommend touching your temples with the extent of your loss and graft demands throughout the scalp.

One very significant point that I believe is being overlooked is that as was discussed and as you explained, your intentions in the future as loss evolved is to shave down and that one objective of many was that shaving down would present a natural head of hair, albeit with thinning. 

Considering this key element and the likelihood that it will at some point become reality, to not allow the doctor to restore into areas (such as deeper into the temple and some parts of the crown), that you do not consider priority at current, but would clearly become problematic in the future as loss progresses if these areas are not reinforced. This is a matter of ethics and can not be overlooked by preferred styling options today.

As we discussed, if there are areas that become disconnected (the temple is a perfect example), this will not appear natural and so this must be taken into account and explains why the doctor felt the need to reinforce some areas more than you may have prioritised based on your current status and therefore why some flexibility once surgery began was needed and that trust in the doctor in utilising his experience to make such decisions based on the patients best interests is paramount in any surgery and the responsibility of the doctor.

It is very early days post surgery and at this stage, your head and scalp is swollen and will have some scabbing and presents quite a different reality to that of pre surgery.

Hopefully this presents some of the challenges and initial explanations without going into real specifics or personal details.

It is unfortunate that you have these concerns and of course as a clinic it is our intention for all patients to leave the clinic feeling completely satisfied, but such cases are rarely straightforward and there are many emotions during surgery dates, and it would be encouraged to discuss such details with the clinic for better clarity and understanding and to receive some reasoning to avoid any confusion.

As said within our communication, you have the full support of the clinic, it is just a few days post surgery and you have much to be positive about over the next 12+ months.

I look forward to following up with you.

This all makes perfect sense tbh. I've no doubt his best long term interests were the Dr's priority and there was solid reasoning behind the graft placement. Even if he is unhappy now he will thank Dr Bisanga when his hairline doesn't look ridiculous after further balding.

would be great if you could upload some pictures

Hi @Pubichair. Looks great result already! I have a couple questions:

Did Dr Ahmed remove any of the old grafts from your hairline and redistribute them or did he just work around the old transplant? If so do you know how many of the old grafts he removed from the front?

On 12/22/2022 at 12:16 PM, shiba1985 said:

I find this doctor extremely unnecessarily arrogant, but I must say that’s good repair work.  
 

he posted an instagram with one of his results, “if anyone can do it better, I will pay for your hair transplant.” 
 

hahaha That's quite funny tbf

Simply fantastic work

I have not seen any other Dr in the world who takes such detailed photographs of his work. It's a shame more don't do it, but then there would be 75% of Transplant surgeons unemployed haha

59 minutes ago, ProspectII said:

Would also love to see an update!

same

On 12/10/2020 at 2:05 AM, DenverBuff1989 said:

@baalloss sorry to hear about your failed HT. I can relate. My 1st HT was failed. Just like your hair is now, my hair looked "ok" to a casual observer, but was clearly a failure in terms of hair transplantation. All the transplant hair grew but there were definitely not enough grafts used. 2 repair jobs later and I am finally happy with my hair and able to put my hairloss war in the past. 

My failed HT literally was the most stressful thing in my life to deal with it. I went thru all 7 stages of grief, anger, denial, acceptance, etc. I was angry at myself - how stupid could I have been to go to a random no-name doc and not one of the highest rated ones. Mad at the doc, mad at the techs, was it really just bad luck or the result of negligence, etc. Embarrassed that I was now one of those "failed HT guys", and that my hair transplant was now a warning for others. 

Just like with the 7 stages of grief, the only way forward is acceptance, which it seems like you have done. Don't hold onto false hope that a miracle will happen and all the hair will grow in. Yes, of course a full HT takes 12 months to even 18 months to fully blossom, but by 9 months you absolutely know what the prognosis will be. 

The only way I could move forward from my 1st ht and really stop obsessing about it was research and start consulting and starting the process for my repair HT (unfortunately it took 2 of those to make everything good). 

A last piece of advice I have is beware of accepting a free repair job from the same operating surgeon, regardless of how tempting or convenient that may be. Who is to say the doctor won't make the same mistakes all over again? For my 2nd HT, I made the mistake of allowing the same surgeon to operate me again, and it was an improvement but gaps were still there. It wasn't until I went to a truly recognized doctor in the HT community that my hair finally looked great. IMO every doctor is very rigid in terms of the intricate processes of hair transplantation, they are very stubborn in their way of dpoing things. Even if the doctor is aware they are doing a repair case on one of their previous cases, they will still stick to their familiar way of doing things. For better or for worse, every doctor leaves their "signature" so to speak. 

I am going through the same stages you spoke of, anger , denial etc BUT i won't make the same mistake again I know that. I am going to the very best Dr next. Luckily my hair isn't bad as such, the donor isn't battered and it was only around 1300 grafts. Who did you go to see finally who fixed your hair if you dont mind me asking?

You would have to ask for a dense pack imo, i've seen pics of him do good dense pack when reuqested but it's not something he naturally veers towards if left to his decision i would say

On 1/6/2023 at 4:03 PM, TheManeMan said:

Dr Reddy is hands on too, he does most if not all of it I'm sure.

 

Yeah I was quoted per hair, maybe because he splits the grafts? As long as the price isn't too bad it makes no difference to me.

I've seen Dr Reddy. He does everything apart from the extractions. Very hands on and lovely guy. I would say the weakeness could possibly be density, and hairline design. If you specifically request these areas of focus he's a good choice.

Does anyone know where Dr Ahmad trained? Who did he hone his skills from because they looked highly developed.

On 7/23/2022 at 12:13 AM, TheManeMan said:

I had my consultation with Dr Reddy, a few weeks ago. 

Really don't know who to go with. It wasn't anywhere as indepth as a consultation as Dr Bisanga but I got good vibes from him and he appears confident that he can help me. 

Decisions, decisions...

Hi Did you fly to Belgium for your consultation with Bisanga? I understand he does in person.