NegativeNorwood

Botox doesn't change the face (nor does it give a feminine look), it works by blocking the nerve signals of the muscles where is injected, preventing them for moving and forming wrinkles in the future. Is a very good anti ageing procedure, used in the right doses, combined with a healthy lifestyle and a proper skincare routine. Fillers OTOH are a disaster. They are meant for soft tissue augmentation on lips (and even then, autologous fat works much better and is permanent), but the "filler mills" use it to correct skeletal deficiencies, like undereyes, cheekbones, jaw or midface (which should be corrected with surgery and/or custom made implants). This results in a feminized, pillow face most celebrities and influencers have. It's called "overfilled face syndrome", but it should be called botch. Most celebrities don't make good decisions and end up uncanny looking and overfilled, not surprising since most of them also go to hair mills (ie: Akon or Floyd Mayweather, to name a few). Tbh, normal people that do some research get way better outcomes than most celebrities (ie: people researching about HT here, same happens with surgeries). Ironically, most people that associate surgery with looking uncanny think about filler, when in reality fillers are not surgery. Well done surgeries are extremely natural and very hard to detect, even if the changes are big (like a well done hair transplant).

LOL you truly are ignorant. So hair transplants aren't surgery, they aren't permanent and can be reversed any time (as if surgeons didn't reject cases), there's no cartilage in the entire body to replace a small piece of ear cartilage (lmao), and beauty isn't tied to function (spoiler: it is). You didn't advise him, you spilled lots of misinformation, and did it as if you were some kind of authority without any proof (but lots of ignorance instead). If surgery is that bad, don't get a hair transplant, shave your head, that's your natural look. Don't mutilate your hair follicles moving them to other direction, mother nature wants you bald, not with plastic hair (your reasoning, not mine). You wanting a hair transplant (which is surgery) and talking bad about surgery to other people is the definition of hypocrisy, whatever you like it or not.

Completely senseless and even hypocritical. It's like saying "don't do hair transplant, you will look like those fake plastic celebrities", couldn't be more wrong. The plastic look comes from fillers (which are not surgery), OP wants smaller ears, which has nothing to do with looking plastic. Does this look plastic to you? OP ear reduction is a relatively simple surgery, cheap and with low risks of looking bad. I like the work of James Pearson. Also, if you also want a hair transplant doctor that does that, Sahar Nadimi from Chicago Hair Institute also performs ear surgery: https://www.instagram.com/reel/CisAEQ8r_tC/?utm_source=ig_web_copy_link

Dr. Feriduni has an amazing eye for naturalness and aesthetics. Also love the honest pictures taken from the same angles and with close ups. 10/10 result and presentation.

I think he needs a higher hairline (IMO halfway between what he had and what he has) and as you said, more prominent temples, which are crucial for a natural looking low set hairline. Gerard Butler with and without temples (edit found in Feriduni's website). Tremendous difference, notice how his hairline looks much higher set without them despite being the same length.

Andrew Gray (has this hair at 35 years old btw) has the best hairline I've ever seen. I have a similar hairline but without temples, for which I'll get a transplant in the future.

Very well deserved salary IMO, he's a genius.

Thanks for the detailed answer, it's really appreciated.

True. I also like that he explains why in good detail. I'm tired of reading "temples are designed taking the face into account" without any further explanation.

Spectacular video by @Dr Blake Bloxham

Can you please post the video? Tried searching but couldn't find it.

Yes he seems to have thicker, coarser hair than me. I use him as an example because I really like his hairline. While what you say is very compelling and sounds very good, nape hair still seems like the very best option because it is very fine and matches the natural temple hair the best AFAIK. In fact, when you buzzcut temples (lower than number 3/shorter than 1 cm lenght) you barely see anything due to how thin the native hair is. I know this because @DrMunibAhmad kindly explained it to me, that if I go for a temple transplant, I should know that it won't look 100% natural with the hair cut shorter than 1cm/number 3 buzzcut.

Yes the website that said choose over clinics in Europe had turkish clinics. There are a lot more surgeons out there with either no websites or that can't be bothered to pay a forum or even a specialized online platform, only relying in general doctor/health oriented websites, sharing space with dentists, plastic surgeons, etc. I googled "hair transplant" in my city (in Spain) and found 3 doctors, one of them without a website and only a single case (very bad outcome) posted in Recuperatupelo (spanish forum). The city where I live has a 250k population, imagine how many of them are in a city like Madrid, Barcelona or even New York or Istanbul. The subject itself is quite interesting, I still mantain that the number is less than 1% worlwide. No related to hair, but I searched for a dentist (worldwide) 2 years for a very specific subject, and found 5 capable of doing what I'm interested in at high standards, 3 of them in Spain, one at a 50 km distance (imagine googling for years in english when the answer is practically next to you without any form of adverising). So searching for the best professional (in any field) can be full of surprises, I have no doubt about it. I know for experience in other forums that the people that gets the most surgeries are the ones that already have the cash, take the time to lurk, dm users directly and don't even post. Probably less than 10% post their results IMO.

Thanks for the detailed answer man. Hairline height already is on point, just want to fill in the corners a little bit, build new temples and have stronger eyebrows (in case oral minoxidil and finasteride combined with microneedling don't make them grow as much as I want). To give a better visual idea, I want to go from this: To something like this (ignore the hair color difference): Basically, gain much better facial framing.

Yeah that probably was an exaggeration on my part. I did a quick google search, and one site says: choose over 250 hair transplant clinics in Europe. Probably there are more that do not pay to be registered there, let's assume there are 300 in Europe. ISHRS has 1000 members worlwide. I think 1500-2000 hair transplant clinics around the world would be fair assumption. If there are 2000 ht clinics in the world, and I could find 5 that meet those standards (assuming they are the only ones that do it), it would mean only 0.25% are top tier.

I don't know the exact %, but the ones that post pictures taken with a camera (not phone, to avoid lens distortion) that show the hair slicked back (both dry and wet) and combing the hair, in addition of pics of the donor area before, inmediate post op and 1 year after are the truly good ones (and of course, the results presented must be good, one can take such detailed and honest pictures to show bad work too). I can only judge properly if I see valid pictures that do not lie and let me make a proper judgement, if the clinic doesn't present it's pictures like described above, I assume it's mediocre at best because is hiding something on purpose, as a proper camera starts around 800$ new, and the notion that clinics that make 5 or even 6 figures per month can't buy one is ridiculous, they can but they don't want. Same with taking pictures with the hair combed down and at low resulotion...it's because they want to do it, not because they can't take honest, high quality pictures as described above. To find an exact %, we should find the amount of clinics that present their work with honest, high quality pictures, then the complete number of hair transplant clinics in the entire world and do the math to get an exact % At the moment I see Zarev, Dr Munib Ahmad (Fuegenix), Feriduni, Couto (FUExpert) and Konior meeting those standards. Probably with an extensive research here we can find another 4 or 5 hair clinics that present their work in the same way IMO. Idk how many hair transplant clinics exist in the world, but the % that meet such a simple standard could very well be around 0.00001% as a guess.

Agree with you. But is far less talked than the whole donor in general. There are many posts that say things like "a person has 6000 grafts on average" despite being dependent on the individual, but haven't read none about the nape area in specific.

Looks great for 4 months. Dr Munib is a top tier professional, I'm sure your result will turn out amazing.

Let's say you want temple and hairline reconstruction that takes 700 grafts (a large number of them from the nape) and 500 grafts for an eyebrow transplant (all of them from the nape), making it a total of 1200 grafts. Is that reasonable or would it have high chances of overharvesting the NPA donor area?

Nape hairs are very fine and reportedly the best option for temples, eyebrows and to add naturalness to the hairline. I've seen many discussions about donor areas in general, but haven't seen yet someone specifically talking about the number of grafts that can be harvested from the Nape and Preauricular area (NPA)

I completely agree, it caught me off guard completely and if you think about it is quite obvious, I face palmed myself after seeing that haha. Front face wise, is said in literature that the ideal width of the temples (bitemporal) should be around 85-90% of the width of the cheekbones (bizygomatic): Now look at this cheekbone reduction case. If he posted the before picture here, people would tell him he has a too narrow, low set hairline that doesn't match his age. The truth is, his cheekbones were too wide for his face, and once altered to a normal width, we can see his hairline actually suits him perfectly: I'm glad you liked the slogan, "mature hairline" makes no sense tbh haha. I think after this we can coin another one: "Hair transplants are not just about hair" (and a link to this thread haha)

I was watching this very interesting podcast between @Melvin- Moderatorand @Dr. Felipe Pittella: At 20:38, Dr Pittella says that he followed the natural anatomic pattern of the patient's face and drew lines following both the temple and the patient's nose: This is quite interesting, because explains more in detail what landmarks and reference points are used to design the temples. My take is, someone that will get more surgeries in addition of a hair transplant (for example, a rhinoplasty), should get the hair transplant after the rhinoplasty, because the adequate temple design will change. Let's imagine this 2 people were balding and wanted to get a hair transplant with focus on the temple region...the temple design would be different because now they have higher nose bridges and more projected noses. If they get the hair transplant first and the rhinoplasty after, the features won't align correctly: Conclusion: for optimal aesthetic results, get a hair transplant as your last surgery (in case you plan on getting more surgeries, ofc).

Zoomed on the fine print and it says: "Before and after images shared by customer. Customer's results have not been independently verified. Individual results may vary" So yes he most likely had a HT and used that product in the meantime. As the before and after picture is so good, they used it and wrote that to save face in case someone notices IMO.

This are very interesting posts from @Dr. Michael Beehner made in 2009: "The 60 FU per cm2 is certainly not the practice of the majority of hair transplant doctors. In our ISHRS Journal (the Forum) 2 issues ago, a doctor from Europe showed a high survival rate of 100 FU's in a cm2, but the grafts were put in absolutely perpendicular, which is about the only way you can accomplish that - but the aesthetic result of grafts placed in an upright angle is horrendous and very abnormal." This is extremely interesting, don't know how much has changed in the last 14 years tbh, would be nice to get some updated insight on that.

Very good questions, followed to read more answers. Can you please post that Konior case? Tried to search it but couldn't find it.