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3 hours ago, Melvin- Moderator said:

Are you on minoxidil as well? Is there any reason why you chose RU over fin or dut?

I'm using dutasteride and minoxidil as well but looking at /r/tressless there is quite a few miracles with RU58841 despite people being on dutasteride. One dude in particular had significantly more progress with RU58441 in 2months than with dutasteride for 9months so I'll give it a try.

Little update, I reserved an appointment for November 2024 at Eugenix. Cant make it early next year with vacation so its gonna have to wait a year. I did however just start RU58841 and hopefully it helps with some regrowth as well.

So I just had my webcam consultation with Dr. Somesh from Eugenix and I'll prolly go with him, not 100% decided yet as I need to sleep over it and look at my options. The people there seem really nice and they're saying that we will go for 3500-4500 grafts in the first session while skipping the crown and then a few months later we do another 2000-3000 grafts probably for the crown. It's quite more expensive than Dr. Gur but I definitely need hair from my beard as well.

Dr. Somesh also said that its totally fine to take the vast majority of beard grafts from my lower chin area because I wet shave that area anyways.

I also got a new picture with a hairline he drew and would like to hear some opinion of you guys. I've read that 8cm is a normal height for a hairline and from what I can tell when I use a measurement band even the conservative hairline seems to be at around that range if I'm measuring it correctly. 

Thoughts?

2 hours ago, A_4_Archan said:

If i were you than i would take very conservative approach for my hairline and make it lot higher than suggested and would preserve the grafts for a bit more density..more density with high hairline will look better than low hairline but less overall density...if you do a high hairline and give a bit more density to your mid scalp than it will look better plus using a bit of hair fibres will make it even better...

This will even cover more scalp..and than you will be left with i guess around 800 to 1000 beard grafts for future and may be 500-700 scalp grafts if there is some donor left of if you over harvest a bit in some homogeneous way so again you could have a 2nd session of approx 1500 grafts(beard+scalp) for crown 

One thing which is favourable in your case is that your head shape is getting narrower as it approaches crown and that is a real bonus as you will need less grafts at the back portion..so even if you will use less grafts at the back portion than too you will get a decent density 

Thanks for ur input. The picture I've posted was von Eugenix btw. I didnt draw that one myself.

Again tho, anyone has any ideas of the 2. package with "Senior Eugenix HT Doctors" and being able to have Dr Priyadarshini Das involved in the planning is worth it?

Sorry but any chance someone could enlighten me if when people recommend Eugenix, that they're talking about the clinic in general or always just Dr. Sethi?

Quote

1. Comprehensive Package 
Procedure Lead By – Eugenix HT Doctors
Cost Per Graft – INR 75 + Tax
Planning & Designing & Complete Slits to be Performed by Eugenix HT Doctor and further assisted by our Senior Eugenix Technicians under the supervision of the leading doctor
Value Added Benefits - Hotel stay and food available at discounted rates on request, based on availability. This facility is available only in Gurgaon.

2. Exclusive Package
Procedure Lead By – Senior Eugenix HT Doctors 
Cost Per Graft – INR 120 + Tax
Planning & Designing & Complete Slits to be Performed by Senior Eugenix HT Doctor and further assisted by our Senior Eugenix Technicians under the supervision of the leading doctor
Value Added Benefits - Complimentary two nights’ accommodation with airport pick up and drop off. Seven days post-op medication will be provided by us.

3. Premium Package with Dr Priyadarshini Das
Procedure Lead By – Dr Priyadarshini Das 
Cost Per Graft – INR 210 + Tax
Planning & Designing & Complete Slits to be Performed by Dr Priyadarshini Das and further assisted by our Senior Eugenix Technicians under the supervision of the leading doctor.
Value Added Benefits - Complimentary two nights’ accommodation with airport pick up and drop off. Seven days post-op medication will be provided by us.

4. Super Premium Package with Dr Arika Bansal/Founding Surgeon
Procedure Lead By – Dr Arika Bansal
Cost Per Graft – INR 350 + Tax
Planning & Designing & Complete Slits to be Performed by Dr Arika Bansal and further assisted by our Senior Eugenix Technicians under the supervision of the doctor.
Value Added Benefits - Complimentary three nights’ accommodation with airport pick up and drop off. Seven days post-op medication will be provided by us.

5. Dr. Pradeep Sethi’s Flagship Package
Procedure Lead By – Dr Pradeep Sethi
Cost Per Graft – INR 500 + Tax
Planning & Designing & Complete Slits to be Performed by Dr Pradeep Sethi and further assisted by our Senior Eugenix Technicians under the supervision of the doctor.
Value Added Benefits - Complimentary three nights’ accommodation with airport pick up and drop off. Seven days post-op medication will be provided by us.

Those are the packages they offer. I was wondering if the exclusive package is fine or not?

3 hours ago, ST91 said:

Based on your pics, I'd go with decent density in the front and mid-scalp with a more conservative hairline (meaning a bit higher than the line you drew). And on the crown a somewhat lower density. A slightly balding crown won't look weird when you get older.

Eugenixes actually drew that one and I believe they wanted to skip the crown fornthe first surgery. I do agree though, I dont mind too much if my crown isnt as sense. I gotta work with what I have left.

On 6/22/2023 at 2:31 PM, mr_peanutbutter said:

i dont think you will get sufficient density with 4k grafts

if i was you id either go with

 

1. zarev

2. pittella

3. eugenix

 

the first 2 are out of your budget so eugenix it is

Eugenixes package I quote above. Is the package with the Senior surgeons something worth going for? Or are people always just talking about Dr. Sethi?

On 6/22/2023 at 2:13 PM, BeHappy said:

My beard looked a lot like yours and I was able to get over 3300 grafts from it.

 

May I ask where u went to get ur HT done?

Dr. Yaman also answered btw, he says:

Quote

After carefully examining and considering all photos and information mentioned at your messages, Dr. Resul Yaman recommends for your operation about; 2 sessions 
 First session 4500 grafts
Second session(9 months after the first one) 2500 grafts. Your donor area looks good. When you get this operation done your frontal hairline will be recreated with single grafts to receive a natural look and we will reach healthy density on frontal area.

Would be awesome to get some more.inout from you guys especially regarding Eugenixes packages. Yaman is also decent for higher NW ive heard?

Thanks alot everyone. Btw I dont expect to have hair like it's not even visible that im balding. I just want to have as much as hair as possible so that I can feel confident atleast to let it grow again and have a normal hair style so to speak.

42 minutes ago, mr_peanutbutter said:

dr pitella and dr zarev do fue-megaseasions where they move up to 10k grafts in one setting, for the others you will need several procedures

Yeah, just wonder where they take all those grafts from considering I've been told by Dr. Turan that I ~3k grafts in my donor area.

I just got another response btw from Dr. Seffen from Tunesia:

Quote

We have thoroughly examined your photos, these show a fairly extensive baldness (stage 6-7) , the 2/3 anteriors of the skull will therefore be treated exclusively during this procedure in order to ensure an optimal density of implantation and to achieve a good coverage of the area to be grafted while guaranteeing an adequate harvesting of the donor area.

A second intervention for the remaining part of the head ( vertex and posterior midcalp) may be considered after a few months and depending on the remaining capacity of the donor area.

 

Here is a diagnosis/estimate for a hair transplant that will interest the frontal line + temporal gulfs + anterior midscalp and posterior (zones 1,2,3+/-4 on the photo attached). This is a primary diagnosis based solely on the appearance of your hair according to the photos, a more precise common decision will of course be taken after physical examination during your pre-operative consultation the day before or the morning of the procedure .:

 

Proposed Response:

 

Hairtansplant of 3800-4000 grafts (equivalent to about 11000 hair) in 2 successive surgical sessions (2 successive days).

 

Alternating manual/motorized FUE extraction technique.

 

Implantation technique (according to medium size/hair texture) DHI (Direct Hair Implantation)/ implantation au (K.E.E.P).

 

 

Is Hair loss stable? Is the hair of the donor area (back and skull?) fine? Brittle? Is your hair loss hereditary or have you been treated for a scalp defect? 

 

The total area to be covered is approximately of 100-110 cm2; and a density of +/- 40-45 UF/cm2 should be achieved to reach a significant hair volume, nevertheless, the distribution and number of grafts will be revalued preoperatively according to the density requested  and the surface to redensify .

 

We prefer to practice our interventions over two days for several reasons [...]

So he's saying up to 4k grafts, without beard hair. Ive heard of Dr. Seffen from you actually @mr_peanutbutter.

Thoughts so far? Also about Eugenix' offer?

Here are some pictures btw.

Thanks for all the comments and guidance btw!!

8 hours ago, Melvin- Moderator said:

To be quite honest with you, 20k is a reasonable amount when you consider how many grafts a Norwood 6/7 requires. If you require 8,000 grafts, 20k is $2.5 per graft. If you can’t afford a decent surgeon, best to do nothing. Perhaps SMP is a better option. Hair systems might be an option as well.

Definitely do not go to a surgeon just because you can afford them. A Norwood 6/7 requires a specialist, especially because you have a huge area to cover with a minimal donor. 

I was just under the impression that I'd need multiple surgeries instead of one larger one if thats the case then I have quite a bit of time to save up money inbetween.

8k grafts at once sound hard to do, even with beard hair? I just try to get the best value for money otherwise I'd prolly pick Zarev. I am really open to suggestions, I can also wait longer and safe up more money but currently I cant put more than 500€ away every month for my HT.

3 hours ago, A_4_Archan said:

If you budget is low than don't be greedy for a large session ...wise thing would be to plan your surgery in 2 or may be 3 phases thats how you can go slowly and steadily and also can manage your finances ....so imo for the first surgery you can go with around 2.5k grafts for your frontal area which will frame your face well..for this you can go with a surgeon whose hairline work you like and who is managing donor very well so you can..

Now i have read that you were saying about 2000-3000 grafts and you seems to be confused if they are a lifetime figure or first session figure...so first of all go to in person consultation with a clinic in your country which is good and know how many lifetime grafts are available to harvest...so you can plan accordingly...and do post your scalp pics so people can understand your situation well and guide you accordingly....

Like stated above, this is what I thought would be the go-to anyways. I do think I need multiple surgeries instead of one large one. I do wonder tho - if they take 2.5 - 3k grafts from my donor area the first time, does some of it grow back etc so it can be harvested again a year later? Wish Verteporfin was already available.

As a side note, I got my evaluation from eugenix:

Quote

Your pictures have been evaluated by our doctors. Their assessment is mentioned below:

Currently, you seem to have Norwood Grade VII of baldness but this may progress in future

The marked area could require: 3500

Proposed Harvest from Scalp: 3000

Proposed Harvest from Beard: 500

The above evaluation of the Grade of baldness and graft assessment is tentative as it's a preliminary (and pictorial) evaluation. However, the final evaluation may vary during Face-to-Face assessment by a doctor.

The “miniaturized hair” might improve with the help of medications.

You will also require finasteride for the preservation of your pre-existing hair. 

Finasteride is a medication that slows down the progression of baldness. It is a Dihydrotestosterone (DHT) inhibitor.

Duration of post-transplant Finasteride: lifelong (but we can take breaks of 2 to 3 months in between). The dosage can be revised periodically.

The progress in the mid scalp and crown can be assessed with Finasteride for 1 year further the medication will help in increasing the density in those areas.
 

They didn't really read though that I'm already on finstaride or rather dutasterid for over a year (dut for 4months now) so not sure how much those miniaturized hairs will improve tbh.

Their packages range from 75 INR to 500 INR for Dr. Sethi.

Quote

1. Comprehensive Package 
Procedure Lead By – Eugenix HT Doctors
Cost Per Graft – INR 75 + Tax
Planning & Designing & Complete Slits to be Performed by Eugenix HT Doctor and further assisted by our Senior Eugenix Technicians under the supervision of the leading doctor
Value Added Benefits - Hotel stay and food available at discounted rates on request, based on availability. This facility is available only in Gurgaon.

2. Exclusive Package
Procedure Lead By – Senior Eugenix HT Doctors 
Cost Per Graft – INR 120 + Tax
Planning & Designing & Complete Slits to be Performed by Senior Eugenix HT Doctor and further assisted by our Senior Eugenix Technicians under the supervision of the leading doctor
Value Added Benefits - Complimentary two nights’ accommodation with airport pick up and drop off. Seven days post-op medication will be provided by us.

3. Premium Package with Dr Priyadarshini Das
Procedure Lead By – Dr Priyadarshini Das 
Cost Per Graft – INR 210 + Tax
Planning & Designing & Complete Slits to be Performed by Dr Priyadarshini Das and further assisted by our Senior Eugenix Technicians under the supervision of the leading doctor.
Value Added Benefits - Complimentary two nights’ accommodation with airport pick up and drop off. Seven days post-op medication will be provided by us.

4. Super Premium Package with Dr Arika Bansal/Founding Surgeon
Procedure Lead By – Dr Arika Bansal
Cost Per Graft – INR 350 + Tax
Planning & Designing & Complete Slits to be Performed by Dr Arika Bansal and further assisted by our Senior Eugenix Technicians under the supervision of the doctor.
Value Added Benefits - Complimentary three nights’ accommodation with airport pick up and drop off. Seven days post-op medication will be provided by us.

5. Dr. Pradeep Sethi’s Flagship Package
Procedure Lead By – Dr Pradeep Sethi
Cost Per Graft – INR 500 + Tax
Planning & Designing & Complete Slits to be Performed by Dr Pradeep Sethi and further assisted by our Senior Eugenix Technicians under the supervision of the doctor.
Value Added Benefits - Complimentary three nights’ accommodation with airport pick up and drop off. Seven days post-op medication will be provided by us.
 

I wonder if the 2. Package is sufficient when people talking about eugenix is a decent choice or do they always just talk about Dr Sethi?

2 minutes ago, mr_peanutbutter said:

if you are in germany contact hattingen in switzerland

 

since you need most likely beardhair pittella and eugenix are probably the way to go

I did contact eugenix a few hours ago, hattingen however I skipped due to their prices. Considering I probably need 6k+ grafts I'd be at 20k Euro or more which sadly is out of my budget.

Quote

The range of 2000-3000 grafts, is that per time? Or is this the number of grafts you have lifetime? 

Per time. He did say tho that you never know if the donor area is available a 2nd time.

I've actually messaged a bunch of surgeons in the past few hours to get more consultations including Bicer, Pinto, Ferreira, Eugenix and others and will let you guys know about the results.

I should probably mention as well that I'm on Finasterid and Minoxidil since Jan 2022 and that I've gotten a bit of hair back, especially after switching to oral minoxidil and just recently, 4 months ago, to dutasterid.

Hi guys,

after a lot of research and reading the forum I finally decided to make my own account and be part of the community.

After contacting fuecapillar I've been told that according to Dr. Turan I'd need "at least 7000-8000 FUs" to have a decent result and that they think that with FUE its not possible according to them as my donor area can only supply around 2500-3000 FUs with the FUE technique. "The level of your alopecia is a Norwood VI to Norwood VII where the lower crown has been affected and also the lateral humps also receded".

Of course I want to get 2nd and 3rd opinions but it seems like I have to look for a new clinic after all.

Do you guys have any advice for people who are very far into their hairloss journey as to which surgeon / clinic you'd recommend?

Ideally its somewhat affordable, which is one of the reasons I chose fuecapillar originally.

As a side note, I'm 33 years old at this point, balding since my early 20s and from Germany if that helps.

Thanks a lot.