jjalay

2 hours ago, hksnlper said:

is there an official list for top doctors in Turkey

There is no such thing as official top list, some doctors from turkey are recommended in this forum. But bases on patient independent reviews the best choices you have in turkey are fuecapilar, keser, pekiner and bicer. Sadly most of the clinics there are hairmills working mostly for money.

Its better to wash them out at night and you want have any problems with it.

Your hair looks fine. Vra clinic is a hairmill with some very bad results, they might turn you much worse than what you have now. In turky if you wanr to search for a doctor or have a consultation regarding your hairloss you can look at fuecapilar, pekiner, keser and dr bicer.. Stay away from hairmills.

10 minutes ago, Al - Moderator said:

 

This is a NW 6 with 4610 grafts. If you look at any NW 6 who had spectacular results (Gatsby, Zoomster, Melvin, etc) they all use 10,000+ grafts to get there over several sessions. This looks very good for 4610 grafts.

 

This is an example of fut with 5000 grafts where the grafts did actuall grow in.I hope you can understand the comparison:

2 minutes ago, Al - Moderator said:

 

This is a NW 6 with 4610 grafts. If you look at any NW 6 who had spectacular results (Gatsby, Zoomster, Melvin, etc) they all use 10,000+ grafts to get there over several sessions. This looks very good for 4610 grafts.

 

The rule of thumbs says that if you are a NW6 you need around 6k to get full coverage, that reguires ofcourse a succesfull surgery where the grafts are actually going to grow in. In this case 4610 grafts where used, the crown and the midscalp is still bald, and the hairline looks as thin as it was before surgery. This is a case of really poor growth.

You can look at other cases of NW6 where they got full coverage with 6K, dont put everything into the same basket. Againg its really misleading to say that a NW6 case needs 10k grafts to get full coverage.

5 hours ago, mr_peanutbutter said:

zarev and pittella use like over 10k grafts on a norwood 6 patients. 

for the number of grafts i think its a decent result and given the age of patient probably something that made the patient happy. second round would probably possible but mabye the patient doesnt even want that

If this is an argument to excuse every case with poor growth and waste of grafts, just saying pitella and zarev are using over 10k, then doctors like konior and couto only need 5K for a NW6 to achieve full coverage. Its really misleading coming up in cases like this throwing the name of the doctor who uses over 10k grafts to justify any bad result.

You dont have to worry about hairloss because of this spray.

You have very aggresive hairloss,nw7, and retrograde alopecia. Shaving your head might be the best option you have.

For this number of grafts the result is rather dissapointing. I"m really not impressed.

Never heard of something like this before. Why not topical finasteride?

1 minute ago, GeneralNorwood said:

Dr Sever Muresanu said that FUT is not good idea for me, because i don't have virgin scalp and it is not worth the effort. He recommended FUE. 

Get a second opinion from someone like konior or dr wong about this. You dont have to lose anything. Once again this doesnt many much sense because if you have 5000-6500 grafts available via fue the density in the safe zone on the back of your head should be really high. You cant have both.

5 minutes ago, GeneralNorwood said:

Bisanga said that we can extract 3200 grafts and then we will see. 

Bruno Ferreira said we can extract between 5000-6000 grafts below depletion. 

Dr. Zarev says that we can extract 6500 grafts below depletion. 

 

In Dr. Zarev's opinion my beard has different characteristics compared to hair. 

Bisanga thinks the same. 

Its just my view from what ive seen so far but you are still preety young and except from restoring your hairs on the top its important to maintain a healthy donor area. If you had such a strong donor a would be the first to say it but from my experience i really dont think you have 6500 grafts available or even 4000 grafts per fue.

In your shoes i would proceed with an fut only on the back of your head and not on the sides- This wond be a long strip but if you have good laxity this can give you maybe 2000 grafts without damaging the donor. If you have another 1000 grafts fro the beard you have 3000 grafts in total to do a repair. All the best!

1 minute ago, Fox243 said:

He might need beard grafts for future balding. There's no way 8500 covers a NW7 completely.

Ok i give up.

Just now, Fox243 said:

He might need beard grafts for future balding. There's no way 8500 covers a NW7 completely.

3 minutes ago, GoliGoliGoli said:

Not sure this will truly be classified as a repair case unless the plan is to move the hairline a bit?

 

Zarev is really setting the standard and changing the game. Who would've guessed a Dr out of little old Bulgaria would be emerging as the Michael Jordan of HT's. 

There is also onecoin that came from bulgaria, dont forget about that.

44 minutes ago, GeneralNorwood said:

Ok, guys, It's time to put cards on the table. 

A week ago I was in Bulgaria and did some sightseeing in beautiful Sofia. However, this was obviously not the main purpose of my visit.

I saw Dr. Zarev. 

Two weeks ago i received message from Zarev's clinic that somebody  cancelled consultation and they offered me this spot. I didn't think twice before buying a flight ticket. Yes, it was off-schedule consultation.

The consultation exceeded my expectations. It lasted for 2 hours and 30 minutes, longer then my consultations with other surgeons combined. Firstly,we talked about my hairloss history. I was showing to him pictures on my phone that i prepeared, he asked me about medications and about family history of balding. I showed him pictures of my dad and uncle, but anyway he said that in my case balding pattern (Norwood 7) is so obvious, that we really don't need to look at family pictures (but we did anyway). 

Then he asked me about my expectations. I said that i want to bring back the naturalness and i think repairing the disconnection is first step to do that. But the most important thing is that I want his opinion on what can be achieved.

He invited me to sit on photosession chair and he started to make pictures from all angles. 

The most interesting part for me was measurments.

He divided my scalp into more than 80 areas. He said that usually he creates ~60 areas but for my case he must create more, because i had HT already. Yes, guys, 80 areas. It happened. 

Then he used micro camera on this areas, measured them with tape. We could see photos from micro camera on the big screen and he started to calculate grafts/cm2. Some areas had only ~45 grafts/cm2 but others like area above extraction zone had 70+ grafts/cm2. 

Dr. Zarev made some further calculations on the paper for a longer period of time and when he finished said to me that : 

1. Currently my recipient area needs 5200 grafts.

2. We can extract maximum 6500 from the donor without depletion. So with current needs we are below depletion level. 

3. 8500 grafts can be extracted maximally, but this would require shorter hairstyle on the sides and the back. 

4. I will lose more hair in the future, even with medications. And because of that i will need more HT's. 

 

I got surgery date in 3 years. However i am on the off-schedule cancellation list. 

 

 

Do you seriously believe that you have 8500 or even 6500 grafts available for future procedures?

Just now, Fox243 said:

Did you ask if you can use beard hair?

Why on earth would he need to use beard graft? He has 8500 grafts available, if he includes beard hair they can probably go up to 20000 grafts or even more.

7 minutes ago, newpatient12 said:

I would estimate that I need a maximum of 2000 grafts, as I only need to fill the corners. I will have a look at the clinics mentioned - thank you! 

 

What would you recommend for a maximum of 2000 grafts? 

You dont need so many grafts and i think with your budget you have to ability to spent 6000 euros to go with an elite surgeon. Among the doctors that are producing some great work at this price range they are pekiner and keser in turkey, marad in cyprus, pinto in protugal, bisanga in belgium. In your shoes i would choose one of these doctors. What you should do in have consultations with everyone of them (online consultation is also a good option) and then make your choice.

Secondly you should spent a little more time on this forum viewing results from this docs to see whos work you like more.

1 hour ago, Berba11 said:

What exactly are you trying to argue here? That you know more than the multi surgeons the OP has seen in person? That the OP should take your advice over those multi experts he's consulted with on this very issue? Maybe you'd like to consider that you're likely very wrong given that you haven't examined the OP in person, and are not qualified to do so with a high degree of certainty anyway.

Im saying what im seeing man. His donor on the sides has been depleted and he definitely doesnt have 5K left for another fue megasession, you dont need to be an expert to see this. If you like to trust doctors blindly and you believe in fairy tales this is your problem.

43 minutes ago, newpatient12 said:

Thank you for your answer. 
I mean costs in Turkish comparison with the doctors mentioned. Basically, it doesn't matter to me whether it's 3,000 or 5,000 euros. But I don't want to pay European prices (15,000). 

I also have no experience or information about clinics outside Turkey. 

I will be happy to have a look at the clinics mentioned. 

Fuecapilar, HDC in cyprus, Michalis georgiou in cyprus, Sikos in budapes are some really great budget options. Once again avoid going to hairmills in turkey, it really doesnt worht it. If you need a small amount of grafts like something between 1000-2000 grafts you are able to afford good cliinics in europe like the ones i"ve mentioned before.

Why are you narrowing down only to turkish clinics? If cost is not a major factor you have much better options in europe like bisanga, hattingen, couto, pinto and many other options. In turkey keser, pekiner,fuecapilar and dr bicer are good options too.

1 minute ago, JC90 said:

I had my first HT via UK hair transplant clinic in 2014. I wasn’t impressed with the results so I’ve waited to get my second one done. I’m looking to go to the smile hair clinic turkey for my second and then look at a possible third in a few years time 

Avoid this clinic, they are a hairmill. If you are looking nínto turkey look at fuecapilar, pekiner, bicer, keser. These are the best options you have in turkey. Once again, avoid smile hair clinic, they are soome of the worst out there.

2 hours ago, bigmistake said:

FUT.

This is also difficult. In this case you cant take a long strip, it will be only on the occipital area on the back of the head. With this if OP has good laxity he might be able to get something between 1500-2000 grafts. Imo this in combination with beard grafts might be a better plan that proceeding with another fue megasession.

21 hours ago, Berba11 said:

The man has had multi in-person consultations with some of the very best in the business, which suggests the number 5K hasn't just been plucked out of thin air, don't ya think?

Well, some of the "best in the business" caused him this mess so i would be cautious about that. You dont have to be a genie to see that the donor area on the sides has already been depleted and there is no way you can extract additional 5k without causing further damage.

Yeah you should definitely try it, its a great styling product.

34 minutes ago, GeneralNorwood said:

Yeah, that is true. Our final patterns are the same, we are both Norwood 7 with blonde hair. However 3 years ago i decided to start medical therapy and therefore i am keeping alive "leftovers" that survived DHT massacre. 

 

This is the photo that i took 3 years ago, when i decided to shave it off and start medical therapy. The norwood 7 pattern is obvious. 

 

Anyway for now the plan is to take ~5 k scalp grafts from the donor. Three surgeons told me that my beard characteristics are different compared to hair and it is not good idea to use them. 

 

I think that 5k hair transplant combined with vellus hair that i still have, will do the job. But when i lose my vellus hair, even with medication that i am taking, then it will be problematic. 

Your donor has already signs of depletion. Where are you going to find these 5k grafts?