eze

Essentially I only need 400 or so single follicle grafts to fix a slightly pluggy hairline and acquire some temple points. I don't want any multis to be harvested because they will have no where to to implanted into. I'm curious if there are surgeons skilled in dividing multi-follicular units into individual ones, or if there are surgeons who specialize in exclusively extracting single follicular units from the donor area.

On 2/22/2024 at 4:15 PM, Killian said:

Just an FYI to all, Dr. Saifi does not offer Verteporfin. This is privately funded by my own pocket and head 😅 

Can you please tell us where to get verteporfin? 

1 hour ago, jjalay said:

Yes this is possible but not the best option, this will create alot of scarring in your donor area for no good reason. The best thing to do in such cases is to dissect multigrafts to create more singles. this way your donor area will be less impacted for the same amount of grafts.

Im very new to hair transplants. Can you please explain the dissecting grafts part? Is this something most surgeons can do?

Lets say if someone only needed temple points done and have no use for any multis, is it possible or realistic to only extract single grafts? 

On 3/1/2024 at 4:54 PM, Faisal Alsubaie said:

@eze the use of electrolysis is basically to remove/kill the hairs in between the FUE punches. So, instead of punching too many each removal session and creating more scars on the hairline area the use of electrolysis is introduced. 

You can check this educational video below link from BHR clinic channel on YouTube to get a clear idea.

 

This may be a dumb question, but I was wondering wouldn't it be easier to remove all the bad grafts with elecrolysis and then redo the transplant. This way would be cheaper and requires only one surgery.

Did Bisanga say if electrolysis would be ok to remove those grafts?

19 minutes ago, HappyMan2021 said:

can you post more pics? 1 picture is not enough to understand the complexity of a repair case

also, in your current pic, have you pushed your hair back in the picture, or its placement is how it naturally rests? I will admit it does look very badly angled if the hair naturally sits up like that and you have not forcefully styled it to look like that. 

Camoflage is baloney it doesn't work. 

I know it sucks feeling like you need to regress and take 2 steps backwards, but I recommend killing off all the bad grafts as much as humanly possible, so when you do have repair surgeries they will primarily be implantation with just a bit of extraction. 

Perhaps look into laser therapy as well. I am not an expert in electrolysis vs laser. But I think the differences with laser is it is harder to kill the grafts in 1 go, but simultaneously you can really "carpet bomb" mass areas, whereas electrolysis is killing grafts 1 by 1. 

With electrolysis I think you can kill like 50-100 grafts every session, and you can do it 1x a month. I am not sure of the cadence with laser

The cold hard truth is - while I think you can get a good end result- this WILL be a multi-year journey for you. There is unfortunately no shortcut or easy path. I predict a a handful of electrolysis or laser sessions, followed by a minimum of 2 surgeries. 

Also I wouldn't get worried about electrolysis causing micro-scarring. While that is true - extracting the grafts via surgery is way more damaging and traumatic for your skin. SO the less damaging route is electrolysis

Additionally, as you talk with doctors and do consultations, be skeptical of doctors who tell you not to do electrolysis (MANY MANY doctors I personally have talked to have been against electrolysis)

By doing electrolysis, there is alot less work for the doctor to do and therefore alot less money for them. So they have a financial incentive to tell you not to do electrolysis. 

For bad angles, electrolysis (or laser) are really the best option, in conjunction with surgery. 

Lastly, can you please describe your donor? How many grafts do you have left in your donor? It is super important to know this, ask your previous doctor if you are unsure.

I will say that while I do think alot of doctors are financially motivated to scare bad angle patients away from electrolysis, there is legitimate concern and a big risk of doing electrolysis if you have a limited donor. 

If you do not have the donor supply to kill off anywhere from hundreds up to 1700 grafts, then save yourself the time and remove electrolysis as an option for you. 

In the interim - if it helps you to cope - I recommend using gel or another holding product as that will (temporarily) control these bad angles. 

Thank you again for your reply, you are an absolute angel. 

I added 2 more pictures in the original link. https://imgur.com/a/OgICVsW 

It actually does look that bad when I don't comb it forward or sideways. It looks ok with gel tbh. 

And my donor is quite a bit above average. The back of my head is quite large in proportion compared to the front. 

I will remove it with electrolysis before consulting any doctor.

I will also be on dutasteride for life so chances are my natural hair will not reach NW 5-6? (what are your thoughts on this statement?)

Also, verteporfin will be out so I can at least get a few thousand grafts from that. 

3 minutes ago, Dr. Glenn Charles said:

Also keep in mind that graft removal can cause some micro scarring below the surface which can effect the survival rate of new grafts placed into that area. 

Is this mostly the case with FUE punchouts or will electrolysis result in the same thing? And to what extent does it reduce survival rate?

Would you recommend going less dense on the repair procedure to ensure a higher survival rate? 

15 minutes ago, Dr. Glenn Charles said:

It would help if we could see the actual height of the hairline or distance from hairline to eye brows. If you have grafts removed that area would need to heal properly before transplanting news hairs into that area. Consider removing first few rows of grafts and then just thinning down area behind hairline using partial removals or alternating removals. Then at later date having additional grafts added in proper angle and direction.

Its 5-5.5cm, which looks quite low. So I will probably get electrolysis to move it up at least 5mm before rebuilding. 

And thank you for the alternating removal suggestions, I will look into that. 

@HappyMan2021 @Gatsby @gillenator @Berba11

Posted a thread a while ago but now I added a pic to hopefully get some advice from experienced members. I had 1700 grafts and as you guys can see the hairs stick up like antennas. I am kind of torn between:

1. Remove only the frontal part of the transplanted region (a few hundred grafts at the very front) then implant correctly angled hairs to camouflage it

2. Remove every transplanted hair before implanting new hairs. 

Any input is much appreciated. 

https://imgur.com/a/OgICVsW

On 1/19/2024 at 5:32 PM, HappyMan2021 said:

You heard 12 sessions for your specific case? 

Extraction via surgery is exponentially more effective and you can remove more grafts that way, but i think electrolysis can help augment the process

The more grafts removed via electrolysis, the easier you are making it for the surgeon and the more grafts can be removed in less time.

Ex. Say you need 4 formal HT repairs to get rid of all the bad grafts

Instead, you could have a few electrolysis sessions and may only need 3 surgeries. So with electrolysis you are removing the need for one of your hair transplant repairs

When you consider the cost of a formal HT repair vs a few electrolysis sessions, you honestly cant compare the two. Electrolysis costs like $80 tops and you can do it 1x/month. 

A repair HT can be $15-20k and you can only have 1 ht a year

So while multiple ht repair is undeniably necessary for you to be fixed, you can still expedite the process and save a lot of money by incorporating electrolysis

***I will add as a disclaimer that you should only do electrolysis if you are ok killing grafts and you still have a generous donor

Dont waste your time with electrolysis if donor supply is an issue for you***

Thank you for your reply, I am probably gonna go for electrolysis when verteporfin becomes approved for FUE.

I want to ask you this since you have experience with this. I had about 1700 grafts transplanted on the hairline and they stick upwards perpendicularly from the scalp which looks very unnatural. I was wondering if removing the frontal half of the transplanted hairs and then implanting better-angled grafts with another FUE procedure will be enough to mask this. Or do I need to remove essentially all 1700 previous transplanted hairs and start from scratch if I want a natural result?

In other words, can implanting correctly angled hairs in front of mis-angled hairs camouflage the unnaturalness, or do I need to remove all the mis-angled hairs before I go for another FUE?

Edit: commented too late

Can we see what your hairline looked like before?

Also, did you have to take oral antibiotics for this?

Pretty bad. He gave me a crooked hairline with no micro irregularities and a dozen multis on the hairline. 

On 12/14/2023 at 3:20 AM, Dylan94 said:

@wembley is it worth it vs the risk of side effects?

I have been on for 3 years, no side effects at all. Best decision I have ever made.

@Gatsby @Berba11

I have seen a few cases of punching the grafts out, but most of those cases had people with very sparce hair. So I was wondering if its still possible to punch it out when the transplanted region is very dense like mine or will the damage be too much.

I fine with taking multiple sessions, I just want the peace of mind to know whether its possible or not. 

10 minutes ago, HappyMan2021 said:

are you absolutely certain the hairline is too low? the best scenario would be simply to lower the higher part of the hairline so it matches the bottom part. 

If the hairline truly is f*cked, you can certainly do punch outs but it almost always requires 2 or more surgeries to get all the hair. 

If you have very generous donor availability remaining, I think the best repair option would be to laser or use electrolysis and kill off all the bad grafts. 

Killing bad grafts is way easier, quicker, less costly, and simply than going the extraction repair route

Yes I'm certain its too low and I want them punched out. I was just wondering if its possible to do it without it scarring to bad. 

Edit: I heard eletrolysis can take more than 12 sessions and 2 years to completely remove hairs, so Idk if thats a good idea.

45 minutes ago, duchaine said:

face is not perfectly symmetrical.
Sometimes a little asymmetry makes the look more natural.
In any case, if your hair are not on your frontalis muscle, I would lower the other side.

No, its way too low. Its on the frontalis already on the lower side. 

3 hours ago, BaldV said:

can you post some pics?

You dont need a pic to see what I mean, one side is like 3mm lower than the other lol

23 minutes ago, thetdog666 said:

Yes that is possible but depends on how many grafts your needing to move. Repairs usually require more operations to fix and are more costly.

Yeah, I estimate about 400. Hopefully I can get it done in 2 sessions.

Hello guys, I went for a hair transplant at 23 in Mexico and the surgeon gave me a very crooked result. This resulted in one side of the hair line to be too low while the other side was at the perfect height.

The issue is, this surgeon packed my hairline very densely, so I was wondering if its even practical to punch out all the grafts on the side that is too low with FUE and put them back in my donor zone. 

12 hours ago, jjalay said:

I good clinic always uses microscopes to dissect double or multigrafts to create more singles for the hairline. This has two advantages, less scarring in the donor area and more grafts in the recipient area using less grafts from the donor area.

I heard that dissecting the multi into singles damaged the hair and reduces its survival rate quite a bit? Is this true? 

My hairline is very good but I just need some temple work done with just a few hundred grafts. I understand that the temples must use thin single follicle grafts to look natural, so I was wondering if a surgeon can only takeout single grafts and preserve the rest, because if they extract multi follicle grafts they will go to waste.