Diff-thinner

20 minutes ago, chrisu said:

ah got it, thanks for clarifying. i wonder how the doctors assess what is the correct amount

i might have missed it but how much density did you receive per cm^2?

Never found out tbh, if im frank I dont think it was measured

17 minutes ago, chrisu said:

For more experienced members, how important is the way the shafts stick out after the surgery. If you glance at OP, everything looks angled perfectly. Does it matter a lot if a few hair aren't perfect post-op?

Might have to tag team @Melvin- Admin in for this one ?

16 minutes ago, chrisu said:

Hey OP congrats on the procedure. looks like he did an excellent job with the design. I was intrigued with the statement below

"this is for two reasons, one is blood supply, the thicker the hair, the more blood is needed and the more that hairs compete for blood supply, this placing more hairs densely packing it risks a lower yield. Second is the problem with the hairline, a hairline requires soft hairs, that makes the progression natural, and so having thick hair is great for behind the hairline, but not so great for arguably the part that everyone notices at first."

Was he originally saying that he thought thick hair would be great but its not for hairline because of blood needed to supply the hair and dense packing causes lower yield? If that is the case then how did he dense pack your area, it looks clean

No it was me actually, I thought having thick hair would make me a great candidate, but it turns out that in Coutos opinion, medium thickness, rather than coarse thick hair is better, because there is more to chose from for the hairline. Second, his worry with dense packing it, was the fact that graft survival is arguably more important than having loads of hair packed into a small area, because you can always add more later, and arguably having more hair survive when implanted, means that you also dont need to harvest the donor area for more grafts to have a similar impact. 

52 minutes ago, hairyelswhere said:

You know in day 1 how long was the surgery, I go in next week. On the first day does he concentrate on towards the back or does he start with front hairline. If you had the choice would you do anything differently. Sorry for all the questions. 

Not at all, ask away... When I was in your position I was positively wanting to know everything :D. I only had my frontal third done, so they started with the hairline, Couto did like 80% then the last like 150 grafts were done by another DR. 

5 hours ago, hairyelswhere said:

Did you wear a hat after your transplant surely wearing a hat might move the grafts. I am being asked to bring a hat but don't know what type and if any use

Yes I did, literally on the way home. I bought a snapback the day before, there is a way to put it on, that doesnt disturb the grafts. 

Hey Youth_again, 

I think it is getting thicker, but you can still see through the hairline which I would not rest on, since you still have 5 months it will get better but I don’t think it will be as full as you probably expected a couto result would be, but I recon like another 3-400 grafts will do the job. Have you asked if he would do unshaven this time, because he told me if I do ever need a small top up to perfect the result he would do unshaven to ensure I don’t have to go through the process from start to finish all over again 

1 minute ago, hairyelswhere said:

Your donor area is very very good no scars at all. I was not planning to do temples however when ever I have seen a hair transplant without temples it looks obvious so I changed my mind in consultation and added it on. Other surgeons I have seen have given me very inconsistent graft numbers anywhere from 1200 to 5500

Yeah quite surprised and happy with the donor to be quite honest. That quoting is very weird, but if you’ve had a consult with couto he will do another one on the day and give you his final feelings on graft count 

2 minutes ago, hairyelswhere said:

I will be doing the temples too. My first day starts at 1pm. I do not know why my mine is about 2700 maybe my hair line and recession is worse but when I look at your photos it looks like my head. I'm from the Mediterranean region and been on finasteride for about 6 months the meds don't work for me. Are you in London by any chance?

I’m Mediterranean/ North African, so we have v thick hair normally, which is why I’m surprised at the graft quote, but yes I didn’t have to do temples, I’m in the uk.  

Hi mate, 
 

10 hours ago, hairyelswhere said:

Hi Diff how is the hair transplant going. I'm sure it would be coming out good. I will be seeing Dr cuoto next month my hairline is like yours but I'm getting above 2500 grafts

So far its too early to tell tbh, im only coming up to month 2 next sunday, so hopefully growing phase will start in month three I believe. I was only one day for 1475, if yours is a similar case how comes you have so many grafts quoted, whats your hair characteristics ? 

 

10 hours ago, hairyelswhere said:

You said surgery started at 10 am was that a bit late in your opinion or is that normal with Dr Cuoto.

For my surgery next month I have been advised to attend at 1pm surely that is late to start surgery I'm booked in for 3 days 

Couto is a machine, the day I was there the surgery finished at like 8PM and he was still working another case after finishing mine. Honestly I think on weekdays its all he does! 

He will most likely do like 730 grafts a day for you if its 2500, which means that you need three half days rather than full days if you get me. 

It really is on a case by case basis, I think if your hairloss is not severe and if he has to implant between hairs, Fin  is a must, but if your hairloss has already progressed and is predictable, he may not require it. He has unmedicated cases on his youtube, but as always to slow progression and make sure the transplant lasts he will likely ask you to medicate. But i cant speak for him, I can only speak for my situation  

I Just wanted to update regarding two things. 

1. Vertex hair loss seems to have actually gotten better since the HT, with regrowth. 
2. I don't think I have experienced any shock loss in the donor, which if i'm honest was my biggest worry when undertaking the process.

I will be reaching month two next week, really dying to see results but am trying to be realistic all the same
 

Hey dude sorry to hear and read about your situation, if you do want my two cents, I would recommend @BHR Clinic, for the very specific reason that I think Dr. Bissanga is the best most ethical choice for repairs. From what I have seen, he may be able to advise you in an unbiased manner, for ethics I would truly tout him as such a genuine Dr. Im saying this without being his patient, but when I spoke with Ian, his patient advisor, I really felt like they put ethics first, and I think in your case this might work for you.

I totally agree with you, especially if you wear your hair above a grade 2, it would be undetectable, I did make a point about the donor though because of the fact that I do like a skin fade so I’m quite happy with the way it turned out. Try to preserve your donor because it is the supply of all things you will need in the future 

I do agree, especially when compared to the other side, which has grown in way better! But basically unshaven it should be awesome with the touch up 

Dude tbh for the stage youre at i think it looks bloody brilliant, the fact that he wants a second crack to touch up, in my opinion simply indicates he just wants to perfect it. 

On 4/30/2024 at 5:07 PM, Bizkid said:

Thanks for the feedback. I need to get something similar done. I contacted them this week and they told me they’re pretty much closed for appointments until 2025 just to even book an appointment. Don’t mind waiting just want to make sure a date is set.

All I can say is, yes the wait is long, but I guess we’ll find out in this thread eventually if it was worth it 

1 hour ago, 4Godot said:

Looks excellent to man! Especially donor area. How noticeable is the redness of recipient area in normal/average light? Do you still have to cover it up in any way? I'd say you're lucky have enough hair too that you can get away with still have an sharp looking cut while it grows in

To be quite honest the redness is quite minimal in normal light to the point today one of my coworkers pulled my hat off and didnt notice. I mainly wear a hat to cover it up currently but not really bothered if people know, it’s more just not having to explain to everyone I meet that I had one. 
 

I was very surprised with the cut, all day I wanted to get home to see what the donor looked like, I’m not sure what your thoughts are on how visible it is but I asked for the same cut I get every time and from my eyes it looks hardly noticeable and maybe even with some smp would be undetectable. 
 

I also got my graft count today luckily enough 

Total Follicular Units (UFs): 
UF1: 150
UF2: 636
UF3: 601
UF4: 87
Total implanted hairs: 3573
Ratio: 2.4

*1 Month Update*

So I wanted to wait a little while before updating you on the 1 month progress until I had a trim. After having a skinfade, I am really quite impressed with the harvesting. I have attached photos for the haircut. Until now I'm quite happy with the progress. I spoke with my mum, who basically knows nothing about hair transplants and tried to explain the grafting to her, to get her to see if she could notice the missing grafts from the donor zone, and she was having a tough time identifying it. But I'm uploading for the more aware purveyor to give feedback and see the progress and give thoughts. I would really appreciate any thoughts on the one month progress. Most of the transplanted hair has fallen out, but as expected it's the shock loss ugly duckling phase. 
 

My only thing that I would ask, is the transplanted area supposed to look like that now, looks a little bumpy, and just wondering if this goes away and when? 

agreed, and also to keep it positive, you can always add the grafts to make things better as an option, so chin up dude and yes its a patience game 

1 hour ago, Youth_Again said:

I believe a problem I had is that my donor didn’t have many single soft hair… 

he mentioned most my donor was thick double to multiple follicules. Maybe it does impact on the hairline? Might not allow dense packing? 
 

let’s wait 5 more months and see but if it stays the same I definitely would want a touch up

Hey Youth_Again, Dr couto made similar comments regarding me, not many soft hairs for the hairline, so he had to go lower into the donor, just wondering if you have spoken to anyone at the clinic yet, and if so, what they have advised? 

Any Update? :), Would be great to know what happened 

1 minute ago, 4Godot said:

oh gotcha, I thought you couldn't wear a cap for a month or so after procedure? Not so?

I have a friend buzzed his right down for like 3/4 months then had enough hair to grow it out and kinda comb over the red/growing areas in hairline after that. I guess it depends on implantation method or whatever but it just looked like a regular shaved head, no big red patches or anything.

Plus he REALLY appreciated having hair once it grew in! Not for everyone I know but it is a way of avoiding caps-in-stange-scenarios situation!  

 

The only experience I've had with fibers is seeing them run when people were sweating at the gym! But some people swear by them.

Ive been wearing a cap since the second day, but only minimally and with special precautions and a special type of hat (snapback), to keep my head away from the sun and everything, just gotta make sure its a large one so it doesnt touch your head, 

Currently im not sure about shaving it, ill only consider if it gets to a point where it all looks silly but im hoping i can comb over the thicker hair behind over the HT at some point when it grows out 

Just now, 4Godot said:

looks good brother! do you have a strategy in mind? Hats? Shaved down?

Religiously wearing a cap currently, dont leave the house without it tbh, im waiting to see how bad it gets because I have some really important public events coming up, so im hoping there is enough wispy hairs that I can use fiber's 😂, any ideas ? 

Update - Day 15, Dr Couto asks you to provide update photos at day 15 to check on everything, The shed is real and experiencing it every day but he says he's very happy so far. Fingers crossed, looking like Im going to be an extra ugly duckling this summer

  

4 hours ago, duchaine said:

off topic: how long was the waiting list?

Usually after consult its about a year