gillenator

5 hours ago, Melvin- Admin said:

It’s not that they don’t have good surgeons, it’s that they may be unknown to the English speaking world. Im not sure if there’s a Japanese hair loss forum. But if there is, id start there. 

Melvin is absolutely right.

The real issue is the amount of tension  that a clipper produces, it’s not so much the length of the hair after it’s cut.

You have an advanced diffused thinning pattern and a HT can induce shock loss…getting on finasteride for a full year can potentially reduce the higher levels of shock although there are no guarantees, it’s much better than not getting on the meds first.

Most scalps, if not all scalps, should be completely healed and barren of any scabs or crusts…still, using a motorized clippers can put stress on the hair in its early growth phase and why many doctors advise against it until the initial regrowth phase has completed.

Thank you my friend…the key is to make them accountable…for every graft!

My initial reply is more related to the flaws that I see in their approach.

Now please allow me to respond with some advice that I often convey to patients in ascertaining and an accurate accounting of grafts that are paid in advance…Always insist that the surgical staff “charts” the graft count that are being placed according to graft size and exact placement in a defined surface area that is clearly marked…after all grafts are placed, the recipient area needs to be photographed with all photos provided to the patient at checkout, NO EXCEPTIONS…photos taken before any placement and along the way as each section within the recipient zones are filled in accordance with the written surgery plan…this approach also provides a basis to track regrowth rates and yields…your chart should clearly document how many grafts were extracted by size: i.e. (total # of singles, doubles, triples, etc.) the photos should show and confirm the same total number that you paid for…make them account for EVERY graft that you paid for…all of this needs to be discussed beforehand at the time you schedule your procedure date.

The biggest flaw that I see is that this approach calculates the restored density at the same level (number) irrespective of each individual (1cm) squared area and does not consider the variations of graft size…obviously this would have a huge bearing on visual density…regardless, the density levels on any scalp are going to vary and why surgical hair restoration must be a subjective approach, not a precise numerical count for each area…and no I have not seen any other clinic take this same approach to substantiate a plan for the recipient area.

Pics?

Between approximately 500-700 grafts will fill the area in nicely.

IMHO, vaping is not as detrimental as full blown smoking however the ideal is no vaping at all.

Get multiple opinions in person and make sure each surgeon evaluates the viability of your donor.

I also was wondering if Gary was able to find a good option, NOT Ziering.

Definitely get more opinions and consultations.

If anything, that quick slap on the surface created a good rapid rush of blood to your thirsty grafts.

Hundreds upon hundreds of single hair grafts are used when new hair lines are created!

It’s a case of how many doctors in the plural not singular.

Tea also has caffeine.

There is no reason or need to discontinue finasteride before surgery.

A good quality aloe vera cream will work wonders.

5 hours ago, Woody1 said:

I found aloe Vera gel helped mate. 

IMHO this is the best option.

If in question, ask your doctor about decaf.

This is where both instrumentation and skill are integrally critical in the removal of hairline grafts…and we also need to remember that healing variances between individuals is going to play a huge factor with visible scarring post-op.

The 3,000 range seems right however it really depends on how many single hair grafts were used.

There are enough surgeons doing exceptional FUE work that charge far less than $15 per graft.

Dr. Konior does 100% of the procedure himself?…really?