Al - Moderator

Some of us don't have to imagine it 😒 Back in the 80's the only men who shaved their heads were neo nazi skinheads if they were younger. If you were older and shaved your head then you were seen as a rapist, pedophile, or convict. Shaved head bald guys just weren't going to be getting dates from any good looking normal women. You either had to have the combover, horseshoe fringe hair, or a hair piece.

There can be several reasons in my opinion. (my opinions based on what I've seen, heard, read over the years) 1. Punch size. Smaller grafts will generally look cleaner, obviously because they are smaller. 2. The actual cleaning by the clinic. Some clinics just do a light spray over the grafts once they are done and leave it alone to let it heal mostly on it's own as their philosophy is that too much pushing around of the grafts while trying to clean you up immediately after the grafts have been inserted can cause too much trauma for the grafts. Other clinics clean the patient up much better and believe if you have less scabbing later it gives the grafts a better chance for survival and growth. Some clinics cover the grafts with a surgical cream and leave it that way. Dr Sanusi Umar's immediate post op pics are an example of the use of a surgical cream. 3. Some clinics who do FUT like to cut their grafts a bit larger leaving more flesh on the grafts. They feel a bigger, fleshier graft can survive better. Dr Lindsey's immediate post op photos are a good example of this. There are probably other things as well.

Your donor hair doesn't seem too bad from the pictures, but it's always best to get an in person evaluation of donor area on higher NW cases. Pictures don't always show everything the way it actually is due to lighting.

Hair color can also make it easier or harder to spot early growth. Dark hair on light skin is much easier to see small hairs coming in as opposed to blond or light brown hair on light skin.

If you know the hair was there and growing after the procedure then you already know it can't be over harvesting, so obviously it would be shock loss.

Not unless you are really desperate to get more hair for whatever reason, but this is something that would be discussed with you. If you need a lot of hair do a session from below the chin first and see how well it heals. If you still need more hair then you can decide if you want to move further up into your chin and sides. You can also opt for chest hair if you have good chest hair. I chose to try chest hair first to see how well it heals and if it would grow because I was worried about scarring in my beard area and I like to be clean shaven too. After that I went for both beard hair and more chest hair. I had over 2300 taken from my beard and we didn't move above the underneath area. I also had over 2900 from my chest and abdomen. The beard area heals really well and I can go back to work in a week without anyone knowing. The chest leaves lingering red dots on me that takes 6 months to fully fade, but then it's not noticeable after that.

His crown filled in really well for just 5 months.

Where do you live? Since you were happy with your first procedure with Dr Feller, I think you should call Feller and Bloxham for a 10 year follow up and to see what they think of doing more work at this stage. They would probably really like to take some good pictures of a long term case of theirs. They should at least have your previous info and be able to know exactly what was done and can compare what you looked like then vs now.

My dad is maybe a NW2 at age 90. I was a NW7 by age 30. My dad at age 90 vs me at age 22.

They are very good at utilizing body hair from the start on severe case rather than many other clinics which will not using any body hair until your donor is completely depleted or never use any at all because they don't deal with body hair. There are some other places that are good with using a lot of body hair from the beginning such as Dr Sanusi Umar in CA, but since Umar is in the USA he is more expensive than Eugenics.

If you have some decent beard and chest hair then that look should be achievable.

When the choice is either horseshoe or totally shaved bald, some guys prefer the horseshoe look. I think this is especially so for some men in their 50's and 60's who remember shaved heads meaning you were a neo nazi skinhead. Kevin Oleary is one example of someone who looks fine with the horsehoe hair look.

Do I feel a sensation on my head that the scar is there? The first year while it's healing, Yes. After that, No. Can I feel the scar with my fingers when I rub them along the scar? The first year while it's healing, Yes. After that it's mostly no. There's a small section of one scar that I can feel, but it's minor. Can a woman feel my scars? No

Here's the back hair to head transplant I was talking about in my previous post.

If you had a scalp condition that was causing some hair loss then you really should wait at least 6 months to see how much hair grows back.

If you have enough body hair you could theoretically use 100% body hair transplanted with no scalp donor used at all. If I remember correctly there was a recent post or video on this forum about someone who had a massive amount of back hair and I think they only used that hair to transplant to his head and it looked like it turned out really well. I had a large completely bald area in my crown that has been transplanted with only beard and chest hair. The area is still thin and needs more grafts (I just had more put in this week actually), but as far as how it grows and the texture, there isn't really much of a difference. Most people seem to say that body hair will grow slower and not as lengthy, but I found it to be just the opposite on myself. My beard and chest hair grow faster and longer on my head than my native head hair does. I have to cut it more often than the surrounding native hair.

Joe Tillman, Spencer Stevenson (Spex), Bill Seemiller are 3 that come to my mind who have had their hair transplants done over 10 years ago who were all once contributors to this forum and are still active in the hair transplant industry. There have been plenty of posters that come back here and post some years after having their hair transplants because they are looking to have more work done and say that they are happy with the first procedure they had years ago. There are also many of the hair transplant Drs who started in hair transplants after having a hair transplant themselves. Some of the older Drs transplants were done well over 20 years ago. You can also look at US President Elect Joe Biden. His hair transplant is over 40 years old with some touch ups over time to make it more realistic looking as it was originally very pluggy. You're not going to find a whole lot of people on youtube talking about a hair transplant they had 10 or 20 or 30 years ago for several reasons. 1. Because if they are popular on youtube it's not for hair related topics (other than the people I mentioned earlier like Joe Tillman and Spex) because they had their hair transplant before youtube was a thing and probably none of their followers and viewers know they ever had a hair transplant. Why would they make a video about it and let that out there? 2. Guys on youtube who get a hair transplant generally make it into a series that can last an entire year showing you their before photos, the plan, who they consulted with, the immediate after photos and video, then weekly and monthly videos of how it's progressing and so on. Someone on youtube who happened to have a hair transplant 10 or 20 years ago would only be doing a one off video about how he just so happened to have a hair transplant 15 years ago. There's no reason to do it. There's no way to get followers or views from a one off video of some 15 year old transplant, so you're not going to find those. 3. Even if some guys who had hair transplants years ago wanted to tell the world about it there isn't much to show. Sure they can show a few old photos of what they used to look like, but it's very rare for anyone to have post op photos and certainly not video. It wasn't done in those days. My in office photos taken by the clinic were taken with a polaroid instant camera. Nobody had cell phones with cameras to take selfie photos when they went home. Besides back in the day a hair transplant was something you had to hide and be ashamed of letting anyone know you did it, so you wore a hat for a few months and made sure you were not in any pictures. It's a totally different thing now.

Yes. Sides and back. Correct (sort of). This is why I am still in favor of strip/FUT for a lot of cases. When I went they made a new scar for each surgery, so I have multiple rows of scars. So the donor area used on me is more like an FUE area because it takes up a lot of space. I lost hair past the upper and lower scars. But what you are saying would be correct if compared to having a FUT strip the way it's done today where they keep using the same scar line. I would have been doing a bit better as far as keeping transplanted hair.

If you have a good, healthy donor area then I don't see why you wouldn't be able to get a nice result. 6000 to 8000 grafts with a conservative hairline height should be able to get a NW6 some decent, moderate coverage.

I still have hair growing from transplants done over 30 years ago. It has thinned out considerable, but this is because the donor area has thinned out and progressed past the strip scars. The transplanted hair has lasted exactly as long as the hair in the donor area lasted. Hair transplants have been being performed for over 50 years. It's not something new. It's been proven many years back from men who have had transplanted hair grow for 30, 40, or 50 years plus that transplanted hair continues to grow just as long as it would have if it was never transplanted. There are two issues going on. 1. The myth of a safe zone or permanent zone. It doesn't exist. There is a zone that is safer and lasts much longer, but it is not totally safe as Drs want you to believe. Even the Brad Pitts of the world will have thinner donor areas as they get older. 2. This one is my own theory. I have no real research to back it up other than having been around hair transplants for over 30 years and seeing that this is a recent happening with FUE. The reason I believe that some transplants seem to be losing hair after a few years is because the punch sizes are getting too small to get the complete follicle or to get follicles with enough surrounding tissue to be viable long term. They are damaged grafts and don't grow well after a few cycles. This is not a problem of hair transplants in general. If you think about the recent issue of losing density over the past few years I believe they are all the same type of hair transplant. FUE with smaller then .9mm or .85mm punch sizes. Those .7mm and .8mm punch sizes sound great because they don't leave scarring, but they don't grow good hair either. They do at first, but with no tissue surrounding the follicle there isn't enough there for donor dominance to take effect and thus the weak, dyeing follicle surrounding it after it gets transplanted may actually be able to take over after a few growth cycles. I should draw some pictures to show what I mean.

The patient has to actually go back to visit the Dr. 10 years later for the Dr. to be able to do a 10 year follow-up video. When the patient is happy with the results they don't have a reason to return.

I don't drink, never smoked, never used any drugs, lifted weights regularly in highschool, but none of that ever helped my hair. I was a NW6 in my early 20s. The weight lifting actually made my hair fall out faster, so I don't think staying healthy has much to do with it.

You really should try a session of about 500 grafts into your crown. I think you have a very light covering of scalp grafts in your crown already, so mixing it with 500 to 600 beard grafts would probably do wonders for the crown without having any real difference in texture. I tell people even if the texture is different, how can it not be better than using concealer.

I don't have anything recent in my profile. I may decide to post some updated pictures now that I have another surgery coming up. I've been reluctant to post photos because the changes aren't easily seen in pictures. I've had grafts placed all over a NW7 area that had light coverage before from earlier transplants, so I mostly have an overall thickening with the body hair rather than any specific area with a major change that shows up well in photos.

That is not bad at all. I don't think anyone would notice any scarring unless they knew the scars were there and were looking for them. It also looks like the rest of your hair grew in and thickened up a lot. It looks really good.