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Bill - Managing Publisher

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Bill - Managing Publisher last won the day on December 3 2018

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About Bill - Managing Publisher

  • Rank
    Managing Publisher
  • Birthday 01/21/1977

Basic Information

  • Gender
    Male
  • Country
    United States
  • State
    PA

Hair Loss Overview

  • Describe Your Hair Loss Pattern
    Receding Hairline (Genetic Baldness)
    Thinning on Top only (Genetic Baldness)
    Thinning or Bald Spot in the Crown/Vertex
  • How long have you been losing your hair?
    10 years +
  • Norwood Level if Known
    Norwood VI
  • What Best Describes Your Goals?
    Maintain Existing Hair
    Maintain and Regrow Hair
    I'm here for support

Hair Loss Treatments

  • Have you ever had a hair transplant?
    Yes
  • Hair Transplant Surgeon
    Dr. Victor Hasson
  • Other hair restoration physicians
    Dr. Robert True, Dr. Theodore Katz
  • Current Non-Surgical Treatment Regime
    Propecia (Finasteride)
    Rogaine Foam

Hair Loss Story

Recent Profile Visitors

88,313 profile views
  1. Raker, youre behavior is atrocious and you’ve refused to listen to Melvin’s warnings. It’s time for you to go. Bill
  2. Bill - Managing Publisher

    Can Shampooing Your Hair After A Hair Transplant Affect Growth

    Personally, it took me approximately 10 to 14 days to get back to my normal showering routine. Now, it was probably by day five or six that I was able to remove most of the scabs but I was still very cautious when shampooing the top of my scalp and the donor area. But I know that every surgeon provides slightly different postoperative instructions. Some doctors suggest you don’t even begin working on his gab removal until one week to 10 days after surgery. So I’m curious what other people have to say. Best, Bill
  3. Bill - Managing Publisher

    Potential Recommendation of Dr. Emrah Cinik of Istanbul, Turkey

    @Mick50, Read my latest post. Bill
  4. Bill - Managing Publisher

    Does Creatine Cause Hair Loss

    I took creatine for about a month. I remember I was already in the process of losing my hair so I have researched whether not creatine can cause hair loss and was happy to read that it didn’t. Of course, I was hoping that it did because since I was losing my hair around the same time, I could’ve blamed it on creatine and just stopped it. But since that wasn’t the case, I kept losing my hair due to male pattern baldness. Thanks for sharing Melvin. Bill
  5. Bill - Managing Publisher

    HIMS for Hair Loss

    Surprisingly, and as much as I’m on social media, I’ve never heard of this until recently. To be honest, I’m not exactly sure why this particular company/website is necessary when you can just ask your primary care physician for a prescription for both of these medications. But I suppose anybody a little bit too insecure to speak face-to-face with their doctor can use this company to obtain generic versions of this medication. Of course, there have been some reports about generic finasteride and whether or not they are in active ingredients are affecting its potency. I don’t know much about Viagra let alone it’s generic however, hopefully all the medication is legit. Bill
  6. Bill - Managing Publisher

    Potential Recommendation of Dr. Emrah Cinik of Istanbul, Turkey

    Everyone, I appreciate everyone’s honest opinions regarding the potential recommendation of Dr. Cinic. At the end of the day, our high standards is what keeps this community and our recommendations credible and different from any other community. In addition to this discussion, we’ve been discussing the issue about surgeon involvement and the “no surgeon“ option and whether or not this practice should be accepted. As I’ve posted above, there are clearly some varying opinions about this within the patient community and many surgeons who are well respected have some concerns about this as well. Therefore, I think it’s important that we err on the side of caution for now and hold off proceeding with this doctors recommendation until we further discuss the issue and make a final conclusion on whether or not we should allow this practice to go on with recommended surgeons. So for now, we are going to hold off on this potential recommendation and we will discuss it at a future time Best wishes, Bill
  7. Bill - Managing Publisher

    Potential Recommendation of Dr. Emrah Cinik of Istanbul, Turkey

    @Raphael84, Thanks for posting and sharing your opinion. I happen to agree and ultimately, hair transplant surgery has always been a team effort. Surgeon involvement is a hot topic of debate not just with patients but also with leading hair transplant surgeons including many recommended by our community. The question of how much surgeon involvement should be required to meet our standards has come up lately and do something that we are still wrestling with. For example, I personally like the surgeon to be involved in the procedure at least to some degree. But honestly, when I was a newbie, I thought the surgeon performed the entire procedure while the technicians assisted only. I had no idea that the surgeon believe the room for so long while technicians what do the vast majority of the procedure. This made me very uncomfortable until I saw that my results grew in and then everything was fine. I soon learned that this was standard practice and became accustomed to it. The problem is, there are many black hat clinics who are doing highly unethical and possibly illegal things and surgeons recommended by our community are fighting against this - and rightfully so. This community has joined the fight and offered to host any content they would like to provide regarding these deceptive marketing and clinical practices. But, I think that in wrestling with these black hat clinics and deceptive practices, some may have gone a bit too far. Somehow, surgeons who allow their technicians to do the vast majority of the procedure or even all of it have been lumped in with these unethical clinics which just doesn’t seem right to me. To me, a black hat clinic is defined as * A surgeon or clinic who delegate patients to other surgeons or staff members that weren’t discussed or selected * A surgeon or clinic who engages in deceptive marketing practices * A surgeon or clinic who doesn’t provide all of the necessary information to the patient so that they can’t make an informed decision - in other words, the clinic isn’t transparent * A surgeon who claims they are hands-on but actually isn’t. * A surgeon who sits in the office the entire time answering emails without doing any or minimal supervision while their technicians do all the work But I don’t believe that Dr. Cinik or the clinic engages in any of the above practices. As a result, I feel confident considering the surgeon for potential recommendation. Best wishes, Bill
  8. Bill - Managing Publisher

    Potential Recommendation of Dr. Emrah Cinik of Istanbul, Turkey

    @VicTNYC, I do understand your concerns. The way I look at it is, the clinic offers three packages and out of the three packages, the surgeon is directly involved by performing a part of only one of the procedures. Because of this, this is the only procedure/package that we are considering for recommendation. For discussion purposes however, I am still honestly wrestling with whether or not how involved a surgeon is during the procedure should be a determining factor in recommendation. Let’s consider the below. Typical Surgeon Involvement is 10% 95% of the surgeons we recommend only engage in and are hands-on in about 10% to 15% of the procedure. Typically, this includes the donor harvesting portion and creating recipient incisions. While these are crucial parts of the procedure, so is the implantation process, the dissection process during FUSS and insertation into pen implanters if this tool is being used, etc. frankly, most surgeons only pop in the room once every couple hours during the implantation process. If a single technician is off their game on a particular day, the entire result will become messed up. How Much Does Surgeon Involvement Really Matter? So if results matter the most, which I think we can all agree they do, does it really matter if the surgeon performs none of the procedure versus 10% of the procedure? Frankly, what difference would it really make? If the technicians don’t do their job, the whole procedure fails whether or not a surgeon does 10% or 0%. When Surgeon Involvement Really Becomes a Problem Now, it would be different if the surgeon sat in the office for the entire procedure and literally did nothing and didn’t supervise/oversee the entire procedure. It would also be a problem if the surgeon was working with in experienced technicians or delegated all of his patients to another unknown surgeon and wasn’t ultimately responsible for the end result. Dr. Cinik Oversees All Aspects Of All 3 Packages In this case, Dr. Cinic does oversees/supervise all three procedure types/packages and during one package/procedure, he performs 5% to 10% of it himself. Clearly this is not enough to affect the total outcome of the results one way or another. The Feel Good Factor What really matters the most about surgeon involvement, is the “feel good“ factor. Surgeon involvement ( unless they are entirely hands-on for 100% of the procedure) really doesn’t impact the end result much. What it does, is make the patient feel good. Conclusion While I believe a certain level of surgeon involvement matters, at the end of the day, I genuinely believe that the end result matters most as long as - * The surgeon/clinic is transparent * The surgeon/clinic follows the laws of the land related to surgery * The surgeon/clinic provides their patients with enough information to make an informed decision * The surgeon is overseeing/supervising the entire procedure. Then, the rest is left up to the patient. Nobody is forcing any patient to go to any surgeon we recommends however, we believe that each surgeon we do recommend should meet our high standards and ultimately, the results driven.
  9. Bill - Managing Publisher

    Potential Recommendation of Dr. Emrah Cinik of Istanbul, Turkey

    I want to make another comment about technicians performing the entire procedure. While I am not personally too keen on this and would not personally ever choose to undergo a procedure where the doctor wasn’t at least performing part of the procedure, we have to understand that the laws are different in turkey then they are in America. What they are doing an offering is perfectly legitimate and legal in Turkey. We don’t have to like it, but we don’t have the right to criticize them as unethical for doing what is perfectly acceptable in that area. However, when we recommend a surgeon, that’s exactly what we are doing. Therefore, while we are not saying anything one way or another about the package where the doctor isn’t involved, our recommendation is to select the surgeon for surgery. Wass, while the clinic and they offered DHI and the surgeon does supervise, I removed DHI from the services the surgeon offers. Now this is a tricky one to some degree because the surgeon is still overseeing the entire procedure. So he is still ultimately responsible for the DHI results. But since he is not hands-on for the DHI technique, I don’t feel right claiming that he performs this procedure. Now, let’s be clear. Hair transplant surgery has always been a team effort and even in America, top surgeons are only involved in a small part of the procedure and simply supervise and oversee the rest. If you all recall, it wasn’t too long ago that we were all having a debate about whether or not we’d ever go to a surgeon Who wasn’t hands-on for the entire procedure. I remember personally being shocked when my first hair transplant surgeon disappeared and I was left with technicians working on my scalp. It made me very nervous because I didn’t do enough research ahead of time and wasn’t aware that this is how it worked. But there are some surgeons who are involved from A to Z and this often makes people more comfortable. I know it would’ve made me more comfortable. However, I ended up with excellent results and even though each surgeon wasn’t directly involved and hands on in more than 10% of the procedure, I am very happy with my results. Now, we could sit here and criticize the reality that during the implantation process, even top surgeons in America and Canada only pop in once every couple hours during implantation. So much could go wrong during this part of the procedure but the doctor has trained the technicians to do state of the art work and therefore must trust that the technicians are doing their job and on the ball that day. After all, if they are not, the responsibility falls back on the surgeon and makes him or her look bad. Even during the package where Dr. Cinik isn’t involved which includes the DHI technique, he is still ultimately responsible for the end result and any poor growth or problems will fall back on him because ultimately, he is overseeing the procedure and has trained the technicians. So do we say that the doctor also performs DHI or do we leave it off his list because he is not directly performing any part of the actual procedure? As I already said, I’m on the fence about this and I think there could be a case for it either way. But for now, I’ve taken it off because I was informed by the clinic that the surgeon doesn’t work hands-on in this procedure. I also think it’s silly to suggest that we shouldn’t recommend a surgeon who provides options and different packages. No matter which package a patient uses, the end goal is a successful procedure and result. In fact, I haven’t seen one poor result or bad experience written by any of his patients on this or other forums. As I said in a previous post, we can debate policy and procedure and decide for ourselves whether or not we would personally have surgery with a surgeon or clinic that is minimally involved. But that’s the beauty of choice and informed consent. Also remember that just because we recommend a particular surgeon, doesn’t mean that anybody has to choose them. The bottom line is, is the surgeon and his staff producing excellent results on par with our commanding standards for recommendation? I would personally have to give a resounding “yes“. So if we approve this doctor for recommendation, the recommendation profile will be very transparent just as the clinic has been with me regarding the packages and procedures they offer and surgeon involvement. Individuals can then choose for themselves whether or not they want to select the surgeon based on the information. So in my opinion, while the discussion above is interesting and certainly relevant, I don’t think the fact that they provide options should preclude Dr. Cinic from being approved for recommendation, especially considering they are following all the laws of turkey and everything we’ve seen from the clinic and his patients have been top notch. Now, a few members mentioned that they aren’t biggest fan of his hairline’s and that his work isn’t ultra refined. I personally disagree. Not selecting a surgeon is as much subjective as it is objective. Many members and patients of his are thrilled with their hairlines, crown work and donor areas after surgery and when the results grow in. Other members have commented saying that they weren’t of the biggest fan. This appears to be a bit of a subjective debate and that’s totally fine. However, given all we’ve seen, I do genuinely believe that he should be approved for recommendation. Best wishes, Bill
  10. Bill - Managing Publisher

    Potential Recommendation of Dr. Emrah Cinik of Istanbul, Turkey

    Guys, I also want to say that while I understand there are some concerns about policies and procedures, there are a multitude of Dr. Cinik’s’s patience sharing their experiences, postoperative photos, progress photos and results on this forum. All of them are very happy with their experiences and results. I encourage those who really want to know exactly what goes on at the clinic, step-by-step and during the procedure to view these experiences. I posted a couple above and on the original post a few minutes ago. You can also use the search feature to see what others are saying. Best, Bill
  11. Bill - Managing Publisher

    Potential Recommendation of Dr. Emrah Cinik of Istanbul, Turkey

    Guys, As I’m sure you know, there’s a lot to learn and presents when considering a surgeon for potential recommendation. I have to say that the Clinic has been very upfront with me regarding all of their policies and procedures. When I first presented this topic, I was under the impression that the doctor also performed DHI but after posting, the Clinic corrected me and let me know that it’s only technicians performed the DHI procedure however, Dr. Cinic Does oversee and supervise the entire procedure. I understand that there are some policies and procedures that are different in turkey then other places. Some of these policies and procedures may make it a bit uneasy for prospective patients to undergo surgery there. This is their right and choice. However, the clinic and the doctor are both very transparent about what they offer, when they offer it, who is doing the procedure, which packages provide which services, etc. this is a far cry different from those clinics that mask and hide Blackhat techniques and delegate patients to another clinic with an experienced technicians or even another surgeon, etc. If Dr. Cinic is chosen for surgery, he will be involved in the actual procedure by creating the recipient incisions. He will also supervise and oversee the rest of the procedure while his experienced technicians work hard hands-on. I have made the corrections to the original post so I hope everyone can now see the accurate information as it’s been presented. Best wishes, Bill
  12. Bill - Managing Publisher

    Potential Recommendation of Dr. Emrah Cinik of Istanbul, Turkey

    Guys, I want to chime in here and share some patient posted experiences and results for you to look at as well. There are dozens more about this is just a few of them. I will also address some of the posted concerns above shortly. https://www.hairrestorationnetwork.com/topic/50151-3500-scheduled-with-dr-cinik-1212/?tab=comments#comment-463171 - patient posted experience with photos from beginning to end https://www.hairrestorationnetwork.com/topic/52555-3500-grafts-dr-cinik-6th-november-2018/?tab=comments#comment-486343 - patient posted experience with photos including postoperative photos, results not in yet. https://www.hairrestorationnetwork.com/topic/52115-dr-cinik-4300-grafts-results-progress - patient posted experience, postoperative photos and progress https://www.hairrestorationnetwork.com/topic/52116-dr-cinik-june-2018/?tab=comments#comment-481551 - patient shares seven months progress photos https://www.hairrestorationnetwork.com/topic/52116-dr-cinik-june-2018/?tab=comments#comment-481551 - patient shares experience, progress and results using scalp, body, chest and beard hair
  13. Bill - Managing Publisher

    Potential Recommendation of Dr. Emrah Cinik of Istanbul, Turkey

    @SOW, What you’re asking doesn’t make sense. Again, we recommend surgeons, not entire clinics. And I never said that a recommendation doesn’t count if the doctor is only partly involved during the procedure. Now if a doctor is not involved in the procedure at all nor does he supervise and sits in his office doing nothing, we would not approve him for a recommendation. Regarding Dr. Cinik, we are considering him for potential recommendation which means that if he is approved, and a member chooses him for surgery, then we expect him to be involved to the degree he is usually involved which is to oversee/supervise the entire procedure and make recipient incisions. He is also supervising donor extractions and implantation. Now if somebody chooses another package so to speak where the doctor is not involved in the actual hands-on operation, then this is their prerogative. But this is the equivalent of choosing another surgeon that we have not approved for a recommendation. That doesn’t mean that they won’t obtain top-notch results as the doctor is still overseeing the entire procedure. However, our recommendation is for surgeons and when we recommend surgeons, we always recommend whatever procedure where they are directly involved. I should also mention that clinic is very transparent about what they offer. The patient has the option to choose a package where the doctor is more directly involved or where they are a little less directly involved. There apparently is a price break when he is not directly involved however, he still oversees the entire procedure and his expert staff is still working on the patient as diligently as if he were directly operating. Therefore, because they are transparent and honest, I am not hesitant to recommend this surgeon nor do I have a problem with the clinic. As I’m sure you’re aware, hair transplant surgery is a team effort however, there is always a lead surgeon in charge of the procedure and ultimately responsible for the end result. Even in America during FUSS (Strip surgery) procedures, most surgeons are only hands on and directly involved during a portion of the procedure. This includes harvesting the donor strip and making a recipient incisions. Dissecting follicular units under microscopes and implanting carafes takes up about 85% to 90% of the procedure. The technicians are largely responsible for this large part of the procedure and doctors typically only enter the room a couple times during these many hours. If we were to stop including surgeons just because they only operate hands-on during a portion of the procedure, we would have to revise our list and recommend only a handful of those doctors. In fact, as much as my surgeons did a great job on my procedure, They could not be recommended because they only operated during a portion of the procedure while their technicians did the rest. At the end of the day, we do expect surgeons recommended by this community to be hands on in at least a portion of the procedure and oversee/supervise the entire procedure. It is also the surgeons job responsibility to train technicians, nurses and other doctors operating during the procedure to do the kind of top-notch work that the surgeon expects from them. So while hair transplant surgery is a team effort, it all comes back to the operating/supervising physician. I hope this helps. Bill
  14. Bill - Managing Publisher

    Potential Recommendation of Dr. Emrah Cinik of Istanbul, Turkey

    Mick, The keyword here is “offers“. They are being very transparent about what they do and what they offer.. As long as the clinic is being honest and giving the patient a choice, then I don’t personally see any problems with it considering they are still following the law of the land and are legitimate. Blackhat clinics would simply delegate patients to other clinics or possess no surgeon involvement regardless of whether you choose the surgeon or not. In other words, you wouldn’t have a choice. Remember also that we recommend hair transplant surgeons, not entire clinics. Therefore, when we are recommending Dr. Cinic, you are recommending that you go to him. If a patient was to choose to bypass the surgeon and then go to the clinic to get work done without the doctor, that is not our recommendation. Now, that doesn’t mean we’re saying it’s a problem, but our recommendation is specifically for the surgeon and anyone who chooses him for surgery will get the doctor. That’s the important part in my opinion. best wishes, Bill
  15. Dear forum members, As many of you know, we gather as much information as possible about a physician, their staff, technique and track record before they are even considered for recommendation on the Hair Transplant Network. Part of our review process involves getting input from patients and the members of this forum community. To learn more about this review process, click here. Thus, we'd like your input on the potential recommendation of Dr. Emrah Cinik of Istanbul, Turkey. At this time, Dr. Cinik is being considered for recommendation only, not the Coalition. To see our demanding standards for recommendation, click here. Dr. Emrah Cinik has over 15 years of experience and performs state of the art FUE hair transplant surgery exclusively at his clinic in Istanbul Turkey. He has vast experience and uses all the latest techniques and tools, providing his patients with the very best results. He operates on only 2 or 3 patients daily depending on the size and has over 22 experienced staff members, the newest of which possesses 6 years of experience. Dr. Cinik specializes in FUE, PRP (Platelet Rich Plasma), Mesotherapy, Eyebrow Restoration and Scar Repair. He has the experience and staff to perform densely packed sessions of ultra refined follicular unit grafting exceeding 4000 grafts when appropriate for the patient. He uses cutting instruments as small as .6mm to minimize trauma to the scalp and can densely pack up to 80 to 100 FU/cm2 when appropriate for the patient. He maes a combination of parallel (saggital) and perpendicular (lateral/coronal) incisions, depending on the patient, mimicking the natural direction of hair growth. During FUE, Dr. Emrah Cinik uses both a manual and a motorized extraction tool called Marathon with a punch ranging in size from 0.5mm to 1.1mm depending on the size of the graft (1 to 3 hairs). Grafts are further trimmed under microscopes as necessary and are stored in an ATP saline solution between the extraction and implantation process for less than an hour to minimize dehydration of the follicular units. Dr. Emrah Cinik and his staff use steel pincers to carefully implant follicular units into tiny recipient sites as small as 0.6mm. Dr. Cinik’s experienced technicians also employ the DHI (Direct Hair Implantation) method. It is similar to FUE in that the extraction process is the same however, the implantation process is different. With the DHI method, hair follicles are inserted into a pen implantation device (Dr. Cinik’s staff uses the Choi Implanter) after extraction. Then, with a single "punch", the recipient incision is made and the follicle is implanted into the recipient site. Normally, anywhere from 2-6 Choi implanters are used concurrently during a procedure, and the device comes in a variety of needle sizes to fit single, double, and triple follicular unit grafts. Dr. Cinik believes that the DHI method should only be used for those with minimal hair loss and in patients under 40. He typically uses the DHI method when dense packing high numbers in a small area. Note that the surgeon does not perform the actual surgery but does oversee and supervise the entire procedure. Dr. Cinik has a background in aesthetics and cosmetics and is a member of the ISHRS (International Society of Hair Restoration Surgery). Given Dr. Cinik’s training and experience in performing both state of the art FUE and DHI and providing only the best results, in my opinion, he should be considered for recommendation. In recent weeks, Dr. Cinik has presented several examples of his procedure and recent results on this forum. Dr. Cinik’s recent patient and surgical photos can be found below: 3500 Grafts - FUE - Dr. Cinik 4500 Grafts - FUE - Dr. Cinik 2500 Grafts - DHI - Dr. Cinik 4000 Grafts - FUE - Dr. Cinik 6100 Grafts - FUE 2 Sessions - Dr. Cinik 3600 Grafts - FUE - Dr. Cinik 3000 Grafts - FUE - Dr. Cinik https://www.hairrestorationnetwork.com/topic/50151-3500-scheduled-with-dr-cinik-1212/?tab=comments#comment-463171 - patient posted experience with photos from beginning to end https://www.hairrestorationnetwork.com/topic/52555-3500-grafts-dr-cinik-6th-november-2018/?tab=comments#comment-486343 - patient posted experience with photos including postoperative photos, results not in yet. https://www.hairrestorationnetwork.com/topic/52115-dr-cinik-4300-grafts-results-progress - patient posted experience, postoperative photos and progress https://www.hairrestorationnetwork.com/topic/52116-dr-cinik-june-2018/?tab=comments#comment-481551 - patient shares seven months progress photos https://www.hairrestorationnetwork.com/topic/52116-dr-cinik-june-2018/?tab=comments#comment-481551 - patient shares experience, progress and results using scalp, body, chest and beard hair You can find additional examples of his work by visiting the “Results Posted by Leading Hair Transplant Clinics” forum and by using the “search” feature. I welcome input and comments from forum members regarding his potential recommendation. To view our standards for recommendation, click here. Onwards and Upwards, Bill
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