Portugal25

@Hisoka Turkey is the world capital of botched hair transplants due to hundreds of low cost hairmills were technicians without any medical background doing surgeries on dozens of patients per day. 
There’s been a incident in which a Italian patient died during his hair transplant in hairmill and his body was found covered in blood:
https://www.dailymail.co.uk/news/article-9989033/amp/Italian-man-mysteriously-dies-heart-attack-hair-transplant-operation-Turkey.html

You have selected the two most famous hairmills in Turkey.
Cinik the famous low cost hairmill that does dozens of tech run surgeries per day and thus have a marketing budget big enough to sponsor the British Premier League Soccer and NBA. ASMED the expensive hairmill doing several surgeries per day and have several HRN members complaining about their appalling unethical behavior after they complained about their botched hair transplant.
Aygin is another low cost option with several bad results. Check below a HRN member that had to have his botched HT from Dr. Aygin repaired by Dr. Bruno Pinto 

If you can afford to have a Doctor (not a clinic/hairmill) then please do consider HLC or Pekiner but for the same price you have better Doctors like Dr. Bruno Pinto, Dr. Ximena Villa and Dr. Bruno Ferreira.

Check the prices and technique below:

Best of luck with your research!

6 minutes ago, digi23 said:

Its just that these you mentioned have been appreciated for a longer time. I am sure Bicer will be 2+ euro in two to three years when she have gained a reputation everywhere that she is a great Dr.

Like @Gasthoerer explained it’s about location and Dr. Bicer being located in Turkey won’t be able to increase her price to 2€/graft because all other Turkish Doctors in that price point are doing the whole surgery themselves with a more demanding/skilled technique. 

@Htthrowaway998 you are progressing to NW7 so you will need at least 7000 grafts.

In India there’s only 1 choice for mega sessions which is Dr. Arika at Eugenix. 

She will probably be also taking +2000 beard grafts to add density to your crown. 

Check with Dr. Arika is she still thinks it’s worth taking Finasteride for 6 months before to strengthen your donor area and stop your hairloss (you don’t have much more to lose). 

Wish you all the best for your HT.

@mksnvn you are very young so you can expect your hairloss to progress rapidly until your 40s. 
If you refuse to take Finasteride some Doctors that are more cautious and care a lot about the long term benefits for their patients will most likely refuse you as patient. 

Surely hairmills and low cost Doctors will have no problem in taking your money but Doctors that have a reputation to keep will have a more cautious approach. 

Don’t take pictures without flashing because it makes it impossible to check your donor and hairloss. 

I advise you to reach out to Dr. Arika at Eugenix and Dr. Bruno Ferreira because he is known at HRN to give very detailed analysis of your pictures and propose the best long term strategy (might not be what you want to hear).

Wish you all the best.

@Tako81so you joined HRN a few minutes ago and the first post you write is to recommend a low cost Doctor…

Please clarify why you had to join HRN to say Demirsoy is a perfectly good choice for diffuse NW6 with weak donor area as I’m sure @Melvin- Moderatoris very interested in your opinion. 

@mksnvn you are evolving to Norwood 6 and the very few hairs you have in the front and midscalp won’t last long without Finasteride. Your donor area is diffuse meaning it’s not great. 

You should start taking Finasteride 3x/week to stop your hairloss and strengthen your donor area for at least 6 months before going ahead with your surgery. 
Minoxidil has very little impact on stopping your hairloss because it simply promotes blood flow contributing to accelerating hair growth (it’s a “nice to have”).

In order to rebuild your frontal hairline and get a nice density on your miscalp and crown you should be looking at +5000 grafts. Your crown could be rebuilt with beard grafts mixed with scalp grafts. 

You can do this surgery either in a mega session all at once with the Kings of FUE+BHT mega sessions Dr. Arika and Dr. Sethi at Eugenix. Other option is to do two separate FUE surgeries 4-6 months apart, the first surgery +3000 grafts to rebuild the frontal hairline and the second surgery to rebuild the midscalp and crown. For this second option the most affordable Doctors I would advise you are Dr. Ximena Vila, Dr. Bruno Pinto and Dr. Bruno Ferreira.
I don’t recommend Demirsoy considering you are NW6 with a week donor and possibly miniaturized hairs.

You can check prices on my table below: 

Go to the Spanish forum to see dozens real patients posting their results with Dr. Bruno Pinto and Dr. Ximena Vila.

Wish you all the best! 

@ForMyHusband you should really start your husband on Finasteride to stop his hairloss and strengthen his donor area.
Dr. Bruno Ferreira informed my friend @PT#31 that Finasteride has no effect on patients trying to conceive. 

Like @JohnAC71 informed you the best option for your husband is Dr. Arika at Eugenix mainly because they are the Kings of FUE+BHT mega sessions and your husband will indeed also require beard grafts to compensate for his week donor area. 
Eugenix could probably get a combo 5000 scalp + beard grafts and if your husband is on Finasteride for 6 months before surgery he will most likely have pretty good result without any need to do SMP.

Don’t see much point in talking with UK Doctors as they aren’t known for their skills with cases like your husband and are much more expensive than Dr. Arika. 

If you can afford Dr. Bruno Ferreira I would advise you to consult with him because he does some of the best donor management I have seen, worked  on several patients that have DUPA (much worse than your husband’s donor) getting good results and is very through on analyzing a patient. He will most likely insist on your husband being on Finasteride 6 months prior to surgery to accept him as patient. 

Check my list below with more information on prices and techniques of each Doctor:

Wish you both all the best. 

@affensaltoyou will surely evolve to at least NW6 if you don’t take Finasteride. 
Minoxidil doesn’t really make that much of impact compared to Finasteride. 
Your donor isn’t great so you will most likely have to compensate with beard grafts further down the line. 
Since you are very young at just 26 years old with a diffuse donor area and progressive hairloss without taking Finasteride to stop it you might find that really good and ethical Doctors might not accept you as patient. 
This is because they will giving you a result that will look totally different in 5-8 years time when you will have  lost your existing native hairs. 
If you can afford HLC then spend just a tad bit more and go to Dr. Bruno Ferreira who’s in a whole other league.   Dr. Bruno Pinto and Dr. Ximena Vila cost the same as HLC and are much better options just check the dozens of real patients posting their results with them on the Spanish forum. 
Hope it all works out and wish all the best.
 

5 hours ago, Norwood 6 said:

I attached som photos. I live in europe. 
After researching, I got to know that hair transplantation is not so complicated procedure as long as the one who is doing it is a reputable doctor with a good experience and has experienced team, correct me if I am wrong. 
Based from my understanding, Turkey has some such doctors to do the job with a good price, I am not into higher price clinics/ doctors that are of course excellent , but with maybe no or minimal end results difference compared with such reasonable price doctors in Turkey. Of course I am not considering clinics with low prices, although they maybe good enough, just to minimize the the inexperienced matters. 
What do you think?
 

@Norwood 6 actually Turkey is the riskiest place in the world to have a hair transplants because it’s mostly hairmill clinics with underpaid technicians without a medical background doing surgeries.

You are almost a NW7 and will require more than 7000 grafts to be able cover such a extensive area with a decent density.

This means you have 3 options: 

1. FUT mega session surgery with Dr. Muresanu the best option to get the most grafts out of your limited donor area.

2. FUE+BHT mega session at Eugenix with Dr. Arika and she will try to harvest +2000 beard grafts to add density to your crown. This is the best option if you insist on doing a FUE surgery.

3. Two FUE surgeries each with +3000 grafts. The first surgery to rebuild your frontal hairline and the second to fill in the midscalp and crown. In this option the cheapest Doctor I would advise would be Dr. Bicer but she charges pretty much the same as Dr. Arika so it doesn’t make any sense doing this procedure in two separate surgeries.

Hairmills are very good at selling with crazy cheap prices but remember that this is a irreversible surgery and a NW6 patient like yourself requires a highly skilled Doctor to get a decent result. 

The best Doctors for your situation are not in Turkey but rather in Switzerland (Dr. Muresanu) and India (Dr. Arika).

I highly advise you to save money to be able to have your surgery with one of these Doctor’s.

11 minutes ago, Mir_a_Mir said:

Okay great!, by the way, what is the most number of grafts one should be getting in one session with FUE? Yaman was saying 4500? Is that too much? The Blue Magic said they can do 5500-6000 in a 2 day session? Just so that I know what is a safe number, can you please advise what is a reasonable number is done in one session?

Eugenix has done more than 7000 grafts in one mega session (this is a 2 to 3 day surgery like mine was).  Check the image attached I took from the thread below.
 

Forget what the hairmill told you because these places will say anything to get you to book one of their dozen empty surgery chairs.

Please don’t let Yaman get ahold of 4500 grafts of your limited donor area. In the hands of Dr. Arika these 4500 grafts could change your life. 

24 minutes ago, JohnAC71 said:

@Mir_a_MirLooking at your pics/level of loss I would say that Eugenix could be worth a consultation. 

@Mir_a_Mir I also just looked at your pictures and OMG I didn’t know you were a NW6. 
You really should be on Finasteride 6months prior to surgery to stop your hailoss and strengthen native hairs (donor area). 
Considering the hairs on the front won’t last long and you will evolve to NW6 you should be looking at around +3000 grafts to rebuild the frontal hairline another +2000 grafts to rebuild the midscalp and crown. 
Basically you require a mega session and I agree with @JohnAC71 that the best option for you will be Dr. Arika at Eugenix that has a similar price to Dr. Bicer.

Eugenix will most likely also extract grafts from beard to add density to your crown.

I hope you consider Eugenix because Dr. Bicer or any other Doctor won’t be able to provide you with the results you will get with Dr. Arika who is the Queen of mega sessions FUE+BHT. 

Trust me If you go with Yaman your setting yourself up for failure.

Just now, Mir_a_Mir said:

Hi @JohnAC71 I will reach out to them this weekend and get a quote as well. 

I think I am off of the Blue Magic plan but I think Dr. Yaman is not a bad option, albeit he not the best but you know if push comes to shove, and I have to go to Istanbul, I think I might go with Dr. Yaman.

I don't know if I looked into the European options, so focused on Turkey. 🙂

Still researching though. 

I highly advise you invest a bit more on your irreversible surgery and at least consider Dr. Bicer. 
Your donor area is limited so every graft must be used properly.
Bicer is low cost Doctor but she is a ethical Doctor doing just 1 patient per day without any of the marketing bullish to prey on uninformed patients that you see at hairmills and Yaman. 

14 minutes ago, digi23 said:

I agree aswell, its difficult aswell to argue when its clear that it HAS benefits. But if someone like Dr Bisanga doing better work than the whole industry with pre made slits its not really making DHI, stick and place look like a huge benefit.

Bisanga is very very good but not doing better work than the whole industry. Do a quick search at the spanish forum and HRN and you will realize the best results are from Konior (stick&place), Dr. Couto (DHI) and Dr. Rafael De Freitas (DHI).

55 minutes ago, Fitamess said:

thank you for the feedback, im so glad i joined this community.  Although i think i'm a little scared now haha.

I was also hoping turkey would be more affordable too.  Sounds like the "approved" turkey list is:

Dr Bicer,

HLC,

Pekiner,

Keser 

Demirsoy

Yaman.

 

Any suggestions in the US?

If you can afford Pekiner and HLC then book either Dr. Ximena Vila, Dr. Bruno Pinto or Dr. Bruno Ferreira (best in my opinion) that are better and cost the same price. 

3 minutes ago, digi23 said:

I did not? You should read what I write. I did NOT choose DHI. I choose Sapphire FUE.

Apologies misunderstood.

His techs must be more used by now to the implator pen. Actually if the slit is already punched on the scalp waiting for the graft it’s much simpler to use implantor pens than to handle the graft with forceps. 
The hardest challenge a Doctor has with DHI is to determine the location of each slit and angle of each graft (one graft implanted at a time) which is difficult without having pre-made slits to pre determine these things (good for techs). 

1 minute ago, Mir_a_Mir said:

@Portugal25 I am following your comments in my thread, haven't got a chance for other threads. But like you said, these doctors are using the DHI technique name and using Choi implanter and still making the incisions so that they can covers more patients. I mean in that case its not technically the DHI technique, they are just using the Choi/Lion pen to implant. Technically its a FUE method.

Correct it’s basic pre-made slits FUE but they can call it DHI because they implant with implantor pens. It’s a marketing gimmick to charge extra and it works. 

3 minutes ago, digi23 said:

I choose sapphire fue package with pre made slits. This is them doing implantation, they are def using Yaman implanter.

So you went along with the marketing gimmick and paid extra for the DHI technique without reaping its benefits because you had pre-made slits. Interesting…

4 minutes ago, Mir_a_Mir said:

That is what I thought initially but then got confused because a lot of consultants were telling its DHI but the they were also saying that the incisions are necessary. I got lost there.

Have you read my other posts in this thread?

They still do pre-made slits because that way they can have the Doctor doing pre-made slits on several patients per day and the techs can implant with implantor pens on the pre-made slits. This basically means you don’t get any benefit from DHI. In this case I agree it’s a marketing gimmick used by low tier Doctors and hairmills to charge extra to uninformed patients.

This is a business and at the end of the day Stick&Place and DHI (without pre-made slits) is simply not cost effective and not as profitable as doing the pre-made slits technique on 4 patiens day. 

Just now, digi23 said:

But you have Drs like Cuoto using DHI doing 2 patients a day. De Freitas using DHI doing 2 patients a day. Jose Lorenzo using DHI doing 4 patients a day. 

For me it is more of a marketing gimmick, but in theory as you say it has its benefits. It might also be as you say that these Drs are performing some of the best work in the industry and do not really see any point changing their technique when they are amongst top 10 best hair transplant Drs in the world.

Dr. Couto can do 2 patients per day like Dr. Ximena Villa if it’s two patients with up to 2000 grafts. More than that it’s impossible when using DHI technique without pre-made slits and techs implanting. 
Dr. Lorenzo can have up to 4 patients per day at this clinic because Dr. Bruno Ferreira is also doing surgeries at his clinic.

Just now, Mir_a_Mir said:

So @Portugal25 are you saying that with DHI, in reality there is not requirement for pre-made incisions? You know that is what I had thought initially but then I got confused and thought that incisions are required regardless of the use of the pen or not.

Implantor pens are basically a hollow point needle loaded with a graft inside. When the Doctor push the button on the neddle/implantor pen it makes the punch/hole and implants the graft at the same time. 

4 minutes ago, Mir_a_Mir said:

Well, @Portugal25 Dr. Yaman uses Yaman Pen.... Hehe. 

 

Hey @digi23 you were with him just recently, did Dr. Yaman use the Yaman pen to do the implantation? Or did you go with the FUE package that he used the forceps? 

Go check real Yaman patients end results before making a decision. He has several botched surgeries at HRN and other foruns. 

16 minutes ago, digi23 said:

But why would some of the best in the world do pre made slits if it was so much benefit with DHI and stick and place? 

I know you are a big fan of these techniques. But why would Hasson & Wong, Hattingen, Dr Bisanga, Dr Lupanzula, Dr Feriduni etc do pre made slits then? They are amongst the absolute elite in the game, with Bisanga being my all time fav. If it was SO MUCH BENEFITS they would definitely adapt.

Yes I agree that these techniques is good to use if you are not skilled enough to plan a pre made slit procedure to be perfect.

It’s always about the quality of the Doctor and not the technique but if you look at mind blowing results using far fewer grafts it’s usually the Spanish Doctors like Dr. Couto that have done it using DHI. 

You have to understand that at the end of the day this is business and with pre-made slits a great Doctor with a amazing team can do up to 4 patients per day just doing the slits and crucial implantation on the hairline of each of these patients and they will all get great results. 

The shift to DHI will either require the Doctor to do the whole surgery meaning 3 less patients per day or he has to continue to do pre-made slits and have his team implant using implantor pens (like Dr. Laorwong does) but this to me make no sense because you lose the benefits from DHI that is to make the punch and implant the graft at the same time. 

I do believe some of the Doctors you stated will move to DHI but you have to remember that there’s a learning curve and they have doing pre-made slits for decades so they might not be so keen to change and get some not great results during their learning curve. 

Just now, Mir_a_Mir said:

Hi @Portugal25 you bring up a good point. DHI seems to be the latest technique because it needs smaller incisions as the Choi pen is able to implant the graft in that small incisions compared to the FUE technique that requires comparatively bigger incisions because the grafts are implanted with forceps. 

Am I correct in my understanding? Please correct me if I am off. 

DHI allows the punch to be smaller.
Pekiner extracted grafts from @PT#31 and they punch size is much bigger that the punch size used at his DHI surgery with Dr. Bruno Ferreira. 
The smaller the punch the quicker the  recovery and I do believe it also contributes to a better transaction rate. 
The Lion implantor pen is considered better than the Choi that’s is mostly used in Asia and Turkey. 

13 minutes ago, digi23 said:

Yaman use FUE technique with pre made slits(incisions). The tech team performs implantation with a special tool, but its not DHI. It is not really any benefit of these techniques like DHI, stick and place etc, its just some different techniques used by different Drs then its some marketing that the one or the other is SO MUCH BETTER which is nonsense. What you want is someone doing great work, not what technique they are using for implantation.

This is simply not true.

You have to ask yourself why does Dr. Raymond Konior considered the best in the world for FUE does the most Doctor demanding technique which is stick&place if he could be doing a much less demanding technique like pre-made slits and get the same results?
If as you say “there’s no benefit from these different techniques” then that would make no sense!

Ofcourse a technique in which the Doctor extracts the graft and then implants each graft one at time immediately after making the punch is a better technique than punching thousands of holes and then implanting thousands of grafts.

DHI is the evolution of stick&place if done by skilled surgeon and a great team than can properly handle each graft by placing them one by one into implantor pens after extraction and then passing the implantor pen to the Doctor so he can use the implantor pen loaded with 1 graft to make the punch and implant the graft at the same time thus giving less trauma to the graft and reducing the time the graft stays out of the body. 

To say these techniques means nothing in the hands of skilled surgeons is “nonsense”!

Look at Dr. Couto and Dr. De Freitas work doing DHI. 

The best in the world are doing either stick&place or DHI. 

@Tug you had amazing results so early but it would be great if you could post a update.

Thanks!