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  1. Hi All, Planning to get a hair transplant in coming months. I live in NC and right now i'm looking at two options. Dr.Vories or Dr.Cooley, which one will you recommend ? Dr. Cooley is expensive than Vories. ($3 - $4 difference/graft). Dr. Cooley has longer wait times, next available appointment after 5 months. I see mixed reviews about Dr.Vories work mainly due to unnatural hairlines. Any suggestion guys ? Thanks, Sam
  2. Hi Guys, i have had 2 FUE procedures totaling 2500 grafts in an attempt to lower my hairline as was born with very high forehead and had some temple session. After the first procedure it looked fairly natural but was in need of more density. The “Doctor” was hardly involved at all in the procedure and they ended up placing many multiple grafts right at the front of the hairline, some with 4 hairs growing out of the same graft!! Not to mention the hairline has no irregular irregularities and the angles are extremely obtuse!! Overall it is a pluggy appearance. It has cost me a lot of distress as I am constantly self conscious of people staring at my hairline Wanted to ask if anyone had any advice on the best repair surgeons for creating natural hairlines? Any help appreciated!
  3. @SamBoyi haven’t heard of Dr Vories but had a fantastic experience with Dr Cooley. Feel free to check out my thread best of luck in your decision
  4. Thanks @Gokuhairline i have been on finasteride for 8 years 1mg every day. I had experienced more shock loss in the 2 previous fue procedures so I think it was more to do with Dr Cooley’s technique
  5. Totally agree @JohnAC71! I was reflecting back through this thread and appreciating just how much of a difference there is - Dr Cooley is clearly a wizard 😎
  6. Hi Everyone, I am newbie to the forum and apologies if any of the questions are repeated. (I did searched previous posts but that raised more questions) Little bit about myself: 1. My Age: 33 2. My hair started thinning about 10 years ago and I used to use Minoxidil, 5% Topical Solution and Finasteride Pills. I took them for over 1.5 years and gave up on them as I noticed hair fall continued as soon as I stopped using them for even a week. 3. Since then I didn't took any care of my hair. (Probably a mistake but I just thought all solutions are temporary and transplantation is the only solution) 4. I have been thinking about FUE for an year now and I finally decided to go for it now (next few weeks). 5. I am planning to spend up to 15,000 USD. Questions: Premise for Q1: I am in halfway between Dr.Vories (South Carolina, USA) and Dr.Cooley (North Carolina). I talked with Dr.Vories 12 months ago and he seemed fine to me. He was recommended to me by one of my friend who went through FUE and his results are just "ok". After joining this forum I learnt about Dr.Cooley and I am in dilemma now. I reached out to Dr.Cooley and still waiting for response from them.(Its been a week now) Q1: Any personal experiences anyone can share which can help me decide between Dr. Vories and Dr. Cooley ? Q2: As I said before I am not using any medicines right now. I have seen some posts in this forum where ppl recommended using some medicines at least 6 months before transplantation procedure. Is it a good practice thing ? or Is it mandatory to yield good results? Dr. Vories didn't talked about this and was ready to go with transplantation almost immediately. Q3: For last 6 months I am being troubled with dandruff. Tried different of the shelf shampoos. (Didn't really took care of my hair properly.) Should I take some serious medicines to get rid of dandruff before going with FUE transplantation ? Q4: For some mandatory ritual, I have to shave off my head in 18 months. Assuming I did go through FUE now, can I have my hair shaved after 18 months or ever in my life ? Am I going to loose any transplanted hair ? Will the aftermath of FUE will leave any spots on my head which will look bad and make me never be able to have clean shaven head or even short hair ? Q5: Are there any other solutions that can help me other than FUE ? Thanks in advance for your time.
  7. I had been researching a TON and have tried i-Grow and a couple months of Rogaine. I started liking the Turkey doctors, but realized that they may be too far/out of comfort zone. During the pandemic, I went and shaved my head (since I'm not going out anyway), and just to see what it looks like bald since I also thought about SMP. Not bad, actually. Initially, there was a doctor not too far away, FUT about $4500 I think, but the "manager" seems unprofessional and I didn't have a good vibe on the place. Other US doctors were around $10K starting. I started emailing Dr.Nader since he's a pretty good middle ground and have had good reviews. After seeing my photos (2 years ago), he said that I may not be a good candidate since I had thin hairs. He asked to get my blood test to see if if the donor area could thin out more and or gene related. I never heard back after sending my blood test. Fast forward, I mainly use Dermmatch concealer and would have the idea of doing more current research on and off. I think nothing really changed and there's less reviews of doctors on many hair loss sites/forums. I emailed Dr.Nader again (different email) and showed him the pics, along with what I was hoping to get (very conservative). Eventually Brenda said that he things 2000 to 2500 would be sufficient. I thought the price got higher, but maybe that was just me. My family would go with me (or not at all), even though there is nothing to see (attractions) and do (just hang in the clinic the whole time). Regardless of how people say that it's pretty safe (driven to and from the hotel). Additional $700 in airfare. I have the photos I sent him and pretty much, to cover the frontal part with some hairline (permanently thinning look is ok than what it is now). Top part, I won't see, so not as important and can probably be concealed better than front, which under the sun, to me just looks painted. I did an online/phone consultation with Dr.Cooley, also recommended 2000 grafts, much more expensive! Plus PRP recommendation I did go to another doctor in person and the doctor thinks I'm a good candidate, but maybe only about 2000 grafts for $10K plus topical ointments and PRP, etc. On the back part of the pic, the doctor in person said only the bottom area is harvestable since higher than that, is now thinning. Thanks.
  8. About me: 28 Years old, started Finasteride in early-mid twenties. My crown has been very stable since then, though I'm not sure whether it was due to the medication or not. Finasteride, however, didn't do anything for my hairline, which has been slowly creeping back at the temples over the years. I first started looking into hair transplants in early 2020 out of curiosity. I was prepared to ruefully accept my hair loss since I viewed hair transplants as high risk and unnatural looking. I have to give this forum complete credit for reversing my opinions 100%. Research: I consulted with some popular clinics recommended on this site including H&W, Eugenix, Dr. Bloxham (in person), and Dr. Wesley. All recommended in the ballpark of 1500-2000 grafts. Obviously, each of these clinics and doctors are highly regarded and have remarkable results. During my research, though, I was delving into papers published in the ISHRS journal by Dr. Cooley where he would discuss the conditions ideal for hair transplantation and graft survival down to the temperature and humidity of the room, which he controls during actual procedures. This level of perfectionism and attention to detail, in addition to his phenomenal patient results, really impressed me and in the end I chose him. The procedure: I took an Amtrak into North Carolina and checked into the Hilton the clinic booked for me. All of Dr. Cooley's out of town patients pass through here and they accommodate his patients well with an early morning shuttle to the clinic, as well as a shuttle back after the procedure is over. I barely sleep because of nervousness. In the morning I use an antibacterial/disinfectant wash on my scalp called Hibiclens as suggested by Dr. Cooley, eat a simple breakfast of an apple and a muffin and take the shuttle over to the clinic. I arrived around 7:15. The clinic is located within a modern medical complex a few minutes away from the hotel. Check-in was very fast and easy - they let me choose what lunch I wanted from the local sandwich shop and pick 3 movies (I chose Crouching Tiger Hidden Dragon, one of the Cloverfield movies, and something else... these ended up being completely inconsequential). Dr. Cooley came in and took pre-op photos, discussed my goals, and drew on the outline for my new hairline. Dr. Cooley's demeanor was very friendly, but here I would say that the pre-op consult was quite rushed, taking less than 15 minutes or so. Dr. Cooley did not volunteer much information that outside of what was completely necessary for the procedure, for example, my hair/donor characteristics, my reserve for future procedures, etc. As I was pretty slide deprived and anxious at this point, I didn't get a chance to converse with the doctor as much as I would have liked. Regardless Dr. Cooley did seem completely present and was laser-focused on the procedure. I swallowed a bunch of pills, donned a gown and was escorted to the operating room. You'll have to excuse my vague level of detail for the procedure itself because the combination of pills and my exhaustion catching up with me hit me hard. I remember lying face down on the chair and hearing Dr. Cooley explain that he was going to begin excising the strip and that I may feel a pinch. I barely felt a thing and hardly noticed the strip being removed or even being stitched up afterwards. The techs went to work dissecting the strip into grafts and some indeterminate amount of time later, Dr. Cooley also made the slits on my hairline (I guess I also flipped over at some point). I had lunch before the afternoon implantation session. During implantation, the movies I selected also played but I was not awake for any of it. The only thing I remember is about 5 minutes of a fight scene from Crouching Tiger. That's it. I slept through literally everything else. I woke up around 5 and everything was done. Dr. Cooley wrapped my head up, went over my post-op instructions, and I took the shuttle back to the hotel. I was discharged around 5:30. Post-op: The week post-op was quite hard on me as I'm not good at sleeping sitting up. In addition, Dr. Cooley's instructions were to use a proprietary liposomal ATP spray every hour or other hour, I forget which. The combination made my sleep very poor. In fact, the night after the procedure, I pulled an all nighter - sitting up in my hotel bed, watching TV, and spraying my grafts as directed. I will say that for me, there was absolutely minimal pain and swelling during this period. The day after the procedure, I was shuttled back to the clinic for a post-op wash, exam, and instructions. Everything went well and they gave me some gentle copper-infused shampoo to wash my grafts with. I thought it was silly at first, but the stuff is actually fantastic. The following week was more poor sleep. I slept so badly (getting only 3 hours or so each night) that I was legitimately worried that I was stressing the survival of my grafts. I also washed the grafts daily, as per Dr. Cooley's instructions, with very gentle motions and indirect water. I continued using the spray as directed (after the first few days, you ease off the spray frequency, but are still asked to use it multiple times per day, sealing it with saran wrap and a surgical cap). Also, though not suggested by the Doctor, I took some supplements such as vitamins C, D, and Zinc. Due to the sleep issues, I was extremely grateful to be working from home during this period. There's not too much else to say about my post-op. As I was back in NYC, I had to go to a local clinic to have the stiches removed. When he was removing the stitches, the doctor remarked that he had done stitch removal for hair transplants before but had never seen one like mine before. He said that the fine gauge of the stitches used were much more like those used for facial plastic surgery and the stitching technique was excellent. Miscellaneous thoughts: Though I volunteered to allow Dr. Cooley to shave my recipient for the procedure, he refused and said it would not make the work much easier for his team. I insisted and he did end up shaving a small area on the temples for better visibility. Post-op though, I have to say, I was shocked by how indiscernible the hair transplant was. I was meeting people less than a month out of the procedure and NO ONE knew that anything was done. Chalk it up to the magic of no-shave procedures. Because we were at the height of the pandemic it would not have been a huge concern if I had to shave my head since no one would see me. If I had to appear at the office though, the no-shave procedure would have been a major benefit. I am about 7 months out from my procedure as of the time of writing and all I can say is that I am extremely satisfied and am tremendously grateful to Dr. Cooley and his fantastic team. I feel much more confident in my appearance and am genuinely having fun with my hair for the first time in years. Whereas previously I was hyper-conscious about sweeping my hair over my temples and cursing every gust of wind, I feel much more at peace now. I am happy with my results and I am optimistic that it can get even better in the coming months. Photos: I prefer to keep a minimal number of pictures of myself on the internet so here are my pre-op photos as well as my photos about 6 to 6.5 months out from the procedure. I have a few photos of the period between I can share if you are genuinely curious but only via private message. Ironically for a pre-op photo, the temples are a little flattering. Here it is in the worst possible lighting: Grafts implanted. Dr. Cooley implanted grafts in between my native hairs to thicken my existing hairline in addition to reconstructing the temples: 6.5 Months out: Thanks for reading my thread. If you have any questions feel free to reach out via the thread or private message.
  9. While I didn't create an account on this forum over the last couple of years it was invaluable in my research process and I want to pay it forward, especially since I seem to be seeing fewer patient posts with recent dates, at least for Dr. Cooley. Thus I will try to be thorough here in describing my process. Apologies in advance for the length of the post and the variability of the quality of the photos. I know they aren't the best. I am still only a few days/weeks out and will update this with before photos and after photos from the clinic and exact graft count(s) when I get them and try not to disappear throughout the process. My Past Situation I had an ill-advised FUT procedure when I was 21 to address temple recession. I wasn't on meds, it was premature, and I went to a cheap chop shop. CLASSIC, young guy being really stupid. :sigh The procedure (unknown # of grafts) involved putting grafts on the temples and unfortunately also some around the front of my hairline. It did very little cosmetically unless you count triggering massive loss of existing hair (most of which did grow back in fairness). The only saving grace here is that we were talking about a fairly minor temple area and because of my light hair/skin contrast I've been able to get away with a forward brush hairstyle that hid really poor work. Oh and it wasn't big plugs and the scar wasn't horrendous and avoided being in any disastrous region(s) thankfully. No matter what you do STAY AWAY from Samson Hair Restoration in Los Angeles regardless of what doctor they currently have cycled in. Why now Now, 11 years later at 32 with some additional thinning and some recession the previous work was becoming harder to cover, especially when swimming or my hair was wet. Plus, I just wanted it fixed to open up different hairstyles and to get ahead of managing what I believe will be future loss. Almost a gradual "replace" strategy I guess. In terms of meds, I had been on finasteride w/ no side effects for 4 years but then went off for 5+ years (don't really know why). I went back on 6+ months ahead in prep for a procedure and plan to stick with it this time. Not on finasteride or any other shampoos etc at the moment. Picking the surgeon In terms of research this time around I did a lot more homework using this forum as the basis for creating a smaller list of doctors. Ultimately I narrowed my list and research to consults with Lindsay, Bernstein, Cooley, Bloxham, and Nadimi. I felt these were really great doctors that didn't necessarily require a flight based on my East Coast USA location (I was intrigued by Rahal, Hasson/Wong/Kronior and some of the other staple of well regarded doctors as well but with only so much time felt good with my short list). I did not consider India/Turkey etc., not because I don't believe quality results can't be achieved there, but because I didn't want to take the risk and conduct an extra level of due diligence with respect to many of the practices and I was willing to pay $ for that peace of mind. Notes on my Consults During my consult with Dr. Lindsay I felt like he just didn't think I needed a procedure yet. He cited 1200 grafts and it was all relatively cursory. So not a fit for me Dr. Bernstein was a good consult (worth the cost) where I learned a bit and I felt comfortable with him and his work, but ultimately I wasn't blown away by the results I've seen from him either on his website or on this and other forums My consult with Bloxham was really terrific and I got a great feeling from him. He was ultimately my #2 but I did not choose him mostly because he is just relatively newer with fewer posted results. And right or wrong, some of the (rare/older) negative comments about customer service/interactions from Feller put me off. I did NOT have any of this sense from Dr. Bloxham and have never met Feller but the posts are there nonetheless. I will also say, they need to upgrade their facility. Not the medical side hopefully, but the rest of the place was old and run down feeling. Dr. Nadimi was also great (via Skype) and matter of fact but I got the sense she did more FUE than FUT. Similar to Bloxham there are just fewer patient accounts out there that I could find, but based on what I've seen and this consult I was very comfortable and impressed with her Why Cooley Ultimately, I went with the only doctor I didn't meet/ have a convo with directly in Dr. Cooley. I appreciated the consult with Lollie and a deeper understanding of their procedures and liked what I heard about use of Acell, how he preserved grafts out of body, his hands on approach, the tenure of his techs, and so on. But most importantly Cooley's track record of consistent results and patient experiences tipped me over (including one detailed repair write-up by a Blonde haired individual, of which there are relatively few results). I also literally did not find a single negative review (of outcomes) for Cooley in all my research and I valued that apparent consistency. Procedure - Why FUT I knew I wanted FUT as I (a) already had a scar I felt could be improved, (b) wanted to maximize future grafts and survivability, and (c) wanted to minimize recovery time. I am lucky enough to have a lot of Donor and existing hair that can be used to hide a procedure. Pre-Procedure and Day of All things posted about Cooley experiences were true for me. I followed pre-op instructions for scalp laxity. I think this helped as I could feel the sides definitely loosen up, and while the back still felt tight Cooley said it was great and helped with suturing (+ sutures out at 2 weeks vs. 3 weeks). The hotel they set you up in is excellent, easy, convenient and they already know why you are there and what you need. Shuttle drivers, check-in staff, and others there were helpful and discrete and the breakfast and gym is open early enough for day of eating and a last workout. On the day of the operation we met at 7am, had a calm and not rushed discussion where any other questions I had were answered, and re-affirmed my choice of 2500 FUT + PRP/Acell. In terms of hairline we were on the same page to opt for a conservative/mature hairline though Cooley jumped straight to the need for work on the temples which he said he does not always do. This process of agreeing on this was FAST as a lot of it was bridging existing hair and the past work plus a little bit of pulling temples out/down. In terms of PRP, Cooley was candid that for me he didn't know if PRP would make much of a difference as he didn't see a ton of minituraization but (a) I'm paranoid and think there is more than there is/I have very fine hair already, and (b) I am hopeful that it will help somewhat with avoiding shock loss or speeding up recovery. I know there's no real scientific evidence to back that up, but I was willing to spend the $ on the chance it helps. I will say that to make sure you get what you need before surgery begins you should 100% come prepared with your questions. For example in my consult with Bloxham he indicated that my past FUT scar had a small area branching into the danger zone for donor and advised forking the scar near my ear. I really did NOT want to do this, so asked Cooley about it. He decided to implant 10-15 hairs in the end of the old scar as part of the procedure and end the new scar in a safer location. I do not think we would have ultimately done this if I had not asked. H/T to Bloxham for noticing it in a really thorough, caring consult. I also asked about a few grafts poorly placed in the front of my forehead below the 7CM mark we agreed to for the new hairline. He said if I was OK With it that he would remove those with electrolysis which I agreed to and am relieved about as they were definitely not natural looking. Overall, it was a good conversation. I, like most others, felt comfortable and cared for by Dr. Cooley and all of his other wonderful team members. I do think the clinic could get better about having all their pre and post op documentation organized and sent in a big PDF but that's super minor overall and has nothing to do with the in-person interactions I had. One other area that I felt could be improved is in discussing recovery times. The clinic (not Cooley himself) were fairly aggressive in terms of discussing post HT recovery periods and timeline (no redness 5 days, not visible procedure at 8 days etc). It's not that they are totally off, it's just that they are definitely giving the aggressive, "best-case" scenario in my opinion and shaded this as an absolute vs. discussing the potential ranges of recovery times based on patient characteristics. Still thus far in my case it has proven to not be too far off the mark so far (devil's always in the details though isn't it). Procedure itself From the Cooley consult we moved into the procedure. Numbing/valium etc was painless. Unlike others I don't think I really went fully under for the ENTIRE duration of the procedure, I even heard a nice little "ripping" type sound on removal, but no pain whatsoever. By 11:30 the donor was removed, there were 5-6 technicians on the microscopes, I had had PRP and he had done the few electrolysis removals needed. I stopped for lunch and then we carried on. Cooley performed all of the donor incisions, with Brandi hovering nearby, and was present for probably 90% of the graft placement. I know for sure he was doing all the immediate hairline grafts. I believe he left for a little over an hour in the middle of the procedure (basically the length of a movie), but I'm not 100% on whether he popped his head in a few times during that time or not. While he was not actively working on my head Brandi was performing graft placement and I believe Amy also worked on placing grafts. Cooley returned and was essentially there the rest of the day long after many of the other techs had left post dissecting the grafts (easily 4-5+ more hours). It was clear he reviewed and had ample time to change, correct, or ensure any grafts not placed with him in the room were to his liking. Like others have mentioned it was clear throughout the day that this was a well-oiled machine, with team members that had worked together for years (decades even). Everyone was friendly and taking a dedicated and personalized approach to the operation, and I couldn't imagine going somewhere with a doctor doing multiple ops in a day. Throughout the process Brandi was constantly checking Cooley and making sure anything "controversial" about his approach was discussed (a few graft placements here and there, reminders about how many grafts were left etc). All of this was reassuring. I am sure the reverse also happened. Ultimately for the 2,500 graft procedure Cooley was able to get over 3,000 grafts (I will get exact counts later) and we did not finish the day until a bit after 7pm, meaning I was there for nearly 12 hours. This extra time and attention, plus the grafts that were not something I had to pay extra for, all speak to his long-running record of caring about his patients and working tirelessly to get results. I am obviously grateful for this. Post Op - Healing, Pain, and Experience (Week 1) Donor got painful at the end of the day during the operation so I was numbed up again before I went home. I was obviously a bit red and beat up but it wasn't as bad as I was expecting and they had already done a pretty good job cleaning a lot of the blood off. Plus I was wearing Saran wrap + a hat so able to avoid any weird looks. On night 1 I took some Tylenol but nothing stronger--which is good because I didn't get the prescriptions until day-of for stronger meds. Cooley's post-op care uses an ATP spray + saran wrap to increase moisture and prevent any graft damage and antibiotic ointment on the donor scar. You basically spray every hour you are awake and wake up and spray every 2 hours for the first 2 nights along with taking some preventative Prednisone for swelling. I followed the instructions religiously here and I think it really helped calm redness and speed healing. On night 2 I was falling back asleep pretty quickly so it didn't feel too onerous to keep getting up. For sure it kept the itchiness to a real minimum in the first 6 days. I went back the next morning for a post-op clean and got the all good from Dr. Cooley. During this cleaning Amy took time to answer any questions I had about the next week of care and was patient with what I am sure are the same questions everyone asks. In terms of the documentation they gave me to follow, I actually think it could have been a bit more detailed. It wasn't that it was bad, but I felt like an "FAQ" or just more exhaustive detail would have helped. For example, I asked about caffeine / alcohol / ibuprofen which were not listed (Cooley says moderate amounts of both are fine), and it doesn't give you much about how to sleep (when can you sleep sidweays on the grafts) and so on. To give you a sense of how smooth this was, I drove almost 7 hours home the very next day, which was completely fine and painless. Overall I found the post-op regimen easy to follow, the spray and saran wrap seemingly very effective even if I did probably use it too quickly/aggressively to try to get it through the native hair as I ran out a day or two earlier than I think the clinic expects. One curious thing with post-op care from the clinic is that it seems that Cooley's overall instructions,are more aggressive than many other docs (like the timeline to shampoo (next day) and return to regular shampooing (7 days) . I'm sure this is because Cooley is confident in the healing/quality of the grafts and incisions etc and has refined his approach over time but it does make me just a little nervous when looking at the instructions online from so many other places that are much more conservative. But he's my doc and I'm in his hands and so far so good. On night 3 I slept poorly but not really due to pain, I think I just missed exercise. On night 4 and 5 I had more pain when putting the back of my head on pillows (I slept elevated with an inflatable travel pillow partially inflated these nights to help with any potential swelling) and I did take a valium one night and the other pain killer + tylenol combo prescribed drug the fifth night. It almost felt like the donor was a little more stretched these two nights with whatever position I could find that didnt have too much pressure. If this continues I'll call the office to make sure it's normal. Some posters here have mentioned this as the return of nerve sensation but I'm not sure. Otherwise I have had some very very minor swelling which made me break out some ice on my forehead and eye area a couple of times and take ibuprofen periodically as well. It was never uncomfortable or especially noticeable to anyone else however. Last point, I am using the Hair Shake protein. I don't really think it'll do much but I've used protein powder a lot anyway so I don't mind and if it helps at all with speed of growth or minimization of shock-loss, then it's worth a couple months of it for me. I am not planning on using it long term and no one at the Cooley office actually mentioned it directly despite having it stocked there and having it listed as an optional part of the post-op procedure. Post Op Appearance - First Week The scar in the back is perhaps slightly visible with wet hair (first 3-4 days) but completely hidden with normal dry hair. As mentioned it wasn't giving me much trouble the first 3-4 days, although of course everything felt really "tight" there. At night or with pressure on it day 5-6 it actually has felt a bit worse and I've taken some of the prescribed meds just to make sure I get decent enough sleep. We will see of course on final healing and appearance, it is early days. Redness in the recipient has subsided each day, and now at day 6 is not bad at all. It's probably worse in the pictures than in real life. I am fairly pale skinned but had a deep tan going which some say can help. There is definitely scabbing, it is super mild/light and looks like when I return to regular shampooing and rub the grafts a bit it will easily flake off and be gone within the 7-10 day timeframe that they gave. In any case, it's really mild and not that noticeable. I have used their given shampoo and started leaving the conditioner in a bit longer which I think has helped. I have a couple spots of dried blood left but overall it's pretty clean and I haven't noticed anything remotely like grafts falling out. Really, not even many/any hairs yet. The kicker here for me is that I 100% had to hide from the world during this time because I was (a) spraying every hour and (b) couldn't style my existing hair for fear of touching/disloding existing grafts. So you could see the grafts taking hold and small stubbly hair, plus weird caked native hair that was a bit long already awkwardly plastered to my scalp. So all in all, a real lovely mess. Now had I managed this aggressively with a blow dryer on cool or if I was more comfortable touching and styling my scalp in this period I am sure I could have made it look better but I didn't want to take any risks. On Day 6 I did a bit of finger styling and with my existing hair I can make it look decent (see 1 of the pictures). Decent is not invisible however. The temples are harder to disguise and any close inspection things are definitely still visible so I feel I am very much still in hat land. To be fair, my wife says it's pretty hard to tell unless you get up close and personal already. We will see if my extended family at Day 11 notices anything. Summary of first week So far the difference from my first procedure has been remarkable. Basically instead of an immediate "oh shit what have I done" I felt more like a "I'm already looking better than I expected 12 hours later. and everything is going exactly like they said" It's nice to already feel like I made the right choice. The recovery seems to be text book according to their expectations, but I most certainly don't want to be out and about without a hat yet as it would be noticeable. The things I am worried about are (a) appearance at 10 days and masking it, (b) avoiding shock-loss as no work was done in the middle of the frontal third, and (c) continued management of the donor scar pain. All the rest is of course the standard, hurry up and wait, concerns about linear scar etc that we all have but if I can avoid shock loss I feel comfortable looking like I did for 6+ more months. I hope this is helpful and of course any feedback on the pics and actual quality of the work is welcome as well. Again, apologies on the photo quality I will get better ones from clinic later. I will try to post periodically as I hate the posts where people disappear but I also intend to try to live my life and not obsess over the progress over the next few months.
  10. Yes, many. Your side of the world, Konior, H&W, Rahal, - and I saw a very nice hairline repair thread from Dr Cooley on here yesterday, however I don't know much more about this doc. Europe De Freitas Lorenzo Couto Ferreira Bisanga Feriduni Hattigen Reddy
  11. As I say, I'm mostly in tune with European surgeons, but in the U.S./Canada, H&W, Konior, Cooley, Rahal and Shapiro are probably my favourite long standing surgeons. You should look into Bisanga, Feriduni, De Freitas, Pinto (I'm booked with him), Ximena Vila, Ferreira and HLC. They're who I all strongly considered and are my favourites.
  12. @baldslacker I don't know if you went ahead with this but regardless... I'll only address Q1 as it's the immediately relevant one... You absolutely should not be selecting your hair transplant clinic based on proximity to your house. We're talking about surgery here - a surgery that takes a long time to complete, that takes a long time to show final results, a surgery that will likely not be a case of "one and done" and one that could radically alter your appearance both positive and negative. It's also a type of surgery in which there are more (many more!) bad clinics than good ones. That you happen to live near Dr Cooley is great, and if he's in your price range, even better. That's a convenience most people don't get to enjoy. But even still, it seems you've narrowed your choice down to two clinics that happen to be conveniently located, rather than based on any in depth understanding of their work, reputations and the intricacies of good hair restoration more broadly. Regardless of how reputable and good Cooley is, you shouldn't be going to him or considering him on the basis of location. You should be considering him based on in-depth research. Despite getting slightly lucky by being near to Cooley, you've put down a deposit on some other clinic that you've already said you'd seen mediocre work from is concerning and exactly makes my point. I don't know anything about Dr Vories other than your own words, for the record. You shouldn't even be thinking too much about the answer to Q1 until you've adequately found answers to Q3, 4, 5 etc and done some serious research on HT's. I'd be interested to know what you did in the end, if anything.
  13. I thought sharing my experience might be helpful to others and to show my progress so far. I am 38 years old and have fine hair. I plan to update monthly for the first year or so. About a year ago I started to think about getting a HT after gradual thinning for several years. I first started Finasteride Oct 2019. I discovered this forum around that time and looked at results and reviews of many of the recommended surgeons. I did not mind traveling or price in terms of limiting my options. I first sent photos to H&W and they said I would be a good candidate for FUT, recommending 4000-5000+ grafts, noting a second procedure for the crown might be helpful. I then met Dr. Bernstein in NYC for an in-person consultation. He also recommended FUT, approximately 2500 grafts. His thoughts were similar to H&W, to start with the hairline, cover some midscalp, and only thin coverage to the crown. During continued research, I became interested in learning more about Dr. Cooley's practice. I found nearly all reviews to be excellent, results to be natural and excellent as well. I also liked the idea that he often seemed to transplant in the range of 3000-4000 grafts, somewhere between the other two recommendations I had received. I spoke to Lollie (an assistant of his for many years) for an in-depth telephone consultation after sending photographs to her. She was very pleasant and extremely helpful with scheduling. Approximately 3500 grafts were recommended by FUT. Also, Dr. Cooley does most of his FUT surgeries without shaving the recipient area, which was a big plus for me. I drove 12 hours to Charlotte the day before surgery because I did not want to get on a plane in the middle of COVID. On 6/10/20, I had the procedure. I had paid for 3,000 grafts in advance but was hoping for 3,500, as we had discussed. First I met Brandi, his lead assistant with many years of experience, to review some paperwork, etc. Then I met Dr. Cooley who discussed the hairline and asked for my expectations. He is friendly and reassuring. I asked that overall he use his judgement for what he thought would be the best in terms of overall improvement, and that I obviously wanted it to be natural. I asked that he err on the more conservative side to account for future loss, and to use as many grafts as he thought would be beneficial. His office is nice. The day was comfortable and the 12 hours (7AM-7PM) went quickly. You are given some conscious sedation at first to help relax (valium and midazolam), which I found helpful. Numbing is mildly uncomfortable for a minute or two. He was able to extract 3679 grafts (1- 1032, 2-1783, 3-714, 4-150). Post operatively, the following two days were mildly uncomfortable, but mostly only the first night. I did take tylenol and motrin regularly for about two days. I did not have swelling. Driving the long distance home over the following two days, starting after the post op visit with Dr. Cooley the morning following surgery, was not uncomfortable. I was first able to feel some growth around 3 months and think I have some noticeable visible improvement now at 4 months. I hope to share the continued improvement over the next many months. I would highly recommend Dr. Cooley and his team based on my excellent experience there.
  14. Hi Everyone I had a procedure done with Dr Cooley in July 2017. I've been a VERY LONG TIME lurker.. been a few years now. Looking back I should never had been lurking to begin with. I am currently in my mid 30's. My obsession with hair started at a young age due to my paternal side of the family being bald and on my maternal side, the only one really going strong being my maternal grand father. In my late teens, an uncle of mine (currently a NW6) who I love dearly, jokingly said I would lose hair at the front of my head. He didn't realize I would take those words to heart and so started the obsession of a head full of hair. A couple of years ago, my father was contemplating going for hair transplant # 3. He had done 2 priors at Bosley and the results left much to be desired. It was around that time I came across Dr Cooley and decided if all went well with Dad, Dr Cooley probably has me for a patient as well. Come July 2015 dad and I drove up to Charlotte and he had his procedure. That was also the day of my first consult with Lollie and she confirmed what many had said: I had a thick head of hair however I was thinning. At that point in time, the recommendation was 2k grafts and I even had a possibility of lowering my hair line. Meds were recommended however I was on propecia in 2010 for 4 months however i was very unpleasant to live with. I was always tired and when I wasn't tired I was very angry (not my character). For the sanity of my marriage I had to get off it. Dad got the hairline he wanted and the results were very natural. Other than Mom, my wife and myself, no one knows he had a 3rd procedure. During his procedure he said Dr Cooley was with him through out which wasn't what he was expecting. He was very happy with the experience he received. Nov 2016 I went to see Lollie again for my 2nd consult and I had lost more hair than my initial visit. Dropping the hairline wasn't an option and an increase of grafts to 2500 was recommended. I left bummed out but knew if I was to do this, I found my clinic. As you will be seeing in the PLENTY of pictures I will be sharing, I feel my identity and confidence is tied to my hair. I started having a receding hair line in the late 200's but could cover it up due to the way I styled my hair. I hated it but made peace with it. Then I started thinning infront and on top. Haircuts were painful. I couldn't do a middle parting anymore. Each visit resulted in a further corner parting to give the illusion of density. My wife had no clue how thin my hair was till the night before my surgery when I showed her the pictures. On my drive to Charlotte from another state in the South East United States, I was unbelievably nervous. Kept asking myself am I doing the right thing. At the amount of money I was spending, I could easily feed a huge amount of people in a 3rd world country. I chose to have a procedure with Dr Cooley on a Monday because in my mind, he and his team would be fresh from a weekend. He does all the surgeries and I figured he'd be freshest on a day off vs a day after a procedure. **This is just my opinion; my father had a procedure middle of the week with Dr Cooley and it turned out great** FUE wasn't on my list as I keep my hair a medium-long length. FUT was the way to go for me but I hated the concept of having skin removed. Prior to this, the only surgery I've ever had was wisdom tooth surgery so I had no idea what to expect. After meeting with Dr Cooley and Brandi (prior to meeting them you take some pills, choose your movies and lunch selection) pictures are taken and hair goals are discussed. Then you're taking the operating room, shirt is removed and given a gown to wear and made to lie on your chest. As I was zoning out I heard clippers turn on and I was thinking weird.. I thought I was having an unshaved FUT.. then I was knocked out due to the meds (needed the sleep). Later on I find out the donor strip was trimmed down and not my head I was knocked out for the strip removal, I stirred a little when I felt the sutures going in but then I went back to dreamland. Woke up and slits were being made..I have no idea how I got on my back or how my glasses were back on. Dr Cooley and his team work like a well oiled machine. Each of them knew their role and the most efficient way to get it done. When they spoke there was no tension, just calmness and focus. A professional family (not sure if that's a real word?) in a way. Upon the conclusion, Dr Cooley appeared to be very happy and excited. His demeanor was contagious and I started feeling and believing. He gave me the sprays to use and the after care instructions, Brandi called the hotel for the shuttle to come get me and I was on my way. Followed the instructions throughout the night and the next day came in for my 1st wash. Prior to the procedure I decided I'd stay back for another 2 days to rest and recover as this procedure is comes at a financial and physical cost. Best to protect my investment by not overdoing it. Before putting the deposit down I badgered Lollie to see if I could come in the clinic for my 2nd and 3rd washes as well which they did. I believe Amy( I apologize if the name is incorrect) does the washes and it's so soothing. After all 3 washes on Tues, Wed, Thurs Dr Cooley came in to inspect his work. The work looks so clean. The only time there was blood on the pillow was on the night right after surgery. Otherwise there was no discharge. I have a lot more to say but I will add it in my future posts as this is an ongoing process. Some will say why didn't I put this up a few months ago? Mainly because I wanted to heal in peace and not be worried. Having a positive mindset helps healing and I didn't want to hear any negative opinions. Unfortunately there are some posters who criticize patient's choice of surgeon or work done and that causes doubt. Doubt causes stress which could slow the healing process. I didn't want to know my hair graft count til a month later as I didn't want to have disapointment if my goals weren't met. I'm glad I waited as I thought I'd have the most avg hair/graft ever but I didn't get close to my goal. Had I known on day 1 or 2 that may have caused me more frustration than anything else. I am writing this on day 95 so here are a few notes I jotted down so far: 2575 GRAFTS SINGLES = 931 DOUBLES = 1076 TRIPLES = 479 QUADS = 89 TOTAL: 4,876—found out on August 16 2017: Day 30 Hair/graft = 1.89 Day 1= Monday July 17 2017 Day 2 = Tuesday July 18 2017 Using a pitcher to shower till Tuesday August 25th= Day 8 Regular shower Wednesday August 26th = Day 9 Sutures removed: Thursday August 3 2017: Day 17 Using Suture cream 2x a day till Saturday August 5 2017: Day 19 First signs of grafts falling: Thurs August 10 ; Day 24 First hair cut after procedure: Day 80 I am very sure I've not added a few notes so I will add them as I go along. The hardest part so far is being a "patient" patient. I thank Dr Cooley, Lollie and team for treating me with respect and understanding before, during, and after my procedure. I will be sharing plenty of pictures as to document the before and after process. I think I went overboard with it but I prefer reading posts with more pics than less pics. To see the timeline of each picture, click on the picture and in the header bar there should be a date/day of when the picture was taken as a refernce point. The following pictures are all pre-surgery; as I post a new post, I will indicate which day it is
  15. Hello, Can anyone recommend a great FUT surgeon in Turkey? I've already had a large FUT procedure with Doctor Cooley a few years ago, so I would like to stick with FUT. It seems that most of the doctors in Turkey are doing FUE. I contacted a reputable FUE doctor in Istanbul and sent pictures. Based on the pictures, he said he could only get between 1500 to 2500 grafts using the FUE method because of my previous surgery. Dr. Cooley said my next FUT procedure could be 3000 grafts. I should mention, Doctor Cooley was fantastic. I'm just looking at Turkey as a possibility because the cost difference is extreme. Thanks in advance for any input!
  16. Yeah, your donor and hair characteristics are really good from what I can see. Crown is on its way out though. To be completely honest, I don't think it will have much if any hair left in it by the time you reach your mid 30's. Unless you take meds that is, then you will potentially be able to re-grow it back to a normal thickness and keep it that way for decades. You really should consider it. Read the actual studies, sides are rare, but do exist and go away upon discontinuation according to every placebo controlled study ever carried out on the drug, and according to all medical literature published on the subject. There's really no reason to be scared to at least give it a go in reality. Dr. Lorenzo's website has some good concise information on scientific data relating to finasteride side effects, good place to start and then broaden your understanding by studying other credible sources of info and reading the actual studies in depth - just find the finasteride section here: https://injertocapilar.com/faqs/?lang=en Good attitude budget wise. I'll put it this way, Europe and North America are the two hubs of quality hair transplantation. Both have a small number of doctors who are all very good and offer similar levels of skill and quality, but in general European Dr's are going to be around half the price for the same level of skill. So, whilst it's perfectly reasonable to stay in the U.S., you can get the same level of results for half the cost in Europe. My favourite European Dr's: Dr. Bisanga, Dr. Feriduni, Dr. Lupanzula, Dr. Bruno Pinto, Dr. Rafael De Freitas, Dr. Ximena Vila, Dr. Juan Couto and Dr. Bruno Ferreira. U.S./Canada: Dr. Konior, Hasson and Wong, Dr. Cooley, Dr. Shapiro, Dr. Rahal, True and Dorin (there are more but I'm in the UK so I don't keep too much track of them, others will be of more help for additional options). Do some research and take a look into them.
  17. Yep. Originally I was set on my original doctor but am worried of getting the same result again. I think I'm going to go with Dr. Cooley or Dr. Dorian? I wish I researched a bit better honestly.
  18. Dr. Cooley is an elite Coalition physician, he is top tier. Dr. Vories is also very good, but not an elite Coalition physician. I would suggest consulting with both and then looking at the cost and convenience to be the determining factor.
  19. I wouldn’t consider Turkey for a FUT personally, Dr Bicer has experience but not in recent times. I can think of 2 other Drs who also perform FUT but wouldn’t recommend or even mention their names. So many good Drs/Clinics in the US doing FUT (Cooley is one) I also really like Hattingen (Swiss)they are performing some really work.
  20. Yes, I will most likely go back to him. I'm not a good candidate for FUE and from what I'm finding, there's not enough cost saving with a different FUT surgeon to justify taking the risk. Cooley is excellent. If I was a good FUE candidate, I don't think I would hesitate to go to Bicer, HLC, or Demirsoy in Turkey.
  21. Cooley was excellent. The scar is almost undetectable and the results were very good. It was a great experience. I was hoping for more density, but I think my hair is on the fine side and you just don't get as much coverage with fine hair as you do with thick hair.
  22. If you are happy with the results of Dr Cooley I think you are mad to change to an unknown surgeon and one from Turkey! I know it's a lot of money. But if you are unhappy with the results it's a lot of unhappiness for the rest of your life.
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