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  1. Howdy everyone. Been lurking for a bit and finally got the procedure done myself. 28 years old been on finasteride for 2 years and minoxidil 18 months with some regrowth, but it wasn't going to bring it all back so I decided to get a transplant to take me the rest of the way. How do you guys think it's progressing? Personally, I'm extremely impressed with how quick everything is healing. I like the hairline design as well. I attached a picture of my regrowth, pre op pics, immediate post op pics and pics from today (day 6). Let me know what you guys think and if you need more details! The plan originally was to repair the frontal band and the temple points, but we decided to wait on the temple points, except for addressing the weaker one, because that's where I had the most regrowth and it could be liable to recede again. I hope to wait until about 35 to see how everything is stabilizing and address the temple points at that time if my hair is holding up well. If not I'll address the midscalp and crown or what is needed at that time. Let me know what you think of my plan as well. Thanks!
  2. Journey & Decision After thorough research, I decided to pull the trigger and get a HT at Shapiro Medical Group with Ron Shapiro and Dr. Josephitis/Dr. Joe. SMG spent many hours over the phone with me and answered all my questions. I emailed Ron Shapiro directly and Matt Zupan (Patient Educator), and they always addressed all of my concerns/follow-ups. Matt called me very frequently to check up on me and has pretty much become a friend at this point. The front office staff, Matt Zupan (Patient Educator), and everyone involved wanted to make sure that I had the best care. They did not care about making money or getting the "sale" as they honestly wanted what was best for me. They even recommended other great clinics if I decided not to go through with SMG. SMG was the only clinic out of the 5 places I contacted who actually walked me through the concept of donor supply, how to look at the future for when my hair loss progresses and what I can do to prevent more hair loss (medication, exercise, etc.) They have a concept to not blow your entire "wad" with a mega session and see how the first procedure goes to ensure you can make revisions later on and assess where you are. This approach makes perfect sense and gives the patient more donor supply to fine tune their hair in the future. I originally booked with Dr. Diep but decided to back out due to a lot of recent negative reviews and concerns about his ethics. Please review my other thread here and post here about the situation. I want to give a major shout out to aaron1234 for coaching me through the whole process and recommending me to go through SMG/Ron Shapiro. This is the best decision I have ever made and I would not have gotten this far without him. Aaron, thank you for everything, I owe you. Also, notable mention to jimcraig152 for giving me some solid advice regarding my surgeon decision. Shapiro Medical Group (SMG) Review This clinic is hands down one of the most professional clinics I have been to. It was an amazing experience and I felt right at home at SMG. The staff/technicians/doctors are so genuine, caring, and love what they do. Ron Shapiro took his time with me to explain the process and decisions behind the HT and hairline. The staff and technicians were very friendly and we got along well. They introduced themselves and wanted to know more about me. They cared about my personal life, we joked/laughed together and we were all just having a great time during the procedure. This made everything so much easier. Oh, and everyone is super organized which is a huge plus. The office itself is super clean and everyone followed COVID procedures to a t. Great atmosphere and I felt 150% comfortable being there. Pre-Surgery Appointment Mattt Zupan (Sales Consultant) took my before photos in their studio. Pamela (receptionist) took my food order for the procedure day. I got to meet with Dr. Ron Shapiro and go over our game plan. He let me ask as many questions as I wanted and was very patient with me. He also showed me many photos going over this donor supply philosophy and why he likes his conservative approach versus mega sessions. Before Photos Surgery Day 1 Got in at 7:30 AM and was greeted by Pamela (receptionist). Dr. Josephitis/Dr. Joe greeted me and had me change into their provided shirt. He asked if I had breakfast and I had not. He immediately got me some breakfast/energy bars and apple juice so that I was not hungry. Dr. Joe cut my hair (in their barber room) short enough, but left enough hair so that Dr. Shapiro could see how to properly blend my grafts with my hair loss appropriately. Went into the surgery room and my vitals were taken. Everyone introduced themselves and I hit it off with the staff immediately. They got me blankets, water and let me pick out a movie on the Apple TV. The technician (Vicky) numbed my head so we could make the incisions. They used massagers/vibrator on my face to distract me. Ron Shapiro came out and began to make the incisions on my head. He did roughly 2000 incisions. Hole sizes were predominantly meant for 2s and 3s. Some 1s for hairline. Ron took his time and did not rush the incisions which was awesome to see. He did them with intent and purpose. I got numbed in the back of my head for extractions and received a back massage + face massage for a distraction. SCORE! Dr. Josephitis came in to perform my extractions and got roughly 1620 Grafts from the middle section of the back of my head: 674 3's | 782 2's | 164 1's Dr. Ron came back out with the technicians and supervised for a bit while they began to implant the grafts. He also made some additional incisions for 1's that Dr. Joe extracted PS: Lunch was amazing! Lunch Break Photos End of Day 1 Surgery Photos Surgery Day 2 Front staff fed me again, provided blankets, movies, etc. Technicians numbed me again for procedure Dr. Ron made an additional 1000 incisions in anticipation of harvesting a total of 3000 grafts. Ron took his time and did not rush the incisions. Dr. Joe finished my extractions on the sides of my head and was able to extract a total of 1600/1700 grafts and exceeded my expectations. Dr. Ron and I were pleasantly surprised here. This surpassed our planned 3,000 graft count and hit 3332. Dr. Ron came back and added more incisions to cover the new grafts. He finished my hairline and advised his technicians on where to place the 1s, 2s and 3s. EDIT: Ron injected 5cc's of exosomes into my scalp which are derived from stem cells. This is supposed to be better than PRP and has major benefits from a single session. SMG has seen great results with hair growth from this treatment, and I decided to give it a shot. This exosomes were diluted to 10ccs and injected all over my scalp. You can learn more about exosomes here. End of Day 2 Surgery Photos FINAL GRAFT INFORMATION COMING SOON Summary All in all, I am super IMPRESSED by the professionalism at SMG. Ron Shapiro did all the incisions in the recipient area while Dr. Joe (Very experienced surgeon) did all the extractions. Dr. Ron supervised and helped the technicians with the implantation. Ron came to the surgery room frequently when the techs were implanting and always made sure I was taken care of. Always took his time to re-asses the hairline and make sure it looked good. Dr Ron & Joe took their time to ensure that the incisions made sense and that the extractions were super clean and spread out. Dr Ron & Joe answered all my questions during the procedure as well and you can tell they are both super passionate about what they do. I got thorough answers and learned a lot in the surgery room. The staff was super friendly and we talked about our lives, kids, family, interests and etc. Made the experience really fun. I would definitely recommend everyone who is looking for a US surgeon to go to SMG as this is a world-class clinic which provided an experience I will never forget. They made my first Hair Transplant an amazing experience and I look forward to returning if I am going to get another procedure. I left the clinic thrilled and ready for my next steps in life. The final graft count is as follows: 1’s - 663 2’s - 1912 3’s - 757
  3. Guys, I have gotten the green light on a very exciting live Q&A. The one and only Dr. Ron Shapiro the author and publisher of the best study we have comparing the growth rate of FUT and FUE side by side. He also states the case for maximizing donor supply by utilizing FUT first and then using FUE. There are so many questions around donor maximizing/preservation. I'm truly excited for this one guys, we're also going to have Dr. Josephitis who has been performing FUE with the WAW, Mamba systems for years at Shapiro Medical Group. The date and time is still pending, but it will happen. Let's get the buzz going guys, not often we get to speak to a legend like Ron one on one. https://www.ishrs-htforum.org/content/28/5/179 https://www.ishrs-htforum.org/content/htfi/29/5/local/front-matter.pdf
  4. If it makes a differences, I am looking to do 1600-2000 grafts, FUT. I say 1600-2000 because that's what the several HT surgeons I have consulted with gave, I understand that these surgeons will give different estimates. Btw, glad this site exists, I had consulted around in my local area, and wasn't quite satisfied with my local options. I had a 1500 grafts surgery about a decade ago, and looking fill in areas that have lost density + my hairline needs to be fixed a little from my last transplant. I am slightly leaning towards coverage over density, though from what I can tell, all of them have a pretty good understanding of this balance. From what I've been reading, Gabel is a little newer though by now is well established/experienced. Other than that, as far as I could find, other differences I could find don't seem to matter too much too but: Konior seems to do most of the work himself as opposed to techs. Hassan or Wong seem to be more reliant on techs, though their techs are very experienced (~10 years). Hassan seems to do more hair transplants than Wong due to more reviews being produced by him. These don't seem to tip the needle for me. I'm thinking hair transplants take several hours. Techs aide in preserving the surgeons much needed focus for optimal results, especially for tasks that are repeated a few thousand times. If a surgeon needs more rest to recharge and put more focus into fewer patients, they should do it. One of the questions I have is, why is Ron Shapiro so touted here, but not his associate Paul Shapiro or David Josephitis? Paul Shapiro doesn't even seem to be on the coalition. Anyways, it seems that I can't go wrong, but I have to pick one. Good dilemma to have, thanks to this website. Edit: I may have to expand my list, due to border crossing issues, wait times, etc. Any recommendations? Pref those who are great at detail, hairlines, repair, though again, that seems to be most of them. Great stuff. I am looking to do ~2000 grafts. My previous HT is a little messed up in the corners, so I guess I fall into the 'repair' category. Do you any other recommendations for surgeons whose strengths fall under 'detail' and 'repair' category. I am ok if they are not (yet) in the coalition if they have great praise on here (like Dr Nadimi ). After looking at this post, and doing some more research, I would say Konior is likely my top choice. But It looks like I may not be able to get in due to his wait list. His associate Dr Nadimi seems more available, though she doesn't seem to be a coalition member. From the posts here it really looks like she has a great rep. I saw in one of the testimonial that during one procedure, she had to step out and take care of a different patient. It seems that a lot of up-and-coming HTSs try to pack a lot of work in to make a name for themselves. But younger people tend to have more energy so not necessarily a bad thing. She might be a future coalition member, and so if there is a discount compared to Konior it may be great value HT, though it seems that if you study under a coalition member, that's not necessarily guaranteed, ie Rasman/Pak. In case the others have very long wait times like Konior, I decided to expand my list. From my research, I added: Bernardino Arocha: His assistant posts results here regularly. I don't hear these epic praises for him like with the others. But seems like a solid choice. Timothy Carman: He seems to be a high demand area for HTs; San Diego. So I'm not sure where there is so little talk about him. He is close to where I am, so I would love to consider him. Haber, M.D.: Another coalition member. Like Timothy, not much buzz on here about him.
  5. I did not realize people were wondering about my brother so much. Yes. My brother Paul who was with me for over 15 years decided during the pandemic it was time for him to retire( or take a long sabbatical). He loved doing hair transplants but was having some neck pain issues from the long surgeries and just felt it was time to enjoy life a little. If any of his patients need to contact us for any reason....... Dr josephitis and myself will take over Pauls past cases. In addition Paul will fill us in and bring us up to date personally on any history of past patients he has done to ensure continuity of care. We still are in constant contact as he is my brother and lives near by. So he was not removed....he just decided to slow down and enjoy the roses
  6. From the Shapiro medical group, I see Ron Shapiro, and Dr. David Josephitis in the coalition. From reading around this forum, I see at one point Paul Shapiro was on the coalition but thent it looks like he's not there anymore. Is there any insight to this?
  7. Yes. My brother Paul who was with me for 15 years decided during the pandemic it was time for him to retire( or take a long sabbatical). He loved doing hair transplants but was having some neck pain issues from the long surgeries and just felt it was time to enjoy life a little. If any of his patients need to contact us for any reason....... Dr josephitis and myself will take over Pauls past cases. In addition Paul will fill us in and bring us up to date personally on any history of past patients he has done to ensure continuity of care. We still are in constant contact as he is my brother and lives near by.
  8. No, he is no longer practicing surgery full time and asked to be removed. Dr. Ron Shapiro and Dr. Josephitis are active.
  9. You have won most of the battle with that shortlist. Congratulations. As for the differences: Konior, Hasson and Wong tend to have a 'straighter' hairline design; and by that I mean with less macro irregularity. hairlines are still curved but not zigzagged. H&W occasionally do more 'V' shaped hairlines, but not always. Shaprios are more macro (zigzag) and tend to be the least agressive of all the doctors named. Gabel is somewhere inbetween but probably nearer Konior/H&W end of the scale. Hairline position: H&W the most aggressive, Shapiro the least. The others somewhere inbetween. Not sure why Paul Shapiro is no longer listed. Maybe he slowed down surgeries and it's just a business decision not to be part of the network. I'm sure they get more than enough referals by word of mouth. I don't think H&W do much of the implantation. Maybe a few 100 here and there and leave the rest to techs. I'm pretty sure Ron always does a few hundred grafts, then techs take over. I think the same with Gabel, though he may do a greater proportion, perhaps up to 50%. Konior, technically doesn't insert the grafts, though he does adjust them (quality control). His lead tech does most of the intiial placement, but he does oversee 100% implantation as it is usually stick and place. I think all the other docs normally usually use pre-made openings, so don't have to be there 100% of the time. As far as experience, all have 25-30+ years, except possibly Gabel (20 years?) and Josephitis (my guess: 12 to 15). Konior and Gabel dual Board Certified (Head/neck and HT). Most of the others Board Certified in HT.
  10. In my opinion, if you want to maximize your donor supply you should start off with FUT, you look to be a Norwood 6. I don't think you'll follow your fathers hair loss pattern. Although, nothing is set in stone. Here is my advice, submit as many virtual consultations as possible. Get a general consensus for the price and the number of grafts you'll need. Below is our list, you can start submitting VC's now. Forum approved list https://www.hairtransplantnetwork.com/Consult-a-Physician/hair-transplant-surgeons.asp?sr=HRN Watch these videos, they are from world renowned Dr. Shapiro, Dr. Josephitis, Dr. Nadimi and Dr. Konior. They will help you figure out the differences, and they will explain why getting a personalized consult is ideal.
  11. Dr. Shapiro and Dr. Josephetis have super reasonable FUE prices that are cost-effective when compared to H&W, Gabel, Cooley and the others. I saved quite a bit of money going to Shapiro Medical Group versus H&W, and SMG is top notch (cost was not the determing factor either, it was just another plus side by going to SMG). Melvin posted an interview with H&W and it's not all about the graft numbers, but how the transplanted hairs covers your skin to look less bald. Yes, more grafts will give you more density, but Coronal vs. Sagittal slits and other factors like size of hair follicles (fine vs thick hair) will determine the looks. Hair transplants are an illusion of density and you have limited supply. Each person has roughly 6 - 9k grafts and you want to plan appropriately. Shapiro who teaches transplant strategies extensively taught me that you shouldn't blow your wad in one session and cap it around 3k grafts to determine where you need to go next. Since you are young, you will most likely lose more hair and need another transplant. A low/aggressive hairline may look great now, but in 20 years, it may not. So, you need to plan accordingly based on donor supply. Chasing your hair loss will never end and you will need to keep taking meds, monitoring hair loss and seeing what your next steps are. One procedure is not enough and if money is an issue now, it will come to rear its ugly head again in the future imo. The next procedure you may not need as much, but it's still costly. Several veteran member here have had 4+ surgeries perfecting the density and hairline as their hair loss progressed even with medication. So, ask yourself now if this is worth chasing for the next 10, 20, 30 or even 40 years. To get that density and what you are looking for in that picture, I would say you need 4 - 5k grafts, maybe even more. 3k is a good starting point, but won't get you that amazing hairline in your doctored photo. You will look great for sure, but you have to be realistic and understand that a HT will never look as good as natural hair, but can improve your appearance and make you happy. There are grand slams and good results. Everyone is different and there is a chance that the procedure could fail (very low chance with a good clinic) but it's happened. Every doctor have people who had transplants that were complete failures due to the person not taking grafts well, even elite doctors. I am not to trying scare you, but saving you lots of time by being upfront about what it takes to keep your hair and the future. I would highly recommend you contact Shapiro Medical Group as they have amazing prices and are an elite clinic. Working with them, they didn't care about my money and honestly wanted what was best for me. They educated me about transplants and offered a whole new perspective. They even recommended other top clinics if I decided not go with them, so they truly care about you as a patient. You get the best of both worlds there and I am thrilled with my transplant thus far. Of course I would love a lower hairline and more density (everyone does), but you gotta be realistic and manage expectations with your budget and needs. Feel free to PM me and I can give you some guidance on what I have learned. However, please also contact other members for real reviews and results. Melvin has amazing YT videos on what to look for and how to pick the right surgeon -- follow his lead and investigate these forums to find your answer. Here is my thread if you want to learn more: https://www.hairrestorationnetwork.com/topic/58171-3332-fue-grafts-dr-ron-shapiro-dr-josephitis-smg/
  12. True @Melvin-Moderator. I am pretty sure Shapiro actually said not to exceed 4k FUE grafts (rather than 3k). Josephitis was clear in saying he felt that lifetime there are ~3k grafts available trough both methods.
  13. "Our cover article by David Josephitis and Ron Shapiro is an ambitious and well-designed study taking place over two years in two patients who had two procedures, FUE and FUT, performed at the same time, twice. Their conclusions were that more grafts were obtained on the FUT side, residual donor density was greater on the FUT side, and FUT plus FUE yielded more grafts. When done properly, FUT is unarguably more efficient than FUE. That is important news! So why are some trying to relegate FUT to historical footnote status?" By the way I do believe there is essence in consulting with doctors who perform both methods without bias (economic, marketing etc etc) and put emphasis on patient needs, expectation and long term planning. In other words, ethics. I think that the truth shouldn't be blurred due to what the "market calls for". Just like someone is going to doubt the motives of Dr Feller for his 'aggressive' FUT stance and Dr. Cole for this 'aggressive' FUE stance, why not consider Dr. Wong and Dr. Konior's opinion who still perform both at high level (and most people on the boards consider legend status of the industry) I agree with not pushing for one procedure over another because of the type of procedure someone has gotten so they don't want to admit the opposite method maye be better etc. I think everyone should have the chance to make a decision based on facts and not marketing. For the record, I believe exclusive FUE is great for many cases but for access to max amount of grafts over someones lifetime, it simply isn't.
  14. The difference can be 2000-3000 extra grafts if one were to go FUT and then FUE (excluding beard hair grafts). The consensus after speaking with doctors who do both FUT and FUE is that the difference can be having a crown coverage and not having crown coverage. When doing purely FUE, you are limited to a lower amount of grafts because you have to go tall and wide on the donor region to avoid over harvesting and creating a depleting looking donor area. By doing this you are tapping into what can be 'semi-permanent' hairs that can look great in the short term but may miniaturize over the long term. I think there is benefit to watching the Dr Shapiro and Dr Josephitis interview from yesterday as they go over a lot of what you are talking about and they do a good job explaining it. Keeping an open mind and reading a bit in between the lines when watching the interview does help put things into perspective even more. By going FUT and then FUE, it allows someone to move more hair while still managing the donor area aesthetically. Even if someone doesn't progress to a NW7, the point is there are more grafts available which can be the difference in having more density in certain areas. Some people just want to have the fullest looking head of hair they can get and are willing to deal with a FUT scar for that. Now if having short hairstyles and buzzing down to the lowest guard possible is of great importance, than sure, FUE might be the way to go. Make sure that the FUE is done super efficiently because there is less mercy for screw ups with FUE as opposed to FUT, for the most part.
  15. If your goal is to get the maximum amount of lifetime hair, go FUT. I will be talking to Dr. Shapiro and Dr. Josephitis next week, both were part of a study that looked at FUT and FUE growth rates and donor preservation. Going FUT first provided the most hair. Nizoral works just fine for me.
  16. I'm already a hairy gorilla, I can't see how I could get much worse. I'm gonna ask Dr. Ron and Dr. Josephitis for their opinions and safety of oral minoxidil. I'll be speaking to them on our Instagram live next week.
  17. Hi all, I've been lurking the forums for a while but felt the need to make an account because I could not find the answers to my questions alone. While parsing some of the threads from this website, along with other resources online, and while I have found a general consensus for what the general approach is to maximize your available donor hairs, which is of course a concern for those of us headed, or already at, a high Norwood level, I still had some questions unresolved. The consensus that I've gathered is: Maximize as much as you can from FUT, and once that is done, fill in the rest with FUE as much as possible. This would, in theory at least, optimize your chances for the best yield, and without damaging your donor too much to allow for that greater number of lifetime donor grafts. However, I'm a little bit unsure how sound this conclusion is. For one, although the number of published works on transplantation yields, at least recently, is low, there is evidence that FUE yields are able to equal, and even perhaps slightly surpass, FUT yields. See the David Josephitis and Ron Shapiro work: https://www.ishrs-htforum.org/content/28/5/179. I have also seen another post from a hair transplant surgeon who did a test run of 100 grafts and said that 99 of them grew, but I cannot recollect the exact thread here where I read this (perhaps it was Dr. Vories?). However, if one desires a larger number of grafts in a single session, then it's rather well known FUT, on average, is the better choice (see posts from clinics such as BHR and additional ones for support of this notion: https://bhrclinic.com/fue-or-fut-first-thats-the-question-2/) So, it instead seems to me, if you are going for a mega-session, then the FUT vs FUE argument sways more toward FUT, as the ability for the scalp to heal after a large number of FUE grafts is more challenging than a larger FUT procedure. This makes intuitive sense. But, suppose you greatly decreased the number of FUE grafts in your procedure, and kept it between 500 and 1000. If we assume cost is not a deciding factor, purely available donor and yielded recipient grafts, what would be your variation in yield and available resultant donor with the following options? a) 10 FUE procedures of 500 grafts b) 5 FUE procedures of 1000 grafts c) 2 FUT procedures of 2500 grafts d) 1 FUT procedure of 3000 grafts and 1 FUE procedure of 2000 grafts That is to say, as the number of procedures "m" increases, and the number of grafts taken "n" decreases, does that lessen the delta between FUT and FUE? If so, it would seem if money and time were not a factor, a smaller number of FUE procedures would a) give you a very comparable, if not potentially even better yield, b) allow you to avoid the unsightliness of the linear scar which many patients would like to avoid, and c) not compromise your leftover donor reserves any more than a FUT procedure would. Is this line of reasoning correct? Thank you all for your help Also, if anyone has full access to this Shapiro and Josephitis paper "A Side-by-Side Study of FUT vs. FUE Graft Availability in the Same Patients and Its Implications on Lifetime Donor Supply and Management" https://www.ishrs-htforum.org/content/29/5/177, it would be great to see the actual numbers they found, as the abstract did not include them.
  18. Dear Forum Members, As you know, members of the Coalition of Independent Hair Restoration Physicians have to meet extremely demanding standards and have an outstanding reputation for producing only the best results. Thus, we would like your input on the potential Coalition membership for Dr. David Josephitis. To view our demanding standards for the Coalition, click here. Dr. David Josephitis works with both Dr. Ron Shapiro and Dr. Paul Shapiro and has been presenting examples of his work and results and contributing on this forum for over a year. Patient members of this community have been very impressed by his results and thus, we feel that he should be considered for Coalition membership. Dr. Josephitis provides both FUT/strip and FUE and performs all the extractions himself on every single FUE procedure at the clinic. This includes Dr. Ron Shapiro and Dr. Paul Shapiro's FUE cases. He is a board certified diplomate of the ABHRS (American Board of Hair Restoration Surgery) and has earned fellowship status at the ISHRS (International Society of Hair Restoration Surgery). Dr. Josephitis is highly respected by his peers and his patients. He became interested in performing hair transplant surgery in medical school when he was introduced to the procedure by Coalition member Dr. Glenn Charles. He is also a hair transplant patient and received 1800 plus follicular units to refine his hairline. Dr. Josephitis has the staff and experience to perform densely packed sessions exceeding 3000 grafts when appropriate for the patient via strip and up to 2000 grafts a day utilizing the FUE (follicular unit extraction) procedure. He uses all the latest techniques and technology including PRP (Platelet Rich Plasma), ACell, microscopes and more. Grafts are dipped in ACell for all FUE procedures and when appropriate, PRP is applied to the recipient sites in order to facilitate optimal growth. Dr. David Josephitis uses a combination of FUE extraction devices including the Cole sharp punch, a manual punch and Coalition member Dr. Devroye's oscillating punch depending on the patient. Dr. Josephitis is very hands on and works with between 5 to 10 experienced technicians averaging 10 years of experience on every strip procedure depending on the size of the session. During FUE, he only requires 2 or 3 technicians to assist him with the procedure. Over the last year, Dr. Josephitis has presented several examples of his procedure and recent results on this forum. Dr. Josephitis' Recent Patient and Surgical photos can be found below: 1324 Grafts 6 Month Progress Patient Posted Result with Dr. Josephitis 2362 Grafts with Dr. Josephitis Strip Result 2038 Grafts with Dr. Josephitis 2194 Grafts with Dr. Josephitis FUE Result 2013 Grafts with Dr. Josephitis Strip Result FUE Study - Comparing .9mm Sharp vs Dull Punch 3314 Grafts with Dr. Josephitis Strip Result 3535 Grafts with Dr. Josephitis Strip Result Given Dr. Josephitis' credentials and dedication to advanced surgical hair restoration, I believe he should be considered for the Coalition. To view our demanding standards for the Coalition, click here. We welcome all input and comments regarding his potential inclusion. To view additional examples of his patient results, visit the "Results Posted by Leading Hair Restoration Clinics" forum. We look forward to your feedback. Bill
  19. Sometimes we forget that hair loss is a medical condition. A patient seeking surgical hair restoration is in need of medical care. Never should a patient feel like they are being put on an assembly line. Brings a tear to my eye to hear how well you were taken care. This should be the standard, not a serendipitous discovery by hair loss sufferers. Kudos to SMG and their staff. Well done 🙌. Been awaiting your results from your procedure and it is plain to see, you made an excellent choice. The frontal grafts are randomly placed. The hairline has the necessary micro irregularities and no tricks were employed to achieve a non-linear appearing hairline. That is, a straight line was not punched and zig zags were not dangled in front to break up an artificial looking linear hairline. Grafts also appear well packed and random throughout the recipient area. As for the temple points, not as dense which is also how temples should be and also randomly placed. Towards the back and edges of your recipient area, grafts are packed with less density so that grafts fade in with your natural hair. These subtleties can easily be skipped, and when they are, it shows in the results. We can't see angular or directional growth yet, but since you described that your surgeon took time to ensure angles were placed carefully, no doubt once they fully grow out and mature, you will have a nature-made result. Naturalness being the primary goal of any hair transplant is well checked in this regard. I remember you originally wanted FUT. That you went with FUE is looking to be a great decision. I see no linear excision patterns. I see no harvesting of too many grafts from too small of an area. Every square inch looks to have had the same amount of grafts pulled from them. Still looks like you have quite a bit of supply left too. Also, the punch used looks to be small. I am guessing .8mm or less. EDIT: And for 3332 grafts, Shapiro and Josephitis didn't even venture anywhere close to non-DHT resilient zones. This is why one would pay more for FUE. I am thinking in 2 weeks once the scabs are out and the shorn donor area grows back in a bit, your donor will look like this: Congrats man. And thanks for keeping us in the loop. #smgftw
  20. This female patient was suffering from the effects of temple recession which is fairly common in even younger females, but rarely discussed. Dr. Josephitis consulted with the patient to discuss options for reconstructing her temples to regain her feminine hairline. A procedure of 1752 grafts using FUT accomplished the goal with one pass, as the density and design were appropriate given her characteristics and her requirements. This video has been produced in Ultra HD 4K resolution for the maximum level of detail visible.
  21. Two hall of famers. Most people don't post their results. You're lucky if 6 a year do which is probably no more than 2% per annum. You may find more Shapiro results on Hair loss Experiences. I think Dr Josephitis does all the FUE extractions for Ron and Paul, but the latter do the designs, incisions, and maybe the critical placement in the front hairline...unless things have changed since I last looked. I'm sure Dr J also does his own patients.
  22. An excellent result at 7 month’s post op from Dr. Josephitis of Shapiro Medical Group. Few challenging factors to overcome with less than average density and fine caliber hairs on a young NW5 patient. We consider 2892gr Strip/FUT hair transplant on this patient to be a success! http://i296.photobucket.com/albums/mm182/janna0001/DrDavidJosephitis/081916KM/Slide10.jpg[/img
  23. Shapiro Medical is pleased to present a 1 yr result from Dr. David Josephitis. This patient wanted at least 3000 of 4201 grafts to address the frontal half with much lighter coverage to the back half. Multiple sessions were planned from the beginning to address total recipient area of over 200 cm2. This patient will schedule another session to address the crown soon. For now he can enjoy this stand alone FUT procedure that gives him a natural result.
  24. I would try to persuade Dr N around to this thinking. If it's not going to take more than a few hundred grafts you may get some joy, who knows. If you want second, third, fourth opnions, I'd look at Gabel, Shapiros (& /Josephitis), Cooley. They are of a handful who do the extractions themselves. I've never seen a mangled donor from them.
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