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  1. Hi there, I am considering getting SMP in my FUT scar. Has anyone had this done with Rahal? Or just SMP in the scar? Would appreciate any thoughts? Thanks, Sid
  2. Background: 28 years old with a NW2 type recession and very mild thinning in the crown. Family history: Mother’s side has great hair genetics (her father and brother had a full head of hair well into their late years), MPB present with my father and his late father, however, slow and gradual loss, my father is 65 and has more so thinned throughout the top rather than lost hair. I don’t have siblings, and my first cousin who I share my grandfather with from dad’s side, is 36 years old and shows no signs of thinning. * Important to note - I believe that looking at family history could be relevant to some extent, but should not be relied on. If you have experienced hair loss, 95% chance it is from MPB. It's due to genetic variations, your genetics are complex and unique, and MPB is progressive. It is wishful and naive thinking to believe you may “stabilize” one day or try to determine your final form so to say. Prevention: Propecia - Currently 1mg/ED (every day) - Started January 1, 2020 at low dosages, and worked up to 1mg a day. Experimented with 0.25mg EOD (every other day) and gradually increased the dose as I felt comfortable. - More time is necessary to judge entirely how efficacious finasteride has been for me, but I believe it is maintaining my hair. My hope and goal at the core is prevention, any added density or regrowth would be a blessing. Minoxidil - Rogaine 5% Foam 1x per night ED - Started about 1.5 years ago - Love/hate relationship, does occasionally irritate my scalp and other times its fine. The application itself is not a hassle as it takes a couple of minutes to apply, however, I'm not a fan of how it leaves my hair feeling clumped and greasy. - Hoping for the minoxidil sulfate test to come out asap to determine whether or not topical minoxidil is ultimately effective for me. (Might switch to oral) Microneedling - 1.5mm 1x a week, no topicals for 24 hours after session. - I use Dr. Pen microneedling device - Apply it all over my scalp other than my recipient area for the time being. - Takes me around 10 minutes, and I rather enjoy it oddly enough its therapeutic for me Shampoos - Nizarol 2% ketoconazole, Regenpure DR 1% Ketoconazole, Selsun Blue 2.5% (extra strength). - I alternate the use of these. I aim to use nizarol only once a week at most as it drys my scalp, Might use Regenpure once a week on a different day, and will only use Selsun Blue when my scalp feels irritated/itchy, I find this shampoo to be the best at clearing up dandruff and dermatitis. - Otherwise I use some mild organic shampoo without sulfates, that includes all the fancy ingredients like biotin, nettle, tea tree, etc etc & currently using Herbal Glo EOD. Hair Mask - - Occasionally I put on a hair mask, not for prevention towards MPB (will not do anything to address androgenetic activity), but to moisturize my dry scalp. - I use coconut oil, castor oil, pumpkin seed oil, peppermint oil, tea tree oil & I use 1 egg yolk that helps bind all the ingredients together so it's not dripping all over the place. Supplements - - Not super important in my opinion, as I have tested my blood levels for deficiencies for many years even before I realized I had hair loss. My Iron, B12, folate etc levels have always been intact. - Still I recommend anyone to test for any deficiencies as they could be hindering healthy hair growth. - I take Vitamin D, MSM, a collagen powder that contains biotin ED. - Cleaned up the diet and started exercising more consistently Considering: Oral Minoxidil - 1 - 2.5mg ED - Still searching for a doctor willing to prescribe it to me Dutasteride - Topical or Oral - 1x a week added to my finasteride regimine CB-03-01 - Topical Anti-Androgen to address remaining androgens in the scalp including testosterone & DHT Restoration - 2,401 FUE with Dr. Rahal on September 9, 2020 My search for a surgeon was narrowed down to Dr. Hasson, Dr. Bisanga & Dr. Rahal. I told myself I would be comfortable going to any of the three as each were very capable doctors for dense hairline work and had over 25+ years of specialization in the industry. Ultimately I made a decision to go with Dr. Rahal as the pandemic offered a unique opportunity for me in terms of timing to get my hair transplant. Being in lockdown meant that I would have the luxury to recover at home for at least the first 4 months, and likely further to 6 or 7 months as well. Dr. Rahal’s clinic offered a date in September that really worked for me, and being the first surgery after a long holiday period that meant 5 days of rest for him and his staff, while also being the only patient they operated on that day were big bonuses for me. Day of Procedure - The surgery went better than I could have hoped for, we started at 6:00 am and finished around 1pm, time seemed to fly by with some conversation with Dr. Rahal and his staff who were all friendly, and I felt little to no pain. Initially I was booked for 2,500 grafts, after drawing up a hairline and doing measurements, they determined they would aim closer to 2,200 grafts. They extracted 2,200 grafts and during the incision process, Dr. Rahal determined I would benefit with 200 more grafts added in for density, they flipped me over and extracted again; to total 2,401 grafts. I was returned the difference as I originally paid for 2,500. Dr. Rahal had two main techs who extracted and implanted the grafts, and I believe I counted 4 other female techs who were under microscopes sorting and analyzing the grafts. The team worked very efficiently and one of the women came over to tell me that “my grafts looked very good”, which was nice for me to hear at that moment and hopefully it wasn’t just something she was saying to make me happy. Dr. Rahal checked into the room once in between extraction and placement, and it seemed he had a lot of trust in his staff. Dr. Rahal’s demeanour is calm and soft spoken, and also gets straight to business. I spent the night at their guesthouse, and my family and I expected to find accommodation at a hotel in Ottawa the following day as I didn’t know what to expect in terms of recovery, however, to my surprise I felt nearly no pain and we left immediately after the post-op the following day (4.5 hour drive back to Toronto from Ottawa). Fun fact, their clinic in Toronto is a total 7 min drive from my home, but the date they had available in Ottawa that week worked much better so we made the trip instead, which we rather enjoyed anyway. Everything considered, I was very happy with my experience on the merits of the work and attention I felt I was getting, minimal pain & swelling, and overall the immediate recipient area looked clean and dense and the donor looked good and healed quickly. My recovery was standard, I took a high level of precaution for the first two weeks, followed their instructions to the T and the post-op rep was always available to answer my questions. Why I chose FUE - For a few reasons. Every doctor I consulted with, including Diep, Zarev, H&W (consultant), Pradeep Sethi, Bisanga and of course Rahal told me I was a great candidate for FUE. I was told my donor had a fairly high capacity that I could tap into in case there was some more recession even on medication. The extracting tech ended up telling me he suspected I could achieve approximately up to another 6k, so in total 8k grafts. The other reason is that ever since I started getting haircuts as a kid on my own, I always kept my sides very short, I’ve always faded my hair and there may not have been a time since I was like 13 that my sides were longer than a 3 or 4 guard. So it was important to me to have this option. Lastly, I felt that FUE may offer a greater exit strategy if down the road things didn’t go according to plan and the Norwood Reaper wins the battle. It might be easier to shave down having done an FUE vs FUT, however, I don’t believe it would be easy with either. Surgery Details: Total grafts: 2,401 Total hairs: 5,458 Average hair per graft: 2.27 Graft break down: Singles - 407 Twos - 1,034 Threes - 857 Fours - 103 Recipient area size: 43cm^2 Recipient graft density: 55.8cm^2 Photo Dump: Clinic Photos: Day 3: Day 10 Day 14 1 Month 2 Months Month 3 This forum helped me get through this process and I'm grateful for it & I wanted to play it forward. I'll try to update month to month, any feedback is appreciated and welcomed. Special thank you to @Melvin-Moderator & @Raphael84 who were very helpful answering the many questions I had.
  3. Hello everyone, Mike Flaherty is not my real name. My first transplant with Dr. Rahal was nine years ago in 2010. I had another one performed two years later in 2012 to lower my temple points and add some hair to the sides of my head. All in all, I believe it was around 5000-5500 grafts transplanted over those two sessions. My hair still felt rather thin and wispy but with meds and thickening products I managed and for a few years was pleased with it. This year my hair has started thinning something fierce - especially on the sides which now appear almost bare. I've developed bare patches on top as well, which were always there but this year they have gotten extremely sparse. By the end of the day, my hair feels extremely thin and almost greasy to touch and I can feel these bare patches. I'm seeing a lot more long hairs fall out in the sink when I wash my hair. I switched to organic shampoo two months ago but that might have made shedding (if that's what this is) worse. My bareness on the sides (right side especially) has now exposed my scar from my procedure years ago. After these two very expensive procedures ($20,000 which I'm still paying off) I'm very disappointed in the quality of my hair's overall thinness, patchy spots and continuing loss. I know I've put on an amount of weight the last few years but I can't see that factoring into my hair loss. I did consult with Rahal this past spring who suggested another procedure - at an additional $7000. I'm amazed at the incredible thick hairlines and work I see from other Rahal patients but mine was not one of them. Pretty much at a loss (pardon the pun) right now regarding this situation.
  4. Dr. Cotterill (also one of the cheapest) Dr. Jones Dr. Rahal
  5. I have my first HT surgery booked in three weeks, and plan on documenting everything in this thread. I've had diffuse thinning since 25. Being on Fin/Min/Stemoxydine/Alfatradiol and Microneedling has improved overall density over the past two years or so. I plan to continue various treatments with an 'overall density' goal, but I would like to focus on my hairline in this first operation. Video of diffuse thinning here (wet hair, strongest overhead lighting): https://imgur.com/a/u6AVaao I'm concentrating on the 'mid forelock' area and aiming for a dense hairline that I can push back with confidence. My biggest worries are shock loss (since I'd like the diffuse hairline filled in) and a natural placement that matches the current direction of my hairs. Next up: the pre-operation session! Dry, Left Side: Dry, Right Side Dry, Pulled Back: Wet hair, mid brightness Wet hair, max brightness Wet hair, overhead lamp
  6. Of course, here is a picture of me holding my hair back, I do need like 2000 grafts i believe, i mean, DUT, minoxidil, stemoxydine and alfatradiol can only get a little of my hairline back, actually, i do notice some hairline growing back, but it can only do so much, but for anything behind my hairline, it has worked wonders. I would like more templates and hairline, i'd say 2000 grafts average. I'm a very good candidate, my donor area is intact, i don't have any crown problems, it is just the hairline where my problem is. I'm, considering Dr.Freitas and dr.Bisanga or Dr.Rahal. As soon as i get vaccinated, i will travel to do a hair transplant. IS just Dr.Rahal is closer, for the other two i would have to travel transcontinental.
  7. Hi there. First time posting, so let me just say that this is such an awesome community. I have learned a lot on this site over the years, so thank you to all of you who answer questions to those of us trying to make an important decision. I live in NYC and have been thinking about a HT for the past 3-4 years. Over that time, I had consultations with 3 doctors near me (Drs. Wesley, Dorin, and Bernstein). I also had a remote consultation with Dr. Rahal in Canada. I am 46 years old and Norwood 3 and am really focused on trying to restore my hairline and get density in the front and top of my head. It's a balance of having my hairline back, but also wanting it to look natural and appropriate for my age. Here is my take on them and would love to know if others agree/disagree with my assessments and if there are other doctors I should also consider: Dr. Bernstein. Nice guy. Met him 3 years ago. Recommended 1500-2000 grafts and to mostly fill in the front hairline and said that if needed, I could do another procedure down the line. The pictures I saw of his hairlines didn't look very natural to me. They looked like they were almost a straight line, like they were drawn with a ruler, and seemed to lack the single hairs that one would expect in the front. On his website, he now has pictures that show better, more natural hairlines. Maybe he has gotten better? Dr. Wesley. Met him in late 2019 right before the pandemic. He was also recommending a similar number of grafts. I liked him a lot, and I thought his hairlines were better than Bernstein's. Some were excellent. But he was pushing FUT and I sometimes wear my hair short. Dr. Dorin. Also met him in 2019. I didn't like his work. Dr. Rahal. I first spoke to his office in 2020 right before the pandemic. It was less personalized service than the other doctors and was really hard to speak with him. In fairness, I don't happen to live in Canada whereas I am local to the other doctors. Maybe if I lived near Dr. Rahal, my experience would be different. Maybe they get a lot of not-so-serious people and so they are careful on having Dr. Rahal speak to everyone? Anyway, I sent photos and talked to the patient coordinator. She sent me his recommendations. I had to ask a few times if I could speak with him, and I eventually did, but it was almost like I had to really convince them that I needed to speak with this person who might be performing a surgical procedure on me. He recommended 2500 grafts which he said would give me a hairline as well as density. He said I might need another procedure down the line if I had more thinning on top or in the crown area. I initially reached out to Dr. Rahal based on positive reviews here and pictures I had seen of his hairlines (which were really amazing). But the reviews are mostly older threads from a few years back. I know others have posted about this recently (why no new Rahal posts?) and some have pointed out a couple of newer threads where people sing Rahal's praises, but I am concerned there aren't more Rahal patients posting here. My thoughts / questions: 1. Of the group above, who would you say is the one who has better results? The best track record / reputation for great results? 2. Is my experience with Dr. Rahal indicative of how it would be if I were a patient? Is it going to be pretty impersonal across the board? Will I just see him for 5 minutes and then techs will do everything? 3. Since I am willing to travel, are there other doctors I should consider who are outside of my geographic area (but still in North America)? Basically, who else should I consult with? Hasson? Baubac? Konior? Shapriro? Parsa Mohebi? Are there others who are really amazing that I haven't spoken with? Who is on top of their game right now, especially when it comes to hairlines? Thanks so much for your advice. It is greatly appreciated.
  8. Gone for my second hair transplant in the front after the first with another surgeon, left undesirable results. Took the plunge after seeing Ernie's page so anything close to that I will be very happy! Objectives - fortify front of hairline and behind as the estimated existing density was only 25 grafts/cm2 - create new temple points to frame the face Numbers: Single hairs = 277 Double hairs = 1806 Triple hairs = 611 Quadruple hairs = 109 Total grafts = 2803 Total hairs = 6158 Recipient area = 60cm2 Recipient graft density approx 46/cm2 on top of existing (hopefully 70 plus when it grows in) After consultation we were shooting for 2200 grafts but it turned out my donor was stronger than expected (2.1 hairs per graft), so ended up at 2800. I've still got grafts in the bank for FUT and FUE if needed down the line but I'm hoping to maintain what I have with finasteride and PRP. Been stable on fin for 10 years now. Whole process has been world's apart from the last - from communication, the staff, the process, and after care, I've felt at ease the entire way. I'm staying at the Rahal guest house which is situated next door to the clinic and I can't reiterate how convenient this is for ducking and diving in and out of surgery, for follow up appointments to check your progress, and for having the head washed. I've also met a bunch of guys from different parts of the world that I've stayed in touch with, and it was surprisingly liberating and funny to talk hair loss stories sitting down post-op without caring lol. I'm here for two weeks until my sutures are removed so i'm currently working my way through Netflix and the unlimited breakfast food supply, which really makes it good value. Overall I've been very impressed and now waiting for the big finale in a few months time. Uploading my pics so far and will be updating at 1, 3, 6 month etc, please feel free to comment. I'm interested to hear other people's questions or feedback. Cheers!!
  9. Rahal was my second surgeon. I've done one microneedling session so far and I have a dermatologist appointment next week to confirm that needling (and the trentinoin cream) is the approach. Below is a photo demonstrating the scarring/redness and this was about 3 weeks post-op (before any needling). The lighting makes it look less dramatic than it actually is actually.
  10. i consult with Rahal's consultant one year and half ago, and they suggested 2000 grafts.
  11. This photo was taken before starting treatment, the worst state of hair i had in my life, i was getting depressed, the picture seems like norwood 2 (started treatment on May 27): This photo was 45 days later, which i saw some progress: 30 days ago: 3 next pictures are from 5 days ago (long hair): TODAY after a hair cut: I still might want a hairline/templates reconstruction with @Rahal Hair Transplant but i'm waiting to get vaccinated. I will keep uploading progress of my regimen.
  12. Hello Everyone, Background: In 2008 when I was 25 years old, I had my first hair transplant with Dr. Rahal in which I had 3425 grafts implated to rebuid the front hairline by FUT but since then I haven`t taken any finasteride (due to side effects) so I lost all the hair in my midscalp and crown. I knew my donor area was limited to around 2000 grafts so I realized that in order to achieve a decent level of density I would have to compensate with beard grafts. Research: I started looking for an affordable Doctor that was performing the entire surgery himself and achieving great results with high amounts of beard grafts, so that ruled out Dr. Rahal. After months of research I found out that there was only one Doctor in the world that matched my requirements and was charging less than 2,5€ per beard graft, Dr. Kaan Pekiner. Dr. Kaan does all manual FUE with stick & place technique which is more time consuming than motorized FUE but he says it allows him to have a better feel while extracting and better control of the angle of each graft while implanting. So, I spoke with his patient advisor, Alex by whatsapp and booked my 3 day surgery from the 26 to the 28th of December (yes they work on weekends). New Luxury Clinic Opened 23/12/2019 Now how lucky was I to have found out that just last week Dr. Kaan Pekiner moved his practice to a brand new luxury clinic and I would be one of the first patients to have a surgery here. I recorded a walkthrough video to show you guys the new clinic and had Alex (Patient Advisor) upload it so my name doesn`t show: https://www.youtube.com/watch?v=hhAnFb5XfNY Because Dr. Kaan Pekiner only does surgery on 1 patient per day I had a private clinic just for myself that also included my own cook to provide meals during the day 😊 Hotel Atakosk Hotel is a 5 Star Hotel just across the street from the clinic. The Clinic has a special price of 45€/night with Breakfast and the room service dinner cost me between 6€ to 9€, super cheap! The roundtrip airport transfer are organized by the clinic and included in the price of the surgery so I brought 0 Turkish Liras with me. On checkout I paid the Hotel and all the room service meals with my Revolut card so I wouldn’t pay any credit card taxes. Surgery: My first day started at 08.30h with a photoshoot followed by mapping out the implating area and then a discussion about the surgery with Dr. Kaan. Dr. Kaan calculated I had a area of 140cm2 of mildscalp and crown to fill in but he would only manage to extract around 2000 grafts from the head and was unsure about the number of beard grafts he would be able to extract (maybe 1000-1500) so he gave me a tuff choice: 1. Achieve a nice density of around 30-40cm2 by implanting only to the mildscalp and upper crown leaving my lower crown empty for the rest of my life. 2. Implanting the whole 140cm2 open area and risking getting less than 20cm2 density if the beard donor fails to provide a high number of grafts. I went with option 2 and I am so happy I did so 😊 Here is my surgery timetable · 08.30h Graft Extraction · 10.30h 15m Break · 10.45h Graft Implatation · 12.45h 1 hour Lunch · 13.45h Graft Extraction · 15.30h 15m Break · 15.45h Graft Implatation · 17.45h: End of Day As predicted by Dr. Kaan he did only managed to extract 2000 head grafts because he only wanted to use thick graft and I could actually feel him searching my head for the best grafts to extract. “thin grafts would make no point in the crown” he said. I could also feel him arranging the angle of each graft in my crown while he was rebuilding my crown vertex, that attention to detail was like nothing I have ever seen and I thanked him repeatedly for it! On day 2 Dr. Kaan also took a sample of 109 grafts from my beard at the end of the day to test my beard donor area and he realized that my beard was actually much better than he expected. On the 3rd day the whole team spent 10 hours around my beard to extract a whopping 1888 beard grafts thus provinding me with almost 30cm2 density all around. I couldn`t believe it when Dr. Kaan told me the graft count, we were both so happy that I was getting a better than expected density (even though it’s not a lot and I am hoping I will be happy with the results). Also, I had 80 grafts (singles and doubles) implanted into to my right temple because after shaving it was easy to see I had a small gap in the front. Post-Op Today I met with Dr. Kaan to remove my bandages (yes he came to see me in person on a Sunday morning, amazing!). It`s also really great he speaks fluent English because if he didn`t it would have been a deal breaker for me. So my surgery finished yesterday and so far I have had absolutely no swelling whatsoever. Dr. Kaan used a 0.9mm punch for my scalp donor area and a 0.6mm punch for my beard donor area. A shout out to Dr. Kaan`s amazing team: Fatmanur, Irem, Volkan and Saide, they were by my side the whole day assisting Dr. Kaan and making sure everything went smoothly. Conclusion After having had FUT with Dr. Rahal in 2008 and now FUE + BHT with Dr. Kaan Pekiner, in my humble opinion Dr. Kaan is truly one of the best in the world as I found no other Doctor at his price point offering his total devotion to just one patient per day in order to reach the best possible outcome using both the donor area from the scalp and beard. Please check my pictures and let me know what you think. Request to the forum Administration: Dear Hair Restoration Network Administrators @Melvin-Moderator you guys would be doing a huge service to other patients like myself by including Dr. Kaan in your current list of just 2 reccomend Turkish Doctors (neither of which matched any of my requirements). I promise that if you come meet Dr. Kaan to see this new clinic, staff and technique you will confirm that he has truly raised the bar on the “Gold Standard Hair Transplant”. Thank you
  13. I'm almost 29 and my hairline has gotten to the point where I'm starting to feel like my receded temples are beginning to limit my styling options. Over the last year or so, I've noticed my hairline has gotten worse to the point that I started to realize I was receding. I always noticed very minor recession at the temples but didn't think much of it and just assumed it was just a normal hairline. The last year though with all the WFH stuff, all my terrible procrastination/playing catch up habits have really manifested and it's taken a toll on my hair due to missing sleep and whatever else. If not for the last year, I think my hairline would still be decent enough to try all the hairstyles that I was doing before. Anyway, I did a consultation with a local surgeon in Toronto as well as an online consultation with Hasson & Wong. I signed up for a consultation with Dr. Rahal but his sales guys feel like the type of people would try to sell you a hair transplant at a funeral if they thought it would get them anywhere. Dude called my phone at like 10 Saturday morning to ask me for photos of my hairline. So I talked to the local surgeon and he recommended 1200 grafts to fill in the temples. No hairline lowering or anything. Just temples only. And it would give the appearance of mild thinning I believe he said. Overall he seemed really conservative and his estimate though he did tell me that my hair donor density was about average while my hair thickness was a bit above average thickness. I also did an online consultation with Hasson & Wong and I was basically told that I'd need 3000 grafts. I'm assuming the reason H&W said 3000 and my local surgeon said 1200 is because my local surgeon is very conservative and Hasson & Wong are more on the aggressive side and are capable of achieving some ridiculous hair density. I don't believe H&W recommended to lower my hairline either though I was only thinking like half a cm at most. Not that any surgeon recommended lowering my hairline Recently, I've been looking into Dr. Rahal because the hairlines on his site are jawdroppingly good and I've just been super impressed overall with all the photos I can find. Obviously, they're his best work, but to have a gallery of hairline results probably means you're doing something right. I haven't got the opportunity to consult with Rahal but it'll happen soon. So I've been trying to decide between Dr. Rahal or Dr. Hasson. For Rahal, I really like his gallery and he seems to specialize in hairlines. He's supposed to be a bit cheaper than H & W which is very nice bonus assuming all else is equal. Also he has an office in Toronto and it would be nice to be able to just go to see him in person for whatever issues after the hair transplant. The one reservation I have about Dr. Rahal is I'm unsure about his consistency/techs. I haven't done much research on them but I was wondering if his techs were experienced and had been with him for a long time. For Dr. Hasson, (I'm leaning towards Dr. Hasson over Dr. Wong since Dr. Hasson seems to work with hairlines more), what draws me to him is probably his reputation and what I feel is the closest thing to a guarantee out there. I like the crazy density that H & W can achieve (not sure if Rahal attempts the same?) and he's got a few patients in his gallery that have left me impressed. But he doesn't have the sheer quantity of great hairline results. Especially since it seems like Dr. Hasson does just about everything well. H & W seem like they've got the entire process down to a T so I'm not too worried about their techs or their consistency. Also, H & W are a bit out of the way so followups after the transplant seem like it would be difficult. Right now, my personal feeling is that Dr. Hasson is all but guaranteed to do a good job. But Dr. Rahal might be more likely to hit a home run and do something jaw dropping. I'm not sure how much density Dr. Rahal will get however I know Dr. Hasson dense packs with the best. Anyone have experience with one or both of them? How did you guys feel about Dr. Rahals process? Any personal recommendations for one or the other?
  14. This photo actually makes my hair appear thicker than it is. I honestly believe it's getting worse by the week. The hair on the sides of my head have ceased growing. The hair around my crown will not grow to any length. I've developed bare patches on my right front, left front where I part my hair, the area on the right side of my head near the top of of strip scar. The hair on the front of my scalp which was always the thickest area has now become thin, wispy flyway hair that is unable to bind to any hair towards the side. Temple recession and even slight frontal thinning/recession. Something detrimental is occurring and my hair is regressing to pre-transplant levels to the time when I first met Dr. Rahal and he told me the hair I had wasn't going to last "much longer." Most of these issues have occurred within the last year. So, basically I'm freaking out.
  15. Hi all. Thoughts on my case below here? I've been on Fin for ~6 years now, and everything is holding well. In a position financially and both age-wise where I am considering getting a HT. I've been present on HRN for years. Advice to younger guys: Wait a bit and see how you react to meds. Also don't let this affect your self confidence. Many of my friends have gone bald over the years while I've held. My main focus points are to improve my hairline and temple regions. I'm thinking anywhere between 2-3K grafts will do the trick. Surgeons on my short list are Hasson, Konior, Rahal, and Gabel. I tend to keep my hair shorter, but open to growing it out a bit more if necessary for FUT scar. Thoughts on procedures/surgeons?
  16. Saw Dr. Rahal for my one year follow up and it was ver positive. And he asked that I come on the forum and clear up some air with recent rumours that he's retiring. Dr. Rahal: Dr
  17. The redness/pinkness can linger for a few months. Dr Rahal was a excellent choice ! Stay in contact with the clinic with any concerns 👍🏽
  18. Hello Everyone, Many of you may know me formerly as 'literalno'. I want to preface by saying that username was made in complete negativity before I knew anything about hair transplants and what they can do for people. I was aimlessly searching for answers to my fears associated with propecia and stumbled across a particularly unsightly before/after ultimately assuaging me from ever becoming one of "those hair transplant guys"; hence literal(ly)no(never). I decided to make this thread around the 6 month mark ( I am now a little closer to 7) to promote good vibes for the second leg of the process since I am quite frankly not at my end goal, but very optimistic for what should be the most productive leg of this often tumultuous journey. Much of my skepticism stems from how my hairloss occurred in the first place, and the measures I have taken thus far to fix it. It started very suddenly a few years ago during a rough time in my life. I was going through a tough period and the stress seemed to spur its onset seemingly overnight. I knew what had happened, but everyone around me obviously assured me "its all in your head" (yeah right). About two years ago I was at my wits end before coming across Dr. Amaya Prasad's "Hair Regeneration" treatment in New York (this guys should honestly be put in jail for making these claims, complete snake oil). This miracle injection featured A Cell AND PRP (WOW) as he claimed it halted and in some cases reversed hairloss all together. I was sold and flew to New York within a month, paid the $15 000 up front, got the injection, and slowly but surely thinned some more only this time more rapidly. By a few months time, I knew it was failure and I needed to try something else. Next thing I know I'm on a plane to Boston getting A Cell + Adipose Derived Stem Cells injected into my scalp (I have the lipo scars to prove it) and finally my hair would be saved. Of course, this was not the case, however the only saving grace was that the Dr. in Boston kept recommending finasteride. It took my a few more months to finally bite the bullet and get on the drug. Been on it for about 2 years, with a brief stint of Dutasteride until my doctor felt uneasy about that one, and I halted everything to a snails pace at long last. Of course after all of these experiences with Dr's who "have my best interest in mind", I remain skeptical of everyone and everything until I am proven otherwise (on my own scalp that is). Finally deciding to get a hair transplant was not a task I took lightly. I got to the same point as everyone on this forum does, an inflection point where you choose to suffer and wear hats 24/7, or take a step towards fixing the situation as scary as it may seem. I researched thoroughly for about a year, combing through result after result, and was conflicted between Hasson and Wong and RAHAL. I was able to meet three Rahal patients before my surgery, and the results spoke for themselves. There was also one bad H and W result floating around that ultimately confirmed my choice, and I chose Rahal and FUT to maximize my yield since I am young and want to conserve as many grafts as possible. I was assured during consultation by Sita, some of you may know here here, that Dr. Rahal has close to 100% yield and I believed (and still believe) her words. I don't want to go into details about the surgery itself as I plan to do a big one year post to look back on the last year, I hope in fondness. There's really no point in delving too deep into the minutia of anything until at least that date. It could have been the best time of life or not but that doesn't change the only thing that matters: the end results. I would like to bring attention to a few concerns I've had along the way in hopes of getting some feedback from members who I'm sure have shared my sentiments at some point. I was grafted at approximately 40 grafts/cm squared (roughly 70+ hairs per cm). In my opinion, this would provide me with the coverage I am after, however after my 10 hour surgery, Dr. Rahal did mention it may look thin in some instances. Though I appreciate the honesty, it did get my mind spinning especially after what I had just endured moments before. I reached out to Dr. Nadimi at around 3 months to get her opinion on what that may look like, and her feelings were quite the contrary as she assured me that in the area I showed her, 3000+ grafts would indeed provide a pretty dense result. This may simply be a difference in opinion between the two doctors, but of course contrary information leads the mind to wander. Does anyone know or have a result similar to 40 grafts/cm and like to comment on how that appears in person? I would like point out that my reaching out to Dr. Nadimi is in no way a slight to my trust in Dr. Rahal. I would not have gone to any clinic if I did not have the utmost conviction in their ability to produce a good result. It is merely me as a patient seeking a second opinion on a matter that concerns me, and that's it. In now way does it reflect any negative connotation towards Dr. Rahal and the credibility of the clinic. Unlike many threads I've looked at, my grafts were very scabbed over within 5-7 days of my surgery. Many of the hairs had definitely released themselves from their respective follicle at that point, so I never really got to see a 'buzzcut' representation of what I should expect before the shedding phase as is common among this forum, particularly with Asmed patients. Having not seen too many similar examples, I questioned whether those grafts has survived or not, but have been assured that there is no real way to know until the final result. I've read from a few different doctors online that the visual presence of grafts in the scalp about a week after surgery is a sign they have survived, so naturally it has been on my mind somewhat. My surgery took just over 10 hours. After the surgery, the clinic's lead technician Mike commented on the procedure was like placing "9000 grafts instead of 3000" because my skin was quite slippery and as a graft was placed, the adjacent grafts would slip out. Dr. Rahal has himself said this may slightly affect yield, but other Dr.s on realself say they have never heard of this phenomenon and attribute that to poor skill of implanters. Of course, I know this is not the case at a clinic with the reputation of RAHAL, but would like to know if other patients have experienced a similar thing and how everything turned out for them? Lastly, at approximately 1month post op, I went into the clinic (I live in Ottawa) to see if Larissa (my patient advisor) could try and apply some topik to the persisting redness of my scalp as I had a few job interviews coming up (for anyone in a similar position, the redness went completely unnoticeable and was not a factorv whatseover). The topik looked absolutely ridiculous and I wanted to rub it off almost right away. She proceeded to use an alcohol wipe to hasten the process, but her rubbing was very hard and did hurt my scalp quite a lot. Obviously after looking after transplanted area with extreme care for the previous month, being SUPER, SUPER gentle the entire time, I was very concerned with whether the pain and tingling I felt would affect the grafts. I've read many times before the clinics such as Asmed and Lorenzo say not to even use clippers for the first 6 months as it could damage the area, but I'm not sure how necessary that really is. Larissa and Dr. Rahal assured me that the grafts were deep within the skin and could not be harmed, but I'm sure you can agree that any painful sensation on a newly grafted area is worrisome at the least. Anyone have any thoughts as to what they have heard from their respective clinics, if anything at all? As for those results, I wanted to hold off on starting a thread until I had something closer to the final thread, but there seems to be a lack of posts by actual Dr. Rahal patients, so I figured this would as good as any for prospective patients looking to track a result as it dues completion. It's tough to comment on my progress in terms of percentage of total grafts sprouted (doesn't appear to be 50% if looking by grafts/cm as most have well below 20 atm), I'll let my pictures show everything and the forum can decide objectively how it's looking. I will say that I appear to be a very slow and gradual grower, so I'm just letting time do its trick for the time being. I have read and seen many results that improve night to day between 6-7 months and a year or later, so I am hoping I am on track for the same. It's easy to get fixated on those that are early growers, so for now I'd prefer to spread positive vibes. This procedure is does not come free of anxiety, we all know that, but I gain solace in knowing that this clinic performs multiple surgeries each and every week and has been for the last 15+ years. They are masters and though the process may be long, they know what they are doing. The following pictures start with my pre-op photos, then post-op, 7-days post op (scabbing), a dr. frietas result at 10 days that shows what I mean about being able to see the majority of individual hairs still attached to their grafts before they shed, and finally photos photos taken by me at 6 months. Would love to hear everyone's thoughts on the progress so far.
  19. Not only is that an inaccurate characterization of what I have said so far, but some poor choice of words too re: "hate" "disgruntled"... You have been very helpful to me both directly (via private messages) and indirectly (maintaining this forum), so I will definitely give you the benefit of doubt, that you didnt mean those words in their true sense. I dont hate anybody in this world.. life's too short for that and no one is that important frankly... I dont have any agenda against anyone (I wish I had that much time on hand)... I am simply sharing experiences from my personal journey, which I am hoping is a tiny way of giving back to people in the same position as I was or am... Some of my experiences were positives and some werent... Does that mean everyone else's experiences will be the same as mine.. of course not (the adults in this forum get that).. hence if I had great experience with Nadimi and H&W, does that mean no one will have bad experience with them.. of course not.. similarly, my experience with Rahal was not great, does that mean no one will have a great experience with him.. of course not... In fact in some of my Rahal comments you referred too, I clearly stated that I am not commenting on this skills, which I am sure they are great given all the positive reviews.. I simply thought that my personal consultation was rushed, and I was aggressively sold PRP and SMP. when I didnt wanted it.. my expectations were also quite modest.. at a minimum I wanted a frontal 3rd done to frame my face... which is what I eventually got done 3 years after my Rahal consultation I recall reading this forum extensively prior to having my consultation with Rahal, which is why I was even more gutted and truly felt that I had no other option beyond PRP/SMP (because my impression was that this is one of the best clinics in the world).. Is that completely on Rahal.. No.. I could have done better research and been more well equipped to take the rejection and I take accountability for that.... But life happened, and I simply gave up for another 2 years, until I re-started my research again.. During this research I came across some great honest feedback.. basically what was possible and what was not.. For instance Dr Nadimi told me what I can expect as for sure in terms of cosmetic improvement, and then what I "might" be able to achieve in future HT's given that I recover well etc... 2 clinics went even further, and said while they can give me a decent level of cosmetic improvement, they think I have a better shot if I went to a clinic that also did BHT (which I thought was great level of honesty) Based on this, my 'personal' opinion (and maybe I am wrong) is that Rahal seems to not focus on difficult cases. In my past comments, I even qualified this opinion of mine by saying that "its his business and he can run it as he pleases" but it would have been helpful, at least in my personal experience, had he taking more of a patient approach (and transparent feedback) as oppose to business centric, which in my case was trying to sell me PRP/SMP.....again that is just my personal experience. Does that mean the clinic wouldnt be a good choice for others, of course not. I am sure they can do wonders for other patients. Thats it... nothing more or less... No hatred or disgruntleness .. just simply sharing my personal experience (and trying to keep it balanced as much as possible, even when my own experience was not great) so just in case anyone else is in my similar shoes gets a rejection, they shouldn't feel like its the end of the road (I also get that for some HT may truly not be an option)... I think I shared a negative personal experience as balanced as I could, and I believe @Westview was also sharing a balanced opinion. And the example you shared to counter the views (which again is not needed, as we both agreed there are two sides to this) is also of NW2, minimal thinning, almost no family history of baldness, on meds.. and pre-HT hair that most bald people will give up their 5th born for.... which actually reinforces my overall assessment of the clinic...
  20. Hey I decided to share my hair transplant experience on this forum in hopes to convince anyone thinking about getting a hair transplant to do it! At a young age I struggled with a receding hairline and I was often embarrassed about it. For many years I would wear a hat to hide the recession of my hairline until I came to the point I needed to do something about it. After years of research on male pattern baldness and hair transplants and I finally decided to go to doctor Rahal in Ottawa As I arrived to the clinic in Ottawa, I was greeted with nothing but professionalism. Dr Rahal designed a new hairline for me in a matter of minutes and it was exactly what I was looking for. Definitely a keen eye for a natural look The Day of the operation was nothing but smooth sailing, I didn’t even realize they had started the procedure until ten minutes in. I felt no pain or discomfort except the needles for freezing which wasn’t that bad at all, I spent the day watching Netflix and falling asleep in and out of the procedure, you basically don’t feel anything. Looking back, its definitely one of the greatest things I've done for myself. Rahal is absolutely the best in the industry in my opinion. 250
  21. Hello everyone ! I went to get my 3003 graft FUT done at Dr.Rahals clinic last July, the experience was amazing and i cant say enough great things about the team there ! Highly recommend to anyone thinking of getting the procedure done. Here is my month to month progress. I will post pre op to now in order (currently 4.5 months post op) thanks everyone 🙂
  22. Hey everyone new to the forums but have been a long time lurker. Have a scheduled 3000 graft FUE procedure in November with Dr. Rahal to rebuild my hairline. 60cm squared total area being covered at 50 grafts a cm squared. I am 29 yr old NW3 with deep temporal recession and with a U hairline recession and am looking to rebuild my temple angles and lower my hairline some as I have a large forehead now. I have attached photos of my hair loss. I am taking finasteride 1mg EOD and believe I am a good candidate for a transplant as my mothers side of the family has no hair loss and my father is a NW3 in his mid 60’s. He has had the same hairline since he was my age. So his hair loss has stabilized naturally the past 30 years as he takes no medication for hair loss. I have a 200 person wedding I am the best man in next summer so that is part of my reason to get one in Nov, that will give me 9 months from procedure until the wedding. Do you believe that is enough time to see decent results. Just looking to get some opinions on my procedure and on Dr. Rahal as a surgeon. Have read a mix of good and bad on here. As a side note I will also mention I have Ménière’s disease.
  23. I’m not on Finasteride because I’m already a NW7 and I get nasty side effects. Not sure if I also lost some of Dr. Rahal’s transplanted hairs into the front along with all the native hair.
  24. Dear HRN friends, Apologies for the delay with the final results pictures at 19 months without taking Finasteride or Minoxidil. Took photos today with heavy lighting at the barbershop. I understand I had a lot of area to fill in but I had hopes I would get a bit more density from my beard grafts, sadly my beards grafts are just as thin as my scalp grafts. In the end I managed to get coverage all over but with very little density so I think I have to consider a third and last surgery. My frontal HT from my FUT with Dr. Rahal 13 years ago is also with little density due to losing all the native hair in that region. After my surgery Dr. Pekiner said I had no donor area left but I will speak with some more Doctors for a second opinion as I believe there’s enough donor here for a third surgery. Have to say that I kind of lost faith in BHT because these 1888 beard grafts (all singles) really didn’t added as much density as I had hoped and the 2007 scalp grafts alone weren’t going to be enough to fill up 120cm2 of slick bald real estate. Looking forward to your comments.
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