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  1. After speaking with Dr. Konior and Dr. Nadimi this weekend, Dr. Konior mentioned a study conducted by Dr. Ron Shapiro, an elite surgeon who actually kick started this community by performing surgery on @Pat - Community Publisher the study concludes that patients who start off with FUT first and combine FUE get more lifetime grafts than either technique alone. I thought it was pretty interesting, especially for those interested in maximizing donor supply. https://www.ishrs-htforum.org/content/htfi/29/5/local/front-matter.pdf
  2. Looking for a HT Surgeon in US (also including H&W). Below is the list of the top 10 that I've found during my research (could be wrong). I was wondering if people could provide their top 5 and if they could provide any personal experience, including any of them to avoid. I'm leaning towards Wesley but not so many reviews on him in comparison to the others. Otherwise I was thinking H&W. 1. Wesley 2. Hasson & Wang 3. Jae Pak 4. Timothy Carman 5. Ron Shapiro 6. Konior 7. Rassman 8. Diep 9. Parsa Mohebi 10. Feller & Bloxham
  3. 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
  4. Hi everyone, This forum has been a tremendous help! On 8/10 I had 2756 FUE grafts done by SMG. As @hybonix and other recent reviews have stated, this is a first class clinic! Dr. Shapiro, Jo and the team are fantastic and I had all the confidence in the world with them. I was pretty torn between going with Dr. Wong or SMG and also starting with FUE first with my advanced balding pattern. I actually flew out to Minneapolis on my own dime to consult with Dr. Jo in person and felt really good about Fue and SMG after this meeting! The breakdown is 2756 grafts totaling 5529 hairs. 1’s-601, 2’s-1537, 3’s-618. I will be starting the topical Finasteride/Minox combo from Farmacia Parariti in one month. I’ve struggled with minor sides so I’m hopeful this works well. Things seem to be healing very well 10 days post op! The only real concern I have at this point is regarding the hairline. I love the shape and height but it turned out to make a slight lowest point over my right eye. Looks a little off but I definitely won’t judge anything until it’s grown out. I may end up loving it and think it looks even more natural that way. Time will tell!
  5. Shapiro is best bang for buck when compared to the others IMO. Paid substantially less money and super pleased with my results. Chose them over H&W.
  6. 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!
  7. @JohnAC71 After taking a closer look at side by sides, it does seem to be a little less noticeable.. I'm 7 weeks post-op right now so hopefully the next 2-4 months does the trick. Many people have told me it's normal and it takes 4-6 months to heal but having a hard time finding similar stories or any reassurance on that. I got the impression from my consult with Shapiro Group that this is not normal however, but wouldn't tell me that directly. Thanks for the help and staying with the thread John!
  8. So, I went and met with Shapiro and they didn't seem willing to tell me their opinion on whether or not they believe I have pitting. Told me to wait it out and see how things heal and that they "don't tell clients at consults things that may distress them"... I'll keep the thread posted as I continue to heal (hopefully). If anyone knows of any similar story, where the healing looked similar and it all worked out (or didn't), it would be great to check out. Thanks for all your comments and help!
  9. 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.
  10. Hey everyone- On 4/1/21, 10 days before my 45th birthday, I had my first HT FUE procedure at SMG with Dr. Shapiro and Dr. Josephitis. I have worn baseball hats, combed my hair forward and painstakingly tried to disguise my hair loss for 25+ years - essentially my whole adult life. I first noticed my hair loss when I started dying my hair at 18 because I thought it was a cool thing to do. I will never forget that night in '94 when I rolled over on my pillow and a clump of hair detached from the right side of my hairline. I don't want to sound dramatic, but I was traumatized. I started taking Proscar over 20 years ago and have maintained a NW ~3.5 or thereabouts since with more recession in the front than the crown. NOTE: I recently started taking oral Rogaine in March '21 per SMG's recommendation. Despite all the insecurities I experienced around my hair, I have had a successful career and family life, but my hair situation instantly made me feel more self conscious, anxious and less outgoing. About 2 years ago, I started seeing a therapist primarily to address my biggest insecurity in life. I decided the first step was to shave my head which happened right before the pandemic at the beginning of 2020. While rocking a bald head was probably a cleaner and trendier look than combing my hair forward, I found that calling more attention to my baldness was just amplifying my anxiety. I watched Melvin's video on trying to shave your head *before* considering a transplant and it hit home with me. I had tried the shaved head option, but realized my hairline and overall thinning would bother me whether I buzzed it all off or tried to grow it out longer. This year, I decided to move forward with Shapiro Medical Group. I am about 10 weeks post-op and wanted to share my story and initial before/after pics. Mentally, I am trying to practice patience and reserve judgment as I realize that results don't start to show until 3-4 months in and final results can take 12-16 months. I am also managing my expectations as best as possible. I likely used less than 1/2 of my FUE donor supply (2500 grafts) and am open to tweaking and/or bringing the hairline down in the future assuming it can be done discreetly. What drew me to Dr. Shapiro and SMG were their natural results, track record and years of experience. It also helps that it's a convenient 15 minute drive from where I live. I know there are many doctors on this forum that do excellent work, but I never saw a Shapiro hairline that I thought looked unnatural in any way, shape or form. For me, my first priority was broadening my hairline and having it look completely undetectable, even at close inspection. After studying Dr. Shapiro's lectures, methodology, and results, I felt confident in my decision to move forward. I have learned to view my procedure as an improvement. I am not going to achieve my ideal hairline, which would have likely been ~0.5-1 cm lower, but I am hoping that adding more density and broadening the hairline considerably will make me more comfortable and confident in my appearance. I also can take some solace in knowing that I have more donor hair to work with should I still feel the desire to bring my hairline down further after the final results come in. I was never pursuing a straight hairline or trying to recapture my high school hairline, so I just have to wait and see if the first procedure will be sufficient or if I may need some additional work done to reach my ultimate goal. In terms of the numbers, I had 2530 grafts/4718 hairs (832 one hair grafts, 1208 two's, 490 three's). Dr. Shapiro did convince me to use a couple hundred grafts in the temples which were significantly receded as well, and I think that was the right decision aesthetically. Would love to hear any feedback and would be happy to answer any questions as well. I am excited for the future, but am also trying to maintain a realistic and positive outlook in the meantime...
  11. Hi all, I had a FUE procedure with Dr. Panine - approximately 2,700 grafts August 24th and am just curious if anyone has any advice on how long FUE scars are typically visible for. My scars are still extremely visible and looking for some assurance on my healing and how long I should expect to see the scars. I had prior procedures with Dr. Paul Shapiro in 2016 and 2018 with 1800 and 1600 grafts, respectively.
  12. 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.
  13. I am now crossing Dr. Nader off the list (well there's only one) and going back to square one. I wanted to tell my wife if it's safe to go to his area and I saw the news that there were multiple dead recently with drug cartel violence. My next candidate might be Dr.Shapiro or Dr.Arocha - I think this will about double what it would cost with Dr.Nader, and yes, I know that cost isn't everything, hence continued research.
  14. 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.
  15. Yes, I knew he was but went for a cheaper alternative, worst decision ever. Would gladly go back and pay double what he was asking now, but that's hindsight.. I'm meeting with Shapiro next month to discuss this procedure and discuss options for a 2nd round. Unfortunately, the older Shapiro (that wrote the book) is retiring from what I've heard, but his brother is still working there. I may try to pull him out of retirement though lol.
  16. 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?
  17. One for @Gatsby to help on. Would suggest Drs Konior, Cooley, Gabel, Lindsey, Shapiro, Hasson & Wong as suitable options for advise.
  18. I thought it was odd they didn't use smaller incisions on the hairline and surrounding area, but that is what they deemed appropriate I guess. FYI: they used 1.25mm and 1.0mm hole punches to harvest the grafts, so hopefully those sizes line up in a manner that's not too prone to pitting. Honestly just hoping it is the incisions finishing their healing and that the remodeling phase will even this out for me. It doesn't appear I have any cobblestoning appearances. It just worries me so much that it won't ever go away.. I've seen a few threads where they thought it was pitting but it resolved itself over time, but there's not much out there that I can find to reassure myself.. The ugly duckling phase is much more stressful than I anticipated.. I will be seeing the Shapiro Medical Group (not who did this operation) on September 14 to discuss their opinions on if it is pitting and to see what my options are for a second Hair Transplant. Will update this thread with their conclusion (hopefully a favorable one)!
  19. Hi, i want to go in for hair transplant. I have been researching a lot and found these Drs: Dr Yaker, Dr Shapiro, Dr Bauman, Dr C anyone has any experience with these drs? or if there are any other good drs please let me know.
  20. Hey all, I had a hairline lowering surgery back in 2017, then in 2018 i got a hair transplant to help cover my scarring which ended in a failed transplant. I went with Dr Arocha Bernardino. I live in Texas and thought he was the best in the area, but my results were horrible. I had the worst swelling ever to where i couldnt see. I havent seen swelling on anyone else like the way i swelled, the hair growth was poor, very uneven, to low and pluggy. Also with a wide scar on the back of my head. I have the option to go back for a free repair but i don't think i'll risk that. Ive been lasering off the old hair hairs since august of 2020 and i should be almost finished. So now i'm left with a scar im trying to cover & creating a new natural looking hairline with lowering it as little as possible... I'm deciding on Shaprio & Dr Nadimi they both seem to have great results and feed back from patients.... Any help would be great! Thanks!
  21. After reading many positive reviews I took the plunge and had a HT by Dr Maras at HDC back in early December. As you might have guessed based on the title of this post, I’m really unhappy with how it’s gone! I’ve tried to write the below without too much bias and focus on the facts that are visible from the photos so you can draw your own conclusion! It’s only been 4 months and we all know that you need to wait longer than that to see the end result, but what you can see right from the outset is the shape of the new hairline. Before the HT I was a very stable NW3 and just looking to subtly bring it back towards a NW2: Dr Maras came up with a hairline design, I asked for it to be slightly higher as I only wanted a subtle improvement. I was a simple case, only needing 1800 grafts, and I trusted him to design a natural looking hairline. After the design, I went through to the operating room and lay face down for the extractions. After a short break it was time for the incisions to be made. I sat back in the chair, slightly uncomfortable as it’s a bit weird when you can’t feel the back of your head against the chair due to the anesthetic. Dr Maras stood behind me to start the incisions, he said that the hairline that had been drawn had smudged where I had been lying face down. Standing behind me he redrew the outline, he didn’t check it from any other angles before starting the incisions. When the HT was complete, we went through to the other room for pictures to be taken. I vividly remember Dr Maras commenting that the anesthetic can cause things to look uneven and saying, “don’t worry we haven’t given you a wonky hairline!” Here’s some pics from immediately after: When I look at the picture taken from the front it’s immediately apparent that the right side is higher than the left. You might be tricked into thinking that my head is leaning/turned to the left however this is because the hairline has been skewed off-axis. Whilst the picture is taken ever so slightly from my right side, if you line up other features such as my eyebrows and ears you can see that they are reasonably level: The left side is what I’m most unhappy with, here’s how it looked at 2 months: This is at 3 months, note the difference in symmetry between the right and left, the left slopes downwards at an unnatural angle: I’m no expert when it comes to hairline design, but Dr Ron Shapiro has some pretty good material on the subject like this paper - https://shapiromedical.com/wp-content/uploads/2019/08/article_hairline-design.pdf One thing he talks about in that paper is frontal-temporal angles: · Key points – “Do not flatten or totally fill in the frontal temporal angle” · “Slight temporal recession or weakness of the FTA is normal in the white male hairline. Therefore, flattening or densely filling in this recession is a mistake and would make the hairline look artificial” Comparing his example of a bad hairline design with the hairline Dr Maras has created for me! Now I’ve got 6 months of waiting for this to grow before I can get other doctors to review and decide what can be done to fix it. In my opinion the slope on the left side is unnatural and the temples will need to be punched out to try and create a natural look (which will result in scarring). This is really depressing situation to find myself in!
  22. It depends on what you prefer, for example I went to Diep, as you can see from the above statement, not everyone will be a fan. My suggestion is start looking up reviews. For me De Freitas is amazing, so is Bisanga, Konior, Shapiro, Gabel, etc. There are a lot of great surgeons. You just need to research.
  23. Dr. Paul Shapiro has retired from surgery. Dr. Ron still practices.
  24. My 50 cent: - A HT which does not have the desired outcome is really devastating for any patient. Such a long time, researching, consulting, the surgery, the waiting and even more waiting...looking like shit for month...there is almost no one who does not get frustrated by this. It drove myself crazy last time. - I truly believe that the amount of below average results is much (!) higher than most clinics wants us to believe and also most patients wants (!) to believe themselves. - One rule always mentioned is, not to decide by distance...this is certainly true but it also requires double effort as I believe: NO ONE should have to decide for his hairline on the day of the surgery. Visit some of your target clinics, have them draw you a hairline, discuss your case, have pictures, look at them at home and THEN decide for the clinic and the surgery. Everyone is nervous on the day of surgery and no one should decide in a few minutes under the pressure of the surgeon and the team (who are eager to start) about his hairline. And there is this pressure, even if the clinic does not want to pressure you ... just by the team waiting this pressure is generated. - Having said this: I do not think that this hairline is "technically" wrong (of course more pics are required for a final judgement). I see quite a lot "conservative" hairlines with such round corners/temples. This is also not a contradiction to the "shapiro paper" as this describes another (more aggressive) type of hairline. Actually, I think the clinic followed the remaining, receded natural hairline and lowered it. Even if the design is not to the TO liking, I think it can be tweaked without punching out any grafts, by just rounding the middle section of the hairline (but again: more pics would be required for a final judgement).
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